Chapter 4 considers routes that advanced string players took to prepare for entering the workplace, and the changing socioeconomic and gender constraints that shaped their options. It begins by unearthing informal modes of training and “ways in,” including private or family instruction and unpaid work experience in theater orchestras, and it ends with an examination of what British conservatoire education could offer those who could afford to attend such institutions. Both sections draw on testimonies of individuals. A middle section provides a close examination of diplomas that engages scholarly conversations about musicians’ quest for professionalization and the credibility of qualifications. College of Violinists’ diplomas emerge as reputable qualifications and the exams of choice for less affluent players who wanted to teach. The chapter argues that by increasing the supply of certified teachers and competent performers for both the professional and amateur scenes, conservatoire instruction and reputable diploma certification ensured the robust continuation of violin culture in Britain beyond 1930.

Question 1: Which of the following signs and symptoms is NOT characteristic of kleptomania?

Chapter 16 covers the topic of bulimia nervosa and binge eating. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis and treatment of a patient with bulimia nervosa and binge-eating disorder. topics covered inlcude diagnosis, complications of self-induced vomiting, co-morbidities, pharmacological and non-pharmacological management of bulimia.

Heather Ingman, in her chapter, explores W. B. Yeats’s legacy in the construction of the myth surrounding the Big House, the country estates that served as a potent symbol of Anglo-Irish Ascendancy rule in Ireland. The Big House novel, which rose to prominence in the late eighteenth century, created over the ensuing two hundred years new grounds of recognition for the iconic Georgian structures that presided over vast demesnes until the Land Wars and the War of Independence altered forever the Anglo-Irish landscape. Ingman shows how the Yeatsian myth of the Big House was undermined in novels by, among others, Elizabeth Bowen, Molly Keane, Jennifer Johnston, William Trevor, and John Banville. But even in the process of dismantling the myth, these novels retained a small portion of the Big House’s cultural value because its symbolic value could be taken for granted, if only to transform it.

Humanity’s impact on the planet is undeniable. Fairly and effectively addressing environmental problems begins with understanding their causes and impacts. Is over-population the main driver of environmental degradation? Poverty? Capitalism? Poor governance? Imperialism? Patriarchy? Clearly these are not technical questions, but political ones.

Updated to cover new debates, data, and policy, and expanded to include chapters on colonialism, race and gender, and the impacts of energy and resource extraction, this book introduces students to diverse perspectives and helps them develop an informed understanding of why environmental problems occur.

How the international community should act is deeply contested. Guiding students through the potential responses, including multilateral diplomacy, transnational voluntary action, innovative financial mechanisms, problem displacement, consumer-focused campaigns, and resistance, this book explains the different forms of political action, their limitations and injustices.

Online resources include lecture slides, a test bank for instructors, updated weblinks to videos, and suggested readings for students.

Question 1: When asked about her thoughts on being an excellent tennis player, Jane says, ‘I am the undisputed best tennis player of all time. I need to train daily. I hope there won’t be a traffic jam to the gym later. I often get hungry while playing tennis. The Japanese food down the corner is authentic and nice. Oh, the weather in Japan is lovely. You know any Japanese anime?’ What psychopathology in thought is demonstrated?

Chapter 41 covers the topic of non-rapid eye movement sleep (NREM) behaviour disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis of a patient with a NREM sleep behaviour disorder (sleep terrors). Topics covered include diagnosis, sleepwalking and sexsomnia.

Chimpanzees are not our ancestors! Rather, they are our closest living cousins. Approximately 7 mya there was a species of ape in Africa, the common ancestor that you and I share with the chimps. That species was not a chimpanzee – we know that thousands of changes in DNA have occurred in the descendant lineages since that ancestor. And many resulting skeletal and biological changes have occurred in both the human lineage and the chimpanzee lineage since that ancestor.

The idea that humans descended from chimpanzees is one of the most common misconceptions about evolution. The notion that we evolved from chimps fits well with the concept of the ladder of progress. We might think that chimpanzees are more “primitive” than we are, so if evolution were a progression toward more “advanced” forms, then we might think that the other living apes evolved first, and that we evolved from those apes. We might think that chimpanzees and gorillas are older species, and that Homo sapiens is a younger species that evolved more recently.

