In terms of its impact on poverty, the recent economic crisis in the Philippines was more of an El Niño phenomenon than a financial crisis.

With over 430 patient instruction fact sheets and an additional 123 patient instruction sheets online, the new edition of Griffith's Instructions for Patients by Stephen W. Moore, MD, helps patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor. Consistently formatted and organized by topic for easy use, it provides descriptions of each illness, including frequent signs and symptoms, possible causes, risks, preventive measures, expected outcomes, possible complications, and treatments. Newly added topics include Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; In?uenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent. Printable instruction sheets in English and Spanish, 23 separate patient information guides to various types of diets (from "Adult Regular Healthy Diet" to "Weight-Reduction Diet") are downloadable at expertconsult.com. Quickly find what you need with consistently formatted guides – organized by topic for easy use! - Help your patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor thanks to over 430 patient education guides (and an additional 123 guides online!) reflecting the latest therapeutic information. - Ensure the best patient encounters and outcomes with downloadable, customizable English and Spanish patient education guides on expertconsult.com. Educate your patients about timely topics such as Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; In?uenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent.

El Niño is a meteorological and oceanographic phenomenon, which occurs at irregular intervals in the eastern tropical Pacific. Its most obvious characteristic is the warming of surface waters, which causes enormous disturbances of the marine environment. A severe Niño may also affect continental systems worldwide. This book gathers in a comprehensive way the information available on the effects of the exceptionally strong 1982-83 Niño on a group of marine mammals, the pinnipeds. It presents an analysis of the effects of environmental stress on the populations of top predators. Data and interpretations are based on a most unusual collection of long-term studies of pinniped population dynamics, behavior and ecology which spanned the El Niño event. The responses of pinniped populations to the El Niño disturbance of the marine ecosystem also has important implications for the management and conservation of marine mammal populations.

Programa de educación pediátrica prehospitalaria (PEPP), tercera edición representa una fuente completa de información médica prehospitalaria para la atención de urgencias de los lactantes y los niños.

El Niño is a meteorologic/oceanographic phenomenon that occurs sporadically (every few years) at low latitudes. It is felt particularly strongly in the eastern Pacific region, notably from the equator southwards along the coasts of Ecuador and Peru. The El Niño is a component of the ENSO (El Niño Southern Oscillation) which accentuates the intimate and causal connection between atmospheric and marine processes. Obvious manifestations of El Niño in the eastern Pacific are anomalous warming of the sea; reduced upwelling; a marked decline in fisheries, and high rainfall with frequent flooding.The 1982/83 El Niño was exceptionally severe, and was probably the strongest warming of the equatorial Pacific Ocean to occur during this century. The warming was intense and spread over large parts of the Pacific Ocean and penetrated to greater depths than usual. Many eastern Pacific coral reefs that had exhibited uninterrupted growth for several hundred years until 1983 were devasted by the disturbance and are now in an erosional mode. Marine species were adversely affected. The consequent depletion of the plant food base resulted in significant reductions in stocks of fish, squid etc. This led to a mass migration and near-total reproductive failure of marine birds at Christmas Island.Emphasis in this volume is placed on disturbances to benthic communities; littoral populations; terrestrial communities and extratropical regions.