Wars in the 19th Century were accompanied by a very heavy loss of life from infectious diseases. Typhus fever, dysentery, malaria, typhoid fever and yellow fever caused many more deaths than wounds inflicted by enemy actions. During the Peninsular War, for example, for every soldier dying of a wound, four succumbed to disease. This book examines the development and evolution of surgical practice against this overwhelming risk of death due to disease. It reviews three major conflicts during this time: the Peninsular War, the Crimean War and the Boer War and also considers many minor wars fought by the British Empire in the intervening years, and highlights significant medical and surgical developments during these conflicts. War surgery in the first part of the 19th Century was brutal, and it had to be carried out swiftly. It was performed at speed because there were no anaesthetics and the wounded often died during the procedure. Surgeons focussed their attention on wounds of the arms and legs, because limbs were both easily accessible to the surgeon (unlike organs inside the abdomen and chest) and lent themselves well to amputation. This was commonly the operation of choice for many war wounds of arms and legs. Some surgeons performed more difficult surgical procedures to try to preserve the limbs and attempted to repair damaged tissues, but these operations took longer and caused greater suffering to the patient. Abdominal and chest wounds were not treated since surgeons did not have the means, the ability, or the understanding, to cut into the abdomen and chest to repair the damaged organs successfully. An important development which contributed to surgery moving forwards was the discovery of general anaesthesia, which became available in time for the Crimean War. However, whilst it certainly rendered operations pain-free, it was associated with significant numbers of deaths during surgery on wounded soldiers because of the poorly understood effects that anaesthetics had, particularly on the heart. As a result, operative surgery did not extend its scope a great deal, and military surgery remained focussed on surgery of the limbs. However, fewer amputations were performed during the Boer War at the end of this period. Britain sent observers to several wars in which it was not involved to learn military lessons and to understand the medical and surgical aspects of war. The American Civil War and the Franco-Prussian War were two such conflicts. The Russo-Japanese War resulted in a very significant advance in surgery for abdominal wounds, but Western observers either failed to notice or ignored pioneering work performed by a Russian female surgeon called Vera Gedroits. As a result, when the Great War began in 1914, lessons had to be re-learned by British surgeons, and many soldiers who suffered penetrating abdominal wounds lost their lives when they should have survived. Unfortunately, one of the hallmarks of war surgery is that successive generations of surgeons make the same mistakes as their forebears and the same lessons have to be learned time and again.

Bereits in der 5. Auflage erfolgreich! Sowohl Grundlagen der Tauchmedizin als auch Ergebnisse der experimentellen tauchmedizinischen Forschung werden behandelt. Die Probleme des Tieftauchens mit Gasgemischen, des Sporttauchens mit Luft im konventionellen Bereich und der stundenlangen Uberexposition der Caissonarbeiter in Tunneln werden abgehandelt. Seit 1985 wird bei Gasembolie, Dekompressionskrankheit des Gehirns/Ruckenmarks und Innenohrschaden die Behandlung mit hyperbarem Sauerstoff (HBO) angewandt; die Ergebnisse werden mit aussagekraftigen Zahlen belegt. Das Rechenmodell ZH-L8 ADT, bei Tauchcomputern der jungsten Generation in Anwendung, wird beschrieben. Ein aussagefahiger Uberblick uber praktische Tauchmedizin, experimentelle Forschung und Aufbau und Funktion von Dekompressionscomputern!"

The eighth edition of this popular handbook provides a thorough and completely updated overview of the occupational safety and health field and the issues safety professionals face today, and does so in an accessible and engaging manner. An excellent introductory reference for both students and professionals, Fundamentals of Occupational Safety and Health provides practical information on technology, management, and regulatory compliance issues, covering crucial topics like organizing, staffing, directing, and evaluating occupational safety programs and procedures. All major occupational safety and health topics are addressed in this comprehensive volume, including safety-related laws and regulations, hazardous materials, workplace violence, the threat of terrorism, and OSHA's recordkeeping standard. The book includes a handy directory of resources such as safety and health associations, First Responder organizations, and state and federal agencies. The eighth edition of this go-to reference work provides an easily comprehensible and well-organized format, giving readers a wealth of occupational safety and health information right at their fingertips.

