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Despite often taken as a simple procedure, techniques on tracheostomy have evolved considerably on the last few years. Consequently, new technical variations and indications for different purposes are being developed and proposed. The current book is proposed to serve as a comprehensive guide exclusively devoted to tracheostomy, discussing its most important details, variations and indications. Here the reader will find a broad discussion ranging from the most basic pre-clinical aspects to post-surgical procedures and complications. Great emphasis is placed on key topics such as the oncologic patient, variations of the technique, and tracheostomy in the intensive care unit, among others. Additionally, some issues that are not commonly discussed in regular textbooks, like tracheostomy in child and in great obese, are also included. With a wealth of photos, illustrations and tables, Tracheostomy – A Surgical Guide provides the material necessary to support a safe and effective surgical intervention in different populations and surgical contexts, with the hope that it will result in improved care for patients who underwent tracheostomy.
This text provides a comprehensive and concise treatment of the topic of traffic flow theory and includes several topics relevant to today’s highway transportation system. It provides the fundamental principles of traffic flow theory as well as applications of those principles for evaluating specific types of facilities (freeways, intersections, etc.). Newer concepts of Intelligent transportation systems (ITS) and their potential impact on traffic flow are discussed. State-of-the-art in traffic flow research and microscopic traffic analysis and traffic simulation have significantly advanced and are also discussed in this text. Real world examples and useful problem sets complement each chapter. This textbook is meant for use in advanced undergraduate/graduate level courses in traffic flow theory with prerequisites including two semesters of calculus, statistics, and an introductory course in transportation. The text would also be of interest to transportation professionals as a refresher in traffic flow theory, or as a reference. Students and engineers of diverse backgrounds will find this text accessible and applicable to today’s traffic issues.
An accessible interpretative history of West Central Africa from earliest times to 1852 with comprehensive and in-depth coverage of the region.
The ex-Portuguese Island of Diu – a once strategic maritime gateway to the bay of Cambay, Gujarat, India – features in the corpus of Portuguese history and literature, but a comprehensive study of the island was lacking. Mehrdad and Natalie Shokoohy, known for surveying little-known historic sites in India, present the study of the built environment of Diu in conjunction with the contemporaneous Indian histories in Arabic and Persian, resulting in a fresh view of Indian Ocean commerce and conquest. Extensive surveys of the Fort, the Town and the Island, include the epigraphy, fortifications, urban fabric, mosques, shrines, churches, monasteries, water infrastructure and the Zoroastrian Fire Temple and Towers of Silence. Fragmentary Hindu and Jain archaeological remains are also noted.
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In this poignant novel, a man guilty of a minor offense finds purpose unexpectedly by way of his punishment—reading to others. After an accident—or “the misfortune,” as his cancer-ridden father’s caretaker, Celeste, calls it—Eduardo is sentenced to a year of community service reading to the elderly and disabled. Stripped of his driver’s license and feeling impotent as he nears thirty-five, he leads a dull, lonely life, chatting occasionally with the waitresses of a local restaurant or walking the streets of Cuernavaca. Once a quiet town known for its lush gardens and swimming pools, the “City of Eternal Spring” is now plagued by robberies, kidnappings, and the other myriad ...