International terrorism remains a significant threat to the peace of the world. Weapons using various materials and delivery systems have been directed against cities and infrastructure, and other materials are postulated to be usable within the near future. Some of these materials are unusual or exotic, while some are modifications of materials used daily for other purposes: biological, chemical, radiological, nuclear and explosive. These materials pose a safety challenge for first responders, slowing the response and potentially killing scarce trained personnel. This book provides information about how leading agencies across the NATO membership are preparing to confront and respond to terrorists deploying Weapons of Mass Destruction (WMD), Weapons of Mass Killing (WMK) and Weapons of Mass Disruption (WMDi). Based on contributions by experts from NATO member states, Israel and the Russian Federation, this book offers information on fourth generation warfare as a new challenge to first responders. It also provides a variety of insights into methods for preparing for and responding to WMD-, WMK-, and WMDi-events, using new technologies and strategies. Furthermore, the book offers solution for restoring the community to functioning after such a major terror attack. Topics include preparing, planning, operations, equipment, training and unique applications of existing technologies for countering terrorist attacks against cities and their infrastructure.

PTSD is more usually considered as an adult disorder: this volume concentrates on children and adolescents. The introductory chapters are followed by a chapter on assessment and several chapters on treatment. The issues of clinical management in some of the important ecological contexts such as family and school, and aetiological contexts such as refugee status and child abuse, are discussed in further detail. Then a variety of treatment approaches are clearly described. The book is aimed at teachers, practitioners and researchers in child psychiatry, clinical child psychology, educational psychology, social work, paediatrics, and occupational therapy.

Advanced Medical Life Support, Second Edition is the leading course for prehospital practitioners in the advanced medical assessment and treatment of commonly encountered medical conditions. Taught throughout the world since 1999, Advanced Medical Life Support (AMLS) was the first emergency medical services education program that fully addressed how best to manage patients in medical crises. AMLS is the only textbook approved for use by NAEMT's Advanced Medical Life Support course, which emphasizes the AMLS Assessment Pathway, the most important guide for assessing patients with medical conditions. The United Kingdom edition of AMLS is enhanced by: Key Features Critical thinking scenarios give students a genuine context for the application of the knowledge presented in the chapter, including a scenario solution. Students are able to assess, review, and discern the possible diagnosis of the patient. Chapter review questions, chapter summaries, and Putting It All Together sections reinforce key concepts and tie information together, helping students retain what they have learned. Endorsed by the National Association of EMS Physicians and the United Kingdom College of Paramedics, the course emphasises the use of the AMLS Assessment Pathway, a systematic assessment tool that enables healthcare practitioners to diagnose medical patients with urgent accuracy. Current Medical Content Coverage of basic and advanced treatment modalities incorporate the latest research developments that are suitable for both beginning and experienced prehospital care providers, emergency and critical care nurses, and emergency doctors. An Updated AMLS Assessment Pathway The revised AMLS Assessment Pathway provides a systematic approach to the assessment of a medical patient and even more direction for students at all levels of practice.

This practical and evidence-based workbook offers a series of assessment, implementation and evaluation activities for professionals working in critical care contexts. Designed to improve the quality of care delivery, it looks both at collaboration between professionals and between patients and/or family members. Collaborative Practice in Critical Care Settings: identifies the issues relating to the "current state" of collaboration in critical care through a series of assessment activities; provides a series of interventional activities which can address shortfalls of collaboration previously identified; and offers advice on generating evidence for the effects of any interventions implemented. The activities presented in this book are based on extensive empirical research, ensuring this book takes into account the everyday work environment of professionals in critical care units. It is suitable for practitioners and educators, as well as patient safety leads and managers.

Gender Medizin ist eine noch junge Wissenschaft. Sie hat sich zum Ziel gesetzt, bislang entwickelte Forschungsfragen, Diagnose- und Therapieansatze durch einen geschlechtssensiblen Blick auf Gesundheit und Krankheit aus biologischer und psychosozialer Sicht zu erganzen. Erstmals im deutschen Sprachraum wird die Gender Medizin aus der Sicht von unterschiedlichen klinischen Fachbereichen, wie etwa Kardiologie, Rheumatologie, Intensivmedizin und Psychiatrie, sowohl wissenschaftsorientiert als auch praxisrelevant aufbereitet. Geschlechtsspezifische Forschung wird hierbei im Hinblick auf verbesserte und optimierte Pravention, Diagnostik, Fruherkennung, Therapie und Rehabilitation dargestellt. Neben der systematischen Ubersicht aus der jeweiligen Fachliteratur werden aktuelle Forschungsergebnisse mit praktischen Tipps und Ratschlagen verknupft. Fur die zweite Auflage wurden Kapitel zu den Fachgebieten Urologie, Radiologie und Pharmakologie neu verfasst. Die anderen Beitrage wurden komplett uberarbeitet und dem aktuellen Wissensstand angepasst. "

