Working with the Human Trafficking Survivor fills a void in existing literature by providing students, faculty, and professionals in applied, helping disciplines, with a comprehensive text about human trafficking with a focus on clinical issues. This book gives an overview of the medical care, options for psychological treatment, and beyond. Working with the Human Trafficking Survivor fills is a great resource for social work, counselling, and psychology courses on human trafficking or domestic violence.

Some data-analytic methods excel by their sheer elegance. Their basic principles seem to have a particular attraction, based on a intricate combination of simplicity, deliberation, and power. They usually balance on the verge of two disciplines, data-analysis and foundational measurement, or statistics and psychology. To me, unfolding has always been one of them. The theory and the original methodology were created by Clyde Coombs (1912-1988) to describe and analyze preferential choice data. The fundamental assumptions are truly psy chological; Unfolding is based on the notion of a single peaked preference function over a psychological similarity space, or, in an alternative but equivalent expression, on the assumption of implicit comparisons with an ideal alternative. Unfolding has proved to be a very constructive data-analytic principle, and a source of inspiration for many theories on choice behavior. Yet the number of applications has not lived up to the acclaim the theory has received among mathematical psychologists. One of the reasons is that it requires far more consistency in human choice behavior than can be expected. Several authors have tried to attenuate these requirements by turning the deterministic unfolding theory into a probabilistic one. Since Coombs first put forth a probabilistic version of his theory, a number of competing proposals have been presented in the literature over the past thirty years. This monograph contains a summary and a comparison of unfolding theories for paired comparisons data, and an evaluation strategy designed to assess the validity of these theories in empirical choice tasks."

In medical writing brevity is the kiss of life. Nevertheless most articles are unnecessarily lengthy and publications continue to multiply. Pity the poor reader! A succession of unduly long articles is bad enough, but if each is followed by a plethora of references the effect is positively daunting. Even the reader who is impressed by the length of a list may question the author's discrimination. Were all those references needed? Were they helpful? Has the authorreally read every one? All too often we look in vain for evidence of selectivity. Here lies the strength of this book. The authors have combed the literature and culled it ruthlessly, selecting just a few hand-picked references on every important aspect of orthopaedic trauma. They have ranged widely but chosen narrowly, and with a sense of balance. And having selected, they have also distilled, adding a brief and thoughtful commentary on each group of entries. The four authors, of varying vintages, met at frequent intervals to discuss each section in tum and to debate the value of every inclusion. I can almost hear the cut and thrust as well-informed views were exchanged, and also the sighs of relief as differences were resolved. The authors compare their meetings with those of the Editorial Board of the IBIS; since these are a delightful mixture of conflict, entertainment and enlightenment, what a marvellous time they must have had.

This book presents a comprehensive survey in which internationally recognized experts discuss specific topics. The wide spectrum of experimental and clinical investigations include the pathophysiologic, diagnostic and therapeutic aspects. Update 1989 represents the series' continuous effort to combine the most recent developments in one reference source for all those involved in cardiology, internal medicine, pediatrics, anesthesia, intensive care and emergency medicine.

In recent years, intensive care and emergency medicine have emerged as new medical specialties. Better understanding of acute illness and continuous advances in technology have fostered rapid development of new forms of therapy. This volume provides updates in this rapidly expanding field and includes various topics presented by recognized experts in the field.

Respiration is a unique topic among various subdisciplines of physiology. Physiolo gists and clinicians are now able to communicate quantitative functional properties of lung mechanics and gas exchange in the language of the engineer, physicist and mathematician. This is largely due to intensive and stimulating work during the last decades of brilliant minds in a handful of excellent schools in the international family of physiologists. Among these founders of respiratory physiology are a number of clinicians, and they have. taken significant ,part both in shaping the theoretical knowledge to clinical applicability and developing technical devices for diagnosis and therapy in pulmonology. However, the theory behind the evaluation of measure ments, and their interpretation in terms of clinical function tests, is so confusingly complex that the ordinary physician, not specifically trained in respiratory physiol ogy, finds himself unable to critically apply these techniques. We, therefore, need descriptions of respiratory physiology and of its clinical application presented in the language of the clinician. And that is what this book is meant to be. Written by an expert in electrical and biomedical engineering, and by an expert in intensive care medicine, this text constitutes an "operational manual" of clinical respiratory physiology. It does not intend to be another textbook of basic respiratory physiology or pathophysiology. This book not only addresses practical clinicians, particularly those of intensive care medicine, by describing the essentials of clinically relevant respiratory knowledge.

