The second edition of the book on prelex takes into stride feedback from readers, comments from reviewers and journalists. This edition has been titled Pi in eye and is in color. A chapter each on Dry eyes and Laser cataract surgery has been added. The topic of neuroadaptation has been expanded. Various options to stabilize cornea after radial keratotomy have been discussed.Prelex is the latest lifestyle vision option for people above forty-five who are tired of wearing glasses or contact lenses. Prelex is more advanced and beneficial than lasik eye surgery, as it delivers distance, middle and near vision in each eye (not monovision) is permanent and prevents development of cataracts.This book describes the prelex procedure, presbyopic implants (PI), what to expect before, during and after the short procedure. It discusses the advantages of Prelex procedure over lasik eye surgery for people who demand clear vision at all distances. It explains the working of the eye in simple to easy understand language. It delves into the reasons for needing reading glasses in old age, as well as the reason for nearsightedness, farsightedness and astigmatism. The author, Dr. Khanna discusses how to select a good surgeon, and questions to ask the Prelex surgeon. He goes on to explain how to select the best lens for ones lifestyle from amongst Restor, Tecnis and Crystalens, all FDA approved lenses. The author describes what to expect during the procedure and how to prepare for it. The side effects of the procedure are discussed as well as how to avoid them. Finally, the concept of Neuroadaptation is introduced. How one can use the science of neuroadaptation to enhance the results is provided.
Prelex is the latest lifestyle vision option for people above forty-five who are tired of wearing glasses or contact lenses. Prelex is more advanced and beneficial than lasik eye surgery, as it delivers distance, middle and near vision in each eye (not monovision) is permanent and prevents development of cataracts.This book describes the prelex procedure, presbyopic implants (PI), what to expect before, during and after the short procedure. It discusses the advantages of Prelex procedure over lasik eye surgery for people who demand clear vision at all distances. It explains the working of the eye in simple to easy understand language. It delves into the reasons for needing reading glasses in old age, as well as the reason for nearsightedness, farsightedness and astigmatism. The author, Dr. Khanna discusses how to select a good surgeon, and questions to ask the Prelex surgeon. He goes on to explain how to select the best lens for ones lifestyle from amongst Restor, Tecnis and Crystalens, all FDA approved lenses. The author describes what to expect during the procedure and how to prepare for it.The side effects of the procedure are discussed as well as how to avoid them. Finally, the concept of Neuroadaptation is introduced. How one can use the science of neuroadaptation to enhance the results is provided.
In metropolitan cities human take care of his health at individual level not at community level. Social scientists in general and anthropologists in particular measures health dimensions at community or population level. The research at population level present various dimensions of health and all combined together leads to a health planning for future course. The present book focuses on health dimensions taking into consideration the demographic dynamics, socio-cultural and biological characteristics, reproductive and child health care, family planning, health seeking behaviour and health development and health care system, focusing on public-private partnership among ethnic groups of Kinnaur, Himachal Pradesh. Contents: Introduction, Area and People: An Ethnographic Live, Methodology, Health Dimensions Among Four Ethnic Groups, Summary, Conclusion and Strategies.
The most important accessory one can wear is a stunning smile. The mouth is the focal point of the face and should be backed by a set of healthy and beautiful teeth. But sadly, most of us are prone to dental infection and damage. This book reinforces your awareness about teeth care, both clinical and cosmetic, so that you can dazzle the world with your sparkling teeth through practical and planned oral healthcare.
