Jamie Vance, a Presbyterian married to a Catholic girl, plays a leading part in Donegal Unionism. His fiercest enemy is Diamuid OMara, a hard-bitten IRA fighter. The novel details assassination, murder, bombings, arson, and conspiracies in Ireland and England. Amid this disorder, the strained relationship between Jamie and his wife, Caitlin, and his obsession with an Anglo-Irishwoman is played out. Diarmuid develops a passionate relationship with a young Dublin girl and then a tough fellow IRA activist, Mire. During World War II, the two strands of Unionism and Republicanism clash head-on in a deadly struggle and reach an explosive climax in the Fermanagh Lakelands over a critically important Allied base in the forefront of the war against Nazi control of the Atlantic.
The Stranded Tribe is the neglected story of the Ulster Unionists who were compelled to become part of the new Catholic and Gaelic Irish Free State in 1922. It follows the lives of the Presbyterian working-class Vance family, especially the two sons, William and Jamie, in the turbulent period of Irish history between 1895 and 1923. They live and work in East Donegal where one becomes involved with a local Ulster Volunteer unit and the other becomes a local railway official. In 1914 William Vance responds to the Empires call to fight Germany and joins the Ulster Division. As a member of the 11th Inniskilling Fusiliers, he takes part in the unbelievable slaughter of the first day of the Battle of the Somme in 1916. Later, his brother joins the same regiment and is badly wounded during the Battle of Messines. Following a long recovery he takes on security work on the Donegal Railways and plays a significant part in trying to forestall guerrilla attacks by the IRA on its services. The brother of Jamies Catholic girlfriend is an IRA leader in Donegal. In the Civil War he is on the Anti-Treaty side and both he and Jamie are drawn into the conflict in West Fermanagh where the IRA invades Northern Irelands territory in an attempt to destabilise the six-county statelet. The Loyalists in the three mainly Nationalist and Catholic Ulster counties not included in the new Northern Ireland have most of their links with the UK broken and some of them suffer persecution. Death threats against Jamie Vance and his family force him to take a temporary job in Scotland. Here, he finds himself struggling against a desperate, high-level assassination plot which threatens to destroy the shaky relationship between Britain and the new Irish Free State which is struggling to rout the Irregular forces in Ireland. The book outlines the brutal struggle between the two conceptions of Ireland the nationalist Catholic and Gaelic one and the unionist pro-British and monarchical one. But it also takes some of the simplicity out of this division by showing the many variations on both sides. The great majority of the incidents in the book are based upon real events gleaned from books and newspapers of the period. Research for the book took five years as well as significant time in the area itself. The Stranded Tribe is not only about the drawing of a new boundary in Ireland between mainly Protestant and Catholic states. It is also about political, religious and community responses to a world facing unprecedented social and technological change.
Information on Dysphagia for Otolaryngolotists in this issue of Otolaryngologic Clinics: Emphasizes procedure-oriented evaluation and management; Discusses the importance of this subject in terms of medical and surgical risk; Heightens Otolaryngologists’ role in dysphagia patient care; Provides a set of recommendations to standardize the approach to these complicated patients; Describes aspects of dysphagia concisely, with prominent use of Tables and Figures. Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition and Dehydration; Management of Cricopharyngeal Dysfunction; Zenker’s Diverticulum; Glottal Insufficiency with Aspiration Risk in Dysphagia; Global Laryngeal Dysfunction; Screening High-risk Groups, Pathway for Intervention, and more. Guest Editor Kenneth Altman of Mount Sinai, whose expertise, clinical work, and teaching is focused on laryngology, leads the group of expert physicians in this issue.
