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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.
Dispelling common myths about the first US president and revealing the real George Washington. Winner of the George Washington Prize George Washington—hero of the French and Indian War, commander in chief of the Continental Army, and first president of the United States—died on December 14, 1799. The myth-making began immediately thereafter, and the Washington mythos crafted after his death remains largely intact. But what do we really know about Washington as an upper-class man? Washington is frequently portrayed by his biographers as America at its unflinching best: tall, shrewd, determined, resilient, stalwart, and tremendously effective in action. But this aggressive and muscular ver...
O Hospital Adventista de Manaus (HAM) recentemente iniciou um serviço de cirurgia torácica, passando a trabalhar com um número constante de procedimentos como broncoscopias, ressecções pulmonares, simpatectomias, traqueostomias, pleuroscopias para tratamento de doenças pleurais, ressecção de tumor mediastinal etc. O HAM é reconhecido por sua qualidade nos atendimentos e por sua excelência, prova disso são as várias acreditações que possui. Logo, a padronização prático-teórica se faz necessária para a segurança do paciente e manutenção da qualidade institucional. Este livro visa criar um manual multidisciplinar que sirva como referencial teórico-prático aos profissionais envolvidos no cuidado de pacientes que necessitam de cirurgia torácica.
"This set of books represents a detailed compendium of authoritative, research-based entries that define the contemporary state of knowledge on technology"--Provided by publisher.
A land of history, magic and legend.... Sarah Cooley, 14, and her friends want to return to Bear Valley in Olympic National Park before Buckhorn begins mining erbium, a substance rumored to detoxify coal. Carl Larsen, saddled with his difficult niece Laurie, is investigating mysterious elk kills on nearby National Forest lands. Victoria Oldsea, Buckhorn's project manager, hopes to take her son Jared camping as a break from work before the mining begins. A terrible windstorm upends everything. Strange, inexplicable animals appear. Ancient visions of an ancient people, perhaps dreams, possibly memory, are reported. Are the Olympics more mysterious than anyone knows? Does the answer lie in Bear Valley? Totem is the third and concluding tale in the Strong Heart series, starting in Strong Heart, continuing in Adrift, and now following Sarah Cooley and her friends to an astounding conclusion as they face conflict, danger, mythical legend, and ancient truth.
Esta obra coletiva, intitulada "Direito Penal Empresarial" examina as principais controvérsias jurídicas da atualidade, envolvendo o ambiente das empresas e suas conexões cada vez mais complexas com a sociedade. Fundada em sólidas bases doutrinárias e jurisprudenciais, seus estudos foram elaborados a partir de seis eixos temáticos: organização criminosa, lavagem de dinheiro, crimes contra a ordem tributária, crimes contra a ordem financeira, crimes contra a ordem ambiental e crimes contra a administração pública. Propõe uma reflexão fundamental para o Direito Penal, em que sejam tutelados os valores e fins inerentes à atividade empresarial, conciliando-os com o devido processo penal.
Based on archival research, this study of Pancho Villa aims to separate myth from history. It looks at Villa's early life as an outlaw and his emergence as a national leader, and at the special considerations that transformed the state of Chihuahua into a leading centre of revolution.
This book covers the complete field of head and neck pathology – from Abscess to Wegener`s Granulomatosis, Sinonasal. The alphabetically arranged entries, each of which provides a detailed description of a specific pathological disease pattern, allow readers to quickly and easily find the information they need.
A obra Direito ambiental e sustentabilidade reúne reflexões teóricas, conceituais e legais sob a ótica do Direito Ambiental, inova a doutrina jurídica e contribui para profissionais que atuam na área ambiental, bem como para a pesquisa e o ensino de pós-graduação e de graduação. No decorrer de seus 40 capítulos, considera-se que o Direito Ambiental está em evolução, desenvolvimento e inovação. Há que se pensar na constante alteração e atualização das normas ambientais, bem como em suas diversas interpretações, indicando a necessidade de uma doutrina que promova o debate e a reflexão sobre os caminhos do desenvolvimento deste ramo do Direito, que visa disciplinar as relações humanas de modo a tornar sustentável a convivência entre homem e natureza. Com autores renomados na área jurídica e ambiental, o livro está voltado para a comunidade científica, profissionais da área jurídica, gestores públicos, privados e de organizações do terceiro setor. Editora Manole
Facet Theory (FT) is presented in this volume as a methodological approach that combines content design and data analysis. Following a brief overview of FT design, FT data analysis and the correspondence hypotheses between the two, the authors consider the role facets play in observations and equivalence relations and discuss in detail: mapping sentences and their common range; constructing questionnaire items; correspondence hypotheses relating to FT design; bivariate regression hypotheses; and how to analyze data profiles with hypotheses for structuples and similarity structures. In conclusion, the issues of using FT in practice including measurement theory and significance testing are addressed.