Why write a book on the management of critically ill patients? Over the past few decades we have seen an enormous growth in the number of intensive care units (ICU) across the world. Indeed, it is estimated that a large proportion of health care expenses are devoted to patients in these specialized units. Medical students, r- idents, fellows, attending physicians, critical care nurses, pharmacists, respiratory therapists, and other health-care providers (irrespective of their ultimate ?eld of pr- tice) will spend several months or years of their professional lives taking care of critically ill or severely injured patients. These clinicians must have special tra- ing, experience, and competence in managing complex problems in their patients. Moreover, these clinicians must interpret data obtained by many kinds of monitoring devices, and they must integrate this information with their knowledge of the pat- physiology of disease. Even more important is the fact that anyone working in an ICU or with a critically ill patient must approach patients with a multidisciplinary team. The phrase there is no I in TEAM comes to mind.
Why write a book on the management of critically ill patients? Over the past few decades we have seen an enormous growth in the number of intensive care units (ICU) across the world. Indeed, it is estimated that a large proportion of health care expenses are devoted to patients in these specialized units. Medical students, r- idents, fellows, attending physicians, critical care nurses, pharmacists, respiratory therapists, and other health-care providers (irrespective of their ultimate ?eld of pr- tice) will spend several months or years of their professional lives taking care of critically ill or severely injured patients. These clinicians must have special tra- ing, experience, and competence in managing complex problems in their patients. Moreover, these clinicians must interpret data obtained by many kinds of monitoring devices, and they must integrate this information with their knowledge of the pat- physiology of disease. Even more important is the fact that anyone working in an ICU or with a critically ill patient must approach patients with a multidisciplinary team. The phrase there is no I in TEAM comes to mind.
This book studies the economic impact of container traffic at one of the most important ports in the Mediterranean: the Port of Algeciras Bay (PAB). The authors analyse the global framework of the containerisation business and the characteristics that currently condition this process. Following is an explanation of the physical characteristics of the PAB, and a description of the situation as regards the physical and logistics infrastructure in principal Mediterranean ports.
This book studies the economic impact of container traffic at one of the most important ports in the Mediterranean: the Port of Algeciras Bay (PAB). The authors analyse the global framework of the containerisation business and the characteristics that currently condition this process. Following is an explanation of the physical characteristics of the PAB, and a description of the situation as regards the physical and logistics infrastructure in principal Mediterranean ports.
This book studies the economic impact of container traffic at one of the most important ports in the Mediterranean: the Port of Algeciras Bay (PAB). The authors analyse the global framework of the containerisation business and the characteristics that currently condition this process. Following is an explanation of the physical characteristics of the PAB, and a description of the situation as regards the physical and logistics infrastructure in principal Mediterranean ports.
Marine ecosystems, a very wide topic, includes many different processes, groups of organisms and geographical peculiarities. The objective of this book is to present various topics of great importance for understanding the marine ecosystems, what they are, how they work and how we can model them in order to forecast their behaviour under changing conditions. They have been thoroughly reviewed and accepted for publication. The chapters cover aspects such as: Threats to ultraoligotrophic marine ecosystems (Ch. 1); Modelling the pelagic ecosystem dynamics: the NW Mediterranean (Ch. 2); The marine ecosystem of the Sub-antarctic, Prince Edward Islands (Ch. 3); Meiofauna as a tool for marine ecosystem biomonitoring (Ch. 4); Chemical interactions in Antarctic marine benthic ecosystems (Ch. 5); An Interdisciplinary Approach on Erosion Mitigation for Coral Reef Protection- A Case Study from the Eastern Caribbean (Ch. 6); A revisit to the evolution and ecophysiology of the Labyrinthulomycetes (Ch. 7); Seabed mapping and marine spatial planning: a case-study from a Swedish marine protected area (Ch. 8); Management strategies to limit the impact of bottom trawling on VMEs in the High Seas of the SW Atlantic (Ch. 9); Hydrocarbon contamination and the swimming behavior of the estuarine copepod Eurytemora affinis (Ch. 10), and Interactions between marine ecosystems and tourism on the Adriatic and Mediterranean (Ch. 11).
In Indigenous Settlers of the Galápagos: Conservation Law, Race, and Society, Pilar Sánchez Voelkl offers an anthropological and historical account about the early arrival and prominent presence of Andean Indigenous people in the Galápagos Islands. Her research traces the stories of the earliest colonizers, who permanently settled on the archipelago, from the 1860s onwards. Sánchez Voelkl argues that their journey illustrates the way multiple notions of nature, race, and society interact to shape a social order in Darwin’s archipelago. Contrary to common portraits of the islands as an example of untouched nature, Indigenous Settlers of the Galápagos provides compelling evidence about the complexities about human and non-human relationships.
Mexican figures like La Virgen de Guadalupe, la Malinche, la Llorona, and la Chingada reflect different myths of motherhood in Mexican culture. For the first time, Melero examines these instances of portrayed motherhood as a discursive space in the political, cultural, and literary context of early twentieth century Mexico.
