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“There are instances when the truth suddenly pitches at us with an undeniable impact. Our buried feelings come to the fore due to a trigger in our environment.” What happens when the skeins of life of 16 diverse Indian women, aged 25 to 67, get entwined when they travel to Spain and Portugal in an all-women’s tour? With a galaxy of identifiable characters from modern urban India depicted with light-hearted mirth in a travel environment, the novel explores serious issues, such as the quest for an independent identity and economic independence, the violence within and outside our homes, the loneliness of old age and the need for constructive channelization of youthful energy. Spanning events across a little more than a year, Skeins depicts how self-expression and a supportive environment trigger a cataclysmic effect and stimulate the women to realize their dreams.
This book focuses on the United States' views and political actions in Portugal during the democratic transition, and should not be taken for a history of the Portuguese revolution. In other words, its aim is to evaluate the impact of American actions in the final outcome of the transition from an authoritarian regime to democracy in Portugal. To that end, extensive research was carried out during a four-year period, both in the US and in Portugal, privileging primary sources, especially American and Portuguese archival materials, many of which were previously unpublished.
Recognized authorities in anesthesiology and surgical critical care present you with today's best management approaches for achieving optimal perioperative outcomes. They review the potential risks to all major organ systems by examining the incidence and significance of organ dysfunction...assessing the etiology of particular organ dysfunctions...defining the preoperative and intraoperative risk factors...and offering perioperative protection strategies to minimize potential complications. A consistent chapter format - combined with color-coded algorithms, summary tables and boxes - enable you to quickly locate specific guidance. Top evidence- and outcome-based strategies from leading world authorities enable you to avoid and manage complications. A consistent format allows you to easily and efficiently access the very latest research and clinical practice guidelines. Color-coded algorithms, as well as abundant summary tables and boxes, save you valuable time in locating the best management approaches.
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Thoroughly updated for its Sixth Edition, this classic reference remains an unsurpassed source of definitive, practical guidance on adult patient care in the ICU. It provides encyclopedic, multidisciplinary coverage of both medical and surgical intensive care and includes a "how-to" atlas of procedures and a new section on noninvasive monitoring. Each Sixth Edition chapter, for the first time, identifies Advances in Management based on randomized controlled clinical trials. The cardiology section has been completely rewritten to reflect advances in management of acute coronary syndromes. Also included are extensive updates on management of COPD, diabetes, oncologic emergencies, and overdoses and poisonings. A companion Website will provide instant access to the complete and fully searchable online text.
This portable paperback bench manual contains the thoroughly updated atlas of procedures and techniques and the new section on noninvasive monitoring from Irwin and Rippe's Intensive Care Medicine, Sixth Edition. In a user-friendly format, this extremely practical "how-to" guide provides graphically illustrated, step-by-step instructions for every diagnostic, therapeutic, and noninvasive monitoring procedure used in adult critical care. Coverage of each procedure includes indications, contraindications, equipment, anatomy, technique, complications, and ongoing care. All ICU staff as well as general practitioners can depend on this manual for immediate access to reliable, easy-to-follow instructions.