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Patients involved in major trauma frequently suffer from severe blood loss and anemia, which can be challenging to treat. Additional issues are presented in the population of Jehovah’s Witness patients, who refuse transfusions of allogenic blood or its components. We established a stable hemodynamic status in a young Jehovah’s Witness patient with major trauma by applying principles of patient blood management. About the Patient Blood Management Case Report Series Patient Blood Management (PBM) is a multidisciplinary, evidence-based approach to improve perioperative patient care. The concept includes preoperative screening, diagnosis and treatment of anemia and hemostasis, adequate blood product utilization and blood-sparing techniques. The use of a PBM concept will be of benefit for patients, society, doctors and hospitals. The case reports in this series will provide a case-based deeper understanding of the concept.
This case report describes the poor outcome of a female patient who underwent elective nephrectomy. Unfortunately, the patient was suffering from undiagnosed preoperative platelet dysfunction and anemia, although blood count and clotting were almost within normal ranges two weeks earlier at the day of preoperative assessment for anesthesia. In this respect, intensive preoperative evaluation of the coagulation system embedded in a comprehensive patient blood management (PBM) concept might have the potential to detect preoperative coagulopathy and anemia and thereby could improve clinical outcome. About the Patient Blood Management Case Report Series Patient Blood Management (PBM) is a multidisciplinary, evidence-based approach to improve perioperative patient care. The concept includes preoperative screening, diagnosis and treatment of anemia and hemostasis, adequate blood product utilization and blood-sparing techniques. The use of a PBM concept will be of benefit for patients, society, doctors and hospitals. The case reports in this series will provide a case-based deeper understanding of the concept.
This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.
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This book offers an essential compendium of astronomical high-resolution techniques. Recent years have seen considerable developments in such techniques, which are critical to advances in many areas of astronomy. As reflected in the book, these techniques can be divided into direct methods, interferometry, and reconstruction methods, and can be applied to a huge variety of astrophysical systems, ranging from planets, single stars and binaries to active galactic nuclei, providing angular resolution in the micro- to tens of milliarcsecond scales. Written by experts in their fields, the chapters cover adaptive optics, aperture masking imaging, spectra disentangling, interferometry, lucky imaging, Roche tomography, imaging with interferometry, interferometry of AGN, AGN reverberation mapping, Doppler- and magnetic imaging of stellar surfaces, Doppler tomography, eclipse mapping, Stokes imaging, and stellar tomography. This book is intended to enable a next generation of astronomers to apply high-resolution techniques. It informs readers on how to achieve the best angular resolution in the visible and near-infrared regimes from diffraction-limited to micro-arcsecond scales.
This book reviews the recent challenges and future perspectives involved in the wastewater-based epidemiology (WBE) for COVID-19. The book aims to improve the monitoring of COVID-19 in wastewater by focusing on recent scientific studies in the surveillance and treatment of wastewater containing SARS-CoV-RNA, assessment of COVID-19 in the community and delivering a new scientific understanding of prevalence and re-emergence based on the WBE. It also provides a global perspective on effective detection methods for the analysis and interpretation of the RNA count of SARS-CoV-2 virus in wastewater and predicts the effects wastewater may have on the infection rate. Readers will find in this book ...
Proceedings volume for researchers and graduate students of astronomy, covering the most exciting science and key ELT projects.
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.