The majority of literature on superficial brain stimulation for the treatment of psychiatric conditions is focused on transcranial magnetic stimulation (TMS) for major depressive disorder. Given its versatility and mode of action, TMS use has been now extended to other psychiatric disorders including anxiety disorders, bipolar disorder, psychotic disorders, and disorders of executive function. In this chapter we review the rationale and available evidence for the use of TMS as a treatment option in conditions other than major depression – post-traumatic stress disorder, obsessive–compulsive disorder, panic disorder, generalized anxiety disorder, attention-deficit/hyperactivity disorder, catatonia, schizophrenia, and bipolar disorder. Although the rationale for its use in the treatment of the above-mentioned conditions is strong, the available evidence is mixed and limited. At this juncture no definitive conclusions or recommendations can be drawn; however, given the existing positive signals and the significant limitations of the presented evidence, further research is warranted to assess the actual role of TMS in the treatment of psychiatric conditions other than unipolar depression.
This book presents the morphology of different non-tumoral lesions of the testis. By showing the differential diagnosis of each lesion, it offers clinicians vital support with diagnosis and treatment. The book is divided into seven main parts: genetic and developmental pathology of the testis; infertility; vascular pathology of the testis; inflammatory pathology; pathology of the rete testis and epididymis; pathology of the vaginal tunic and paratesticular structures; and a final part dealing with miscellanea. Each chapter includes carefully selected figures and a variety of diagrams highlighting the main characteristics of a specific lesion to facilitate its diagnosis.Based on the authors’ experience with hundreds of biopsies, surgical specimens and autopsies, the book presents material that has been gathered over the past 40 years, providing an essential tool for pathologists, urologists, andrologists and pediatricians who face diagnostic problems.
Offering a practical, case-based approach, Spanish and the Medical Interview: Clinical Cases and Exam Review is a unique, immersive study and review resource for medical Spanish. It provides extensive training and review in two formats: the print book contains numerous cases spanning a wide variety of clinical settings, formatted as a patient would present for medical attention, while the audio cases provide multiple opportunities to hone your listening comprehension skills. Together, these learning components test your knowledge and skills in caring for Spanish-speaking patients and prepare you for case-based examinations that test clinical skills in Spanish. This first-of-its-kind title is ideal as a stand-alone resource or as a companion to Dr. Ortega’s Spanish and the Medical Interview: A Textbook for Clinically Relevant Medical Spanish. Helps you improve your interviewing skills, your understanding of patient responses, and your ability to explain a diagnosis and plan of care to Spanish-speaking patients, so you can provide a higher quality of patient care and safety in your practice. Covers multiple presentations of cases in main organ system areas, including musculoskeletal, cardiovascular, pulmonary, gastrointestinal, endocrine, genitourinary, neurologic, psychiatric, eye/ear/nose/throat, and pediatric, in multiple patient care settings such as urgent care, emergency department, outpatient clinic, and inpatient wards. · Focuses on topics that are particularly common in Hispanic/Latino patients and includes cultural health issues that may impact the patient's understanding of medical information, belief system, decision-making preferences, or access to care—all of which have a significant impact on your medical decision making and interviewing styles and effectiveness. Leads you through key information for each case, prompting you to use your medical Spanish clinical skills in a series of prompts and questions as the case unfolds. Assessment questions follow each case to test your comprehension. Provides more than two dozen audio cases to improve your listening comprehension of different nationalities and accents of Spanish-speaking patients. Provides real-world content from Drs. Pilar Ortega and Marco Alemán, who serve on the steering committee for the National Medical Spanish Taskforce that aims to standardize the educational approach to a national assessment examination for Medical Spanish. Expands your global skills set: in your home country, when caring for patients who speak Spanish, or when caring for patients in other countries through global medicine programs. Evolve Instructor site with an image and test bank is available to instructors through their Elsevier sales rep or via request at https://evolve.elsevier.com.
These six titles resulted from the Ethniciy and Fertility in Southeast Asia Project that commenced in 1980. Building upon the results of an earlier study, which established that ethnicity was a significant factor underlying the fertility differentials among the various ethnic groups in Southeast Asia, the project aimed to explor in greater detail the extent to which ethnicity and ethnic factors such as ethnic attitudes, ethnic identification and cultural practices influenced reproductive behaviour. Instead of utilizing secondary sources, the project relied on primary data collected through the survey technique. In all, twenty ethnic groups from the five ASEAN countries were surveyed in this study which spanned a period of three years.
Pilar Ortuño Anaya breaks new ground in the study of the international dimensions of the Spanish transition to democracy. She argues that specific individuals and organizations made a significant contribution to the democratization process. Dr Ortuño Anaya establishes for the first time the role played by European socialist and trade union organizations, in particular the German Social Democratic Party and its affiliated unions, the Labour movements in the United Kingdom, and the French Socialists.
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