Learn how to reduce the impact of environmental toxins on brain development, functioning, and health. The human brain is a marvelously complex organ that has evolved great new capabilities over the past 250,000 years. During most of that period, daily life was vastly different from our lives today. Exercise was not optional - one literally had to run for one's life, livelihood, and sustenance. The Stone Age diet was not a fad, but the only food available. Periods of fasting arose from food scarcity, and hence the earliest keto-diet was commonplace. Life changed greatly with the advent of agriculture and industry. Diseases that were previously unknown or uncommon began to surface as by-products of civilization's advance. Changes in our ways of living have altered the nature of illness as well as its diagnosis and treatment. From the 1970s to the present, tens of thousands of chemicals with applications in all aspects of our lives have grown more than 40-fold. Exposure to these new substances has impacted many aspects of our health, especially the delicate parts of the brain and nervous system. In parallel with the changes in our environment, we have seen the growth of brain disorders including Alzheimer's Disease and autism in previously unimaginable ways. Here, Arnold Eiser elucidates some features of diseases affecting the nervous system that are increasing in incidence with a focus on those disorders that appear related to environmental toxins that modern life has introduced. He takes readers behind the scenes of the science itself to discover the human stories involved in the discovery and management of these illnesses. Offering insights from a variety of scientific disciplines, Eiser clearly and succinctly illustrates the impact of toxins on our brains and how we might better protect ourselves from negative outcomes. With interviews from leading authorities in the field of neuroscience, environmental toxicology, integrative medicine, neurology, immunology, geriatrics, and microbiology (re the gut microbiome), this book offers a robust understanding of the complex threats to our brains, and the healthy brain's dependence upon many other systems within our bodies. This is a voyage of discovery into the science, history, and human struggle regarding disorders challenging the brain as well as their possible prevention.

This book offers students a look into one of the most important roles of a therapist: health educator. This book describes the basics of health literacy, its intersection with preventative care, and how it can be incorporated into occupational therapy intervention. With a detailed look at theory bases and frames of reference, the book aims to create more well-informed and effective rehabilitation providers who promote health for all populations and diagnoses. This book also offers a look at many integrated care approaches that can be used on a macro and micro level to improve the care that patients receive. This is a comprehensive resource for anyone looking to delve deeper into the world of preventive and integrated medicine.

The fourth edition of this important book, which includes additional color illustrations, has been extensively revised, updated, and expanded to reflect the most recent developments. These include advances in patch testing methodology, in particular the new chambers that are appearing on the market, revision of the baseline series of patch tests to reflect the latest evidence-based work, and additional testing procedures. Other additions include sections on key allergens and concentrations, with the result is a superb guide to the current management of positive and negative patch test and prick test reactions that will be invaluable for all practicing dermatologists, from the beginner to the well-trained expert. The fourth edition continues the tradition of partnering with the ICDRG (International Contact Dermatitis Research Group). The ICDRG was formed in 1966 to promote the understanding of contact dermatitis. It has had major roles in the standardization of patch testing and the facilitation of regular scientific meetings, for over forty years and thirty five years respectively. It has also been involved in the authorship of a number of publications on contact dermatitis. Both Drs. Maibach and Lachapelle are members and the ICDRG is now comprised of representatives from all over the world, and currently includes members from Belgium, Sweden, Denmark, the United Kingdom, USA, Germany, Singapore, Korea, India, Japan, Canada, Uruguay and Australia. From the reviews of the previous editions:"The aim is to balance brevity and clarity with sufficient details for beginners in the field of diagnostic patch and prick testing. ... the book also will be of use to dermatology residents or anyone wishing to gain better knowledge of contact dermatitis. ... There are many high-quality photographs and useful algorithms and tables. ... It is clearly and concisely written and will serve as an indispensable guide for any dermatologist interested in contact dermatitis." (Renata H. Mullen, Doody's Review Service, August, 2009)

