From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Address the unique needs of pediatric patients with guidance from an entire section on pediatric anesthesia. View more than 1,500 full-color illustrations for enhanced visual clarity. Access step-by-step instructions for patient management, as well as an in-depth analysis of ancillary responsibilities and problems. Quickly reference important concepts with ‘Key Points’ boxes integrated into every chapter. Stay current on today's most recent anesthetic drugs and guidelines/protocols for anesthetic practice and patient safety, and access expanded coverage on new techniques such as TEE and other monitoring procedures. Take advantage of the unique, international perspectives of prominent anesthesiologists from all over the world, including the UK, Australia, India, Brazil, and Germany. Remain at the forefront of new developments in anesthesia with coverage of hot topics including Non-OR Anesthesia; Role of the Anesthesiologist in Disasters; Sleep Medicine in Anesthesia; Perioperative and Anesthesia-related Neurotoxicity; Anesthetic Implications of Complementary and Alternative Medicine; and Robotics. Study brand-new chapters on Perioperative Fluid Management; Extracorporeal Support Therapies; Anesthesia for Organ Donation/Procurement; and Malignant Hyperthermia and other Genetic Disorders.
A self-avoiding walk is a path on a lattice that does not visit the same site more than once. In spite of this simple definition, many of the most basic questions about this model are difficult to resolve in a mathematically rigorous fashion. In particular, we do not know much about how far an n step self-avoiding walk typically travels from its starting point, or even how many such walks there are. These and other important questions about the self-avoiding walk remain unsolved in the rigorous mathematical sense, although the physics and chemistry communities have reached consensus on the answers by a variety of nonrigorous methods, including computer simulations. But there has been progress among mathematicians as well, much of it in the last decade, and the primary goal of this book is to give an account of the current state of the art as far as rigorous results are concerned. A second goal of this book is to discuss some of the applications of the self-avoiding walk in physics and chemistry, and to describe some of the nonrigorous methods used in those fields. The model originated in chem istry several decades ago as a model for long-chain polymer molecules. Since then it has become an important model in statistical physics, as it exhibits critical behaviour analogous to that occurring in the Ising model and related systems such as percolation.
Jennifer is a thirty-four-year-old bank manager. She's managed her education, her career, her finances--and her customers' money--she can't seem to handle this darn little chocolate in a shiny wrapper. . . Whether you're drawn to chocolate, cookies, potato chips, cheese, or burgers and fries, we all have foods we can't seem to resist--foods that sabotage our best efforts to lose weight and improve our health. These foods are winning the battle--but that's because we're fighting it in the wrong place. As physician and leading health researcher Dr. Neal Barnard explains in this groundbreaking book, banishing these cravings is not a question of willpower or psychology--it's a question of biochemistry. Based on the author's research and that of other leading investigators at major universities, Breaking the Food Seduction reveals the diet and lifestyle changes that can break these stubborn craving cycles. Using everyday examples, questionnaires, and practical tips, the book delivers: - Fascinating new insights into the chemical reasons behind your cravings - Seven simple steps to break craving cycles and tame your appetite - Important advice for kids' sugar cravings and how to halt them - A three-week kick-start program - One hundred delicious, satisfying recipes that help your body break the spell of problem foods and put you on the path to weight loss, better health, and greater well-being This accessible and practical book is essential reading for anyone who wants to lose weight, lower cholesterol, feel more energetic, and get control of their health once and for all.
The first edition of this work has become the standard introduction to the theory of p-adic numbers at both the advanced undergraduate and beginning graduate level. This second edition includes a deeper treatment of p-adic functions in Ch. 4 to include the Iwasawa logarithm and the p-adic gamma-function, the rearrangement and addition of some exercises, the inclusion of an extensive appendix of answers and hints to the exercises, as well as numerous clarifications.
Mathematical Understanding of Chemical Engineering Systems is a collection of articles that covers the mathematical model involved in the practice of chemical engineering. The materials of the book are organized thematically into section. The text first covers the historical development of chemical engineering, and then proceeds to tackling a much more technical and specialized topics in the subsequent sections. The second section talks about the physical separation process, while the third section deals with stirred tank stability and control. Next, the book tackles polymerization and particle problems. Section 6 discusses empty tubular and fixed-bed catalytic reactors, while Section 7 details fluid-bed reactors and coal combustion. In the last two sections, the text presents mathematical and miscellaneous papers. The book will be most useful to researchers and practitioners of chemical engineering. Mathematicians and chemists will also benefit from the text.
