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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.
Paris, May 1940. Nazi troops storm the city and at Le Bourget airport, on the last flight out, sits Dr Alexandre Yersin, his gaze politely turned away from his fellow passengers with their jewels sewn into their luggage. He is too old for the combat ahead, and besides he has already saved millions of lives. When he was the brilliant young protégé of Louis Pasteur, he focused his exceptional mind on a great medical conundrum: in 1894, on a Hong Kong hospital forecourt, he identified and vaccinated against bubonic plague, later named in his honour Yersinia pestis. Swiss by birth and trained in Germany and France, Yersin is the son of empiricism and endeavour; but he has a romantic hunger for...
Seit dem 15. Jahrhundert zählt die querelle des femmes in ganz Europa zu den zentralen Streitdiskursen. Streiten zunächst ausschließlich Männer, so postulieren ab dem 16. Jahrhundert zunehmend die Frauen selbst die Gleichwertigkeit der Geschlechter in ihrem Streben nach Bildung und aktiver Teilhabe an Kunst und Literatur. Dieser emanzipatorische Entwicklungsprozess wirkt als transkulturelles longue durée-Phänomen weit über die Renaissance hinaus. Im Zentrum dieses Buches stehen deshalb westeuropäische Autorinnen des 17. und 18. Jahrhunderts, die nach ihrem Tod zu Unrecht in Vergessenheit gerieten. Mittels eines in gewisser Weise „postfeministisch aufgeklärten“ Verständnisses der Gynopoetik identifizieren die Beiträge ästhetische und poetologische Eigenheiten der Texte und analysieren im weitesten Sinne „proto-feministische“ Diskurse zwischen der Einschreibung in männlich dominierte Literaturtraditionen und deren innovativ-subversiver Brechung. So gelingt es, transkulturelle Gemeinsamkeiten der literarischen Emanzipationsdiskurse aufzudecken.
Increasing concerns over climate and environmental change, the global economic and financial crisis and impacts on host communities, audiences, participants and destinations has reinforced the need for more sustainable approaches to events. Sustainability now features as part of the bid process for many mega-events, such as the Olympic Games, as well as significant regional and local events, where the event organisers are required by funding bodies and governments to generate broader outcomes for the locality. This book is the first to offer students a comprehensive introduction to the full range of issues and topics relevant to event sustainability including impacts, operating and policy en...
In the age of globalization, the category of "World Literature" is increasingly important to academic teaching and research. The Routledge Companion to World Literature offers a comprehensive pathway into this burgeoning and popular field. Separated into four key sections, the volume covers: the history of World Literature through significant writers and theorists from Goethe to Said, Casanova and Moretti the disciplinary relationship of World Literature to areas such as philology, translation, globalization and diaspora studies theoretical issues in World Literature including gender, politics and ethics a global perspective on the politics of World Literature. The forty-eight outstanding contributors to this companion offer an ideal introduction to those approaching the field for the first time, or looking to further their knowledge of this extensive field.
Biofilms are highly organized polymicrobial communities that are embedded in an extracellular matrix and formed on natural and artificial surfaces. In the oral cavity, biofilms are formed not only on natural teeth, but also on restorative materials, prosthetic constructions, and dental implants. Oral diseases like caries, gingivitis, periodontitis, and also pulp inflammation are associated with biofilms. This publication is an up-to-date overview on oral biofilms from different clinically relevant perspectives. Experts comprising basic researchers and clinicians report on recent research relating to biofilms - from general summaries to recommendations for daily clinical work. This book cover...
A provocative and deeply important study of women’s lives, women’s choices—and an ‘unspoken taboo’—that questions the societal pressures forcing women into motherhood Women who opt not to be mothers are frequently warned that they will regret their decision later in life, yet we rarely talk about the possibility that the opposite might also be true—that women who have children might regret it. Drawing on years of research interviewing women from a variety of socioeconomic, educational, and professional backgrounds, sociologist Orna Donath treats regret as a feminist issue: as regret marks the road not taken, we need to consider whether alternative paths for women currently are ...
An introductory text to a range of numerical methods used today to simulate time-dependent processes in Earth science, physics, engineering and many other fields. It looks under the hood of current simulation technology and provides guidelines on what to look out for when carrying out sophisticated simulation tasks.