The fourth edition of this well received book provides an authoritative and up-to-date resource to support good practice in travel medicine, a field that has evolved substantially in recent years. Concretely, there has been intensified monitoring of health problems among travelers, as well as extensive research efforts, which have led to the development of evidence-based approaches to the field. The book includes expert recommendations regarding e.g. immunizations, malaria prophylaxis, travelers' diarrhea, altitude sickness, emerging infections, and non-infectious health issues encountered by travelers. It provides a practical approach to the pre-travel consultation and management of most issues that arise in medical care for travelers. In addition, it provides expert advice for high-risk travelers, e.g. those with immunosuppression, the elderly, pregnant women and young children. The text offers a user-friendly, practical handbook for healthcare practitioners during their clinical consultations, as well as nurses and pharmacists.

The role of the Colonial Medical Service, the organisation responsible for healthcare in British overseas territories, goes to the heart of the British Colonial project. Practising Colonial Medicine is a unique study based on original sources and research into the work of doctors who served in East Africa. It shows the formulation of a distinct colonial identity based on factors of race, class, background, training and Colonial Service traditions, buttressed by professional skills and practice. Anna Crozier analyses all aspects of recruitment, qualifications, training as well as the vital personal factors that shaped the Service's character - religion, a sense of adventure, professional interest, ideas of imperial service, family traditions, professional ties, perceptions of service to humanity and the building up of a common service mentality among colonial medical staff. This is the first comprehensive history of the Colonial Medical Service and makes an important contribution to our understanding of the social and cultural aspects of medical history.

In 1958 the United States launched its first satellite and created the National Aeronautics and Space Administration (NASA) to oversee its new space program. By 1961 NASA was confident enough to put a human being into space. But how had it acquired enough medical knowledge to ensure an astronaut's safety in just three years? It hadn't. The credit goes instead to decades of military medical research. Witnessing the first German missile attack on London in 1944, U.S. Army flight surgeon Harry Armstrong had been immediately concerned that aeronautical engineers would transform the A-4 (V-2) into a vehicle for transporting soldiers. He vowed, as founder (in 1934) of the military's only aviation human-factors research lab, to make such trips survivable. Efforts at Wright Field and the army's School of Aviation Medicine, which Armstrong had also turned into a world-class research institution, were the real reason for the successful start to America's manned space program. In Testing the Limits, Maura Phillips Mackowski describes the crucial foundational contributions of military flight surgeons who routinely risked their lives in test aircraft, research balloons, pressure chambers, rocket-propelled sleds, or parachute harnesses. Drawing on rare primary sources and interviews, she also reveals the little-known but vital contributions of German emigre scientists whose expertise in areas unknown to Americans created a hybrid specialty: space medicine. She reveals new details on human aeromedical experimentation at Dachau, Washington's decision to limit astronaut status to males, and the choice to freeze the air force out of the research specialty it had created and brought to fruition.

Dr. Smirnova's updated text is devoted to the theoretical studies of radiation effects on mammals. It summarizes 35 years of results the author obtained from analyzing dose rate equivalents for the Galactic Cosmic Rays (GCR) and for Solar Particles Events (SPE). This edition also includes two new chapters on skin epidermal epithelium and risk assessment for myeloid leukemia, as well as extended revisions addressing the radiation effects on the blood-forming system. Mathematical models are used to explain the effects of both acute and chronic irradiation on the dynamics of vital body systems, like the hematopoietic system, the development of autoimmune diseases, and the mortality dynamics in homogeneous and nonhomogeneous mammalian populations. The proposed methodology of these studies, the models themselves, and the obtained results are of a great theoretical significance and can find wide practical use.

