Vasovagal syncope ("the common faint") and near syncope from initial orthostatic hypotension are huge medical problems given the number of patients and their impact on quality of life. The treatment options are often unsatisfactory. The studies in this thesis set out to investigate the potential benefits of physical counter-manoeuvres in the acute management of vasovagal syncope and initial orthostatic hypotension. Once shown to be effective, further studies elucidated how they work.
The Tour de France is one of the most popular sports events in the world, but it’s not the only thing bicycle racing has to offer. This text covers all aspects of cycling, beginning with its history and concluding with how the next generation of riders can get involved. Cycling, cyclo-cross, BMX Supercross, and off-road cycling are just a few of the topics readers will learn about. “Fast Fact” fact boxes, sidebars, and colorful photographs offer a comprehensive learning experience.
Get up-to-date on all of the techniques that are rapidly becoming today’s standard of care with Ultrasound-Guided Regional Anesthesia and Pain Medicine, 2nd Edition. With this extensively revised edition, you’ll see how the increased use of ultrasound for diagnosis and treatment of chronic pain and other medical conditions can transform your patient care. Noted authorities discuss the techniques you need to know for upper and lower extremity blocks, truncal blocks, pain blocks, trauma and critical care, and more.
Stabilization and Dynamic of Premixed Swirling Flames: Prevaporized, Stratified, Partially, and Fully Premixed Regimes focuses on swirling flames in various premixed modes (stratified, partially, fully, prevaporized) for the combustor, and development and design of current and future swirl-stabilized combustion systems. This includes predicting capabilities, modeling of turbulent combustion, liquid fuel modeling, and a complete overview of stabilization of these flames in aeroengines. The book also discusses the effects of the operating envelope on upstream fresh gases and the subsequent impact of flame speed, combustion, and mixing, the theoretical framework for flame stabilization, and fully lean premixed injector design. Specific attention is paid to ground gas turbine applications, and a comprehensive review of stabilization mechanisms for premixed, partially-premixed, and stratified premixed flames. The last chapter covers the design of a fully premixed injector for future jet engine applications. - Features a complete view of the challenges at the intersection of swirling flame combustors, their requirements, and the physics of fluids at work - Addresses the challenges of turbulent combustion modeling with numerical simulations - Includes the presentation of the very latest numerical results and analyses of flashback, lean blowout, and combustion instabilities - Covers the design of a fully premixed injector for future jet engine applications
Richard Verstegan is the usual English name of a man who went through early life as Richard Rowlands, before reverting to his ancestral Dutch surname in exile. Born in Mid-Tudor London around 1550 and dying in the Baroque Antwerp of 1640, his ninety-odd years of life saw numerous religious, political and military conflicts, in some of which he was a minor player and on almost all of which he commented in his writings. After studying at Oxford without taking a degree, training as a goldsmith and illegally printing a Catholic book, he fled to France, where he worked as a propagandist for the faction of the Duke of Guise. Imprisoned in France for these activities, he fled to Rome, and eventually settled in Antwerp, where he worked for almost fifty years as, variously, a newswriter, engraver, publisher, editor, translator, polemicist, antiquarian, cloth merchant, poet and satirist. He is one of the earliest identifiable European newspaper journalists, having worked on Abraham Verhoeven's Nieuwe Tijdinghen (Antwerp, 1620-1629).
Acute Renal Failure in Practice, edited by practising renal physicians, is the essential guide to the clinical management of patients with acute renal failure and its complex, life-threatening metabolic sequelae. This book explains the workings of the normal kidney, illustrates the aetiology and pathophysiology of acute renal disease, and provides practical treatment guidelines relevant to the day-to-day needs of the practising clinician. There is a clear emphasis on the underlying pathogenic mechanisms naturally leading to a full understanding of the rationale behind the recommended treatments. Each chapter is illustrated throughout by coloured tables and diagrams, and incorporates unique easy-to-follow “practice points” algorithms which detail, step-by-step, the precise treatment protocols required to succeed in caring for these complex patients. An entire section is dedicated to dealing with patients who develop acute renal failure in specific hospital settings, such as the labour ward or intensive care unit. Doctors working in a wide range of acute medical specialities frequently encounter patients with acute renal failure and will therefore find this an invaluable clinical handbook./a
Where experts turn for definitive answers! Clinical Anesthesia covers the full spectrum of clinical issues and options in anesthesiology, providing insightful coverage of pharmacology, physiology, co-existing diseases, and surgical procedures. Unmatched in its clarity and depth of coverage as well as its robust multimedia features, this classic clinical reference brings you the very latest essential knowledge in the field, equipping you to effectively apply today’s standards of care and make optimal clinical decisions on behalf of your patients.
Brussels has become the “capital” of Europe, serving as the headquarters for key regional and international agencies, including the European Union, the North Atlantic Treaty Organization, UN organizations, multinational businesses, lobbying firms, governmental groups, and nongovernmental organizations. Its status as a diplomatic, political, and economic center assumes ever greater importance as the EU grows in depth and breadth. This second edition of Historical Dictionary of Brussels covers its history through a chronology, an introductory essay, appendixes, and an extensive bibliography. The dictionary section has over 900 cross-referenced entries on important personalities, politics, economy, foreign relations, religion, and culture. This book is an excellent access point for students, researchers, and anyone wanting to know more about Brussels.
This book is intended to be used and read by practicing radiologists, sonographers, and physicians working in urology and renal medicine, who have an interest in fully exploiting the diagnostic power of ultrasound imaging. Central to this book is ultrasound imaging as it contributes to the overall management of renal-based problems. Support is provided by medical, surgical, and oncological information. Adjunct imaging methods are discussed where it is important to appreciate the role of other modalities. An interventional section is included for those cases where ultrasound is used in guiding interventional procedures. An excellent and compact, yet comprehensive, introduction to the use of ultrasound, providing detailed assessment of the urogenital system.
At the time of Dupuytren's birth in 1777, France was still governed by an absolute monarch, Louis XVI. When Dupuytren died in 1835, he had lived through two revolutions (1789 and 1830), a republic, a 'Directoire', a consulate, an empire under Napoleon and another two royal restorations under Louis XVIII and Charles X. Dupuytren was always closely involved in these historic events because he was in direct contact with the leading figures from the different periods, both privately and professionally. He played an important role in the organisation and reorganisation of medical surgical education. As the head surgeon of the Hôtel-Dieu hospital, the largest hospital in France, he treated not only a large and highly varied number of surgical patients, but also the victims of riots, insurrections, revolutions and wars, as well as victims of the cholera epidemic of 1832.
Vasovagal syncope ("the common faint") and near syncope from initial orthostatic hypotension are huge medical problems given the number of patients and their impact on quality of life. The treatment options are often unsatisfactory. The studies in this thesis set out to investigate the potential benefits of physical counter-manoeuvres in the acute management of vasovagal syncope and initial orthostatic hypotension. Once shown to be effective, further studies elucidated how they work.
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