Mechanical Ventilation provides students and clinicians concerned with the care of patients requiring mechanical ventilatory support a comprehensive guide to the evaluation of the critically ill patient, assessment of respiratory failure, indications for mechanical ventilation, initiation of mechanical ventilatory support, patient stabilization, monitoring and ventilator discontinuance. The text begins with an introduction to critical respiratory care followed by a review of respiratory failure to include assessment of oxygenation, ventilation and acid-base status. A chapter is provided which reviews principles of mechanical ventilation and commonly used ventilators and related equipment. Indications for mechanical ventilation are next discussed to include invasive and non-invasive ventilation. Ventilator commitment is then described to include establishment of the airway, choice of ventilator, mode of ventilation, and initial ventilator settings. Patient stabilization is then discu
This is a book for those thousands of family historians who have already made some progress in tracing their family tree and have become interested in the places where their ancestors lived, worked and raised children. It emphasises the diversity and extraordinary complexity of the rural and urban communities in provincial England even before the great changes associated with the Industrial Revolution.
Endplays are an aspect of bridge declarer play that many intermediate players think are beyond them. Yet while they can be extremely complex, the basic principles are not. Using a straightforward, conversational style with recaps and quizzes, this book will make endplays understandable to many readers who have been afraid to attempt to learn them.
The scientific literature has expanded dramatically in recent years, making entry into the structure of any given area extremely difficult; concurrent with this explosion more people are required to become acquainted with information outside their main line of expertise. For this reason there is a need for review articles which give an overall review of circumscribed areas. This volume reviews the subject of respiratory control mechanisms; the authors of each chapter are active research workers engaged in the area covered by their chapter. The first four chapters are concerned with the basic physiological mechanisms which sense changes in the respiratory system, in the standard physiology textbook parlance chemical and neural sensory receptors. The peripheral arterial chemoreceptors sense changes in arterial oxygen tension, carbon dioxide and pH. The first chapter describes the basic responses in the organ produced by changes in blood chemistry. Later chapters discuss changes in activity produced by exercise, chronic hypoxia and the possible role of the chemoreceptors in initiation of respiration in the new-born. In Chapter 1, a section considers the action of drugs on the peripheral chemoreceptors, and finally there is a discussion of the possible mechanisms whereby the organs sense changes in blood chemistry. This pattern is followed in subsequent chapters wherever possible; first a discussion of the basic physiological properties, followed by any clinical application and dis cussion of the mechanism whereby the receptor might operate. The remaining chapters are of a more applied nature.
Defense is the hardest part of playing bridge, but that doesn't mean that it's impossible to learn. The authors explain how to make a plan as a defender: how to work out from the auction and play what declarer probably has, and which of the strategies available to defenders is likely to be successful.
In this unique work, the authors explore teachers' beliefs about university students' performance and expose which beliefs are well-founded, which are mistaken, which mask other underlying factors, and what they can do about them.
In the world of plentiful, cheap food that so many of us in the Western World have come to accept as our birthright, it takes sensational journalism and horrific television coverage to make us realise that not all of the world's population shares this abundance. Visits to the Soviet Bloc countries, to China, most African states and various other coun tries of the Third World make one quickly realise that widespread shortage of food is just over the horizon and would be common experi ence to all were it not for the advanced technologies of Western agricul ture, food production and food manufacture. Without doubt, pesticides and other agricultural chemicals have made enormous contributions to world food production - and indeed to world peace. The introduction of many food additives, especially antioxidants, has also contributed greatly to the amount and quality of food which is available, preventing early spoilage and waste, and possibly indirectly contributing to man's health, as these antioxidants have been shown to have beneficial proper ties in the prevention of experimental malignancy and cardiovascular disease. Nevertheless, despite the enormous benefits derived from the use of agrochemicals and food additives, it is essential to remember that these are all selectively toxic chemicals, with no absolute guarantee of safety, and where the benefit to risk ratio is always a compromise adjusted by the expediency of political and financial aspects of food production.
Exploring the chromosomal imbalance (aneuploidy) theory of cancer, this volume describes how cancer is initiated and why progression takes years to decades. It clarifies why cancer cells often become drug resistant, provides objective, quantitative measures for detecting cancer and monitoring its progression, and suggests non-toxic strategies of ca
Salmonids have widespread economic and environmental importance. Correct identification and understanding of their diseases are therefore vital if valuable stocks are to be maintained. This volume provides a practical guide and an aid to disease recognition. This is an updated and extended version of the first publication in 1996 and contains around 400 high quality colour photomicrographs.
