There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem. In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former). Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient’s progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover trial or a straightforward clinical practice audit, those who are interested in research will find that their own clinics become a source of great discovery. Scales provide standardized measures that allow colleagues across cities and countries to coordinate their practices. They enable the replication of previous studies and facilitate the organization and dissemination of new research in a way that is accessible and rapid. As the emphasis placed on evidence-based care grows, a clinician’s ability to assess his or her own practice and its relation to the wider medical community becomes invaluable. Scales make this kind of standardization possible, just as they enable the research efforts that help to formulate those standards. The majority of Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument’s content. Groundbreaking and the first of its kind to conceptualize and organize the essential scales used in sleep medicine, Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is an invaluable resource for all clinicians and researchers interested in sleep disorders.

How much revenue growth did your agency see last year??? How many new employees were added to your team??!? How fast have you grown in the past four years??!?!?!?!!?! Get a few digital agency owners together, and these questions will all be asked within the first 30 seconds of the meet-and-greet, if not sooner. But, what if these are the wrong questions on which to be focused? What if the way you think about growth, personal fulfillment, and how you lead your agency doesn't need to center around revenue or employee headcount growth? If you are getting exhausted by the endless emphasis on revenue or employee growth as the assumed, primary goal of every agency owner, then this book is for you. It is a clarion call for agency owners to stop chasing unicorn-like growth, and instead focus on serving their clients, employees, friends, family, neighbors and thus make an indelible imprint on the world. This book is not anti-growth, but it does offer an alternate path for the over-worked agency owner.

Your concrete road map to rapidly grow your business and get your life back! Have you ever wanted to grow your business but held back because of fear that it would take over your life? As an owner, it’s all too common to feel you have to choose between your personal life and the success of your business. But the surprising truth is that the only way to truly scale and grow your company is to reduce its reliance on you. This means that, done right, scaling ensures that you can grow your business without sacrificing your life. Jeff Hoffman, a serial entrepreneur and former CEO in the Priceline (Priceline Yardsale) family of companies, and David Finkel, CEO of Maui Mastermind, a business coaching company with thousands of clients worldwide, offer a concrete road map for rapidly growing your business while also gaining more personal freedom. You’ll not only learn the best strategies to generate growth, but you’ll also get proven insider tips to sustain that growth through sound systems, empowered teams, and intelligent internal controls. Hoffman and Finkel will also show you how to overcome predictable obstacles in any pillar of your business—including sales, operations, and finance—with insight for building better lead-generation systems, managing cash flow, and retaining talent. You’ll learn how to: • Escape the Self-Employment Trap and build a business, not a job. • Systematize your business to reduce costs and increase capacity. • Ensure your company survives the “Hit by a Bus” test. • Uncover your company’s top leverage points (and execution strategies to implement what you discover). • Fund your growth with the seven cash flow commandments. • And much more. Scale offers a game plan to work less and get your business to produce more. Written by two worldclass entrepreneurs who have started, scaled, and successfully exited from multiple businesses, which collectively have generated tens of billions of dollars in sales, it gives you their bottom-line best ideas to effectively grow your company. If you have ever felt stuck in your business, not knowing the best way forward, this book is your mustread guide.

Scaling up is something most founders aspire to, especially once the tricky start-up phase has been navigated. It can increase your reach and future proof your business. But how do you scale ? And how does it differ from flipping for a quick profit or slower organic growth? Les McKeown advises industry leaders on how to achieve scalable, sustainable growth. In Do Scale, he draws from his decades of experience to provide a clear understanding of what's involved, and the strategies needed to take your business (or not-for-profit) to the next level. You'll find out: What it means to scale and if now is the right time; Why founders need to get out of their own way ; How to develop winning teams; Your secret weapon for decision making. With practical advice and clear guidance, Do Scale is an essential manual for anyone looking to grow a successful and sustainable organisation and turn it into something truly remarkable.