Emotional trauma can upset the harmony of the body and reduce the body's ability to heal and regulate itself. Once the traumas are identified and treated, the body will function at an optimum level and will respond to treatments for other conditions present. This book integrates the multi-diagnostic and treatment methods existing in Chinese medicine, and contains diagnostics such as facial, pulse, tongue, and channel palpation diagnosis. Treatments include acupuncture, Chinese herbal formulas, qigong, shamanic drumming, and lifestyle and nutritional recommendations. Many types of emotional traumas and their manifestations are presented, including fear, anxiety, panic attacks, PTSD, depression, mood swings, insomnia and sensory organ impairment. How to prevent future emotional trauma will be discussed, and case studies are included to show the application of theory in practice.

This concise reference provides a core curriculum for those who have to look after critically ill children. Early recognition of those children who need intensive care, prompt resuscitation, and safe transportation to specialized units are the keys to success for the sickest children. Management of the common disorders is covered in a practical manner, as are the legal and ethical considerations.

It has become increasingly difficult for the single clinician to cover the whole area of traumatology and particularly neurotraumatology. This is now a science with various specialized fields of research. The results are published in different and special journals, proceedings and books often not easily available to those responsible for the daily practical management of the patients with head injuries. Epidemiological investigations are necessary to evaluate the severity and frequency of accidents and injuries. Such studies will stress the importance of analysis of the causes and also the importance of prevention. They are useful for evaluation of the effects of injuries despite management. Moreover, the researchers of the different aspects may need some knowledge of other links in the chain of events at and after an impact. This is particularly evident with respect to the problems of accident and injury, their prevention, reduction, management and the presentation of the most important clinical features in each case for international comparisons. Therefore it is appropriate to let the different specialists briefly discuss and present their aspects of the subject. Moreover, it may facilitate and stimulate the clinicians in studying special fields of interest. This was the intention behind the "Scandinavian Symposium on Neurotraumatology" held in May 1985 in Gothenburg: - To accumulate wider knowledge for the neurosurgeon and better understanding between the researchers in various fields to the benefit of the coming and present patients. Sten Lindgren Contents Lindgren, S.: Introduction.

Pediatric patients are a unique subset of emergency patients, making up about one-quarter of all emergency department visits. Textbooks regarding the care of pediatric patients are almost universally organized by organ system, which does not facilitate an efficient diagnosis. Taking a case-based approach, Pediatric Emergency Medicine: Chief Complaints and Differential Diagnosis is arranged by chief complaint, using real patient scenarios to help the reader work through the inductive and deductive reasoning needed to assess, evaluate, treat, and disposition pediatric patients with urgent complaints. Cases are structured in the way in which they are presented during medical care, allowing practitioners to become comfortable with the general structure of case presentations: chief complaint, HPI, PMH, ROS, exam, and ancillary studies. This volume also discusses disease processes and their differentiations, providing in-depth knowledge regarding current standards of diagnosis and care.

Pre-hospital care plays an increasingly important part in contemporary healthcare delivery and the skills of paramedics, emergency medical technicians and emergency care assistants are a vital part of this. This casebook supports readers to develop the necessary assessment and decision-making skills they need in order to effectively manage a variety of cases typically seen in UK paramedic practice. 100 Cases in UK Paramedic Practice allows for learning and revision through 100 scenarios which aim to encompass cases that may be seen in daily practice. The book covers scenarios that can occur at any moment of the day, from an ambulance shift to primary care settings to event standby duties. The bite-size structure of this book allows the reader to focus on body systems or random case scenarios, depending on their preference. This is an essential, evidence-based guide for students of pre-hospital care and a useful reference for qualified staff as a source of continued professional development or as a revision tool.