Urology is a speciality that notoriously receives little attention in medical school, yet it makes up a sizeable portion of the workload in emergency departments and also in primary care. Urological emergencies can often be managed simply but require the appropriate knowledge and skills. Emergency urology is often covered very superficially alongside general surgery or in excessive detail within voluminous urology textbooks. This book is different: it will consist of concise, well-structured chapters, with an accessible and easily digestible style. The content will be clinically-based and will include a number of clinical photographs and radiological investigations. This book will appeal to all doctors, including those rotating through surgical and emergency medicine specialities, and those clinicians approaching professional examinations worldwide. Medial students on urology or emergency medicine placements, who are studying for their exams will also find it invaluable. In addition, primary care doctors, speciality nurses in urology and nurses in emergency department may also appreciate the clinically relevant content of the book. The authors are all dedicated to education and teaching, and have published extensively. In addition, they run a successful emergency urology course in Cambridge, popular with clinicians and senior students alike.

Treating PTSD presents a comprehensive, compassion-focused cognitive behavioral therapy (CBT) approach that provides therapists with the evidence-based information they need to understand trauma's effects on the mind and body as well as the phases of healing. Chapters offer discussion, practical tools, and interventions that therapists can use with clients suffering from post-traumatic stress disorder (PTSD) to reduce feelings of distress and increase their sense of safety. Readers are introduced to the metaphor of "the valley of the shadow of death" to explain the experience of PTSD; they're also shown how to identify the work they'll need to do as therapists to accompany clients on their healing journey. Two new compassion-focused CBT interventions for trauma processing are also introduced.

Posttraumatic Growth reworks and overhauls the seminal 2006 Handbook of Posttraumatic Growth. It provides a wide range of answers to questions concerning knowledge of posttraumatic growth (PTG) theory, its synthesis and contrast with other theories and models, and its applications in diverse settings. The book starts with an overview of the history, components, and outcomes of PTG. Next, chapters review quantitative, qualitative, and cross-cultural research on PTG, including in relation to cognitive function, identity formation, cross-national and gender differences, and similarities and differences between adults and children. The final section shows readers how to facilitate optimal outcomes with PTG at the level of the individual, the group, the community, and society.

Based on original interviews of 22 Muslim-American women of South Asian descent on the topics of honor and honor killings, this book examines honor and culture, and their intersections with power, tradition, gender, family, and religion. Additionally, it incorporates an autoethnographic approach describing the author's journey to Pakistan to create a personal narrative throughout. This volume offers a unique perspective that allows for informed exploration and description of Muslim-American women's attitudes and beliefs surrounding the practice of killing women and girls in order to regain family honor.

This concise, portable manual provides practitioners and future practitioners with a basic guide to pediatric emergency ultrasound, enabling them to learn the fundamentals of bedside ultrasound and use these to refresh their skills prior to, or when, performing it on a patient.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. SMALL ENOUGH TO FIT IN YOUR POCKET, DETAILED ENOUGH TO PROVIDE EVERYTHING YOU NEED TO KNOW Essential data on more than 1,000 of the most commonly used prescribed medications and more than 75 drugs most often used in the pre-hospital setting Drug-specific EMS pearls, including signs and symptoms of overdose and specific overdose management Sections on popular medicinal herbs and common street drugs Quick-reference tables encapsulate essential information Street Drug section updated to include "bath salts" and salvia

With mounting evidence regarding the role of poor nutrition in the development of chronic diseases such as heart disease and diabetes, it is no secret that appropriate nutrition is crucial to optimal health. Achieving the correct balance of elements provides the body with the ability to adapt to a shifting and often hazardous environment. Never is this capability more important than when a wound is sustained and the body's first line of defense, the skin, is breached. Nutrition and Wound Healing describes the importance of several nutrients, both macronutrients and micronutrients, and their relation to the body's requirements when healing itself. Beginning with an overview to introduce the novice to the fundamentals of nutrition and wound healing, the text analyzes the role of each nutrient, chapter by chapter. The authors discuss carbohydrates, fats, proteins, trace elements, and fat- and water-soluble vitamins. Balanced attention is paid to conditions of deficiency as well as toxic excess as applicable to each nutrient. Specific challenges to healing are considered with individual chapters on burns, cancer, and age extremes. The book also includes a chapter on hormones and the pharmacologic manipulation of wound healing. Specific recommendations for the appropriate administration of each nutrient and variations for individual circumstances are discussed throughout the book. In addition, future directions of research are provided in each chapter to guide young investigators in the field. While many wounds heal well on their own, there are many circumstances when intervention is necessary. Nutrition and Wound Healing provides the clinician, researcher, and even the interested novicewith the information he or she needs to know to help the body heal itself.