Designed to provide a comprehensive, step-by-step approach to organic process research and development in the pharmaceutical, fine chemical, and agricultural chemical industries, this book describes the steps taken, following synthesis and evaluation, to bring key compounds to market in a cost-effective manner. It describes hands-on, step-by-step, approaches to solving process development problems, including route, reagent, and solvent selection; optimising catalytic reactions; chiral syntheses; and "green chemistry." Second Edition highlights: . Reflects the current thinking in chemical process R&D for small molecules . Retains similar structure and orientation to the first edition. . Contains approx. 85% new material . Primarily new examples (work-up and prospective considerations for pilot plant and manufacturing scale-up) . Some new/expanded topics (e.g. green chemistry, genotoxins, enzymatic processes) . Replaces the first edition, although the first edition contains useful older examples that readers may refer to Provides insights into generating rugged, practical, cost-effective processes for the chemical preparation of "small molecules" Breaks down process optimization into route, reagent and solvent selection, development of reaction conditions, workup, crystallizations and more Presents guidelines for implementing and troubleshooting processes
Sports Medicine of Baseball includes all-encompassing coverage of the evaluation and treatment of common problems encountered in baseball players at all levels of competition. A large portion of the book focuses on shoulder and elbow problems, given the high number of shoulder and elbow injuries that affect baseball players. The text will also cover lower extremity injuries, spine conditions, and common medical problems that may be encountered. Of special interest to athletic trainers, topics such as different training regimens for in-season versus off-season workouts and tailoring throwing programs for relievers and starters is given particular attention.
Topics include: Hammer Toe Surgery: Arthroplasty, Arthrodesis, or Plantar Plate Repair?; End Stage Hallux Rigidus: Cheilectomy, Implant or Arthrodesis?; Early Weightbearing of the Lapidus Arthrodesis; Is it Feasible?; End Stage Ankle Arthritis; Exostectomy, Implant or Arthrodesis?; Gastrocnemius Recession or Tendo-Achilles Lengthening for the Diabetic Foot?; Subtalar Joint Arthroeresis and its Role in Pediatric or Adult population; and Diabetic Charcot Foot and Ankle Reconstruction: Internal, External or Combined Fixation?
Your must-have bench reference for cardiac electrophysiology is now better than ever! This globally recognized gold standard text provides a complete overview of clinical EP, with in-depth, expert information that helps you deliver superior clinical outcomes. In this updated 5th Edition, you'll find all-new material on devices, techniques, trials, and much more – all designed to help you strengthen your skills in this fast-changing area and stay on the cutting edge of today's most successful cardiac EP techniques. - Expert guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology. - New focus on clinical relevance throughout, with reorganized content and 15 new chapters. - New coverage of balloons, snares, venoplasty, spinal and neural stimulation, subcutaneous ICDs and leadless pacing, non-CS lead implantation, His-bundle pacing, and much more. - New sections on cardiac anatomy and physiology and imaging of the heart, a new online chapter covering radiography of devices, and thought-provoking new information on the basic science of device implantation. - State-of-the-art guidance on pacing for spinal and neural stimulation, computer simulation and modeling, biological pacemakers, perioperative and pre-procedural management of device patients, and much more. - Greatly expanded online video library demonstrating key procedures and new technologies such as sub Q ICDs, implantation of non-coronary sinus left ventricular leads, the use of snares, and venoplasty of the subclavian and coronary sinus. - More than 60 multimedia case presentations online covering a broad range of heart rhythm scenarios. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.
This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.
This single-source reference addresses complications related to the practice of regional anesthesia and pain medicine. Chapters are written by a world authority on each specific complication and are evidence-based from an extensive literature search. Each chapter is constructed to follow a defined approach to the problem to ensure inclusiveness of evidence, clarity, and consistency.
This 3rd edition presents cutting-edge standards of pacing and defibrillation to keep you at the forefront of this rapidly expanding field. You'll find coverage of all the new devices and management strategies you need to solve a full range of clinical problems using today's best approaches. Written by world authorities on pacing and devices for cardiac care, this new full-color 3rd edition is the more practical than ever! Addresses the management of patients with a broad range of conditions, including sinus node disease, carotid sinus hypersensitivity, tachyarrhythmias, heart failure, and more. Details cardiac pacing in pediatric patients. Illustrates vital concepts and techniques with over 745 x-rays and figures. Explains how to approach pacemaker generator changes. Reviews fundamental concepts such as how to pace the heart and how leads, power sources, programmers, and electronic circuitry work. Contains a new chapter on resynchronization trials. Offers technical information on both new and old devices to help you make the correct choice for every patient. Provides new material on implantation, with key updates to all aspects of this challenging clinical area.
