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First multi-year cumulation covers six years: 1965-70.
The backbone of in-patient care is the hospital ward, and I believe that this will remain so in the future. Shortcomings in the staffing, organization and layout of the conventional ward have been recog nized for a long time, but there have been few changes and not all these have benefited the patient. The evolution of specialized treat ment centres for poliomyelitis, thoracic surgery, burns and so on, showed the need for a new staffing structure-a re-organization of patient care and of secondary importance, new forms of accom modation. These regional or referral centres serve large populations or areas and are collectively known as specialized intensive care (or therapy) units. The idea of using similar principles of staffing, organ ization and facilities to serve each large district hospital came much later (1959) and was first applied in the United States. Thus, the general intensive care unit was born, a unit which would treat critically ill patients irrespective of the nature of their disease, in sharp contrast to the specialized intensive care unit. The staffing structure and technologies of the two are however similar. Special ized intensive care consists of a single speciality or two specialities, for example thoracic surgery and thoracic anaesthesia. General intensive care cannot be a speciality because it embraces the whole of acute medicine, acute surgery, accident surgery, toxicology and many more individual specialities. This very diversity makes it difficult to organize, but interesting to perform.
All You Ever Wanted to Know About Air… And Then Some! A/C technicians should be knowledgeable about air and its properties. This program helps technicians understand the basic properties of air and how these properties relate to each other. Over the years, much has been written on the subject of Psychrometrics. However, much of this material has been geared toward engineering and system design. Psychrometrics Without Tears presents the important concepts of air in a manner that will appeal to HVAC students and service technicians. Knowing all there is to know about an air sample is pretty empowering, so this book starts by discussing the basic properties of air and how these properties relate to each other. The Psychrometric chart is introduced to provide a visual representation of how air behaves when exposed to different conditions. Once the basics of the chart are covered, we then move into some more interesting topics such as sensible heat ratio, bypass factor, and apparatus dew point temperatures. These properties help determine system performance and are very important concepts to learn in order to fully understand air. The plotting of actual systems follows next. This involves plotting out air distribution systems that are operating correctly so that we can see what properly operating systems look like on the chart. This book covers a wide range of systems that includes residential heating and cooling systems as well as commercial systems that provide ventilation air to the occupied space to meet building code requirements. Prepare to learn about mixed air systems and learn to calculate the mixed air conditions provided we know what the outside air and return air conditions are. In addition to everything mentioned already, we will discuss the concepts of ventilation, economizing and air balancing
Written in conjunction with the British Dietetic Association, Advanced Nutrition and Dietetics in Nutrition Support provides a thorough and critical review of the fundamental and applied literature in nutrition support. Extensively evidence-based and internationally relevant, it discusses undernutrition, nutritional screening, assessment and interventions, as well as key clinical conditions likely to require nutrition support, and the approaches to managing this in each of these conditions. Clinically oriented, Advanced Nutrition and Dietetics in Nutrition Support is the ideal reference for all those managing undernutrition in a range of clinical areas.