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Decision to produce; Markets and uses; Market assessment; Prodution potential; Equipment selection; Financial requirements; Decision and planning workssheets; Basic ethanol production; Preparation of feedstocks, Fermentation; Distillation; Types of feedstocks; Coproduct yields; Agronomic considerations; Plant design; Overall plant considerations; Process control; Representative ethanol plant; Maintenance checklist; Business plan; Analysis of financial requirements; Organizational form; Financing; Case study; Summary of legislation; Bureau of alcohol, tabacco, and firearms permit information; Enviromental considerations.
Malaria remains an important cause of illness and death in children and adults in countries in which it is endemic. Malaria control requires an integrated approach including prevention (primarily vector control) and prompt treatment with effective antimalarial agents. Malaria case management consisting of prompt diagnosis and effective treatment remains a vital component of malaria control and elimination strategies. Since the publication of the first edition of the Guidelines for the treatment of malaria in 2006 and the second edition in 2010 all countries in which P. falciparum malaria is endemic have progressively updated their treatment policy from use of ineffective monotherapy to the currently recommended artemisinin-based combination therapies (ACT). This has contributed substantially to current reductions in global morbidity and mortality from malaria. Unfortunately resistance to artemisinins has arisen recently in P. falciparum in South-East Asia which threatens these gains. This third edition of the WHO Guidelines for the treatment of malaria contains updated recommendations based on a firmer evidence base for most antimalarial drugs and in addition include recommendation on the use of drugs to prevent malaria in groups at high risk. The Guidelines provide a framework for designing specific detailed national treatment protocols taking into account local patterns of resistance to antimalarial drugs and health service capacity. It provides recommendations on treatment of uncomplicated and severe malaria in all age groups all endemic areas in special populations and several complex situations. In addition on the use of antimalarial drugs as preventive therapy in healthy people living in malaria-endemic areas who are high risk in order to reduce morbidity and mortality from malaria. The Guidelines are designed primarily for policy-makers in ministries of health who formulate country-specific treatment guidelines. Other groups that may find them useful include health professionals and public health and policy specialists that are partners in health or malaria control and the pharmaceutical industry. The treatment recommendations in the main document are brief; for those who wish to study the evidence base in more detail a series of annexes is provided with references to the appropriate sections of the main document.
This critical and empirically based volume examines the multiple existing Nordic models, providing analytically innovative attention to the multitude of circulating ideas, images and experiences referred to as "Nordic". It addresses related paradoxes as well as patterns of circulation, claims about the exceptionality of Nordic models, and the diffusion and impact of Nordic experiences and ideas. Providing original case studies, the book further examines how the Nordic models have been constructed, transformed and circulated in time and in space. It investigates the actors and channels that have been involved in circulating models: journalists and media, bureaucrats and policy-makers, international organizations, national politicians and institutions, scholars, public diplomats and analyses where and why models have travelled. Finally, the book shows that Nordic models, perspectives, or ideas do not always originate in the Nordic region, nor do they always develop as deliberate efforts to promote Nordic interests. This book will be of key interest to Nordic and Scandinavian studies, European studies, and more broadly to history, sociology, political science, marketing, social policy, organizational theory and public management. The Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.
Biomethanization of the Organic Fraction of Municipal Solid Wastes is a comprehensive introduction to both the fundamentals and the more practical aspects of the anaerobic digestion of organic solid wastes, particularly those derived from households, that is, the organic fraction of municipal solid wastes (OFMSW). It can be used as a textbook for specialized courses and also as a guide for practitioners. In the first part, the book covers the relevant aspects of anaerobic digestion (AD) of organic wastes. The fundamentals and kinetic aspects of AD are reviewed with particular emphasis on the aspects related to solid wastes. This introduction is necessary to have a comprehensive view of the AD process and to understand the practical principles as well as the origin of possible problems arising from the management of the process. Chapter 2 emphasizes the role of kinetics in designing the reactor, paying special attention to existing models, particularly the dynamic ones. Through this introduction, it is intended to facilitate the technology transfer from laboratory or pilot plant experiences to full-scale process, in order to implement improvements in current digesters. Laboratory methods are described for the analysis and optimization of reactor performance, such as methanogenic activity tests or experimental evaluation of the biodegradation kinetics of solid organic waste. The different reaction patterns applied to industrial reactors are outlined. Industrial reactors are classified in accordance with the system they use, pointing out advantages and limitations. Co-digestion, enabling the co-treatment of organic wastes of different origin in a more economically feasible way, is described in detail. Examples of co-digestion are given, with OFMSW as a base-substrate. Finally, full-scale co-digestion plants are discussed. Various types (mechanical, biological, physico-chemical) of pre-treatment to increase the biodegradability, and thus the yields of the process, are reviewed in detail. The use of the fermentation products of anaerobic digesters for biological nutrient removal processes in wastewater treatment plants is described. This constitutes an example of integrated waste management, a field in which both economic and technical advances can be achieved. Balances are given to justify the approach, and a full-scale case study is presented. The important topic of economics and the ecological advantages of the process are emphasized. The use of compost, the integration with composting technology, and advantages over other technologies are detailed in the framework of an environmental impact assessment of biowaste treatment. Finally, the anaerobic digestion of MSW in landfills is reviewed in detail, with emphasis on landfill process enhancement and strategies for its application.
In the previous two volumes of this series, we presented classic problems in internal medicine as illustrated by actual cases cared for in our institution. It has been gratifying for us to see the interest that these volumes have generated with students and trainees. We remain committed to the case method of instruction, and believe that there is no better method to learn medicine than to have an individual patient problem as the basis for study of pathophysiology, natural history, diagnosis and management. We hope that our readers find this third volume as enjoyable and instructive as the editors found it. Juan M. Bowen, MD Ernest L. Mazzaferri, MD, FACP xiii Acknowledgement The editors are grateful to Jeff Smith and Jenny Riegler for their unflagging professionalism and patience. xiv Contents Case 1 Mitral Regurgitation - Chronic Versus Acute: Implications for Timing of Surgery • . • • • . . • . . . . . • . . . . . . . . . . . 1 Harisios Boudoulas, MD Charles F. Wooley, MD Advances and diagnostic imaging in a surgical technique have changed the approach to mitral valve regurgitation. This chapter provides an expert's perspective. Case 2 Cystic Fibrosis in Adults .. • •••••••••••• 36 Andrew Libertin, MD John S. Heintz, MD As children with cystic fibrosis grow into adulthood, the internist assumes a greater role in their care. Case 3 Thrombotic Thrombocytopenic Purpura . . . . . . . . . . 51 . . . Donald E. Thornton, MD Earl N. Metz, MD, FACP Patients with ITP continue to present difficulties in diagnosis and management. Two experts discuss the current approach to ITP.
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.