Discovery and Relative Importance of Continuous Arteriovenous HemofIltration Lee W. Henderson Continuous arteriovenous hemofiltration (CAVH) has seen a brisk upswing in popularity in Europe since its introduction by Dr. Kramer and colleagues from Gottingen, West Germany in 1977 [1]. In the United States, the technique re- ceived approval as a clinical tool from the Food and Drug Administration in April 1982. This approval flowed, in no small measure, from the extensive expe- rience reported from Europe and in particular West Germany [e. g. , 2, 3]. Reports of its clinical utility now have begun to appear in the United States [4]. Removal of excess total body water using synthetic membranes in an extracor- poreal circuit dates back to the work of Alwall and the artificial kidney that he designed which permitted utilization of a hydrostatic pressure gradient to moti- vate water flow across the membrane [5]. Kolffs original rotating drum with its unencased membrane required an osmotic driving force [6]. Hemofiltration, the use of the filtration process to remove uremic solutes with the artificial kidney, in analogy with the glomerulus, was reported in 1967 [7]. This was made possible by the availability of synthetic membranes with far higher hydraulic permeability (approximately 10 times higher) than conventionally used cellulosic hemodialysis membrane. Specific applications of these "high flux" membranes to the removal primarily of excess total body water followed shortly thereafter [8].

Archetypal Grief: Slavery's Legacy of Intergenerational Child Loss is a powerful exploration of the intergenerational psychological effects of child loss as experienced by women held in slavery in the Americas and of its ongoing effects in contemporary society. It presents the concept of archetypal grief in African American women: cultural trauma so deeply wounding that it spans generations. Calling on Jungian psychology as well as neuroscience and attachment theory, Fanny Brewster explores the psychological lives of enslaved women using their own narratives and those of their descendants, and discusses the stories of mothering slaves with reference to their physical and emotional experiences. The broader context of slavery and the conditions leading to the development of archetypal grief are examined, with topics including the visibility/invisibility of the African female body, the archetype of the mother, stereotypes about black women, and the significance of rites of passage. The discussion is placed in the context of contemporary America and the economic, educational, spiritual and political legacy of slavery. Archetypal Grief will be an important work for academics and students of Jungian and post-Jungian studies, archetypal and depth psychology, archetypal studies, feminine psychology, women's studies, the history of slavery, African American history, African diaspora studies and sociology. It will also be of interest to analytical psychologists and Jungian psychotherapists in practice and in training.

In spite of all the progress made by modern science and technology in penetrating the mysteries of nature and providing new possibilities for its transformation, we remain largely helpless in the face of such natural phenomena as earthquakes, tsunami, typhoons, floods, and droughts. Natural disasters occur suddenly, but with periodicity, and man has been confronted by their devastating consequences throughout history. The way people deal with these problems is primarily predetermined: by charac ter, by conditions, and by the social and economic development of society. Industri ous efforts to reconstruct nature, and exploitation of her resources, have brought about additional damage, and there is the apparent danger that our interference with the atmosphere and other areas such as climate, soil, and hydrology has initiated devastating processes which may well be irreversible. As a result, the effects of natural disasters, and all the ensuing repercussions, become ever more aggravating. Their scope becomes global, and for the time being we have no effective countermeasures at our disposal with which to fight them. The contemporary world, then, faces the interconnected and interdependent phenomena of ecological crises and natural disasters: the problem of protecting man from the environment, and the concurrent problem of protecting the environment from man."

The existence of a differential block is still part of the theory of regional anaesthesia. In 1980 it was described in detail by Cousins and Bridenbough in their standard work Neural Blockade. The theory of differential sensitivity of fibres in the peripheral nervous system essentially goes back to Gasser and Erlanger, who in 1929 established that when isolated peripheral nerves are electri- cally stimulated in the presence of increasing concentrations of co- caine, the compound action potentials of slow-conducting fibres are blocked before those of fast-conducting fibres show any measur- able changes. In man, regional anaesthesia begins subjectively with a feeling of warmth, objectively with a corresponding increase in skin tem- perature. There is then, in order of occurence, loss of sensation of cold, heat and pain, and pressure and touch, and fmally loss of voluntary motoricity. In recovery from anaesthesia, these return in the reverse order. The theory of differential block is by no means undisputed. In 1981, de Jong, commenting in Anesthesiology on the work pub- lished in that journal by Gissen et al. which showed a new sequence of differential sensitivity in the rabbit, wrote, "There remains plen- ty to be done yet before the book on differential nerve block can be closed".

