Appomattox County, formed in 1845 and named after the nearby river, was originally best known for growing tobacco. However, that dramatically changed in 1865 when Gen. Robert E. Lee surrendered to Gen. Ulysses S. Grant at the McLean House. In the 1930s, efforts began to commemorate Civil War events, and a national park was created. Each year, the county's 14,000 residents host the 125,000 visitors who flock to the area to learn more about the county's pivotal heritage. Boasting a unique history abundant with churches, notable citizens, and special events, this photograph collection shows the diverse and memorable history of Appomattox.
Approach any critical care challenge using a practical, consistent strategy based on best practices with Evidence-Based Practice of Critical Care, 3rd Edition. Unique, question-based chapters cover the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Drs. Clifford S. Deutschman and Patrick J. Nelligan, along with nearly 200 critical-care experts, provide a comprehensive framework for translating evidence into practice, helping both residents and practitioners obtain the best possible outcomes for critically ill patients. - Covers a full range of critical care challenges, from routine care to complicated and special situations. - Helps you think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. - Features revised and updated information based on current research, and includes all-new cases on key topics and controversies such as the use/overuse of antibiotics, drug resistance in the ICU, non-invasive mechanical ventilation, frequency of transfusions, and duration of renal replacement therapies. - Provides numerous quick-reference tables that summarize the available literature and recommended clinical approaches. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis . changing approaches to fluid administration . immune suppression in sepsis . monitoring the microcirculation . the long-term sequelae of critical illness . minimizing ventilator associated lung injury . the benefits of evidence-based medicine management guidelines . rapid response teams . and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.
For years war and at times preventable scenarios have taken life, maimed others, crippled yet others mentally, physically and intellectually, if not spiritually, The T4 program, PTSD and all.... worldwide. For the authors generation, The 1970's brought in cholera, the 1980's brought in the AIDs/HIV scare, and then the unholy beverages, .... not without pioneering conspiracy theories to back them up Mayan.... illuminati conspiracies, Georgia guide stones and all types of fantasy. Would there be any survivors? The 20th century was dominated by ethnic, race, political and religious struggles and conflicts; the 21st century has vastly inherited the problem with a huge shift in attitude and preference, but in all this, what is the future for Persons with Disabilities in a world of alternative lifestyles, eugenics, euthanasia, acclaimed United Nations human rights and conventions? sequel to "The Bright Dark Nights Of The Soul" book - (2013) script, the author a recipient of the "Pro Ecclesia" gold medal award from the late Saint Pope John Paul II avails for posterity diaries and points for reflections on cultural and humanitarian perspectives impacting on aspects of existential crisis, search for meaning and purpose for persons with Disabilities deeper into the 21st century. With contributions and insights from Corporate social responsibility initiatives, scholars, clergy, custodians of persons with disabilities, persons who lived in the 19th and 20th century in Africa: Some who served in the American Peace Corps in 1960's Africa, encounters with so called - "natives" and "savages", War Veterans and members of the armed forces, multicultural religious and missionary icons, contemporary peace and outreach initiatives from international religious, secular and political leaders: Towards this end, a case study paper in the United States on a Disabilities outreach project in Africa is availed in Six language translations, French, Spanish, Portuguese, English and the Luo and kikuyu African Languages to hopefully stimulate further multicultural reflections and action in the diaspora communities towards persons with disabilities.
This book discusses the latest research ideas with application to frequency standards (e.g. optical clocks) and assesses ideas from previous symposia which have undergone critical analysis.
In early Hawai‘i, kua‘āina were the hinterlands inhabited by nā kua‘āina, or country folk. Often these were dry, less desirable areas where much skill and hard work were required to wrest a living from the lava landscapes. The ancient district of Kahikinui in southeast Maui is such a kua‘āina and remains one of the largest tracts of undeveloped land in the islands. Named after Tahiti Nui in the Polynesian homeland, its thousands of pristine acres house a treasure trove of archaeological ruins—witnesses to the generations of Hawaiians who made this land their home before it was abandoned in the late nineteenth century. Kua‘āina Kahiko follows kama‘āina archaeologist Patrick Vinton Kirch on a seventeen-year-long research odyssey to rediscover the ancient patterns of life and land in Kahikinui. Through painstaking archaeological survey and detailed excavations, Kirch and his students uncovered thousands of previously undocumented ruins of houses, trails, agricultural fields, shrines, and temples. Kirch describes how, beginning in the early fifteenth century, Native Hawaiians began to permanently inhabit the rocky lands along the vast southern slope of Haleakalā. Eventually these planters transformed Kahikinui into what has been called the greatest continuous zone of dryland planting in the Hawaiian Islands. He relates other fascinating aspects of life in ancient Kahikinui, such as the capture and use of winter rains to create small wet-farming zones, and decodes the complex system of heiau, showing how the orientations of different temple sites provide clues to the gods to whom they were dedicated. Kirch examines the sweeping changes that transformed Kahikinui after European contact, including how some maka'āinana families fell victim to unscrupulous land agents. But also woven throughout the book is the saga of Ka ‘Ohana o Kahikinui, a grass-roots group of Native Hawaiians who successfully struggled to regain access to these Hawaiian lands. Rich with ancedotes of Kirch’s personal experiences over years of field research, Kua'āina Kahiko takes the reader into the little-known world of the ancient kua‘āina.
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