With contributions from over 75 of the foremost experts in the field, the third edition represents the very best in clinical and academic expertise. Taught in leading respiratory care programs in the U.S., it continues to be the top choice for instructors and students alike. The Third Edition includes numerous updates and revisions that provide the best foundational knowledge available as well as new, helpful instructor resources and student learning tools. A complete and up-to-date exploration of the technical and professional aspects of respiratory care. With foundations in evidence-based practice, this essential resource reviews respiratory assessment, respiratory therapeutics, respiratory diseases, basic sciences and their application to respiratory care, the respiratory care profession, and much more. With content cross-references the NBRC examination matrices, Respiratory Care: Principles and Practice, Third Edition is the definitive resource for today’s successful RT.
More than an introductory text, Respiratory Care: Principles and Practice, Fourth Edition by Dean Hess is a comprehensive resource will be referenced and utilized by students throughout their educational and professional careers.
Now available in a completely revised and updated second edition, Vietnam: Explaining America’s Lost War is an award-winning historiography of one of the 20th century’s seminal conflicts. Looks at many facets of Vietnam War, examining central arguments of scholars, journalists, and participants and providing evidence on both sides of controversies around this event Addresses key debates about the Vietnam War, asking whether the war was necessary for US security; whether President Kennedy would have avoided the war had he lived beyond November 1963; whether negotiation would have been a feasible alternative to war; and more Assesses the lessons learned from this war, and how these lessons have affected American national security policy since Written by a well-respected scholar in the field in an accessible style for students and scholars
Following World War II, Americans expected that the United States would wage another major war against a superpower. Instead, the nation has fought limited wars against much weaker states, such as North Korea, North Vietnam, and Iraq. This revised and updated edition of Presidential Decisions for War analyzes the means by which four presidents have taken the nation to war and assesses the effectiveness of each president's leadership during those conflicts. Gary Hess recreates the unfolding crises in Korea, Vietnam, and Iraq to probe the reasons why Presidents Truman, Johnson, George H. W. Bush, and George W. Bush and their advisors decided in favor of war. He compares the performance of the commanders-in-chief and evaluates how effectively each understood U.S. interests, explored alternatives to war, adhered to constitutional processes, and built congressional, popular, and international support. A new conclusion points out, that unlike the administrations of Truman, Johnson, and the elder Bush, George W. Bush's White House actively sought to change the international order through preemptive war and aggressive democracy building. Fully revised and featuring an examination of how each of the presidents learned from history and juggled the demands on diplomacy, this comparative study of presidential war-making elucidates how effective executive leadership—or its absence—directly affects the outcome of wars.
This 3rd edition presents a concise overview of how the war was fought as well as a consideration of the ways in which Americans regarded allies and enemies, embraced heroes, and viewed the war's purpose. Making the important distinction between popular notions and military and political realities, Gary Hess helps today's readers to better understand the complexity of the conflict. Updated to incorporate the latest scholarship, this latest edition also includes new material to underscore more fully the moral dimensions of the war, including the American decision to use the atomic bomb, the ruthless campaigns of both the Germans and Russians in Eastern Europe, American reaction to the Holocaust as well as the government's post-war tolerance and protection of Nazis deemed valuable to Cold War research and intelligence. Enhanced coverage of specific topics including the Bataan Death March, the Battle of the Bulge, and the Allied uncovering of concentration camps rounds out the narrative.
This resource covers the essentials of mechanical ventilation of respiratory care patients. It comprehensively covers all aspects of ventilation management and teaches clinical decision-making based on the patient’s disease. Revised and updated, the new Second Edition features new chapters on: non-invasive positive pressure ventilation for acute respiratory failure, home mechanical ventilation, high-frequency ventilation, prone-positioning, nitric oxide and helium usage, partial liquid and TGI.
A practical application-based guide to adult mechanical ventilation This trusted guide is written from the perspective of authors who have more than seventy-five years' experience as clinicians, educators, researchers, and authors. Featuring chapters that are concise, focused, and practical, this book is unique. Unlike other references on the topic, this resource is about mechanical ventilation rather than mechanical ventilators. It is written to provide a solid understanding of the general principles and essential foundational knowledge of mechanical ventilation as required by respiratory therapists and critical care physicians. To make it clinically relevant, Essentials of Mechanical Ventilation includes disease-specific chapters related to mechanical ventilation in these conditions. Essentials of Mechanical Ventilation is divided into four parts: Part One, Principles of Mechanical Ventilation describes basic principles of mechanical ventilation and then continues with issues such as indications for mechanical ventilation, appropriate physiologic goals, and ventilator liberation. Part Two, Ventilator Management, gives practical advice for ventilating patients with a variety of diseases. Part Three, Monitoring During Mechanical Ventilation, discusses blood gases, hemodynamics, mechanics, and waveforms. Part Four, Topics in Mechanical Ventilation, covers issues such as airway management, aerosol delivery, and extracorporeal life support. Essentials of Mechanical Ventilation is a true “must read” for all clinicians caring for mechanically ventilated patients.