That dreaded piece of metal called a scale! It holds the power to make you feel elated one day and devastated the next. But weight-loss coach and emotional eating expert, Linda Spangle, believes that when it’s used the right way, the scale can become your biggest ally in any weight-loss plan. Friends with the Scale presents a smart, practical approach that helps you completely change your relationship with the scale. Based on stories and examples along with scientific data, this book helps you discover the weight-loss power that lies within your scale when you simply make it your friend. You’ll learn: • How to prevent the dreaded scale panic • The one time you should NOT step on the scale • Ways to manage the scale at your doctor’s office • 14 factors that can affect scale numbers • How to fix “failure thinking” when the scale goes up This step-by-step guide will help change your morning weigh-in ritual into one of the most positive moments of your day.

Equal parts love story and inspirational tome, Whitfield's plot shines for its original ploys and reflections of everyday people and life experiences.' - Ebony A perfect mix of humour and heart, this is the tale of Sonny Walker, a thirty-something Mr Nice Guy who's waging the battle of the bulge and looking for love. Dumped by girlfriend Marsha after gaining 75 pounds, he's on a mission to lose weight and get her back but he can't stop thinking about food!'

Have you ever sat at your desk stressed and wondering what to do next in your business? Do you feel your dreams are on hold due to the constant firefighting? Take a deep breath and open the book because help is at hand. This is a milestone book to enable business owners, entrepreneurs, founders, you, to dare to dream big and achieve those dreams.

This book is a guide to building a digital institution. It explains how a growing band of reformers in businesses and governments around the world have helped their organisations pivot to a new way of working, and what lessons others can learn from their experience.

Of musical notation. Time and meter ; Notes ; Rests ; Measure notation ; Measure signature ; Pitch notation ; Staff and clefs ; Tones in key ; Signatures ; Tonic sol-fa ; Patent notes ; Grace notes and embellishments ; Trill ; Pedals of the pianoforte ; Phrasing and expression ; Abbreviations ; Special signs in instrumental music -- Classification of musical forms -- Rules of pronunciation.

"This is science writing as wonder and as inspiration." —The Wall Street Journal Wall Street Journal From one of the most influential scientists of our time, a dazzling exploration of the hidden laws that govern the life cycle of everything from plants and animals to the cities we live in. Visionary physicist Geoffrey West is a pioneer in the field of complexity science, the science of emergent systems and networks. The term “complexity” can be misleading, however, because what makes West’s discoveries so beautiful is that he has found an underlying simplicity that unites the seemingly complex and diverse phenomena of living systems, including our bodies, our cities and our businesses. Fascinated by aging and mortality, West applied the rigor of a physicist to the biological question of why we live as long as we do and no longer. The result was astonishing, and changed science: West found that despite the riotous diversity in mammals, they are all, to a large degree, scaled versions of each other. If you know the size of a mammal, you can use scaling laws to learn everything from how much food it eats per day, what its heart-rate is, how long it will take to mature, its lifespan, and so on. Furthermore, the efficiency of the mammal’s circulatory systems scales up precisely based on weight: if you compare a mouse, a human and an elephant on a logarithmic graph, you find with every doubling of average weight, a species gets 25% more efficient—and lives 25% longer. Fundamentally, he has proven, the issue has to do with the fractal geometry of the networks that supply energy and remove waste from the organism’s body. West’s work has been game-changing for biologists, but then he made the even bolder move of exploring his work’s applicability. Cities, too, are constellations of networks and laws of scalability relate with eerie precision to them. Recently, West has applied his revolutionary work to the business world. This investigation has led to powerful insights into why some companies thrive while others fail. The implications of these discoveries are far-reaching, and are just beginning to be explored. Scale is a thrilling scientific adventure story about the elemental natural laws that bind us together in simple but profound ways. Through the brilliant mind of Geoffrey West, we can envision how cities, companies and biological life alike are dancing to the same simple, powerful tune.