This chapter examines the emergence of the Chile solidarity movement, a broad umbrella of Latin American exiles, West German New Leftists, Social Democrats, trade unionists, and orthodox Communists united by the idea that the Pinochet regime was fascist that required their opposition given Germany’s fascist past. The chapter explains why these leftists employed a human rights rhetoric that leftists had largely shunned in the 1960s. It argues that from 1973 to 1976 there was a widespread consensus among solidarity activists that the demand for human rights and expressing solidarity with Chile’s socialist experiment under Allende were compatible claims. Human rights became part of a common strategy to secure the international isolation of the Chilean military regime. These “politics of emergency” enabled the close collaboration between leftists and Amnesty International. These “politics of emergency” were controversial, but the Chile solidarity movement was forced to adopt them to help the Chilean left survive. The chapter concludes by showing how this consensus weakened after 1976 because Maoists rejected the endless continuation of the politics of emergency.

Chapter 8 examines the instruments of the violin family in the cultural imagination, addressing why they captivated so many people, what associations became attached to both the instrument and the person who handled it, and the underlying social currents those associations suggest. Two main topics are treated: the veneration around the instruments of Stradivari and others from the Cremonese School and the concomitant idealization of old artisanal craftsmanship; and how contemporary writers and illustrators sought to understand the instruments’ allure for players, especially women. The discussion assesses the idealization of old instruments in the context of industrialized violin making and broader social anxieties about the modernizing world. Building on scholarship about the gendering and sexualization of stringed instruments, the chapter also considers depictions of people’s responses to them through the lens of sensory and sensual perception, arguing that the prevalence of such material reflects attempts to make sense of the violin family’s powerful hold on British society.

By the early twentieth century, a handful of students of African descent were attending the Academia de San Alejandro. Some of them managed to continue their studies in Europe, frequently with fellowships from national and local institutions. The so-called sociedades de color – clubs and mutual aid societies organized by people of African descent – played key roles in procuring state support for these artists and their careers. By the late 1930s, a small but consolidated group of artists of African descent, including a few women, exhibited regularly in Havana. Several participated in international exhibitions as well. Yet many, indeed most, of these artists are barely remembered today. The rise of the artistic vanguardia (avant-garde) of the 1920s and 1930s depicted their works, which were executed in the academic language, as obsolete and mediocre. As in the early nineteenth century, what the vanguardia described as true – and certainly as new – art was produced mostly by white artists. This is ironic, for much avant-garde art constructed visions of national identity that were centered on Afro-Cuban cultural expressions, to the point that the movement is known as Afrocubanismo in Cuban arts and letters.

Question 1: A 52-year-old gentleman was admitted following a fall. He has a history of Child–Pugh class C liver cirrhosis secondary to alcohol use disorder. During his inpatient stay, he started to experience signs and symptoms of alcohol withdrawal. Which of the following medications would be most suitable for the management of his alcohol withdrawals?

Imagine looking out on the plains of Africa sometime several hundred thousand years ago. You see a group of people – perhaps a family group with grandparents, parents, adolescents, and younger children. You can sense their connection to you – they are fellow humans and you recognize the key features that we all share today. Perhaps some of them are sharing meat from a gazelle they have killed. Others might be gathering fruit or seeds. The children might be running around chasing one another. Imagine a young woman in that clan, perhaps in her early twenties. She could be a woman that you and I and every other living human can trace our ancestry back to. Such a woman lived in East Africa approximately 150,000 years ago; she is a common ancestor that you and I share, along with every other human currently alive on Earth. We all inherited a key piece of our DNA from her. This is a segment of DNA that you inherited from your mother, and she from her mother, and she from her mother … all the way back to this woman who lived perhaps in present-day Kenya, Tanzania, or Ethiopia. She has been nicknamed “mitochondrial Eve.”

Ockham’s so-called nominalism consists of two distinct, but closely related, projects: namely, (1) securing a reductionist ontology, and (2) developing a nominalist semantics. Ockham’s commentators have long supposed that Ockham’s ontological reductionism is achieved through the development and deployment of his nominalist semantics. In this chapter, I challenge this traditional, ‘semantics-first,’ understanding of Ockham’s nominalism. In particular, I argue that a careful reading of Ockham’s elaborate treatment of terms in SL I shows that his semantics presupposes rather than establishes his reductionist ontology. Thus, far from being a semantics-first project in ontology, Ockham’s treatment of key semantic principles and distinctions in SL I reads much more like an ontology-first project in semantics. Having thus dispatched the semantics-first reading of Ockham’s nominalism, I conclude by sketching an alternative account of the principles that guide Ockham’s metaphysical methodology.

Question 1: Which of the following can worsen the symptoms of obstructive sleep apnoea (OSA)?