For physicians and nurses in critical care medicine, the increased demand and use of ultrasound necessitates further training. Critical Care Ultrasound helps meet that need. A straightforward, practical approach, an abundance of detailed ultrasound images and online video demonstrations provide step-by-step guidance on the principles and effective use of this important imaging modality in both diagnosis and assistance with specific procedures. Coverage includes the latest applications of ultrasound for neurologic critical care; vascular problems; chest; hemodynamic monitoring; and abdominal and emergency uses, as well as assistance in a variety of specific procedures in critical care medicine. "...the book aims to and succeeds in fulfilling the appetite of different levels of expert in the use of ultrasound – fromthe beginner to the advanced practitioner." Reviewed by British Journal of Anaesthesia, June 2015 "This book is a tremendous resource of practical knowledge and reference material. It will be of great help to trainees, critical care specialists, ICU nursing, allied health professionals, and anyone practicing acute medicine. Editors Philip Lumb and Dimitrios Karakitsos and the contributors are to be congratulated. " Foreword by: Professor Teik E. Oh, AM , University of Western Australia, May 2015 Incorporate a holistic approach. Visualize all or any parts of the body, tissues, organs and systems in their live, anatomically and functionally interconnected state and in the context of the whole patient’s clinical circumstances. See exactly how it’s done. Numerous ultrasound images and access to dozens of videos demonstrate the use of ultrasound in critical care. Rely on the guidance of more than 80 different experts from Australia, China, Middle East, Europe, USA, and Canada regarding the current and future use of CCU. Adapt the use of emergency ultrasound in specialized out-of-hospital (i.e., war zones, animals) and in-hospital (i.e., pediatric units) settings. Additionally, issues regarding CCU logistics, training, and education are analyzed for the first time.
This book is intended for all readers of William Golding, whether they be students, professional critics, or casual readers. Thirty years after the publication of Lord of the Flies, a complete Golding bibliography would consist of well over 2000 entries. To add to this mass of exegesis must be at the risk of burying Golding's work under yet more writing about his writing. This study does not claim to be an "interpretation" of the novels: it does not set out to explain what they mean. Rather, the aim has been to explore the ways in which the novels create meaning.
This is the first part of a planned four-volume series focusing on a hitherto largely neglected aspect of the Great War on the Western Front - the war underground. The subject has fascinated visitors to the battlefields from the very beginning of battlefield pilgrimages in the years immediately after the Armistice, and locations such as Hill 60 and the Grange Subway at Vimy have always been popular stops on such tours. Three other volumes will follow, covering the Somme, Ypres and French Flanders. Each book in the series has a short description of the formation and development of Tunnelling Companies in the BEF and a glossary of technical terms. This volume looks mainly at the central Artois, the environs of the whole line of the Vimy Ridge to the River Scarpe and Arras. It does not aim to be a complete treatment of the intensive mining operations along this front. It concentrates on mining, in the area of Vimy Ridge, in Arras itself and at the use of ancient underground quarries, taking Roeux as a good example. There are extensive descriptions of mining on and around Vimy Ridge, including photography and explanations of systems that have been accessed recently but are closed to the public, such as the Goodman Subway. The narrative draws on French and German archival material and personal descriptions. The text is illustrated with numerous diagrams and maps, in particular from the British and German records, and there is an exhaustive guide to the Grange Subway. Other sites open to the public, in particular the Wellington Cave, are also explained and put into context. "BBC History - Archaeologists are beginning the most detailed ever study of a Western Front battlefield, an untouched site where 28 British tunnellers lie entombed after dying during brutal underground warfare. For WWI historians, it's the "holy grail".