This book examines the current literature and knowledge on the evolution and ecology of all the birds named as eagles, with particular emphasis on the larger species. It also examines the past and current relations between eagles and people, including habitat change and conservation issues. Eagle ecologies and conservation are currently seriously impacted by human activities such as industrialization, urbanization, pollution, deforestation and hunting. Some eagle species have consequently experienced extreme population changes. There are, however, some positive developments. Eagles have a strong, historic bond with human civilization, due to their status as the world’s most charismatic birds. Conservation policies have also been successful in repopulating some ecosystems with breeding eagles. Therefore, despite the complexity of this relationship, there may yet be hope for this unique species group, frequently rated as the kings of birds, and symbolic of human power, ambition, royalty, nationality, and even concepts of God. It is hoped that this book will contribute to the further understanding of these unique and fantastic birds.
Written by world renowned experts in surgical oncology, this book examines various types of cancer and their treatment options based on 'Level of Evidence' tables. The text provides an up-to-date review of the knowledge required by surgical oncologists, from basic biology, to the application of regional chemotherapy, minimally invasive surgery and palliative care.
The field of oncology is changing more rapidly than any other speciality and new biology as well as new therapies are constantly being tested. This entire text keeps the reader updated with these important advances in a comprehensive but readable format. This outstanding book has been authored by the world renowned experts in surgical oncology, practicing in a rising center of excellence in the field. It introduces 'Level of Evidence' tables to list the various options available for the treatment of each cancer and the strength of evidence available to support it. The text has been developed as.
Shows how foods influence hormones that fuel cancer and how a dietary change to a low fat, plant based diet can be beneficial to anyone diagnosed with the disease.
This textbook covers the basic properties of elliptic curves and modular forms, with emphasis on certain connections with number theory. The ancient "congruent number problem" is the central motivating example for most of the book. My purpose is to make the subject accessible to those who find it hard to read more advanced or more algebraically oriented treatments. At the same time I want to introduce topics which are at the forefront of current research. Down-to-earth examples are given in the text and exercises, with the aim of making the material readable and interesting to mathematicians in fields far removed from the subject of the book. With numerous exercises (and answers) included, the textbook is also intended for graduate students who have completed the standard first-year courses in real and complex analysis and algebra. Such students would learn applications of techniques from those courses. thereby solidifying their under standing of some basic tools used throughout mathematics. Graduate stu dents wanting to work in number theory or algebraic geometry would get a motivational, example-oriented introduction. In addition, advanced under graduates could use the book for independent study projects, senior theses, and seminar work.
Elsevier’s new Problem Solving in Abdominal Imaging offers you a concise, practical, and instructional approach to your most common imaging questions. It presents basic principles of problem solving to apply to imaging the abdominal and pelvic organs, gastrointestinal tract, and genitourinary tract. Inside, you’ll find expert guidance on how to accurately read what you see, and how to perform critical techniques including biopsy and percutaneous drainage. User-friendly features, such as tables and boxes, tips, pitfalls, and rules of thumb, place today’s best practices at your fingertips. A full-color design, including more than 700 high-quality images, highlights critical elements and compliments the text, to enhance your understanding. Provides problem-solving advice to help you find abnormalities and accurately identify what you see. Presents a section devoted to clinical scenarios—organized by presenting signs or disease processes—covering those you’re most likely to encounter in daily practice. Includes tips for optimization of the most common advanced imaging techniques used for the abdominal and pelvic regions—with general indications for use and special situations—to help you make the most of each modality. Offers step-by-step guidance that will help you safely approach challenging abdominal interventions, reduce complications, and improve outcomes. Features tables and boxes, tips, pitfalls, and other teaching points for easy reference. Incorporates high-quality images and a full-color design that illuminate important elements.
Citing overwhelming medical evidence previously downplayed by powerful lobby groups, Dr. Barnard reveals why a diet based on the new four food groups (grains, legumes, vegetables, and fruits) will sharply decrease the risk of cancer and heart disease and dramatically increase life expectancy. He also unveils a 21-day program for a smooth transition to the new way of eating healthfully. Line drawings.
This is a substantially revised and updated introduction to arithmetic topics, both ancient and modern, that have been at the centre of interest in applications of number theory, particularly in cryptography. As such, no background in algebra or number theory is assumed, and the book begins with a discussion of the basic number theory that is needed. The approach taken is algorithmic, emphasising estimates of the efficiency of the techniques that arise from the theory, and one special feature is the inclusion of recent applications of the theory of elliptic curves. Extensive exercises and careful answers are an integral part all of the chapters.
A study of the effect of poor environments on parenting. The authors explore what professionals and policy-makers can do to assist families living in poverty.
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