Long-term monitoring programs are fundamental to understanding the natural environment and managing major environmental problems. Yet they are often done very poorly and ineffectively. This second edition of the highly acclaimed Effective Ecological Monitoring describes what makes monitoring programs successful and how to ensure that long-term monitoring studies persist. The book has been fully revised and updated but remains concise, illustrating key aspects of effective monitoring with case studies and examples. It includes new sections comparing surveillance-based and question-based monitoring, analysing environmental observation networks, and provides examples of adaptive monitoring. Based on the authors’ 80 years of collective experience in running long-term research and monitoring programs, Effective Ecological Monitoring is a valuable resource for the natural resource management, ecological and environmental science and policy communities.
This anthology brings together over a dozen articles published by David Nimmer over the past decade regarding copyright, together with updated commentary weaving together the various threads running through them. The unifying theme running through the work is the need to reconcile standards in order to protect that most ethereal creation of mankind: the written word. From that unique vantage point the discussion delves into the religious roots and sacred character of the act of creation. Religion and copyright are brought into resonance as issues from one field are deployed to illuminate those in the other. Given its culminating focus on the Digital Millennium Copyright Act this work of necessity drills deeply into current advances in technology, notably the dissemination of works over the internet. The religious perspective shines an unexpected light onto those issues as well.
The first half of the book features the word's finest players at work, tacking all manner of ANT contracts -some commendable, others truly awful. You will have the chance to plan your play in these contracts yourself, before seeing what fate befell the original declare. The second half contains humorous short stories featuring many of David Birds well-loved character: the bridge-crazy monks of St. Titus Monastery, the nuns of St. Hilda's Convent, the Rabbi and his entourage. There is further action from Cholmeley School, from the missionaries whose main task in life is to convert the Bozwambi tribe to the Acol bidding system and even some tales of Sir Guy of Gisburne.
Are you ready to take your bridge game to the next level? Improve Your Bridge will help you develop your technique and strengthen your game. This new edition has been fully updated with fresh design and interactive features as well as insider tips from the author to help give your game the winning edge. It is written by one of the UK's leading authorities in bridge, David Bird, who has written over 70 books on the subject and is the bridge columnist for the Mail on Sunday and the Evening Standard. It has everything you need to know about advanced bidding conventions and coverage of defence. It is perfect for intermediate level players, those who are interested in joining a bridge club or tournament, or for those taking a 2nd or 3rd year bridge course. NOT GOT MUCH TIME? One, five and ten-minute introductions to key principles to get you started. AUTHOR INSIGHTS Lots of instant help with common problems and quick tips for success, based on the authors' many years of experience. TEST YOURSELF Tests in the book and online to keep track of your progress. EXTEND YOUR KNOWLEDGE Extra online articles at www.teachyourself.com to give you a richer understanding of bridge. FIVE THINGS TO REMEMBER Quick refreshers to help you remember the key facts. TRY THIS Innovative exercises illustrate what you've learnt and how to use it.
Each book in the Test Your Bridge Technique is a collection of bridge problems which provide a fun way to practice and develop your skill in an important cardplay technique at bridge. These books are designed to add an extra dimension to the detailed instruction contained in Bridge Technique series.
This book is a comprehensive study of political thought at the court of King Alfred the Great (871–99). It explains the extraordinary burst of royal learned activity focused on inventive translations from Latin into Old English attributed to Alfred's own authorship. A full exploration of context establishes these texts as part of a single discourse which placed Alfred himself at the heart of all rightful power and authority. A major theme is the relevance of Frankish and other European experiences, as sources of expertise and shared concerns, and for important contrasts with Alfredian thought and behaviour. Part I assesses Alfred's rule against West Saxon structures, showing the centrality of the royal household in the operation of power. Part II offers an intimate analysis of the royal texts, developing far-reaching implications for Alfredian kingship, communication and court culture. Comparative in approach, the book places Alfred's reign at the forefront of wider European trends in aristocratic life.
Each book in the Test Your Bridge Technique series is a collection of bridge problems which provide a fun way to practice and develop your skill in an important cardplay technique at bridge. These books are designed to add an extra dimension to the detailed instruction contained in the Bridge Technique series (Bird and Smith).
This book, starting from the basics, explains how to make a plan as a declarer. The reader learns how to recognise which technique to apply on a given deal, both in notrump contracts and suit contracts.