Comprehensive coverage of the entire induced pluripotent stem cell basic work flow Pluripotent stem cells (PSC) can divide indefinitely, self-renew, and can differentiate to functionally reconstitute almost any cell in the normal developmental pathway, given the right conditions. This comprehensive book, which was developed from a training course, covers all of the PSCs (embryonic, embryonic germ, and embryonic carcinoma) and their functions. It demonstrates the feeder-dependent and feeder-free culture of hESC and hiPSC, which will be referred to in all protocols as PSCs. It also addresses the methods commonly used to determine pluripotency, as defined by self-renewal marker expression and differentiation potential. Human Pluripotent Stem Cells: A Practical Guide offers in-depth chapter coverage of introduction to stem cell, PSC culture, reprogramming, differentiation, PSC characterization, and more. It also includes four appendixes containing information on reagents, medias, and solutions; common antibodies; consumable and equipment; and logs and forms. Includes helpful tips and tricks that are normally omitted from regular research papers Features useful images to support the technical aspects and results visually as well as diagrammatic illustrations Presents specific sections (ie: reprogramming, differentiation) in a concise and easily digestible manner Written by experts with extensive experience in stem cell technologies Human Pluripotent Stem Cells: A Practical Guide is an ideal text for stem cell researchers, including principal investigators, and others in university and industry settings, and for new graduate students in PSC labs.

In modern medicine the most functional methodologies are taking an increasing importance in spreading informations, rendering it credible while at the same time using reliable data to focus interaction between basic science and clinical medicine. Critical care medicine embraces these needs and more than any other discipline thrives and develops thanks to interdisciplinary contact.

APICE 2004 has been organised to provide precise answers to these issues. In particular, considerable emphasis has been given to the reviews regarding the most important aspects - or the most significant clinical developments - in the sectors involving variety of functions: neurological, respiratory and cardiovascular, gastrointestinal, metabolism and perfusion; trauma infections, sepsis and organ failure; perioperative medicine and life support techniques; information technology dedicated to clinical medicine, but also as a means of information and education. The contributing authors are all part of leading research groups at the international level in the various sectors presented in the volume.

Accident and emergency departments are the doorway to the hospital for acutely ill and injured patients. Whereas casualty departments have existed for over 150 years, they were often poorly staffed and managed. This book describes the fight to create a new medical specialty of accident and emergency medicine against much opposition from established specialties. The specialty was first recognised in 1972. The book also charts the major developments that occurred in the first 30 years of the specialty.

This new addition to the popular 100 cases series explores common clinical scenarios that will be encountered by the medical student and junior doctor during practical training in the emergency department, in the community and in intensive and critical care settings, and which are likely to feature in qualifying examinations. The book covers a broad range of presentations, organized by sub-specialty area for ease of reference. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur when practising emergency and critical care medicine at all levels.

Das Buch spannt einen weiten Bogen A1/4ber die Transplantationsmedizin und gibt einen Aoeberblick A1/4ber Immunologie, Chirurgie, Vorbereitung und Nachsorge sowie die Randbereiche der Transplantationschirurgie. Es dient Chirurgen, Internisten, Allgemeinmedizinern als auch Medizinstudenten als Nachschlagewerk fA1/4r die thorakale und abdominelle Organtransplantation und soll Grundlagen der Transplantationschirurgie bzw. -medizin vermitteln. Ausserdem informiert es den Leser A1/4ber rechtliche, ethische und organisatorische Aspekte der Transplantationsmedizin und nicht zuletzt A1/4ber die "Physiologie des Hirntodes und die Spenderkonditionierung" sowie A1/4ber den Themenkomplex "Organkonservierung, Transport und Allokation."

Leading neurocritical care and intensive care specialists from the Neurosciences Critical Care Unit of the Johns Hopkins Hospital have joined forces to spell out concisely for first line health care providers the diverse standards and therapeutic regimens required for the care of critically ill neurological and neurosurgical patients. Their authoritative reference guide takes an algorithmic approach to immediate patient care, incorporating both ancillary investigation to confirm clinical diagnosis and appropriate management guidelines. The book offers comprehensive summaries of the best diagnostic and management practices for a wide range of neurocritical problems, including encephalopathy, intercerebral and subarachnoid hemorrhage, traumatic brain injury postoperative care, ischemic stroke, brain tumors, spinal cord injury, and more. A compact disk accompanies the book for downloading an ebook version to the reader's PC or PDA.
Authoritative and highly practical, the Handbook of Neurocritical Care offers first-line hospital physicians and EMS personnel a comprehensive quick-reference guide to the rapid diagnosis and management of critically ill neurological and neurosurgical patients.

