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Respiratory disease is the most common reason for admission to intensive care, and advanced respiratory support is one of the most frequently used interventions in critically ill patients. A clear understanding of respiratory disease is the cornerstone of high quality intensive care. Although a plethora of literature is available, both in print and online, finding the necessary relevant information can be difficult and time consuming. This handbook provides comprehensive clinical detail in an easily readable format. It is written by practising clinicians and has both in-depth theoretical discussion and practical management advice. The book is divided into sections: Section 1 deals with the approach to the patient with respiratory failure - including pathophysiology, investigation and diagnosis Sections 2 covers non invasive treatment modalities Sections 3 and 4 examine invasive ventilation in detail. Section 3 considers the principles of mechanical ventilation while section 4 deals with individual ventilator modes Section 5 discusses the management of the ventilated patient including sedation, monitoring, asynchrony, heart - lung interaction, hypercapnia and hypoxia, complications, weaning and extubation. It also has chapters on areas less frequently covered such as humidification, suction, tracheal tubes and principles of physiotherapy Section 6 is a comprehensive breakdown of each respiratory condition seen in ICU. This book is designed to bridge the gap between Intensive Care starter texts and all-encompassing reference textbooks. It is aimed at consultants and senior trainees in Intensive Care Medicine, senior ICU nursing staff, consultants in other specialties and allied healthcare professionals who have an interest in advanced respiratory critical care.
Policymakers in Latin America increasingly are turning to policies that have high economic rates of return and a favorable impact on income distribution. By providing financial services to small businesses and poor households -which normally lack such services- credit unions help secure growth with equity. The challenges faced by Latin America's credit unions today are likely to force them to further modernize and consolidate, fine tune their inherent advantages, improve mechanisms for prudential regulation, and find ways to increase their share of low and middle-income markets. Safe Money presents the new thinking on how credit unions can compete effectively in modern financial markets while still retaining their social mission.
A handbook of survival and warfare for the citizens of Woodstock Nation A classic of counterculture literature and one of the most influential--and controversial--documents of the twentieth century, Steal This Book is as valuable today as the day it was published. It has been in print continuously for more than four decades, and it has educated and inspired countless thousands of young activists. Conceived as an instruction manual for radical social change, Steal This Book is divided into three sections--Survive! Fight! and Liberate! Ever wonder how to start a guerilla radio station? Or maybe you want to brush up on your shoplifting techniques. Perhaps you're just looking for the best free entertainment in New York City. (The Frick Collection--"Great when you're stoned.") Packed with information, advice, and Abbie's unique outlaw wisdom ("Avoid all needle drugs--the only dope worth shooting is Richard Nixon."), Steal This Book is a timeless reminder that, no matter what the struggle, freedom is always worth fighting for. "All Power to the Imagination was his credo. Abbie was the best."--Studs Terkel
Temporomandibular disorders (TMDs), are a set of more than 30 health disorders associated with both the temporomandibular joints and the muscles and tissues of the jaw. TMDs have a range of causes and often co-occur with a number of overlapping medical conditions, including headaches, fibromyalgia, back pain and irritable bowel syndrome. TMDs can be transient or long-lasting and may be associated with problems that range from an occasional click of the jaw to severe chronic pain involving the entire orofacial region. Everyday activities, including eating and talking, are often difficult for people with TMDs, and many of them suffer with severe chronic pain due to this condition. Common social activities that most people take for granted, such as smiling, laughing, and kissing, can become unbearable. This dysfunction and pain, and its associated suffering, take a terrible toll on affected individuals, their families, and their friends. Individuals with TMDs often feel stigmatized and invalidated in their experiences by their family, friends, and, often, the health care community. Misjudgments and a failure to understand the nature and depths of TMDs can have severe consequences - more pain and more suffering - for individuals, their families and our society. Temporomandibular Disorders: Priorities for Research and Care calls on a number of stakeholders - across medicine, dentistry, and other fields - to improve the health and well-being of individuals with a TMD. This report addresses the current state of knowledge regarding TMD research, education and training, safety and efficacy of clinical treatments of TMDs, and burden and costs associated with TMDs. The recommendations of Temporomandibular Disorders focus on the actions that many organizations and agencies should take to improve TMD research and care and improve the overall health and well-being of individuals with a TMD.