Addictions have increased markedly in contemporary societies over the past decades. As well as widely acknowledged issues surrounding illegal substance addictions, there are increasing numbers of problems related to behavioural addictions such as the use of legal substances such as antidepressants and amphetamines. These addictions are concerning for a range of public policy fields, not least, public health and social cohesion. As a result, cohesive governance of addictive substances and behaviours is paramount to future public policy. This book is based on the findings of a five year, multidisciplinary project (Addictions and Lifestyles in Contemporary Europe - Reframing Addictions Project) studying the pace and impact of addictions in Europe, and is the concluding volume in the Governance of Addictive Substances and Behaviours series. Authored by 11 leading figures in the fields of public health, psychology, sociology, psychiatry, addiction studies, epidemiology, and social and public policy, the book takes a truly comprehensive approach to the study of the current state of addiction governance in Europe and proposals for a future governance framework. No one country has yet got governance polices right. The project's outcome is a plan for the redesign of addictions governance, which includes amendments to key metrics used in research, promoting individual-level to society-level scope of understanding in policy approaches, and bringing the impact of dependency on societal well-being to the fore. New Governance of Addictive Substances and Behaviours is an unprecedented study, both in terms of international reach and scope of issues addressed. It will be a key resource for anyone with an interest in research-driven European policy change in public health and the field of addictive substances and behaviours.
In bridge, the 'declarer' is the one who nominates which suit is trumps; his/her partner's hand becomes the 'dummy'. Every intermediate bridge player is familiar with the routine techniques of dummy play. What this book describes are less well-known stratagems that may save the day in non-routine situations.
David Howes’s sweeping history of the senses in the disciplines of anthropology and psychology and in the field of law lays the foundations for a sensational jurisprudence, or a way to do justice to and by the senses of other people. In part 1, Howes demonstrates how sensory ethnography has yielded alternative insights into how the senses function and argues convincingly that each culture should be approached on its own sensory terms. Part 2 documents how the senses have been disciplined psychologically within the Western tradition, starting with Aristotle and moving through the rise of Lockean empiricism and cognitive neuroscience. Here, Howes presents an anthropologically informed critique of experimental and cognitive psychology, sensory science, and phenomenology. In part 3, he introduces the paradigm of the “historical anthropology of the senses and sensation” and applies it to the analysis of trade relations between Europe and China in the early modern period, to the treaty-making process in North America during the colonial period, and to all the unresolved disputes over land rights and Indigenous sovereignty that continue to this day, arguing that these differences are rooted in a cultural clash of sensoria. Designed for the classroom, Sensorial Investigations displays an expansive critical engagement with generations of scholarship. It is essential reading for students and scholars of the history and anthropology of the senses, the psychology of sensation, and socio-legal studies.
School leadership can be both immensely rewarding and deeply challenging. Headteachers are under intense pressure when dealing with issues that can range from dealing with difficult parents and the aftermath of tragedy or scandal, to the day-to-day challenges of juggling the many different priorities involved in keeping the school, students and staff, moving forward. In their inspirational new book experienced headteachers Richard Parker and David Middlewood, bring together the personal and professional experiences of successful headteachers and principals, from both primary and secondary schools, to provide a real life guide to the challenge of leadership in education. The focus of the book is not on idealised theories of leadership but on the pragmatic realities faced by school leaders today. It provides practical guidance and advice on key areas including: - Ideas and strategies for effective leadership - Juggling priorities and avoiding possible distractions - The importance of people-centred leadership - Transferable skills and the unique nature of the job - Maintaining passion and optimism and minimising fear and apprehension - Developing leadership skills without losing your individual personality and values The Reality of School Leadership is a must read for all current and aspiring leaders, eager to reap the rewards of the challenging profession of headship.
This book brings together scientific evidence and experience relevant to the practical conservation of wild bees. The authors worked with an international group of bee experts and conservationists to develop a global list of interventions that could benefit wild bees. They range from protecting natural habitat to controlling disease in commercial bumblebee colonies. For each intervention, the book summarises studies captured by the Conservation Evidence project, where that intervention has been tested and its effects on bees quantified. The result is a thorough guide to what is known, or not known, about the effectiveness of bee conservation actions throughout the world. Bee Conservation is the first in a series of synopses that will cover different species groups and habitats, gradually building into a comprehensive summary of evidence on the effects of conservation interventions for all biodiversity throughout the world. By making evidence accessible in this way, we hope to enable a change in the practice of conservation, so it can become more evidence-based. We also aim to highlight where there are gaps in knowledge. Evidence from all around the world is included. If there appears to be a bias towards evidence from northern European or North American temperate environments, this reflects a current bias in the published research that is available to us. Conservation interventions are grouped primarily according to the relevant direct threats, as defined in the International Union for the Conservation of Nature (IUCN)’s Unified Classification of Direct Threats.
