This best-selling emergency department reference is now in its thoroughly updated Fourth Edition. The foremost authorities provide practical information on over 600 clinical problems in a fast-access two-page outline format that's perfect for on-the-spot consultation during care in the emergency department. Coverage of each disorder includes clinical presentation, pre-hospital, diagnosis, treatment, disposition, and ICD-9 coding. Icons enable practitioners to quickly spot the information they need. This edition provides up-to-date information on topics such as emerging infections, new protocols, and new treatments.
A Comprehensive Monograph on Dioxirane Oxidations The oxidation of organic compounds is one of the most important methods for the introduction and manipulation of functional groups. Among the most modern of these transformations is the use of the fascinating family of oxidants known as dioxiranes. A dioxirane can, by transferring one of its oxygen atoms to organic substrates, effect a remarkable array of oxidative processes such as epoxidation, C-H insertion, and heteroatom (N, S, P, I) oxidation. In addition to their versatility, dioxiranes can be generated catalytically under mild conditions and produce no toxic waste stream as part of the oxidation process. Moreover, some of the most exciting recent developments involve the enantioselective introduction of oxygen atoms via chiral dioxiranes. This book represents the first single volume dedicated to the comprehensive coverage of the myriad of oxidations of organic compounds performed by dioxiranes. The contents of this book are extracted from comprehensive reviews of the topics contained in the Organic Reactions series and cover the oxidation of alkenes and the oxidation of all other organic substrates. In addition, updated lists of references for each of the chapters are provided, bringing the literature coverage up to June 2008. The authors of these chapters are among the pioneers of dioxirane chemistry and draw on extensive firsthand knowledge of the subject. As with all Organic Reactions content, the presentation emphasizes the preparative aspects of the reactions and pays particular attention throughout to substrate scope, limitations, structural and electronic influences, and stereochemical aspects. For the student or experienced practitioner, both general guidelines for carrying out the reactions as well as detailed experimental procedures are provided. Most importantly, all known examples of dioxirane oxidations have been compiled in easy-to-scan tables covering over 500 pages. Oxidation of Organic Compounds by Dioxiranes is an indispensable working resource for organic and medicinal chemists as well as anyone wishing to own the definitive treatise on this fascinating and useful class of oxidants.
Cardiovascular drug therapy has markedly progressed in the recent decades. Not only have new drugs been introduced to clinical practice, but new classes of drugs have been developed. While in 1960 the practicing cardiolo gist had a selection of about only ten drugs, in 1987 about 150 drugs are routinely used in cardiovascular diseases. Elderly patients, however, usually do not enjoy the full benefit of this progress. This might be due to lack of knowledge, a conservative approach, or the worldwide tendency not to try new drugs in the elderly. It is now clear that the majority of patients that will be treated in car diovascular clinics will be, in the near future, elderly patients. Even now, elderly patients form about one-third of the patients with cardiovascular diseases. These patients are approached, however, according to criteria devel oped for younger populations. This is despite the fact that elderly patients differ from younger ones in most aspects, including pathology, epidemiol ogy, pathophysiology, diagnostic approach, management, pharmacology, pharmacokinetics, rehabilitation, and supportive treatment. It is the purpose of this book to present to the clinician all drugs with which there is clinical experience in the elderly or which might be potentially useful for the elderly with cardiovascular diseases. The data are presented without the authors taking a position. This should allow the clinicians to make their own selection and individualize treatment, vii viii Preface based on a wide data base. Comparative data are presented only when specific comparative studies were performed.
Drones are revolutionizing ocean conservation. By flying closer and seeing more, drones enhance intimate contact between ocean scientists and activists and marine life. In the process, new dependencies between nature, technology, and humans emerge, and a paradox becomes apparent: Can we have a wild ocean whose survival is reliant upon technology? In Oceaning, Adam Fish answers this question through eight stories of piloting drones to stop the killing of porpoises, sharks, and seabirds and to check the vitality of whales, seals, turtles, and coral reefs. Drone conservation is not the end of nature. Instead, drone conservation results in an ocean whose flourishing both depends upon and escapes the control of technologies. Faulty technology, oceanic and atmospheric turbulence, political corruption, and the inadequacies of basic science serve to foil governance over nature. Fish contends that what emerges is an ocean/culture—a flourishing ocean that is distinct from but exists alongside humanity.