Pregnancy loss can leave us with many unanswered questions, and knowing where to find answers is not always clear. This book is for you if, like me, you've been affected by any kind of pregnancy loss - currently or in the past. It provides practical advice and self-care strategies to help you cope during or after loss, alongside ideas that will enable you to make sense of what's happened - including understanding your feelings and choices; outlining what you can expect during and after your loss; ways to navigate physical and mental health care (if appropriate); and thinking about how to remember your baby. It's for charities, support groups, therapists, and healthcare professionals who want to provide support and care. We all react - and cope with loss - in different ways, and this book respects diverse needs when it comes to getting information and help. You don't have to feel like you are going through your loss alone. In this book you'll find reflection exercises, self-help resources, and stories and suggestions from other people about how they survived, which should leave you feeling more confident and better able to seek additional support if you need it.

The anesthetist-computer interface tends to be a problem for the utilization of computer systems for anesthesia. Ergonomic interface design with an emphasis on the coherency of the interface's static and dynamic structure may improve this situation. To investigate this proposition we developed an Anesthesia Information System (AIS) with a touch-sensitive monitor as the hardware-user interface. Basic data input and system control techniques were defined and implemented. Record keeping is integrated into the user interface. Ventilator control from the same interface is an additional feature for laboratory simulations. The system is being evaluated using a technique that simulates live operations. References Anthony J (1982) BAS - A major change coming in delivery. IEEE EMB 1 (1): 36-42 Apple HP, Schneider AJL, Fadel J (1982) Design and evaluation of a semiautomatic anesthesia record system. Med lnstrum 16 (1): 69-71 Arnell WJ, Schultz DG (1983) Computers in anesthesiology - a look ahead. Med Instrum 17 (6): 393-395 Bender HJ, Osswald PM, Hartung HJ, Lutz H (1983) On line - Erfassung haemodynamischer und respiratorischer GraBen in der Anaesthesie. Anaesth Intensivther Notfallmed 18: 37-40 Cooper JB et al. (1982) A graphics-tablet for data entry in computer assisted recordkeeping Proc.

The hemodynamic significance of the flow properties of blood was put into perspective only during the past decade. Advances in modern technologies today allow the quantitative analy- sis of the fluidity of blood and its components under conditions approximating the flow in vivo, particularly those in the microcirculation. The hematocrit is the most important of the determinants of blood fluidity (reciprocal value of blood viscosity); acute increases in the hematocrit exert deleterious effects on circulation and oxygen transport owing to impaired fluidity of blood. High viscosity of plasma due to hyper- or dysproteinemias initiates the microcirculatory dysfunctions in hyperviscosity syndromes. Furthermore, the fluidity or deformability of red cells might be critically diminished and therefore cause redistribution of blood elements and adversely affect the resistance to flow within the microvessels. In low- flow states blood fluidity most likely becomes the key determinant for microvessel perfu- sion, overriding the neural and local metabolic control mechanisms operative at physiological conditions to adjust blood supply to tissue demand. Microcirculatory disturbances are there- fore encountered whenever driving pressures are reduced, as in shock or hypotension, and distal to stenoses of macrovessels, but also in hemoconcentration due to plasma volume con- traction, polycythemia, leukemia, and dysproteinemia. Based on experimental studies exploring the possibilities and limitations, with regard to improving the fluidity of blood by reducing the hematocrit, the concept of intentional hemo- dilution has been introduced to clinical medicine.