Deliver quality healthcare in the most challenging field conditions Comprehensive yet compact, practical, and enduring, Improvised Medicine: Providing Care in Extreme Environments, Second Edition, is the one book to toss into your bag when going to practice medicine in global, disaster, or other resource-poor settings, including theaters of war, regions of civil unrest, and economically deprived areas. Full of practical clinical pearls and field-tested strategies, this indispensable guide provides detailed instructions on how to work successfully outside of your comfort zone. It demonstrates how to devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable or when providing care outside your primary area of expertise. In any crisis, from power failures and computer crashes to floods, tsunamis, and earthquakes, knowing how to deal with the unique challenges encountered saves lives and communities. This reference gives you that knowledge and inspires innovative crisis resolution. FROM REVIEWS OF THE FIRST EDITION: "Dr Iserson has given us a most remarkable book. Many readers may be familiar with David Werner's lay healthworker book, Where There Is No Doctor; this new volume could be titled Where There Is a Doctor–But No Stuff. Drawing from his experience providing care in international, wilderness, and disaster settings, he has compiled an impressive collection of bare-bones equipment and work-around strategies to provide the best possible care in resource-poor settings. While presenting many creative examples, the purpose of the book is not to offer an exhaustive list of solutions to missing resource challenges but to inspire creativity in readers who may find themselves needing to improvise." -- Family Medicine “There is a lot of material here and, if nothing else, it may motivate more people to practice low-tech medicine and be willing to go where health care is dependent more on caring than on cost. I recommend this book to anyone who must practice in austere environments, and it will be in my rucksack when I respond to the next disaster.” – The Journal of Emergency Medicine FEATURES: ·Simple-to-follow directions, diagrams, and illustrations describing practical techniques and improvised equipment necessary to provide quality care during crises ·Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery ·Covers situational analysis and basic needs in a crisis; specific triage, diagnosis, and stabilization efforts; medical interventions for surgical and non-surgical problems; and debunks some commonly reported improvised techniques ·Features public health measures, basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods ·New to the second edition: More concisely written, more extensively illustrated, and updated improvisations and references LEARN HOW TO: ·Make an endotracheal tube in seconds ·Perform digital-oral and blind-nasotracheal intubations ·Make plaster bandages for splints/casts ·Give open-drop ether, ketamine drips, and halothane ·Use subcutaneous/intraperitoneal rehydration/transfusion ·Make ORS and standard nutrition formulas ·Clean, disinfect, and sterilize equipment for reuse ·Warm blood units in seconds inexpensively ·Take/view stereoscopic x-rays with standard equipment ·Quickly and easily stop postpartum hemorrhage ·Fashion surgical equipment from common items ·Build an evaporative refrigerator ·Make esophageal and precordial stethoscopes ·Quickly improvise a saline lock ·Make ECG electrode/defibrillator pads and ultrasound gel ·Evacuate patients easily from high-rise hospitals
Both acute and chronic cough are responsible for a significant number of ambulatory medical visits annually. The recent comprehensive understanding that “cough is a reflection of underlying disease pays tribute to the multifactorial causes, as well recognition of the respiratory and upper digestive tract as a “physiologic unit. This publication highlights the advances made in managing cough and brings these to otolaryngology practitioners in a concise forum, as well as presenting issues of special interest to laryngologists such as paradoxical vocal fold motion, disordered breathing, irritable larynx, evolution of the vagus as a protective circuit, the importance of cough in deglutition, and surgical interventions. Some of the topics include: The cough reflex, sensory receptors, and neurogenic mediators; Mucus and mucins; Cough and Swallowing dysfunction; Cough due to asthma, cough-variant asthma, and nonasthmatic eosinophilic bronchitis; Occupational, environmental, and irritant induced cough; Pharmacologic management; Unexplained cough; Cough in the pediatric population; and Rhinogenic laryngitis, cough and the unified airway; among others.
Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable—or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in seconds Perform digital-oral and blind-nasotracheal intubations Make plaster bandages for splints/casts Give open-drop ether, ketamine drips, and halothane Use subcutaneous/intraperitoneal rehydration/transfusion Make ORS and standard nutrition formulas Clean, disinfect, and sterilize equipment for reuse Warm blood units in seconds inexpensively Take/view stereoscopic x-rays with standard equipment Quickly and easily stop postpartum hemorrhage Fashion surgical equipment from common items Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel
December 1956. The IRA begins its Border Campaign in Northern Ireland. It trains raw recruits with veterans like Dan Keohane and explosives expert Francie Shaw. A sleeper inside the Northern Security Services provides intelligence, and agents abroad buy heavy weapons to tip the balance. Can the IRA be held back? Rory Vance, a young Donegal man in the Fermanagh RUC, finds his relationship with ine, from across the border, severely tested by the conflict. Can it survive? The victims were not only soldiers and policemen. This novel closely follows the main facts of a neglected period of Irish Border history.
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