This book offers a comprehensive review of current systems for fish protection and downstream migration. It offers the first systematic description of the currently available technologies for fish protection at hydropower intakes, including accurate and timely data collected by the authors and other researchers. It describes how to design and test them in agreement with the guidelines established from the EU Water Framework Directive. The book includes important information about fish biology, with a special focus on swimming and migration mechanisms. It offers a robust bridge between concepts in applied ecology and civil hydraulic engineering, thus providing biologists and hydraulic engineers with an authoritative reference guide to both the theory and practice of fish protection. It is also of interest for planners, public authorities as well as environmental consultants
Hugo Bedau has commanded a long and distinguished career as one of the most widely respected opponents of capital punishment. His work has addressed a variety of perspectives in the death penalty debate, from execution of the innocent to the philosophical and moral grounds for abolition. Now his essays from the last fifteen years appear together in one volume. More than simply a collection of previously published articles, Killing as Punishment represents a unified, interdisciplinary inquiry into several of the major empirical and normative issues raised by the death penalty. The essays have been revised and updated to survey the current state of the death penalty against the background of the past half-century, and are divided along two major axes: one detailing a range of facts raised by the controversy over capital punishment, the other presenting a critical evaluation of the subject from a constitutional and ethical point of view. Drawing on his encyclopedic knowledge of the field, Bedau addresses topics that include strong public support for the death penalty, wrongful convictions in capital cases, the disappearance of executive clemency, constitutional arguments surrounding t
Critical care medicine is a complex, demanding and constantly changing field. Recent changes in postgraduate medical training mean that trainees from many disciplines, including surgery, medicine and anaesthesia, are increasingly involved with the management of these challenging patients on the ward, and in high dependency units or intensive care. This book provides registrars and senior trainees in higher surgical, medical and anaesthetic training programmes with an up-to-date resource in critical care. The text provides a succinct summary of the key topics in this field, with discussion of recent advances, key papers and evidence-based practice where appropriate. The increasing role of critical care medicine in postgraduate examinations has been recognized with the inclusion of suggested viva topics in each chapter.
Learn the clinical skills necessary to treat any emergency airway problem Written by international experts in a style that's concise, practical and to the point, Airway Management in Emergencies covers all the options -- both medical and surgical -- for managing any patient's airway in an emergency. Here, you'll find the core knowledge and accompanying management protocols necessary to assess, oxygenate, intubate, and monitor patients requiring emergency airway management. In each chapter, this high-yield coverage is supported by evidence-based algorithms, synoptic tips, and real-world case studies that show you how to resolve any difficult airway scenario you would likely encounter in clinical practice. Features: Highlighted key points in each chapter Skill-sharpening review of “core knowledge” More than 100 figures that include a combination of original art work, fluoroscopy and Airwaycam® images. A practical overview of both established and newer emergency airway equipment Far-reaching coverage addressing both the anticipated and unanticipated difficult airway, the uncooperative patient, and the "failed" airway. Chapters on treating a range of patient populations and clinical presentations, including an approach to the pediatric, the elderly, and the critically ill patient Perspectives on when and how to perform both "awake" and rapid sequence intubations and effectively administer post-intubation care A closing chapter on the interrelationship between human performance and patient safety -- and how to optimize both in caring for patients requiring acute airway management
There are plenty of reasons to become a lawyer. Some of us want to pursue justice and improve our communities. Others want to earn a comfortable living. But what happens if you’re in the middle of law school and discover that you don’t want to become a lawyer? Or what if you are practicing law and recognize that you want to take your career in another direction? In Reversed in Part, Adam Pascarella, a former litigator at a Vault 100 law firm and a graduate of the University of Pennsylvania Carey Law School, shares the stories of 15 law school graduates who have built stellar careers outside of legal practice. From startups and nonprofits to politics and art, these individuals have taken their legal education and skills and successfully applied them in different domains. Some of the stories that you will hear in this book include: · How SkyBridge Capital founder and former White House Communications Director Anthony Scaramucci built a career in finance after graduating from Harvard Law School. · How Melinda Snodgrass, a celebrated author and screenwriter in the science fiction world, relied on wise words from Star Wars to quit legal practice and pursue her writing dreams. · How ESPN college basketball broadcaster Jay Bilas started calling basketball games while practicing law. · How Jessica Medina leveraged her side hobby of financial planning to leave the legal industry and become an Accredited Financial Counselor. · How Tiffany Duong used a life-changing scuba diving trip to leave Big Law and become a writer, explorer, and inspirational speaker. Whether you are thinking about becoming a lawyer, considering an exit from a corporate law firm, or simply want to learn more about individuals who crafted careers on their own terms, Reversed in Part is for you. With compelling stories and hard-fought lessons, this book can be your inspirational guide as you build your career outside legal practice.
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