Latest technology to eliminate glasses and contact lenses from your life. Imagine having the vision of your younger self. Imagine throwing away your contacts, progressives, and readers because you now have 20/20 vision that even continues to improve through the years. To have a reversal of the aging process and even preventing cataracts from ever hindering your new vision. This ground-breaking advancement is called Presbyopic Implant in the Eye (PIE). PIE starts from where lasik eye surgery hit a dead end. Lasik above 45 years of age takes away reading and middle vision. If done in thirties inability to read surface in the late forties. People confuse this with lasik fading away. PIE delivers permanent vision for distance middle and near in each eye. It is superior to monovision. Yes, it is eternal. PIE is the only definitive way to prevent cataracts.PIE is a pain free procedure built on the edifice of great communication between surgeon and patient. Usually this has been found to be lacking. This book steps in and helps to bridge that chasm between the surgeon and patient. The book is written in easy to understand English and avoids the medical jargon used in doctor's office. Our experience has shown that patients understand a little of what the doctors tell and retain even less.The book starts with the basics and takes us on a journey of how visual pathways involved. You may be surprised to learn it's the eyes not the brain which actually "see". The next chapter defines presbyopia and non surgical methods to treat it. This is followed by the wonderful chapter which explains PIE and how it is the only method to cure Presbyopia. In fact, it might be the only disease we can cure in a short precure. Have you ever realized we cannot even cure Hypertension or Diabetes. We just make people addicted to medicines. There are many other advantages of PIE enumerated in this chapter including ability to reduce chance of glaucoma. What a lay person should think about when choosing the procedure in surgeon is dealt in the next chapter. The next two amazing chapters detail the procedure and what to expect and choices available. You may be thinking all this sounds too good to be true, but will it work for me. That questioned I s answered by success stories of people from all walks of life. Even if you have had previous lasik or other eye surgeries you could benefit from PIE procedure as explained. Neuroadpataion and astigmatism management are discussed. A very useful chapter on Dry eyes will be beneficial to many readers. Yes, the book does talk about the rare risks and complications in the final chapter.Dr. Khanna has not only coined the term PIE but has been a pioneer in the industry. He has conducted numerous lectures on the topic, provided personal coaching to upcoming surgeons and is the founding Medical Director of Khanna Vision Institute. He has authored numerous educational books which have aided in the popularity of this life-changing procedure.
1. Humic substances: An introduction 2. Traditional uses of humic substances in folklore medicine 3. Shilajit - A humic substance with therapeutic properties 4. Physicochemical characterization of shilajit 5. Extraction and characterization of humic substances from shilajit 6. Surfactant properties of humic substances 7. Drug complexing properties of humic substances 8. Solubility-and dissolution-enhancing properties of humic substances 9. Permeability-enhancing properties of humic substances 10. Bioavailability-enhancing properties of humic substances 11. Safety and toxicity studies on humic substances 12. Humic substances in drug development References Index
What do the following have in common - being stranded at a flooded airport, eating gulab jamuns and a car that likes vanilla ice cream? All around us, we see people having trouble communicating with others. Employees have difficulty connecting with their bosses, parents find it hard to communicate with their children, and spouses complain about a communication gap between them and their better halves. And, in this age of digital communication, even friendships are not spared. In Break Free, V. Rajesh, in his uniquely accessible and humourous voice, explains the lessons in communication people can glean out of everyday situations. He also uses examples from mythology and popular culture that can help one become a virtuoso communicator. Break Free will enable you to deliver outstanding and memorable communication and evolve as an effective and successful leader at work and at home.
There Are A Number Of Natural Humic Substances Which Have Been Identified And Used As Part Of Traditional Medicine Worldwide. The Usage Has Evolved From Centuries Of Knowledge Sharing, Careful Observation And Practical Experience Gained From Using These Amazing Bio-Products Of Nature. Shilajit Or Mummiyois One Such Humic Substance That Has Been Used For Centuries As Part Of Folk Medicine And Has Been Ascribed With Miraculous Rejuvenating And Healing Properties. Research Over The Last Century Has Proven A Number Of These Ancient Claims To Be True. Recent Research By The Authors Has Demonstrated Remarkable Drug Complexing And Bioavailability Enhancing Properties Of Humic Substances Derived From Shilajit Which Can Advantageously Be Used For Increasing The Solubility, Dissolution, Permeability And Hence Bioavailability Of Problematic Drugs Of Modern System Of Medicine. A Lot Of Interest Has Recently Been Generated Amongst The International Scientific Community In Studying The Nature And Applications Of Humic Substances Like Shilajit In Modern Drug Development. The Present Book Tries To Collate All This And Other Remarkable Properties Of Humic Substances Under One Cover. The Present Book Is A Single-Source Reference Work To Cover The Classic As Well As Modern Studies On This Traditional Herbo-Mineral Ancient Remedy. This Book Aims To Highlight The Ancient Claims Of Shilajit, How These Have Been Validated And Reviews Information About Its Occurrence, Nature And Uses In Traditional And Modern System Of Medicine. It Also Describes The Extraction Of Novel Components, Fulvic And Humic Acids From Shilajit And Their Use As Bioavailability Enhancers In Modern Medicine.
In metropolitan cities human take care of his health at individual level not at community level. Social scientists in general and anthropologists in particular measures health dimensions at community or population level. The research at population level present various dimensions of health and all combined together leads to a health planning for future course. The present book focuses on health dimensions taking into consideration the demographic dynamics, socio-cultural and biological characteristics, reproductive and child health care, family planning, health seeking behaviour and health development and health care system, focusing on public-private partnership among ethnic groups of Kinnaur, Himachal Pradesh. Contents: Introduction, Area and People: An Ethnographic Live, Methodology, Health Dimensions Among Four Ethnic Groups, Summary, Conclusion and Strategies.
