Great progress has been made since the first description of the acute respiratory distress syndrome by the Denver group in 1967 (Lancet). Although we introduced the term 'adult respiratory distress syndrome' in our second and more detailed description of the syndrome (ehest, 1971), this was probably amistake for the simple reason that children also suffer the same syndrome fo11owing acute lung insults. Today, the syndrome of acute respiratory distress in adults (ARDS) is recognized as a worldwide problem, but the prevalence of disease varies in different parts of the world. A huge amount of research has focused on the mechanisms of acute lung injury and yet the exact sequence of events and media tors in inflammatory cascade, which result in acute respiratory failure from ARDS, is not known but many possibilities exist. The definition of ARDS has been gradua11y modified in recent years and investigators around the world are now co11aborating in order to establish more uniform concepts in identification, risk factors and mechanisms of lung injury, which someday will result in improved approaches to management. Already, at least some centers are showing improved outcomes in ARDS, achieving an approximate 60% survival rate. In the past, most large series documented only about a 40% survivability taking a11 causes of ARDS. This apparent progress is likely attributable to more meticulous and disciplined care than any specific pharmacologic attack on the basic mechanism resulting in ARDS.
NEW YORK TIMES BESTSELLER • A Washington Post Notable Work of Nonfiction • An NPR Best Book of the Year • A Kirkus Reviews Best Book of the Year • A Chicago Review of Books Best Book of the Year • A New York Public Library Best Book of the Year • A Goodreads Choice Awards Finalist "With narrative elan, Egan gives us a riveting saga of how a predatory con man became one of the most powerful people in 1920s America, Grand Dragon of the Ku Klux Klan, with a plan to rule the country—and how a grisly murder of a woman brought him down. Compelling and chillingly resonant with our own time." —Erik Larson, author of The Splendid and the Vile “Riveting…Egan is a brilliant researcher and lucid writer.” —Minneapolis Star Tribune A historical thriller by the Pulitzer and National Book Award-winning author that tells the riveting story of the Klan's rise to power in the 1920s, the cunning con man who drove that rise, and the woman who stopped them. The Roaring Twenties--the Jazz Age--has been characterized as a time of Gatsby frivolity. But it was also the height of the uniquely American hate group, the Ku Klux Klan. Their domain was not the old Confederacy, but the Heartland and the West. They hated Blacks, Jews, Catholics and immigrants in equal measure, and took radical steps to keep these people from the American promise. And the man who set in motion their takeover of great swaths of America was a charismatic charlatan named D.C. Stephenson. Stephenson was a magnetic presence whose life story changed with every telling. Within two years of his arrival in Indiana, he’d become the Grand Dragon of the state and the architect of the strategy that brought the group out of the shadows – their message endorsed from the pulpits of local churches, spread at family picnics and town celebrations. Judges, prosecutors, ministers, governors and senators across the country all proudly proclaimed their membership. But at the peak of his influence, it was a seemingly powerless woman – Madge Oberholtzer – who would reveal his secret cruelties, and whose deathbed testimony finally brought the Klan to their knees. A FEVER IN THE HEARTLAND marries a propulsive drama to a powerful and page-turning reckoning with one of the darkest threads in American history.
In Liturgy and the New Evangelization, Timothy O'Malley provides a liturgical foundation to the church s New Evangelization. He examines questions pastoral ministers must treat in order to foster the renewal of humanity that the New Evangelization seeks to promote. Drawing on narrative, as well as theological concepts in biblical, patristic, and systematic theology, O'Malley invites readers into a renewed experience of the liturgical life of the church, learning to practice the art of self-giving love for the renewal of the world.
Newly streamlined and focused on quick-access, easy-to-digest content, Mulholland and Greenfield’s Surgery: Scientific Principles & Practice, 7th Edition, remains an invaluable resource for today’s residents and practicing surgeons. This gold standard text balances scientific advances with clinical practice, reflecting rapid changes, new technologies, and innovative techniques in today’s surgical care. New lead editor Dr. Justin Dimick and a team of expert editors and contributing authors bring a fresh perspective and vision to this classic reference.
In Defense of Extended Conciliar Christology: A Philosophical Essay examines the logical consistency and coherence of Extended Conciliar Christology-the Christological doctrine that results from conjoining Conciliar Christology, the Christology of the first seven ecumenical councils of the Christian Church, with five additional theses. These theses are the claims that multiple incarnations are possible; Christ descended into Hell during his three days of death; Christ's human will was free; Christ was impeccable; and that Christ, via his human intellect, knew all things past, present, and future. These five theses, while not found in the first seven ecumenical councils, are common in the Christian theological tradition. The main question Timothy Pawl asks in this book is whether these five theses, when conjoined with Conciliar Christology, imply a contradiction. This study does not undertake to defend the truth of Extended Conciliar Christology. Rather, it shows that the extant philosophical objections to Extended Conciliar Christology fail.