Bamboo and Bonsai is the story of a Kansas boy who spent his entire career as a missionary in Japan. His service spanned forty-three years as a missionary of the Church of God. He was the founder and director of the Seminary House program. It was designed to prepare seminarians to become pastors in the Church of God. It offered specialized training in the theology and history of the Church of God. He directed this program for twenty-two years. He was also the principal of Tamagawa Seigakuin a girls junior-senior school in Tokyo. He led a staff of fifty Japanese nationals and four American teachers and over one thousand students in preparing young women from a Christian perspective to develop their God-given talents for life and service in Japanese society. While serving in the field of education, he also pastored churches in Tokyo assisted by unordained ministers. His duties were primarily preaching and conducting official meetings of the church. Later, assisted by his wife, Phyllis, they pioneered a new church congregation in Hagiyama, a suburb of Tokyo. It was a challenging and gratifying endeavor to introduce the people of the community to the gospel, lead them to become Christians, and nurture them as they matured in their faith.
A practical and comprehensive reference to all aspects of ultrasonic debridement in periodontal therapy, now fully updated and revised Ultrasonic Periodontal Debridement, Second Edition presents both theory and practice of ultrasonic debridement, including all the information needed to understand this clinical process and apply the knowledge to clinical practice. The Second Edition includes three entirely new chapters and expanded sections in all existing chapters, as well as updating the content and references throughout. The revision greatly expands the number of illustrations and incorporates the most recent advances in periodontal debridement therapy. The book begins with an introduction to the history and principles of ultrasonic technology and technique, then discusses practical guidance for using safe, effective, and efficient ultrasonic periodontal debridement in clinical practice. It is vividly illustrated, with hundreds of images, and emphasizes detailed, step-by-step descriptions. Ultrasonic Periodontal Debridement: Provides a common-sense, easy-to-read approach to topics ranging from pathophysiology to clinical tips and tricks Features updates to reflect changes to practice and theory, with new chapters discussing ultrasonic instrumentation for implant maintenance, aerosol transmission, and aerosol management Presents hundreds of images to accompany the step-by-step descriptions, including images of left- and right-handed clinician-patient positioning specific to the use of ultrasonic instruments Supports dental students, dental hygiene and dental therapy students, practicing dentists, dental hygienists, and dental therapists in understanding and applying concepts related to ultrasonic debridement Ultrasonic Periodontal Debridement is a useful reference for students in dentistry, dental hygiene, and dental therapy, as well as for practicing dentists and dental hygienists and therapists.
Pain and the Conscious Brain brings together more than 30 international leaders from multiple fields to link the complex concept of pain to the equally complex notion of consciousness. Offering a clear, cutting-edge understanding of the brain mechanisms that generate the conscious experience of pain, this book scientifically addresses the difficult and chronic pains that often have no known physical cause and can defy comprehension in terms of current pain theories. Numerous tables, full-color figures, and up-to-date references highlight expert coverage of today’s gradual paradigm shift from peripheral receptors to the intricacy of the brain and the experience of the self.
This completely updated and revised new edition is specially written for qualified nurses working in intensive care nursing units. Fully comprehensive and developed to be as accessible as possible it contains four new chapters with valuable new and updated clinical scenarios to aid learning. Intensive Care Nursing is structured in user-friendly sections. Each chapter contains 'fundamental knowledge' needed to understand the chapter, an introduction, 'implications for practice', a chapter summary, completely updated further reading, 'time out' sections for revision and a clinical scenario with questions included. This second edition has been fully developed and reviewed by practitioners and teachers, as well as a senior pharmacist and covers: patient-focused issues of bedside nursing the technical knowledge necessary to care safely for ICU patients the more common and specialized disease processes and treatments encountered how nurses can use their knowledge and skills to develop their own and others' practice. A support website at www.routledge.com/textbooks/0415373239 links to other important sites, gives answers to the clinical scenario questions and provides a forum for discussion of important clinical issues. Written by a practice development nurse with a strong clinical background in intensive care nursing and experience of teaching nursing, Intensive Care Nursing is essential reading for nurses and health professionals working with high dependency patients.