Marine biogeography, the study of the spatial distribution of organisms in the world’s oceans, is one of the most fascinating branches of oceanography. This book continues the pioneering research into the distributions of molluscan faunas, first studied by biologists over 160 years ago. It illustrates 1778 species of gastropods in full color, many of which are extremely rare and poorly known endemic species that are illustrated for the first time outside of their original descriptions. The spatial arrangements of malacofaunas shown in this book can be considered proxies for worldwide oceanic conditions and used as tools for determining patterns of global climate change. The book's documentation of evolutionary "hot spots" and geographically restricted endemic faunas can also be used as a base line for future studies on patterns of environmental deterioration and extinction in the marine biosphere. Documenting the evolution of the amazingly rich worldwide gastropod fauna, this book will appeal to physical and chemical oceanographers, systematic and evolutionary biologists, historical geologists, paleontologists, climatologists, geomorphologists, and physical geographers. The authors incorporate aspects of all of these disciplines into a new classification system for the nomenclature of biogeographical spatial units found in tropical, subtropical, and warm temperate seas.
In this book, the four leading experts on the ACE inhibitors donepezil, galantamine, and rivastigmine and the NMDA receptor antagonist memantine explain the practical pharmacology of these symptomatic drugs with the aim of providing a sound basis for their clinical use in patients with Alzheimer’s disease. In addition, an introductory chapter considers the basic theory of pharmacology for Alzheimer’s disease and the book closes with an overview of the ways in which symptomatic drugs for dementia are used. The wide acceptance of the amyloid cascade hypothesis has led to vigorous development of disease-modifying drugs for Alzheimer’s disease, such as amyloid vaccinations and gamma- or beta-secretase inhibitors. The failure of clinical trials of these drugs to yield satisfactory results has, however, meant that for the time being patients continue to be treated only with symptomatic drugs. There is accordingly a need to become more proficient in the use of symptomatic medicines, and it is against the background of this quest that Practical Pharmacology for Alzheimer’s Disease will be of wide interest.
Assuming no mathematical or chemistry knowledge, this book introduces complete beginners to the field of petroleum engineering. Written in a straightforward style, the author takes a practical approach to the subject avoiding complex mathematics to achieve a text that is robust without being intimidating. Covering traditional petroleum engineering topics, readers of this book will learn about the formation and characteristics of petroleum reservoirs, the chemical properties of petroleum, the processes involved in the exploitation of reservoirs, post-extraction processing, industrial safety, and the long-term outlook for the oil and gas production. The descriptions and discussions are informed by considering the production histories of several fields including the Ekofisk field in the North Sea, the Wyburn Field in Canada, the Manifa Field in Saudi Arabia and the Wilmington Field off the Californian Coast. The factors leading up to the well blowouts on board the Deepwater Horizon in the Gulf of Mexico and in the Mantara Field in the Timor Sea are also examined. With a glossary to explain key words and concepts, this book is a perfect introduction for newcomers to a petroleum engineering course, as well as non-specialists in industry. Professor David Shallcross is one of the foremost practitioners in chemical engineering education worldwide. Readers of this book will find his previous book, Chemical Engineering Explained, a useful companion.
Nuclear medicine is the bridge between a particular clinical problem and a relevant test using radionuclides. It began as a minor technical tool used in a few branches of medicine, notably endocrinology and nephrology. However, throughout the world it has now become established as a clinical discipline in its own right, with specific training programmes, special skills and a particular approach to patient management. Although the practising nuclear medicine physician must necessarily learn a great deal of basic science and technology, a sound medical training and a clinical approach to the subject remains of fundamental importance. It is for this reason that we have attempted in this book to approach the subject from a clinical standpoint, including where necessary relevant physiological material. There exist many excellent texts which cover the basic science and technology of nuclear medicine. We have, therefore, severely limited our coverage of these aspects of the subject to matters which we felt to be essential, particularly those which have been less well covered in other texts - for example, the contents of Chapter 21 on Quantitation by Royal and McNeil. Similarly, we have included at the end of some chapters descriptions of particular techniques where we and the authors felt that it would be helpful. In order to emphasize the clinical approach of this book we have inverted the traditional sequence of material in chapters, presenting the clinical problems first in each instance.
