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Intermingling architectural, cultural, and religious history, Louis Nelson reads Anglican architecture and decorative arts as documents of eighteenth-century religious practice and belief. In The Beauty of Holiness, he tells the story of the Church of England in colonial South Carolina, revealing how the colony's Anglicans negotiated the tensions between the persistence of seventeenth-century religious practice and the rising tide of Enlightenment thought and sentimentality. Nelson begins with a careful examination of the buildings, grave markers, and communion silver fashioned and used by early Anglicans. Turning to the religious functions of local churches, he uses these objects and artifa...
This book, part of the European Society of Intensive Care Medicine textbook series, teaches readers how to use hemodynamic monitoring, an essential skill for today’s intensivists. It offers a valuable guide for beginners, as well as for experienced intensivists who want to hone their skills, helping both groups detect an inadequacy of perfusion and make the right choices to achieve the main goal of hemodynamic monitoring in the critically ill, i.e., to correctly assess the cardiovascular system and its response to tissue oxygen demands. The book is divided into distinguished sections: from physiology to pathophysiology; clinical assessment and measurements; and clinical practice achievemen...
The purpose of this book is to bring together the latest findings on metabolic disorders that are strongly implicated in various critically ill patients. Since the beginning of the 20th century, maintaining the "milieu intérieur" has been a major challenge for intensivists. In addition to considerable technological developments in intensive care units, important advances in our understanding of metabolic disorders observed in critically ill patients have been made during the 10 last years. Today, the intensivit can’t ignore these disorders when selecting the most appropriate treatment for an illness. Cellular metabolic abnormalities are responsible for systems and organ failures, so the m...
Inadequate humidification of inspired gases can cause a variety of serious problems, and humidification has accordingly become an important aspect of modern intensive care medicine. This book is designed to serve as a practical guide for clinicians, providing information on the theoretical background of humidification, the equipment, and its optimal use. The book starts by examining the physiological basis of humidification. Current devices are then discussed, with careful attention to factors influencing their performance and methods to evaluate their effectiveness. The two scenarios of mechanical and non-mechanical ventilation are considered, and the issue of ventilator-associated pneumonia is addressed in detail. Further chapters focus on such topics as humidification following tracheostomy, humidification of the artificial airway during secretion management, measurement of inspired gas temperature in the ventilated neonate, and humidification in the home care setting.
Sex Hormones not only regulate reproductive function, but they also play a prominent role in the biology and physiology of several organs/tissues and in the pathophysiology of several diseases. During the last two decades, the information on the mechanisms of action of sex hormones, such as estrogens and androgens, has rapidly evolved from the conventional nuclear receptor dependent mechanisms to include additional non-nuclear, non-genomic and receptor-independent mechanisms. This highlights the need to update the current knowledge on sex hormones and their mode of action. Increasing evidence that exogenous/epigenetic factors can influence sex hormone production and action highlights the need to update our knowledge on the mechanisms involved. This book provides a systematic and updated overview of the male/female sex-hormones and their impact in the biology and physiology of various organs. Additionally, the book discusses their positive and negative association with the pathophysiology of various diseases (e.g. osteoporosis, cardiovascular-disease, hypogonadism, reproduction, cancer) and their therapeutic potential.
As the world approaches the year 2000, many societies are experiencing an unprecedented growth in millenarian movements that anticipate an imminent and total transformation of the world. Many of these movements have been associated with violence, either as a means for producing change or as a response to confrontations with state authority. This book draws together research on this topic from political science, psychology, sociology and history in an attempt to understand the relationship between millenarian movements and episodes of violence.
"This book contains a collection of the most recent insights regarding maternal morbidity and mortality and optimization of the care processes during acute critical illness. The volume represents a practical resource to be used in real-time by medical practitioners faced with a woman who is critically ill during pregnancy and the peripartum period. By providing concise tools for disease identifiers and management flow-charts, the Editors aimed to increase awareness and improve processes of care for this population. Many care paradigms for obstetric patients are currently unstandardized, unfocused and often do not follow a pre-determined path. Each chapter will provide the practitioner with u...
Based on the 4th edition of the renowned textbook of the same name, this softcover manual focuses on the information necessary to make clinical decisions in the ICU. It begins with a crucial section on responding to emergency situations in the ICU. It proceeds to cover the most relevant clinical infomation in all areas of critical care including critical care monitoring, techniques and procedures, essential physiologic concers, shock states, pharmacology, surgical critical care, and infectious diseases. The manual also contains thorough reviews of diseaes by organ system: cardiovascular diseases, repiratory disorders, neurologic and gastrointestinal disorders, renal, endocrine, skin and muscle diseases, and hematologic/ oncologic diseases. This essential new resource is written in an easy-to-read style that makes heavy use of bulleted lists and tables and features an all-new full color format with a color art program. All critical care providers will find this a useful clinical resource.
The history of the United States is often told as a movement westward, beginning at the Atlantic coast and following farmers across the continent. But cities played an equally important role in the country’s formation. Towns sprung up along the Pacific as well as the Atlantic, as Spaniards and Englishmen took Indian land and converted it into private property. In this reworking of early American history, Mary P. Ryan shows how cities—specifically San Francisco and Baltimore—were essential parties to the creation of the Republics of the United States and Mexico. Baltimore and San Francisco share common roots as early trading centers whose coastal locations immersed them in an internatio...
In recent years, many clinical interventions in intensive care medicine have been based on clear scientific evidence. However, at least as many clinical interventions still remain the subject of controversy, either due to a lack of rigorous data or due to the existence of conflicting data. In this book, these controversies are discussed by experts of international renown in their respective fields. The goal is twofold: To provide us with a balanced and unbiased presentation of the subject, explaining the different 'schools of thought' relevant to the controversy; To summarise the data with a clinically useful and valid recommendation for our practice. Virtually all fields of intensive care medicine are covered in over 50 chapters dealing with controversies over treatment options in acute illness states, organising and providing care for acutely ill patients, as well as how to answer ethical questions arising in critical care medicine every day.