The significance of a change in Pa02 occuring in a patient with cardiovascular instability cannot be ascertained unless the values for PV0 and CV02 are known. A fall in Pa02 could 2 reflect worsening of pulmonary function or deterioration of cardiac output (with resultant increase in systemic oxygen extraction). PEEP/CPAP would be an appropriate therapy in the former case but frankly deleterious in the latter if applied prior to cardiovascular stabiliza- tion. References 1. Douglas ME, Downs JB, Dannemiller FJ et al (1976) Change in pulmonary venous admixture with varying inspired oxygen. Anesthesia and Analgesia 55:688-695 2. Kelman GR, Nunn JF, Prys-Roberts C et al (1967) The influence of cardiac output on arterial oxygena- tion. A theoretical study. Br J Anaesth 39:450-458 3. Kirby RR (1986) Respiratory vs cardiovascular dysfunction - How can we differentiate? ASA Refresher Course Lectures, 102 4. Nunn JF (1977) Applied respiratory physiology (2nd ed). Butterworth et Co 5. Van Aken H, Lawin P (1981) Der EinfluB des Herzminutenvolumens auf die arterielle Oxygenation.

Based on Dr. Auerbach's renowned Wilderness Medicine text, Field Guide to Wilderness Medicine, 5th Edition, is your portable, authoritative guide to the full range of medical and emergency situations that occur in non-traditional settings. Useful for experienced physicians as well as advanced practice providers, this unique medical guide covers an indispensable range of topics in a well-illustrated, highly condensed format - in print or on any mobile device - for quick access anytime, anywhere. An easy-access presentation ensures rapid retrieval and comprehension of wilderness medical information, with "Signs and Symptoms" and "Treatment" sections, bulleted lists, and quick-reference text boxes in every chapter. All chapters are thoroughly up to date, including new information on travel medicine, medications, immunizations, and field treatment of common conditions. Step-by-step explanations from wilderness medicine experts cover the clinical presentation and treatment of a full range of wilderness emergencies and show you how to improvise with available materials. Comprehensive coverage includes dive medicine and water-related emergencies, mountain medicine and wilderness survival, global humanitarian relief and disaster medicine, high-altitude medicine, pain management, and much more. Line drawings and color plates help you quickly and accurately identify skin manifestations, plants, poisonous mushrooms, snakes, insects, and more. Useful appendices address everything from environment-specific situations to lists of essential supplies, medicines, and many additional topics of care. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, tables and figures from the book on a variety of devices.

Apley & Solomon's Concise System of Orthopaedics and Trauma is firmly established as the leading introductory textbook of orthopaedic practice and the principles of fracture and trauma management. Praised in previous editions for the systematic approach, balanced content and easy-to-read style, this fifth edition has been brought fully up to date under the direction of the new and distinguished authorial team, while remaining true to the teaching principles of Alan Apley and his successor Louis Solomon. Key features: Focused - on diseases and clinical signs with additional detail on anatomy where appropriate International - enhanced coverage of 'global orthopaedics' reflect the changing pattern of musculoskeletal disease and trauma around the world Relevant - provides helpful guidance on simple procedures without unnecessary operative detail Readable - increased emphasis on concise presentation Current - updates reflect developments in molecular biology, genetics and imaging technology This fifth edition remains the first choice for medical students, trainee surgeons and other health professionals seeking a convenient introduction to this large and complex subject and is a natural precursor to the more detailed coverage offered by its larger parent, Apley & Solomon's System of Orthopaedics and Trauma.

The recent development of the use of spinal opiates as a rational therapy for pain rests on clear and certain experimental data. We have long known the spinal cord to be a highly complex structure. Anatomical studies of the substantia gelatinosa have repeatedly demonstrated signs of massive synaptic interaction between primary afferents, descending pathways and intrinsic neurons. Yet, to date that knowledge, insofar as clinical therapy is concerned, has permitted us only to destroy certain connections within the spinal cord in the hopes that the substrate mediating pain could be anatomically differentiated from those which mediate other function. Though cordotomies are clearly effective under certain circumstances, they suffer from the fact the spinal cord is not organized in such an anatomically discrete fashion as is often times drawn in basic medical text. Rather, functions intertwine exquisitely and specific physical interventions are no more likely to produce a specific effect than smashing of the fmgertip with a hammer will produce just a loss of the fingernail. The development of specific therapies of the spinal cord has come about by our growing aware ness of the intricate organization of the pharmacological substrates associated with specific neural function."