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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. Finalist of the George Washington Book Prize by the George Washington's Mount Vernon 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 ...
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.
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.
This is a comprehensive, state-of-the-art guide to the diagnosis, treatment, and biology of multiple myeloma and related plasma disorders. Edited and written by a multidisciplinary group of recognized authorities from the Mayo Clinic, it presents clear guidelines on diagnosis and therapy and covers all aspects of multiple myeloma, from molecular classification and diagnosis, to risk stratification and therapy. Closely related plasma cell disorders such as solitary plasmacytoma, Waldenstrom macroglobulinemia, and light chain amyloidosis are discussed in detail as well. The book addresses often overlooked topics, including the role of radiation therapy, vertebral augmentation, and supportive care. Our understanding of this group of disorders is developing at an unprecedented rate, and Multiple Myeloma meets the need among oncologists and hematologists for a clear, timely, and authoritative resource on their biology, diagnosis, and treatment.
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
A obra foi escrita por autores que são membros da advocacia pública que trouxeram questões atuais e casos relevantes em que soluções diferenciadas são apresentadas para reflexão profunda acerca do Direito Ambiental. A apresentação foi feita pelo Ministro da Advocacia-Geral da União, Dr. Jorge Messias, e o prefácio pela Professora da PUC SP, Dra. Consuelo Yoshida, Desembargadora Federal do Tribunal Regional Federal da 3ª Região.
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.
This book demonstrates how horse breeding is entwined with human societies and identities. It explores issues of lineage, purity, and status by exploring interconnections between animals and humans. The quest for purity in equine breed reflects and evolves alongside human subjectivity shaped by categories of race, gender, class, region, and nation. Focusing on various horse breeds, from the Chincoteague Pony to Brazilian Crioulo and the Arabian horse, each chapter in this collection considers how human and animal identities are shaped by practices of breeding and categorizing domesticated animals. Bringing together different historical, geographical, and disciplinary perspectives, this book will appeal to academics, as well as undergraduate and postgraduate students, in the fields of human-animal studies, sociology, environmental studies, cultural studies, history, and literature.