Hazardous waste incineration technologies have been developed to meet the needs of a rapidly growing market that has been created by the proliferation of hazardous waste in modern society. These hazardous wastes are continuously produced as by-products of many industries. Vast stockpiles of hazardous or toxic wastes are currently residing in insecure landfills, thus imperiling our drinking water supplies. This handbook is written with the user in mind. An in-depth review of regulatory and technical requirements is presented with later sections regarding permitting and operation of incineration facilities. A comprehensive description of established and emerging incinerator technologies is included along with a number of alternatives. One of the key sections involves a detailed procedure for choosing an incinerator for a specific job, including engineering calculations and going through the bid process. Rationale for whether to buy or lease incineration equipment is included as well as details on trial burns, permitting strategies, and startup and operation of incinerators. A number of typical case histories of incinerators are presented for such diverse applications as cleaning up individual sites with transportable units, stationary facilities for in-house wastes, and incinerator ships. Appendices provide a convenient reference to physical properties, combustion parameters, detailed equipment performance nomographs and several sample permits including RCRA, TSCA and local permit applications. In summary, this handbook provides a single reference point for the potential user of an incinerator as well as a valuable source of design data for incinerator vendors, consultants and regulators.
A robust understanding of the pathophysiological mechanisms behind clinical signs is crucial for medical students and junior doctors. Being able to accurately identify the clinical sequelae of disease during physical examination and connecting cause with consequence is the first step in correct diagnosis and treatment. For example, a patient with rheumatoid arthritis has distinctive hand changes, a patient with Parkinson's disease has a particular tremor, and a patient with liver disease may present with red palms. Each of these signs has a mechanism or pathway which results in the characteristic presentation. Currently, in medical school tutorial groups, time is set aside to discuss mechanisms of clinical signs and disease processes. However, current textbooks on clinical examination are mainly organized by disease systems and disease states. This new book bridges the gap between identification of clinical signs and understanding the causes behind them. • first consolidated text explaining the mechanism of clinical signs commonly seen in medicine• easy reference guide for clinical signs seen on the ward or during examinations• a resource for those preparing for "Viva or "OSCE practical stations where students see patients and are asked specific questions relating to the clinical examination• organised by body system it reviews the common clinical signs seen in diseases by the main system or specialty of medicine in a convenient handbook style• each chapter contains all the clinical signs, a description of the sign, the disease/s in which the sign appears and an explanation as to the mechanism• evidence base and clinical value of the sign is discussed to assist interpretation• Online Student Consult resources accompany the text
Pathophysiology – what is the cause? Clinical significance – what does it mean? Diagnosis and treatment – what is the predictive value? These are questions that all clinicians should continue to ask themselves from the very beginning of medical training and throughout a lifetime of practice. Organised by body system, Mechanisms of Clinical Signs 3e describes the underlying pathway, differential diagnoses and value of the clinical signs seen during physical examination. - Alphabetical listing of clinical signs - Index by sign and conditions for easy reference - Additional flow diagrams - Clinical Pearls highlighting important clinical signs - Summary of the evidence - Access to chapter-based MCQs Access StudentConsult for: - Clinical videos and audio of key signs - Case-based MCQs - An Enhanced eBook. The enhanced eBook allows the end user to access all of the text, figures, and references from the book on a variety of devices.
Hazardous waste incineration technologies have been developed to meet the needs of a rapidly growing market that has been created by the proliferation of hazardous waste in modern society. These hazardous wastes are continuously produced as by-products of many industries. Vast stockpiles of hazardous or toxic wastes are currently residing in insecure landfills, thus imperiling our drinking water supplies. This handbook is written with the user in mind. An in-depth review of regulatory and technical requirements is presented with later sections regarding permitting and operation of incineration facilities. A comprehensive description of established and emerging incinerator technologies is included along with a number of alternatives. One of the key sections involves a detailed procedure for choosing an incinerator for a specific job, including engineering calculations and going through the bid process. Rationale for whether to buy or lease incineration equipment is included as well as details on trial burns, permitting strategies, and startup and operation of incinerators. A number of typical case histories of incinerators are presented for such diverse applications as cleaning up individual sites with transportable units, stationary facilities for in-house wastes, and incinerator ships. Appendices provide a convenient reference to physical properties, combustion parameters, detailed equipment performance nomographs and several sample permits including RCRA, TSCA and local permit applications. In summary, this handbook provides a single reference point for the potential user of an incinerator as well as a valuable source of design data for incinerator vendors, consultants and regulators.
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