In this partnership between so-called equals, which can be compared to a polyandrous marriage, the Supreme Court is the woman and Parliament and the Executive her two husbands, one more loutish that the other, depending on your point of view. In the Nirbhaya case too the gap between theory and law has been highlighted. Following the terrible episode, (and even before) there has been continual and great improvement in the substantive laws for both women as well as children who have been victims of sexual violence. And yet despite their being so much publicity on the case, the author argues that, concretely, although there has been improvement in the laws themselves, we are nowhere near better enforcement or implementation. Even after the institution of a fast track trial, and with the nation’s attention focused on it, the Nirbhaya case still dragged on and it took more than nine months for the trial court to reach a verdict. And, as the author explains there are still potentially further delays waiting at the level of the superior courts, the High Court certainly and the Supreme Court too, quite possibly. As the author goes on to show in this well argued book, a woman who is the victim of a sex related crime ‘courts injustice’ whenever she comes to a court, be she the victim of a rape, an acid attack, of sexual harassment; the mother or father of such a victim or be it even any ordinary person struggling to find justice. Our courts, particularly the Supreme Court is performing the function of a nagging wife. Time and again she pulls up the lazy, good-for-nothing husbands (read ‘failure of governance’). And what does either husband do? He goes for a walk, ignoring the wife’s anguished screams even as they follow him. If she complains too much, he tells himself, he’ll see to it that she doesn’t get the silk sari and other goodies she wants (read ‘promotions’, ‘post retirement assignments’, etc). It is only one of the ways he ensures that she doesn’t step too much out of line. All wives nag, he consoles himself. Nagging here and there is tolerable but she must make sure that he gets his meals on time (read ‘doesn’t bar him from contesting elections even if there are a dozen or more criminal cases pending against him’). Meanwhile the overzealous wife doesn’t realize that while she rails and rants against the erring ways of her husband, the dishes are piling up in the kitchen. And the maid has gone away for six months and the dishes, they are piling up (read, the arrears are accumulating)! The time has come. It cannot continue to remain ‘business as usual’. There will be justice for Nirbhaya. Our ‘brave heart’ will also bring justice and relief to all her sisters. And possibly, even to the rest of us.
The life events of 108 revolutionaries belonging to the Indian Independence Struggle have been described using the Nandi Naadi principles discovered by the author. Besides the astrological angle, this book presents the biographical details of the revolutionaries, their poignant tales of courage and struggle against a giant colonial power and the tremendous sacrifices they made for the cause of Mother India. This book is indispensable for anyone who wants to grasp the application of Nandi Naadi principles to various facets of human life including longevity, mode of death, ill-health, misfortunes, married life, progeny, career and so on.
1. Assessment of Critically Ill Patients 2. Airway Management in ICU 3. Hemodynamic Monitoring in ICU 4. Fluid Balance in Critically Ill Patients 5. Vasopressors and Inotropes 6. Multiple Organ Dysfunction Syndrome 7. Cardiopulmonary Resuscitation: A Paradigm Shift 8. Therapeutic Hypothermia 9. Management of Organ Donor 10. Scoring Systems in ICU 11. Guidelines for ICU Planning and Designing in India 12. Guidelines and Protocols in ICU 13. Clinical Audit and Handoff in ICU 14. Critical Care Nursing in India Section 2: Cardiac Care 15. Acute Coronary Syndrome 16. Heart Failure 17. Cardiac Arrhythmias in ICU 18. Hypertensive Emergency 19. Pacing in the ICU Setting 20. Pulmonary