Insect Ecology: An Ecosystem Approach, Fourth Edition, follows a hierarchical organization that begins with relatively easy-to-understand chapters on adaptive responses of insect populations to various environmental changes, disturbances, and anthropogenic activities, how insects find food and habitat resources, and how insects allocate available energy and nutrients. Chapters build on fundamental information to show how insect populations respond to changing environmental conditions, including spatial and temporal distribution of food and habitat. The next section integrates populations of interacting species within communities and how these interactions determine structure of communities over time and space. Other works in insect ecology stop there, essentially limiting presentation of insect ecology to evolutionary responses of insects to their environment, including the activities of other species. The unique aspect of this book is its four chapters on ecosystem structure and function, and how herbivores, pollinators, seed predators, and detritivores drive ecosystem dynamics and contribute to ecosystem stability. - Provides the most advanced synthesis of insect ecology, with updated material throughout and new chapters - Presents the roles of insects in delivery of ecosystem services and applications to pest management and conservation - Features full coverage of ecosystem structure and function balanced with essential background on evolutionary aspects - Includes case studies highlighting practical and theoretical applications for topics covered in each chapter
In music studies, Timothy D. Taylor is known for his insightful essays on music, globalization, and capitalism. Music in the World is a collection of some of Taylor’s most recent writings—essays concerned with questions about music in capitalist cultures, covering a historical span that begins in the late nineteenth and early twentieth centuries and continues to the present. These essays look at shifts in the production, dissemination, advertising, and consumption of music from the industrial capitalism of the nineteenth century to the globalized neoliberal capitalism of the past few decades. In addition to chapters on music, capitalism, and globalization, Music in the World includes previously unpublished essays on the continuing utility of the concept of culture in the study of music, a historicization of treatments of affect, and an essay on value and music. Taken together, Taylor’s essays chart the changes in different kinds of music in twentieth- and twenty-first-century music and culture from a variety of theoretical perspectives.
At eighteen years old, with no high school diploma, a growing rap sheet, and a failed relationship with his estranged father, Timothy J. Hillegonds took a one-way flight from Chicago to Colorado in hopes of leaving his mounting rage and frustration behind. His plan was simple: snowboard, hang out, live an uncomplicated life. The Distance Between chronicles how Hillegonds’s plan went awry after he immediately jumped head first into a turbulent relationship with April, a Denny’s coworker and single mother. At once passionate and volatile, their relationship was fueled by vodka, crystal methamphetamine, and poverty—and it sometimes became violent. Mere months after moving to the mountains, when the stakes felt like they couldn’t be higher, Hillegonds learned April was pregnant with his child. More than just a harrowing story of addiction and abuse or a simple mea culpa, The Distance Between is a finely wrought exploration of, and reckoning with, absent fathers, fatherhood, violence, adolescent rage, white male privilege, and Hillegonds’s own toxic masculinity. With nuance and urgency, The Distance Between takes readers through the grit of life on the margins while grappling with the problematic nature of one man’s existence.
The 80 rules you need to prepare for action in a medical disaster Here are 80 disaster management rules to reflect on, remember and follow in the immediate aftermath of an incident involving mass casualties. Each rule is a single-page long, providing the essential information to inform the most common critical decisions you will have to make in either a civilian or military environment. Written by clinicians with deep clinical and operational experience, these rules are concise evidence-based guidelines for all medical personnel dealing with disasters at the scene or in hospital. Based on the Major Incident Medical Management and Support system widely adopted in the UK, mainland Europe, Australasia and NATO, they are both authoritative and effective.
A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna Garca-Alts, Colleen M. Flood, Stefan Gre, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.
A one-of-a-kind, quick-reference volume that offers a cohesive, coordinated plan for the diagnosis, management, and treatment of the fetal patient. A highly accessible resource for practitioners charged with the care of a fetus or neonate with a sonographically detected anomaly--and a trusted guide for prospective parents seeking advice regarding an abnormal fetal finding. Provides much-needed answers and an approach to managing the implications of fetal sonographic or chromosomal diagnosis beyond the existing boundaries of obstetrics, pediatrics, and surgery.
The first book to synthesize relevant, critically reviewed data for application to the diagnosis and treatment of prenatal patients—updated and in full color A Doody's Core Title for 2011! 5 STAR DOODY'S REVIEW! "The book is comprehensive, concise, well illustrated, and an extremely valuable resource for perinatal healthcare providers....This book has rapidly become a go-to reference in the perinatal field and this new edition confirms its place as the gold standard in the field. Perinatologists will find this to be an essential part of their library. As more obstetric practitioners do investigative sonographic procedures in their offices, this book will be a valuable resource for them as well. The new edition is overdue and most welcome."--Doody's Review Service "This invaluable up-to-date reference is a must have guide especiallyin non-tertiary care centers where the various experts may not be readily available tofurther guide the family and plan the rest of the antepartum, peripartum and postpartum care."--Center for Advanced Fetal Care Newsletter Fetology: Diagnosis and Management of the Fetal Patient offers a cross-disciplinary approach that goes beyond the traditional boundaries of obstetrics, pediatrics, and surgery to help you effectively diagnose and treat fetal patients. Fetology considers the full implications of a fetal sonographic or chromosomal diagnosis—from prenatal management to long-term outcome—for an affected child. Here, you’ll find all the insights you need to answer the questions of parents faced with a diagnosis of a fetal abnormality—and present them with a coordinated therapeutic plan. Features NEW! Full-color design NEW! Five new chapters on Adrenal Masses, Abdominal Cysts, Overgrowth, Mosaic Trisomy, and DiGeorge Syndrome NEW! Chapters summarizing contemporary approaches to first and second trimester screening for aneuploidy NEW! 3D ultrasound and MRI images: over 450 images clearly illustrate the diagnosis of anomalies with the latest, most precise imaging technology NEW! Key Points open each chapter, providing rapid review of a particular condition Highlighted treatment/management guidelines deliver quick access to practical, what-to-do information Each chapter, which covers a single anomaly, includes description of the medical condition, incidence, characteristic sonographic findings, differential diagnosis, best treatment during pregnancy, treatment of the newborn, expected outcome, and more Addresses gaps in our knowledge that highlight unmet clinical needs and areas for future research
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