Written by nurses experienced in providing, supporting and developing high dependency care, High Dependency Nursing Care discusses practical issues and explores the current evidence base for clinical practice. Completely updated throughout, this second edition also includes new chapters on infection control, heart failure, tissue removal and transferring the sicker patient.
In this book on surgical anatomy, the author ter of the illustrations are in color-a feature has deviated considerably from the usual plan which adds greatly to their value. and has presented the material with a stronger Anatomy is an important phase of surgery surgical viewpoint. Obviously, it will appeal and is very necessary in the training of a sur primarily to surgeons and particularly to those geon. Years ago it was perhaps overempha in training because operative technic is in sized in the prerequisites of a surgeon. During cluded with the anatomy. The entire body is recent years when a knowledge of physiology covered in the anatomic discussion and the was found to be so important to the surgeon, principles of technic described for the impor anatomy has to a great extent been neglected. tant operations. This method of presentation The pendulum is threatening to swing too far of anatomic data has an obvious advantage and give the young surgeon the idea that he in that it correlates the anatomy with the tech need not spend time on anatomy. The time nical phase of surgery; without question, the will never come when anatomy will be unim young surgeon will find that this integration portant to the surgeon; the young surgeon will make it much easier for him to remember must always appreciate this. It may be safe the important anatomic details.
On many criteria, Australia has been a pioneering democracy. As one of the oldest continuing democracies, however, a health check has long been overdue. Since 2002 the Democratic Audit of Australia, a major democracy assessment project, has been applying an internationally tested set of indicators to Australian political institutions and practices.The indicators derive from four basic principles--political equality, popular control of government, civil liberties and human rights and the quality of public deliberation. Comparative data are taken from Australia's nine jurisdictions, as well as from three comparator democracies, Canada, New Zealand and the United Kingdom, to identify strengths, weaknesses and opportunities for reform.Some of the findings are disturbing. For example, Australia has fallen well behind in the regulation of private money in elections and in controlling the use of government or parliamentary resources for partisan benefit. Transparency and accountability have suffered from relatively weak FOI regimes and from executive dominance of parliaments.For those studying democracy or wanting to reform Australian politics, The State of Democracy provides a wealth of evidence in a well-illustrated and highly accessible format. Internationally, it is an important contribution to the democracy assessment literature and pushes into new areas such as the intergovernmental decision-making of federalism.
This comprehensive and clinically-focused textbook is designed for student and qualified nurses concerned with caring effectively for deteriorating and acutely ill adults outside of specialist intensive care units. Divided into six sections, the book begins with chapters on assessment and the deteriorating patient, including monitoring vital signs and interpreting blood results. This is followed by two sections focusing on breathing and cardiovascular problems respectively. Section 4 explores issues around disability and impairment, including chapters on neurology, pain management, psychological needs and thermoregulation. The penultimate section looks at maintaining the internal environment, with chapters on issues such as nutrition, fluid management and infection control. The text ends with a discussion of legal issues and accountability. Nursing Acutely Ill Adults includes a full range of pedagogical features, including sections: identifying fundamental knowledge; highlighting implications for practice; giving further reading and resources; using case scenarios to help readers relate theory to practice; and providing ‘time out’ exercises. It is the ideal textbook for students taking modules in caring for critically ill adults and qualified nurses working with these patients.