Embolism 21. Intensive Care Unit Management of Patients with Right Heart Failure Section 3: Respiratory Care 22. Community Acquired Pneumonia 23. Ventilator-Associated Pneumonia 24. Acute Respiratory Distress Syndrome Section 4: Liver and Digestive System 25. Acute Liver Failure 26. Acute Pancreatitis 27. Hepatorenal and Hepatopulmonary Syndromes 28. Anesthesia for Liver Transplantation 29. Critical Care Aspects in Adult Liver Transplantation Section 5: Renal Care 30. Diagnosis of Acute Kidney Injury 31. Renal Replacement Therapy 32. Critical Care Management of Renal Transplant Recipients 33. Acid-Base Disorders in Critical Care 34. Disorders of Potassium 35. Sodium Disorders 36. Disorders of Calcium and Magnesium Section 6: Neurological Care 37. Management of Critically Ill Trauma Patients 38. Management of Spinal Injury 39. Neurocritical Care Management of Subarachnoid Hemorrhage 40. Intensive Care Management of Postoperative Neurosurgical Patients Section 7: Obstetric Critical Care 41. Physiology of Pregnancy 42. Respiratory Disorders During Pregnancy 43. Liver Disease Complicating Pregnancy 44. Peripartum and Postpartum Intensive Care in Pregnancy Section 8: Pediatric Critical Care 45. Recognition and Assessment of Critically Ill Child 46. Pediatric Septic Shock 47. Status Epilepticus 48. Raised Intracranial Pressure in Children with an Acute Brain Injury: Monitoring and Management Section 9: Infections 49. Extended Spectrum Beta Lactam Producing Infections in Intensive Care Unit 50. Infections in Immunocompromised Patients in ICU 51. Invasive Fungal Infections in Critically Ill Patients 52. Febrile Neutropenia 53. Fever in the ICU 54. Cytomegalovirus Infection in Critically Ill Patients 55. Tropical Infections in ICU 56. Tropical Fever--Management Guidelines ISCCM Tropical Fever Group Section 10: Ethics and End-of-Life Care Issues 57. Bioethical Considerations 58. End-of-Life Care Practices in the World Section 11: Miscellaneous 59. Burns, Inhalation and Electrical Injury 60. Diabetic Ketoacidosis 61. Oncological Emergencies 62. Post-cardiac Arrest Syndrome 63. Intra-abdominal Hypertension and Abdominal Compartment Syndrome 64. Nutrition in a Critically Ill Patients 65. Approach to an Unknown Poisoning 66. Specific Intoxications 67. Fatal Envenomations 68. Care of Obese Patient in ICU 69. Imaging in Intensive Care Unit Section 12: Mechanical Ventilation 70. Respiratory Mechanics: Basics 71. Principles of Mechanical Ventilation 72. Basic Modes of Ventilation 73. Ventilator Graphics 74. Newer Modes of Ventilation 75. Weaning/Liberation from Mechanical Ventilation 76. Non-Invasive Ventilation 77. Ventilation Strategy in Obstructive Airway Disease
This book on ‘Green Growth: Eco-Livelihood & Sustainability’ explores innovative & nature friendly alternate development of sustainability. Green Growth is a concept of sustainable way of growth and development while preventing environmental degradation and enhancing quality of life with innovations. Environment is the most significant dimension of life but too often its role and potential is underestimated when it comes to socio-economic development. The livelihood, skill development, employment potential, the challenges, opportunities, and solutions are studied and analyzed in a panoramic scenario. First the authors explore green growth as the new geopolitical paradigm to respond to the environment, climate challenges of today and resource challenges of tomorrow. Then analyze how eco-livelihood and sustainability generate the proper conditions for sustainability. In pursuit of development and poverty alleviation, there is great potential for green consumption, production, innovation, and entrepreneurial activity. This book prioritizes the vast opportunities from Green Growth and so highlights the obstacles. Green Growth will generate substantial benefits in the long run in the form of livelihood, pollution reduction, new markets etc. Green Growth is not just a short-term strategy but a transforming dynamic for both production processes and consumer behavior.