Continuous update in critical care medicine is a real challenge due to the growing dimensions of its contents; these elements are the result of new research acquisitions, and of those clinical situations where the physician is able to intervene at a given moment, with the use of effective prevention techniques. They are also the result of new technologies able to define complex sub-clinical diagnostic aspects; lastly, they are the result of effective therapeutic techniques available, and of treatment strategies able to influence radically and positively the patient's clinical course. Critical care medicine is playing a key role in the most advanced environments, as it represents a cross-sectional field of action, involving several specialties, such as anesthesiology, general medicine, surgery, pediatrics.

Move past trauma, balance your emotions, and reconnect with your body's innate wisdom in The Body Awareness Workbook for Trauma. There is a piercing epidemic of trauma in the world today. Every few days there are reports of another tragedy, of more lives lost to gun violence, loved ones and family homes lost to floods, hurricanes, or fires. Women have come to speak openly about the trauma of sexual assault, and we are finally talking openly about the trauma inflicted on people of colour, on transgender people, and immigrants. But now that this trauma is out in the open, how do we heal? For years, we've understood the connection between trauma and mental health issues, such as depression and anxiety. But somatic psychology has recently shown that our bodies hold on to trauma, and trauma can manifest in physical symptoms, such as pain, hormone imbalance, sexual dysfunction, and addiction. In addition, we now know that developmental trauma-trauma that emerges when basic childhood needs are not met-can result in profound emotional stress and lead to serious diseases. Building on this knowledge, this cutting-edge guide offers simple skills for connecting and calming your body, balancing your emotions, and rewiring old patterns of reactivity for better self-regulation. The mind-body approach in this book is designed to guide you away from post-traumatic stress disorder (PTSD) and trauma and toward posttraumatic growth. Using these exercises, you'll learn how to reconnect and relate to your body-and yourself as a whole-in a new and healthy way. If you're ready to move past your trauma and rediscover your body's innate capacity for healing, growth, vitality, and joy, this unique guide will help light the way.

Preface

Introduction

Heino von Prondzynski, Member of the Executive Committee of
F. Hoffmann-La Roche AG and Head of the Diagnostics Division

Winner of the 2002 IFCC-Roche Diagnostics Award

"Apoptosis In Sepsis And Multiple Organ Dysfunction Snydrome"

S. Zeerleder, B. Zwart, W. A. Wuillemin, L. A. Aarden, A. B. J. Groeneveld,
C. Caliez, A. E. M. van Nieuwenhuijze; G. J. van Mierlo, A. J. M. Eerenberg,
B. L??mmle, and C. E Hack

Inflammation ??? Infection ??? Sepsis

Finalists

"Plasma Procalcitonin And C-Reactive Protein In Acute Septic Shock:
Clinical And Biological Correlates"

R. Claeys, S. Vinken, H. Spapen, K. ver Elst, L. Huyghens, F. K. Gorus

National Winners

"4G/5G Promoter Polymorphism In The Plasminogen Activator Inhibitor-1
Gene In Children With Systemic Meningococcaemia"

G. Geishofer, W. Zenz, B. Resch, S. Panzer, G. Endler, D. H??ring,
C. Mannhalter

Hypoxia ??? Ischaemia

Finalist

"Phospholipases A2 Levels And Distribution In Bronchoalveolar Lavage
Fluid Of Patients With Acute Respiratory Distress Syndrome (ARDS):
Application Of A Fluorimetric Method"

E. I. Kitsiouli, G. Nakos, M. E. Lekka

Blood Gases ??? Electrolytes ??? Trace Elements

National Winner

"Magnesium In The ICU"

A. Abraham, A. Bachwani

Cardiology ??? Haemodynamics ??? Stroke

Finalist

"Single-Point Troponin T Measurement On The Day Of Coronary Care
Unit Discharge After Myocardial Infarction Strongly Correlates With
Ejection Fraction And Infarct Size By Nuclear Imaging And With CK-MB
Release"

G. Bonetti, F. Pagani, R. Giubbini, C. Cuccia, M. Panteghini

National Winner

"Soluble Adhesion MoleculesIn Acute Stroke"

