This book provides a structured approach to the initial assessment, resuscitation, differential diagnosis and short-term management of common on-call problems. It also provides an overall guide to hospital practice and acute clinical skills. It is designed to help junior doctors and senior medical students acquire a logical, practical and efficient approach, which is essential for problem-based learning and acute management. Clinical problem-solving is an essential skill for the doctor on call. Traditionally, the diagnosis and management of a patient’s problems are approached with an ordered, structured and sequential system (e.g. history-taking, physical examination, and review of available investigations) before formulating the provisional and differential diagnoses and the management plan. In an emergency, doctors proceed concurrently with resuscitation, history, examination, investigation and definitive treatment. Stabilisation of the airway, breathing, circulation and neurological disability must occur in the first few minutes to avoid death and disability. A ‘complete history and physical examination’ can take 60 minutes or more to complete. However, while on call this is not possible, as unnecessary time spent on a patient with a relatively minor complaint may deny adequate treatment time to patients who may require resuscitation. This book provides a focused approach to many clinical problems in order to increase efficiency and improve time management. Latest 2010 ACLS guidelines Practical problem based format – individual patient problems carefully analysed to allow the doctor to make correct assessment and not miss important diagnoses All terms, definitions and clinical information reviewed and rewritten to match local health system practice Student Consult title Completely revised throughout and updated with the latest 2010 resuscitation and antibiotic guidelines
On Call: Principles and Protocols 3e provides a carefully structured, risk-based approach to the initial assessment, investigation, differential diagnosis and short-term management of ward problems on-call. This new 3rd edition is completely revised and up-to-date, with the latest guidelines laid out in a succinct format to give a practical, rapid, efficient and effective bedside approach to problem solving. Clinical reasoning has never been made so explicit and exciting! This edition includes the full eBook on ExpertConsult with additional reading material, high-quality images, procedural videos and references available on http://lifeinthefastlane.com/book/oncall General principles: Overview of the knowledge and professional skills required to deal with undifferentiated on-call problems Emergency calls: Standardised approach to life-threatening, time-critical problems involving airway, breathing, circulation, neurological disability and environment factors (ABCDE) Common calls: How to deal with urgent ward calls based on an acute change in symptoms or signs Investigations: Interpretation of bedside, laboratory and radiological tests Practical procedures: Step-by-step guide to every relevant ward procedure Formulary: Quick reference for the indications, actions, adverse effects, cautions, doses and routes of administration of the vast array of drugs encountered in ward patients Laboratory values: Normal values for all the common tests
This book provides a structured approach to the initial assessment, resuscitation, differential diagnosis and short-term management of common on-call problems. It also provides an overall guide to hospital practice and acute clinical skills. It is designed to help junior doctors and senior medical students acquire a logical, practical and efficient approach, which is essential for problem-based learning and acute management. Clinical problem-solving is an essential skill for the doctor on call. Traditionally, the diagnosis and management of a patient’s problems are approached with an ordered, structured and sequential system (e.g. history-taking, physical examination, and review of available investigations) before formulating the provisional and differential diagnoses and the management plan. In an emergency, doctors proceed concurrently with resuscitation, history, examination, investigation and definitive treatment. Stabilisation of the airway, breathing, circulation and neurological disability must occur in the first few minutes to avoid death and disability. A ‘complete history and physical examination’ can take 60 minutes or more to complete. However, while on call this is not possible, as unnecessary time spent on a patient with a relatively minor complaint may deny adequate treatment time to patients who may require resuscitation. This book provides a focused approach to many clinical problems in order to increase efficiency and improve time management. Latest 2010 ACLS guidelines Practical problem based format – individual patient problems carefully analysed to allow the doctor to make correct assessment and not miss important diagnoses All terms, definitions and clinical information reviewed and rewritten to match local health system practice Student Consult title Completely revised throughout and updated with the latest 2010 resuscitation and antibiotic guidelines
Metabolic and Cellular Engineering (MCE) is more than an exciting scientific enterprise. It has become the cornerstone for coping with the challenges ahead of mankind. Continuous developments, new concepts, and technological innovations will enable us to deal with emerging challenges, and solve problems once thought impossible ten years ago. Challenges in MCE are broad- from unraveling fundamental aspects of cellular function to meeting unsatiated energy and food demands that are rising in parallel with population growth.In charting the progress of MCE during the last decade, we could not help but feel in awe of the enormous strides of progress made from the nascent Metabolic Engineering to the Systems Bioengineering of today. The burgeoning availability of genomic sequences from diverse species has been spectacular. It has become the engine that drives the genetic means for the modification of existing organisms and the generation of synthetic, man-made ones. From the initial attempts at purposeful genetic modification of a cell for the production of valuable compounds, we have now moved on to changing microbes genetically or metabolically.The arsenal of experimental and theoretical tools available for Metabolic and Cellular Engineering has expanded enormously, driven by the re-emergence of Physiology as Systems Biology. The revival of the concept of networks fueled by new developments has become central to Systems Biology. Networks represent an integrative vision of how processes of disparate nature relate to each other, and as such is becoming a key analytical and conceptual tool for MCE. This book reflects and addresses all these ongoing changes while providing the essential conceptual and analytical tools needed to understand and work in the MCE research field.
Using documents, glosses, legal commentaries, and the first paleographical study of manuscripts since the mid-nineteenth century, the authors of this book trace the circulation of the Corpus Iuris Civilis from late antiquity until the early twelfth century. They demonstrate that only the Novels found any significant readership in the early Middle Ages, and that Justinian’s Institutes, Code, and Digest emerged from obscurity only in the mid-eleventh century, when they were taken up by northern-Italian specialists in Lombard law. Separate chapters then consider the evidence for the textual history and reception of the Institutes, Code, and Digest. Included in the volume are plates of all of the most important early manuscripts of Justinian’s works, most of which have never been published before.
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