SECTION 1: Sepsis Diagnosis and Management 1. Precision Medicine in Septic Shock 2. Optimal Blood Pressure Target in Patients with Septic Shock 3. The Surviving Sepsis Campaign Guidelines in 2022: What is New and what has Changed? 4. Individualizing Hemodynamics in Septic Shock 5. Adjunctive Therapies in Sepsis: Current Status 6. Refractory Septic Shock: What are the Options 7. Steroids in Sepsis and Clinical Outcomes 8. Candida auris: Detection, Prevention, and Management 9. Empirical Antifungal Treatment: Is It Justified? 10. Role of Steroids in Severe Community acquired Pneumonia 11. Procalcitonin: Can It Differentiate Bacterial versus Fungal Infection SECTION 2: Antimicrobial Therapy in ICU 12. Optimizing Antimicrobial Dosing in the Intensive Care Unit 13. Antibiotic within 1 hour: Should this be Applied to all Patients with Sepsis? 14. Dark Side of Antibiotics 15. Optimal Duration of Antibiotic Therapy 16. Cefiderocol: Is this the Answer to Multidrug-resistant Gram-negative Infection? SECTION 3: Respiratory Critical Care 17. Management of Pneumonia in Intensive Care 18. Reverse Triggering during Controlled Ventilation: A Frequent Dysynchrony with Various Consequences 19. Use of Multiplex Polymerase Chain Reaction in Pneumonia 20. Management of Complicated Pleural Effusion 21. Hepatic Hydrothorax 22. Submassive Pulmonary Embolism 23. Role of Magnesium in Respiratory Failure 24. ARDS in Children: How is it Different? 25. Safe Tracheal Intubation in Intensive Care Unit 26. Lateral Positioning: Does it Work? 27. Dyspnea in Patients on Invasive Ventilation: Clinical Impact 28. Complications of Noninvasive Ventilation Failure SECTION 4: Mechanical Ventilation 29. Setting Optimum PEEP 30. Open Lung or Keep Lung Closed: Which Strategy to Choose? 31. Driving Pressure or Mechanical Power: Which One to Monitor? 32. Measuring Respiratory Drive and Muscle Effort 33. Oxygenation Targets in Mechanically Ventilated Critically-ill Patients 34. Ventilatory Ratio: A New Monitoring Tool 35. Helmet NIV: Is it a Game Changer? 36. Electrical Impedance Tomography: Current Application 37. Automatic Tube Compensation: Does it have a Role? 38. High-frequency Oscillatory Ventilation in Pediatric Acute Respiratory Distress Syndrome 39. Noninvasive Ventilation in Pediatrics: Current Status SECTION 5: Cardiovascular Critical Care 40. Crystalloid Resuscitation: Finding the Balance 41. Artificial Intelligence Tools to Optimize Hemodynamics in the ICU 42. Aggressive or Restrictive Fluid Resuscitation 43. Predicting Hypotension: Is It Useful? 44. Vasopressors: How Early? 45. Myocardial Injury after Noncardiac Surgery 46. Use of Vasopressin during Cardiac Arrest SECTION 6: Echocardiography and Ultrasound 47. Advances in Intensive Care Unit Echocardiography 48. Transesophageal Echocardiography: Is It Preferable in the Intensive Care Unit? 49. ECHO Features of Pulmonary Hypertension and Increased Left Atrial Pressures 50. Role of Echocardiography in Shock State 51. Use of Echocardiography in Assessing Fluid Responsiveness 52. Venous Excess Ultrasound Score (VExUS) SECTION 7: Nephrology, Fluids, Acid-Base Balance and Electrolytes Balance 53. Fluid Management in Acute Kidney Injury 54. Sepsis-associated Acute Kidney Injury: Common but Poorly Understood 55. Delayed versus Very Delayed Renal Replacement Therapy 56. Plasma Exchange in Intensive Care Unit: Current Status 57. Acute Kidney Injury Care Bundle 58. Biomarker-driven Therapy in AKI 59. How to Approach Dyselectrolytemias in a Patient on CRRT? SECTION 8: Neurocritical Care 60. Prognostication in
Monisha Rajesh was born in King’s Lynn in Norfolk and grew up all over England. She read French at the University of Leeds and taught English at a high school in Cannes before studying postgraduate journalism at City University London. She has written for the London Evening Standard, The Guardian, TIME magazine and The New York Times. Monisha now works at The Week magazine and lives in London. This is her first book.
Analysis of a Water Distribution Network may be necessary to know its behaviour under normal and deficient conditions and the design of a new network. Various methods such as Hardy Cross, Newton-Raphson, Linear Theory, and Gradient for static and time-dependent (extended period) analyses are described with small illustrative examples. The book also covers analysis considering withdrawal along links, head-dependent and performance-based analyses, calibration of existing networks, water quality modeling, analysis considering uncertainty of parameters, and reliability analysis of water distribution networks. Brief description of available computer softwares is also given.
Dykes occur in a wide variety of geological and tectonic settings and their detailed study through space and time is imperative for understanding several geological events. Dykes are believed to be an integral part of continental rifting and when they occur as spatially extensive swarms of adequate size, they can be of immense utility in continental reconstructions and also help to identify Large Igneous Provinces (LIPs). It is known that continental flood basalts and major dyke swarms have their origin related in some way to the up-rise of hot mantle plumes which may lead to rifting and eventual continental break-up. Dykes signify crustal extension and are important indicators of crustal stabilisation events, supercontinental assembly and dispersal, crust-mantle interaction and play a significant role in the delineation of crustal provinces as well as in deciphering crustal evolution events. Many economic mineral deposits of the world are also associated with a variety of dykes. The volume will provide state-of-the-art information on all aspects of dykes with emphasis on the origin, evolution and emplacement of dykes.
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