A. M. Simundic, V. Basic, E. Topic, V. Demarin, N. Vrkic, B. Kunovic,
M. Stefanovic, A. Begonja

Nephrology

National Winner

"Monitoring Of The Renal Functions During Continuous Renal
Replacement Therapy ??? The Application Of The Analysis Of Cystatin C
And Natriuretic Peptides"

M. Balik, A. Jabor, A. Hendl, M. Kol????, M. Pavlisov??, D. Brestan

Haematology ??? Haemostatis

National Winners

"Serum Levels Of Soluble Transferrin Receptors (sTfR) Correlate Better
With Severity Of Disease Than With Iron Stores In Patients With Malignant
Lymphomas"

J. Bjerner, L. M. Amlie, L. S. Rusten, E. Jakobsen

New Technology ??? Methods

Finalists

"A Rapid And Sensitive Immunoassay For Determination Of S-100 Protein
In A Point-Of-Care Setting"

S. Eriksson, L. Dean, K. Pettersson

National Winner

"A New Approach Of Endotoxin Testing By Using A Monoclonal Antibody
Against Endotoxin (WN1-222/5) And Flow Cytometry"

J. Nolde, F. E. Di Padova, H. Brade H., K. H. Staubach

Organizational Aspects

National Winner

"Improvement Of Critical Care Management In A Healthcare Area By
Implementing Point-Of-Care Testing In Primary Care. A Preliminary
Approach"

M. L. Hortas, I. P??rez-Montaut, M. Redondo, N. Montiel, R. Molina,
C. Gonz??lez

Miscellaneous

National Winners

"Studies On The Potential Effect Of Nitrite"

Y. Tian, C. Wang, S. Song

Index

About Roche and the Roche Diagnostics Division

Military psychology has become one of the world's fastest-growing disciplines with ever-emerging new applications of research and development. The Routledge International Handbook of Military Psychology and Mental Health is a compendium of chapters by internationally renowned scholars in the field, bringing forth the state of the art in the theory, practice and future prospects of military psychology. This uniquely interdisciplinary volume deliberates upon the current issues and applications of military psychology not only within the military organization and the discipline of psychology, but also in the larger context of its role of building a better world. Split into three parts dedicated to specific themes, the first part of the book, "Military Psychology: The Roots and the Journey," provides an overview of the evolution of the discipline over the years, delving into concepts as varied as culture and cognition in the military, a perspective on the role of military psychology in future warfare and ethical issues. The second part, "Soldiering: Deployment and Beyond," considers the complexities involved in soldiering in view of the changing nature of warfare, generating a focal discourse on various aspects of military leadership, soldier resilience and post-traumatic growth in the face of extreme situations, bravery and character strengths and transitioning to civilian life. In the final section, "Making a Choice: Mental Health Issues and Prospects in the Military," the contributors focus on the challenges and practices involved in maintaining the mental health of the soldier, covering issues ranging from stress, mental health and well-being, through to suicide risk and its prevention, intervention and management strategies, moral injury and post-traumatic stress disorder. Incorporating enlightening contributions of eminent scholars from around the world, the volume is a comprehensive repository of current perspectives and future directions in the domain of military psychology. It will prove a valuable resource for mental health practitioners, military leaders, policy-makers and academics and students across a range of disciplines.

Who were the shell shocked soldiers of the First World War? How did the warfare they experienced, the military discipline they often endured, the medical treatment they encountered shape their post-war lives? Peter Leese's Shell Shock, now published for the first time in paperback, narrates their stories to demonstrate the wider implications of shell shock. In its origins, shell shock in the Great War tells us about the new industrial technologies and mentalities of modernity. In its after-life, shell shock helps us understand the histories of violence, trauma and memory through the twentieth and into the twenty-first century.

Researchers from many disciplines, with both basic and clinical perspectives, came together in this volume to review and debate issues pertaining to the investigation and control of tissue oxygenation in acute medicine, as well as treatments to improve tissue oxygenation when abnormal. In this latter context, special emphasis is placed on understanding the effect of blood substitutes on the circulation and on the potential roles of this family of compounds in clinical medicine.

Critically ill and critically injured patients require specialized nutrition support to avoid the complications of progressive malnutrition. There is a paucity of information providing practical solutions to these difficult clinical problems. From Nutrition Support to Pharmacologic Nutrition in the ICU focuses on the theoretical and practical aspects of the management of this high-risk patient population. Each chapter presents a state-of-the-art discussion of nutritional and metabolic issues relevant to this resource-intensive patient population and contains current references, liberal tables and figures, and the personal insights of recognized international leaders in this field.