HIS DARK MATERIALS IS NOW AN HBO ORIGINAL SERIES STARRING DAFNE KEEN, RUTH WILSON, ANDREW SCOTT, AND LIN-MANUEL MIRANDA! The unforgettable His Dark Materials trilogy that began with The Golden Compass and continued with The Subtle Knife, reaches its astonishing conclusion in The Amber Spyglass. These modern fantasy classics have been hailed by Entertainment Weekly as an "All-Time Greatest Novel" and Newsweek as a "Top 100 Book of All Time" Throughout the worlds, the forces of both heaven and hell are mustering to take part in Lord Asriel's audacious rebellion. Each player in this epic drama has a role to play—and a sacrifice to make. Witches, angels, spies, assassins, tempters, and pretenders, no one will remain unscathed. Lyra and Will have the most dangerous task of all. They must journey to a gray-lit world where no living soul has ever gone and from which there is no escape. As war rages and Dust drains from the sky, the fate of the living—and the dead—comes to depend on Lyra and Will. On the choices they make in love, and for love, forevermore. A #1 New York Times Bestseller Winner of the Whitbread Award Winner of the British Book Award (Children's) Published in 40 Countries "Masterful.... This title confirms Pullman's inclusion in the company of C.S. Lewis and Tolkien." —Smithsonian Magazine "Pullman has created the last great fantasy masterpiece of the twentieth century. An astounding achievement." —The Cincinnati Enquirer "War, politics, magic, science, individual lives and cosmic destinies are all here . . . shaped and assembled into a narrative of tremendous pace by a man with a generous, precise intelligence. I am completely enchanted." —The New York Times Book Review "Breathtaking adventure . . . a terrific story, eloquently told." —The Boston Globe Don't miss Philip Pullman's epic new trilogy set in the world of His Dark Materials! ** THE BOOK OF DUST ** La Belle Sauvage The Secret Commonwealth
Europe's most authoritative culinary reference comes to the New World A sound and comprehensive knowledge of cooking theory and technique is as essential to a great cook as a full complement of well-made kitchen tools. Based on the European culinary classic, Lehrbuch der Küche, Classical Cooking the Modern Way: Methods and Techniques provides a complete review of the most basic culinary principles and methods that recipes call for again and again. Whether used alone or with its companion volume, Classical Cooking the Modern Way: Recipes, this book is a cornerstone culinary reference that belongs in every kitchen. With everything needed to master the core repertoire of cooking methods, from grilling and broiling to braising, sautéing, and more, it explains in detail how to work with all of the main types of ingredientsincluding meat and poultry, fruits and vegetables, and pastas and grains. Contributions from 75 acclaimed European chefs offer a dynamic and informed perspective on classical cookinga fresh and contemporary look at the fundamentals with a dash of Continental flavor.
Extracorporeal circulation has become firmly established as an invaluable and routine adjunct to cardiac and vascular surgery. Since its introduction in 1953, the technique has evolved rapidly with advancing technology leading to improvements in and simplification of the equipment involved. Developments in the understanding and application of basic
The effective management of pain is a problem which confronts all manual therapists. This book provides a clear picture of our current understanding of pain mechanisms and shows how that knowledge should inform approaches to treatment. The knowledge of pain science that the book conveys will help the therapist select the best approach to the clinical management of each patient. Different types of pain disorder may require different management strategies which may involve only one discipline or, at other times, a multidisciplinary team which may also include medical clinicians, psychologists, occupational therapists, nurses and other healthcare practitioners as well as manual therapists. The book is divided into three parts: An introduction to the concept of pain and its neurophysiological mechanisms. A review and discussion of current and potential evidence-based evaluation methods. A review and discussion of common types of functional pain disorders. This approach provides readers with a comprehensive reference to evidence-based information that should enable them to manage their clients' pain as effectively as possible.
From Boron Trifluoride to Zinc, the 52 most widely used reagents in organic synthesis are described in this unique desktop reference for every organic chemist. The list of reagents contains classics such as N-Bromosuccinimide (NBS) and Trifluoromethanesulfonic Acid side by side with recently developed ones like Pinacolborane and Tetra-n-propylammonium Perruthenate (TPAP). For each reagent, a concise article provides a brief description of all important reactions for which the reagent is being used, including yields and reaction conditions, an overview of the physical properties of the reagent, its storage conditions, safe handling, laboratory synthesis and purification methods. Advantages and disadvantages of the reagent compared to alternative synthesis methods are also discussed. Reagents have been hand-picked from among the 5000 reagents contained in EROS, the Encyclopedia of Reagents for Organic Synthesis. Every organic chemist should be familiar with these key reagents that can make almost every reaction work.
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