Te sientes discriminado laboralmente por padecer hipoacusia?, Se te asignan funciones repetitivas y de baja cualificacion debido a tu discapacidad?, te han paralizado tu carrera laboral por tu deficiencia auditiva? En este libro encontraras como solicitar la adaptacion al puesto de trabajo, permitiendo rendir al maximo y aumentar tus ingresos. Este libro, es una guia indispensable para todo empresario, empresa de prevencion de riesgos, sindicatos, docentes y medicos laborales que trabajen con personas con discapacidad auditiva. Leyendo esta guia, encontrara las claves para la adaptacion al puesto de trabajo de personas con hipoacusia, de una manera sencilla, clara y economica.

This book serves as a comprehensive introductory guide to the practical aspects of risk assessment. Chapters include clearly defined objectives and summaries. The book includes: hazard identification, dose-response, exposure assessment, risk characterization, chemical mixtures, epidemiology, emerging issues and global perspectives with accessible language. The book concludes with a set of hypothetical case studies. Toxicological Risk Assessment for Beginners aims not to create an expert, but rather to provide readers with their first understanding of the risk assessment topic. This book was designed with the student in mind. We simplify a complex process for beginners and balance theory with practical aspects, but remain fluid enough to increase difficulty with case studies. By incorporating an action based, step by step approach to learning the risk assessment process, this book provides its readers with an elementary understanding of how the risk assessment process is initiated, developed and finished, making it a valuable guide for graduate students, post-doctoral fellows and early career scientists in industry.

The unique characteristics of radon make it very attractive for earth science studies, as it can migrate over large distances within the earth and the atmosphere, be measured with accuracy, and be used as a tracer for many environmental processes of interest. This book presents properties, applications and health aspects of radon. Some of the topics discussed include spatial and temporal variations of soil-radon activity in fault zones; beta and gamma dose assessment due to radon short lived progeny; adverse health effects of radon; geological applications of radon anomalies in groundwater and soil-gas; radon and earthquake forecasting; dynamic assessment of radon source in buildings and influence of water-rock interactions on the presence of dissolved radon in groundwater. (Imprint: Nova)

Hypothermia is the condition in which human body temperature drops below the normal range. The decrease in temperature affects all physiological systems in the body and alterations in microcirculation may reduce the oxygen supply to tissues. This book presents current research in the study of the prevention, recognition and treatment of hypothermia. Topics include the clinical use of therapeutic hypothermia in acute brain injury; free radical generation and the activation of apoptotic pathways during hypothermia in the field of cell signalling and the aetiology of accidental hypothermia.

Hyperthermia is an abnormally high body temperature, usually resulting from infection, medication, or head injury, and sometimes brought about intentionally to treat diseases, especially certain cancers. In this book, a variety of hyperthermia related physiological and pathological phenomena described. This book will help the readers comprehensive view on the basic and practical knowledge of hyperthermia.

'Building on the core competences for public health, this book focuses on the key areas of leadership and collaborative working to improve health and wellbeing. Aimed at those undertaking Masters courses in public health and health promotion, (as well as those seeking to gain public health registration through the compilation and submission of a portfolio) this book focuses on leadership and collaborative working to improve health and wellbeing. Leadership, building alliances, developing capacity and capability, working in partnership with other practitioners, agencies and communities, understanding different organisational stuctures and cultures and working effectively across organisational boundaries are central themes throughout this book. Leadership skills such as negotiation, persuasion and influencing and the nature of power and the importance of understanding one's self and the communication process and project management skills and leading and managing change to improve health and wellbeing are considered. Case studies, activities and research summaries are used throughout the book to help the reader to understand how to apply the theory to practice.

Malaria is a disease caused by a parasite that lives part of its life in humans and part in mosquitoes. Malaria remains one of the major killers of humans world-wide, threatening the lives of more than one-third of the world's population. It thrives in the tropical areas of Asia, Africa, and Central and South America, where it strikes millions of people. In the early 1970's, a mysterious clustering of arthritis cases occurred among children in Lyme, Connecticut, and surrounding towns. While scientists were busy describing signs and symptoms of Lyme disease to help doctors diagnose patients, they discovered that antibiotics were effective in its treatment and that the bite of the deer tick was the key to the spread of the disease. This book presents the most current research on the diagnosis, treatment and prevention of both malaria and Lyme disease.