To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This article is a clinical guide which discusses the “state-of-the-art” usage of the classic monoamine oxidase inhibitor (MAOI) antidepressants (phenelzine, tranylcypromine, and isocarboxazid) in modern psychiatric practice. The guide is for all clinicians, including those who may not be experienced MAOI prescribers. It discusses indications, drug-drug interactions, side-effect management, and the safety of various augmentation strategies. There is a clear and broad consensus (more than 70 international expert endorsers), based on 6 decades of experience, for the recommendations herein exposited. They are based on empirical evidence and expert opinion—this guide is presented as a new specialist-consensus standard. The guide provides practical clinical advice, and is the basis for the rational use of these drugs, particularly because it improves and updates knowledge, and corrects the various misconceptions that have hitherto been prominent in the literature, partly due to insufficient knowledge of pharmacology. The guide suggests that MAOIs should always be considered in cases of treatment-resistant depression (including those melancholic in nature), and prior to electroconvulsive therapy—while taking into account of patient preference. In selected cases, they may be considered earlier in the treatment algorithm than has previously been customary, and should not be regarded as drugs of last resort; they may prove decisively effective when many other treatments have failed. The guide clarifies key points on the concomitant use of incorrectly proscribed drugs such as methylphenidate and some tricyclic antidepressants. It also illustrates the straightforward “bridging” methods that may be used to transition simply and safely from other antidepressants to MAOIs.
In recent decades, there has been growing interest among farming and scientific communities toward integrated crop–range–livestock farming because of evidence of increased crop production, soil health, environmental services and resilience to increased climatic variability. This paper reviews studies on existing cropping systems and integrated crop–range–livestock systems across the USA which are relevant in the context of summarizing opportunities and challenges associated with implementing long-term crop–range–livestock systems research in the highly variable environment of the central High Plains. With precipitation ranging from 305 to 484mm and uncertain irrigation water supply, this region is especially vulnerable to changing moisture and temperature patterns. The results of our review indicate that diverse crop rotations, reduced soil disturbance and integrated crop–livestock systems could increase economic returns and agroecosystem resilience. Integrating agricultural system components to acquire unique benefits from small- to medium-sized operations, however, is a challenging task. This is because assessment and identification of suitable farming systems, selection of the most efficient integration scheme, and pinpointing the best management practices are crucial for successful integration of components. Effective integration requires development of evaluation criteria that incorporate the efficiency of approaches under consideration and their interactions. Therefore, establishing the basis for more sustainable farming systems in the central High Plains relies on both long-term agricultural systems research and evaluation of short-term dynamics of individual components.
Email your librarian or administrator to recommend adding this to your organisation's collection.