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Hemodilution (Paperback)
B. Angelkort; Edited by J. Koscielny, H. Kiesewetter; Contributions by R. Bach, G. Berg; Edited by …
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R1,502
Discovery Miles 15 020
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Ships in 10 - 15 working days
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H. KIESEWETTER, J. KosciELNY, and F. JuNG Tbe byperoncotic
colloid-osmotic pressure of tbe 10% Haes solution causes an
increased intravascular volume because free tissue water flows into
the vascular system [206]. Witb a volume expansion effect of about
50% an increase in intravascular volume of 750 ml (500 mi Haes and
250 mi tissue water) is expected immediately after hypervolemic
hemodilution, after isovolemic bemodilution only an in crease of
250 mi ( only tissue water due to a pblebotomy of 500 mi). The
blood is diluted by overloading the vascular system [245]. After
isovolemic bemodilution tbe dilution effect is more marked due to
the pblebotomy. Estimated by means of the total protcin
concentration (Fig. 67) the dilution of plasma was 22% 1 h after
isovolemic hemodilution but only 14% after bypervolemic
bemodilution. Tbe plasma dilutions were almost confirmed by the
concentration changes of albumin (Fig. 68). Therefore, the mixing
ratio is 4. 1 to 1 (plasma to bydroxyetbyl starcb) for bypervolemic
infusion of 500 ml Haes-sterillO% (200/0. 5) and 3. 7 to 1 for
isovolemic dilution. Consequently, the hydroxyethyl starch
concentration after isovolemic hemodilution was signifi- cantly
bigher at all measuring times tban after hypervolemic hemodilution
(Fig. 61). If tbe infusion was performed quickly so that no renal
output of the Haes solution could ensue, a mean bydroxyetbyl starch
concentration of 10. 3 g per liter plasma would be expected
immediately after isovolemic hemodilution for tbe above mixing
ratio, and one of 9. 0 g after hypervolemic bemodilution.
Given the enormous challenges they face, why do so many citizens in
developing countries routinely turn out to vote? This Element
explores a new explanation grounded in the social origins of
electoral participation in emerging democracies, where mobilization
requires local collective action. This Element argues that, beyond
incentives to express ethnic identity and vote-buying, perceptions
of social sanctioning from community-based formal and informal
actors galvanize many to vote who might otherwise stay home.
Sanctioning is reinforced by the ability to monitor individual
turnout given the open layout and centralized locations of polling
stations and the use of electoral ink that identifies voters. This
argument is tested using original survey and qualitative data from
Africa and Afghanistan, contributing important insights on the
nature of campaigns and elections in the promotion of
state-building and service delivery, and the critical role voters
play reducing fears of global democratic backsliding.
What are the social and political consequences of poor state
governance and low state legitimacy? Under what conditions does
lynching - lethal, extralegal group violence to punish offenses to
the community - become an acceptable practice? We argue lynching
emerges when neither the state nor its challengers have a monopoly
over legitimate authority. When authority is contested or
ambiguous, mass punishment for transgressions can emerge that is
public, brutal, and requires broad participation. Using new
cross-national data, we demonstrate lynching is a persistent
problem in dozens of countries over the last four decades. Drawing
on original survey and interview data from Haiti and South Africa,
we show how lynching emerges and becomes accepted. Specifically,
support for lynching most likely occurs in one of three conditions:
when states fail to provide governance, when non-state actors
provide social services, or when neighbors must rely on self-help.
Das Buch Hamodilution stellt die konservative Therapie bei
Durchblutungsstorungen und den Volumenersatz mit Hydroxyathylstarke
vor. Die Informationen basieren auf langjahrigen klinischen
Erfahrungen. Insbesondere die Themen Kontraindikationen, mogliche
Nebenwirkungen und Vorsichtsmassnahmen werden behandelt und
diskutiert. Desweiteren werden die Pharmakokinetik und die
biologischen Wirkungen vorgestellt. Die eingesetzten Messmethoden
sowie Schwankungsbreite und Referenzbereiche der einzelnen
Messmethoden sind im Anhang genannt. Das Ziel ist, dem Kliniker und
Praktiker bei der Anwendung der Hamodilution, unter besonderer
Berucksichtigung der Therapiesicherheit, kompakte Information
bereitzustellen, die in kurzester Zeit nachgeschlagen werden kann.
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