The acclaimed application-based guide to adult mechanical ventilation --- updated to reflect the latest topics and practice guidelines A Doody’s Core Title for 2021! This practical guide is written from the perspective of authors who have nearly 100 years’ experience as clinicians, educators, researchers, and authors. Unlike other references on the topic, this resource is about mechanical ventilation rather than mechanical ventilators. It is written to provide a solid understanding of the general principles and essential foundational knowledge of mechanical ventilation as required by respiratory therapists and critical care physicians. To make it clinically relevant, Essentials of Mechanical Ventilation includes disease-specific chapters related to mechanical ventilation in these conditions. The Fourth Edition has been carefully updated throughout. New content includes coverage of mechanical ventilation of the obese patient and advanced monitoring procedures. Concepts such as driving pressure are included, and the content has been checked against the most recently published clinical practice guidelines. Essentials of Mechanical Ventilation, Fourth Edition is divided into four parts: Part One, Principles of Mechanical Ventilation describes basic principles of mechanical ventilation and then continues with issues such as indications for mechanical ventilation, appropriate physiologic goals, and ventilator liberation. Part Two, Ventilator Management, gives practical advice for ventilating patients with a variety of diseases. Part Three, Monitoring During Mechanical Ventilation, discusses blood gases, hemodynamics, mechanics, and waveforms. Part Four, Topics in Mechanical Ventilation, covers issues such as airway management, aerosol delivery, and extracorporeal life support.
In the spring of 1896, Rachael, just shy of her twentieth birthday, boards a train destined to a remote cattle ranch in Oregon for a prearranged employment position. An arrangement made by a guilt-ridden wife who could no longer tolerate her husband's forceful adulterous actions upon their young housemaid. Seizing the opportunity of his wife's intervention, he demands that Rachael take his two young illegitimate children with her on her journey west; if she wants her father to remain alive. Traveling west from Brockport, New York, Rachael undertakes her first assignment from her new boss, the ranch owner. She will be required to transact business in a man's world by overseeing the loading of supplies and freight along the train route. Her third business stop, Rock Springs, Wyoming, brings her face to face with four members of her new employer, three brothers and the ranch foreman. Overwhelmed, she unconsciously turns to one brother for security, beginning his commitment to her.During the next decade of hard work, Rachael struggles to bury her past. Her new family, the Prestons and their bunkhouse crew, give her an optimistic appreciation of life as she learns there are no social boundaries in the West. By including her in all the daily trials and tribulations of ranch life, cattle roundups, hunting, procuring and preserving their food supply, expanding families, and celebrating holidays, Rachael learns to live and trust again. She receives her second chance.
Bluetongue may be described as an acute insect borne disease of ruminants, manifested clinically in sheep by a catarrhal inflammation of the mucous mem branes of the digestive and respiratory systems and associated with degenerative changes in the skeletal musculature. The profound emaciation and weakness which follow the acute disease are responsible for a protracted convalescence and for serious economic losses due to diminished productivity. II. Historical During the early colonisation of Africa, susceptible Merino and other European breeds of sheep were introduced into the Cape, at first by the Dutch East India Company between 1652 and 1785 and again later in 1870. A report of the Cattle and Sheep Diseases Commission (1876) records the appearance of a serious febrile disease amongst these imported sheep in which both morbidity and mortality was high (cited by HENNING, 1949). HuTCHEON (1881) gave this disease the name of "Fever" or "Epizootic Catarrh", in order to distinguish it from other clinical conditions of a similar nature encountered amongst sheep. In the first com prehensive description of this clinical syndrome and its epizootiology HuTCHEON (1902) referred to it as "Malarial Catarrhal Fever of Sheep", a designation which was obviously influenced by the mistaken belief that an intracorpuscular parasite was the primary cause of the disease. More systematic studies were conducted by SPREULL (1902; 1905), who endeavoured to immunize sheep by the simultaneous inoculation of immune serum and infective blood.
The major cause of death in the Western world is some form of vascular disease; and principal among these forms is atherosclerotic heart disease (ASHD). Although much is known about the etiology and treatment of ASHD, there is, as yet, no specific means of prognosis of an impending coronary episode. There are, however, several indications of susceptibility to coronary disease, generally known as risk factors, the foremost of which is hyperlipidemia. Hyperlipidemia is more commonly designated as hypercholesteremia or triglyceridemia, depending upon which moiety is elevated, but since lipids are transported in the blood as members of a lipoprotein complex, the most descriptive general term would be hyperlipoproteinemia. This volume represents an effort to elucidate the origins and metabolic behavior of lipoproteins and their components, to describe aspects of the morphology, biochemistry and experimental induction of ASHD, and to describe modalities of treatment. The contributions to this book include descriptions of cholesterol synthesis and metabolism, as well as the metabolism of bile acids, the principal products of cholesterol metabolism. There are also chapters on the mechanisms of hyperlipidemia and on lipoprotein metabolism. The induction of experimental atherosclerosis and the aortic structural changes caused by this disease are discussed.
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