This is the ideal resource for all those requiring an authoritative and up-to-date review of imaging appearances of diseases of the lung, pleura and mediastinum. Chest radiography and CT are integrated with other imaging techniques, including MRI and PET, where appropriate. The clinical and pathologic features of different diseases are provided in varying degrees of detail with more in depth coverage given to rarer and less well understood conditions. A single volume, comprehensive reference text on chest radiology.Provides in a single resource all of the information a generalist in diagnostic radiology needs to know. Concisely and clearly written by a team of 4 internationally recognized authors.Avoids the inconsistency, repetition, and unevenness of coverage that is inherent in multi-contributed books. Multimodality coverage integrated throughout every chapter.All of the applicable imaging modalities are covered in a clinically relevant, diagnostically helpful way. Approximately 3,000 high quality, good-sized images.Provides a complete visual guide that the practitioner can refer to for help in interpretation and diagnosis. Covers both common and uncommon disorders.Provides the user with a single comprehensive resource, no need to consult alternative resources. Access the full text online and download images via Expert Consult Access the latest version of the Fleischner Society's glossary of terms for thoracic imaging. Outlines, summary boxes, key points used throughout.Makes content more accessible by highlighting essential information. Brand new color images to illustrate Functional imaging techniques.Many of the new imaging techniques can provide functional as well as anatomic information. Introduction of a second color throughout in summary boxes in order to better highlight key information. There’s a wealth of key information in the summary boxes—will be highlighted more from the narrative text and will therefore be easier to access. Practical tips on identifying anatomic variants and artefacts in order to avoid diagnostic pitfalls.Many misdiagnoses are the result of basic errors in correlating the anatomic changes seen with imaging to their underlying pathologic processes. Latest techniques in CT, MRI and PET as they relate to thoracic diseases. The pace of development in imaging modalities and new applications/refined techniques in existing modalities continues to drive radiology forward as a specialty. Emphasis on cost-effective image/modality selection.Addresses the hugely important issue of cost-containment by emphasizing which imaging modality is helpful and which is not in any given clinical diagnosis. COPD and Diffuse Lung Disease, Small Airway disease chapters extensively up-dated. Access the full text online and download images via Expert Consult Access the latest version of the Fleischner Society's glossary of terms for thoracic imaging.
Follows a consistent, easy-to-use format throughout, with diagnosis, therapy, drug protocols, and treatment pearls presented in quick-reference boxes and tables for point-of-care answers to common clinical questions. Features significantly revised chapters on sepsis • bacterial pneumonia • ADHD • endometriosis • atrial fibrillation • congestive heart failure • pericarditis • diabetes mellitus • measles • myasthenia gravis • irritable bowel syndrome • Parkinson’s disease • seizures and epilepsy in adolescents and adults • acute bronchitis and other viral respiratory illnesses • urinary incontinence • neutropenia • venous thromboembolism • fungal diseases of the skin • diseases of the nails • and more. Includes all-new chapters on fatty liver, pancreatic cancer, and more. Includes nearly 300 images, including algorithms, anatomical illustrations, and photographs, that provide useful information for diagnosis. Provides current drug information thoroughly reviewed by PharmDs. Shares the knowledge and expertise of 40 new authors who provide a fresh perspective in their specialties.
Our knowledge of postoperative thromboembolic complications has increased enormously over the past 2 decades, particularly where diag nosis and prophylaxis are concerned. The 125 I-fibrinogen method of diagnosing thrombosis has completely changed our concept of the frequency, occurrence, and natural course of thrombosis, and it has formed the basis of most thromboprophylactic studies. Concurrently with the development of this diagnostic method, two methods for the prophylaxis of thrombosis have come into vo gue, namely low-dose heparin and dextran. Both these methods were tested in very extensive studies during the seventies, and their value has been unequivocally proved, for reducing both the frequency of thrombosis with and without symptoms, and the frequency of fatal pulmonary embolism. Thromboprophylaxis is not particularly common in surgery; how ever, and its general use is far from uncontested. It has been argued that not only does it complicate surgical activities and make them mo re expensive, but it also involves an unacceptable number of other complications.
Yog-Sothoth, known as the Key and the Gate and a host of other names, is H.P. Lovecraft's most enduring creation after the Necronomicon and Great Cthulhu itself. An eldritch god that occupies all time and space, Yog-Sothoth is most known for his role as the antagonist in The Dunwich Horror but has played a role in many other Cthulhu Mythos stories. Sometimes as a being invoked for spells, others as a monster trying to enter reality, and a few places as a giver of hidden wisdom. TALES OF YOG-SOTHOTH features several stories centered around the creepy deity and its monstrous intelligence. Featuring the work of several Neo-Mythos authors who have already dabbled in the world of cosmic horror. C.T. Phipps (Cthulhu Armageddon), David Niall Wilson (The Call of Distant Shores), David Hambling (Harry Stubbs), Matthew Davenport (Andrew Doran), and David J. West (Let Sleeping Gods Lie). Whether pulpy heroes punching evil cultists, robed assassins hunting unnatural monsters, or rednecks dealing with monsters in their back yard, you won't be disappointed with the results. This book is a follow-up to TALES OF THE AL-AZIF.
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