In this book, Amy R. Wong unravels the colonial and racial logic behind seemingly innocuous assumptions about "speech": that our words belong to us, and that self-possession is a virtue. Through readings of late-Victorian fictions of empire, Wong revisits the scene of speech's ideological foreclosures as articulated in postcolonial theory. Engaging Afro-Caribbean thinkers like Édouard Glissant and Sylvia Wynter, Refiguring Speech reroutes attention away from speech and toward an anticolonial poetics of talk, which emphasizes communal ownership and embeddedness within the social world and material environment. Analyzing novels by Robert Louis Stevenson, Bram Stoker, George Meredith, Joseph Conrad, and Ford Madox Ford, Wong refashions the aesthetics of disordered speech—such as parroting, eavesdropping, profuse inarticulacy, and dysfluency—into alternate forms of communication that stand on their own as talk. Wong demonstrates how late nineteenth-century Britain's twin crises of territorialization—of empire and of new media—spurred narrative interests in capturing the sense that speech's tethering to particular persons was no longer tenable. In doing so, Wong connects this period to US empire by constructing a genealogy of Anglo-American speech's colonialist and racialized terms of proprietorship. Refiguring Speech offers students and scholars of Victorian literature and postcolonial studies a powerful conceptualization of talk as an insurgent form of communication.

Papers presented at the International Symposium on Asymptotic and Computational Analysis, held June 1989, Winnipeg, Man., sponsored by the Dept. of Applied Mathematics, University of Manitoba and the Canadian Applied Mathematics Society.

Papers presented at the International Symposium on Asymptotic and Computational Analysis, held June 1989, Winnipeg, Man., sponsored by the Dept. of Applied Mathematics, University of Manitoba and the Canadian Applied Mathematics Society.

Acute lung injury (ALI) impacts patient care in every ICU in the world. Our collective understanding of this condition has grown immensely over the past decade but morbidity and mortality remain unacceptably high. To enhance the understanding of clinicians and researchers, this book addresses the pathophysiology of acute lung injury from a molecular and cellular standpoint; includes animal models of acute lung injury and points to potential therapeutic advances based on scientific findings. It is a concise compendium of the multiple pathways, mechanisms and molecules involved in the pathophysiology of acute lung injury and is intended to help caregivers understand the process and thus care for patients more effectively.

The development of pediatric cardiac surgical programs has had a profound effect on the s- cialty of pediatric critical care medicine, and as a result, the ? eld of pediatric cardiac intensive care is rapidly emerging as a separate subspecialty of pediatric critical care medicine. The ability to provide care for the critically ill child with congenital heart disease clearly separates pediatric intensivists from our adult colleagues. A thorough understanding and knowledge of the unique physiology of the child with congenital heart disease are therefore absolutely crucial for anyone working in the pediatric intensive care unit. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pe- atric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley v Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU).

The ? eld of critical care medicine is in the midst of a dramatic change. Technological and s- enti? c advances during the last decade have resulted in a fundamental change in the way we view disease processes, such as sepsis, shock, acute lung injury, and traumatic brain injury. Pediatric intensivists have been both witness to and active participants in bringing about these changes. As the understanding of the pathogenesis of these diseases reaches the cellular and molecular levels, the gap between critical care medicine and molecular biology will disappear. It is imperative that all physicians caring for critically ill children in this new era have a th- ough understanding of the applicability of molecular biology to the care of these patients at the bedside in order to keep up with the rapidly evolving ? eld of critical care medicine. To the same extent, the practice of critical care medicine is in the midst of fundamental change. In keeping with the Institute of Medicine's report "Crossing the Quality Chasm," the care of critically ill and injured children needs to be safe, evidence-based, equitable, ef? cient, timely, and fami- centered [1,2]. In the following pages, these changes in our specialty are discussed in greater scope and detail, offering the reader fresh insight into not only where we came from, but also where we are going as a specialty.

The principal role of the respiratory system is to permit ef? cient exchange of respiratory gases (O and CO ) with the environment. The respiratory system is unique in that it is constantly 2 2 exposed to a barrage of foreign substances from both the internal environment (at any one point in time, approximately one-half of the cardiac output is received by the lungs) and the external environment (with each breath, the respiratory tract is exposed to pollens, viruses, bacteria, smoke, etc). According to the Centers for Disease Control and Prevention, diseases of the res- ratory system were the seventh and eighth leading causes of deaths in children aged 1 to 19 years in 2003 [1]. Dr. George A. Gregory, one of the founding fathers of pediatric critical care me- cine, once estimated that acute respiratory failure accounts for nearly 50% of all admissions to the pediatric intensive care unit (PICU) [2]. Just as important are the many diseases that affect the respiratory system that are not associated with acute respiratory failure, but nevertheless constitute a major portion of the practice of pediatric critical care medicine, some of which account for signi? cant morbidity and mortality [3]. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P.

The care of the critically ill or injured child begins with timely, prompt, and aggressive res- citation and stabilization. Ideally, stabilization should occur before the onset of organ failure in order to achieve the best possible outcomes. In the following pages, an international panel of experts provides an in-depth discussion of the early recognition, resuscitation, and stabilization of the critically ill or injured child. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley V Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU). The head of the pediatrics clerkship was kind enough to let me have a few days off around the time of the delivery-my wife, Cathy, was 2 weeks past her due date and had been scheduled for elective induction.

This study examines the record of French and EU interactions with China, Japan and Vietnam in the areas of economic exchanges, political security relations and human rights to establish if there has been a trend of converging 'European' politics and collective European conceptions of interest and identity. It argues that the utility and impact of EU institutions on French foreign policy behaviour is more significant than is commonly imagined or admitted, and that foreign policies of EU member states tend over the long term towards convergence.

This study examines the record of French and EU interactions with China, Japan, and Vietnam in the areas of economic exchanges, political security relations, and human rights to establish if there has been a trend of converging "European" politics and collective European conceptions of interest and identity. It argues that the utility and impact of EU institutions on French foreign policy behavior is more significant than is commonly imagined or admitted, and that foreign policies of EU member states tend over the long term towards convergence.

Acute lung injury (ALI) impacts patient care in every ICU in the world. Our collective understanding of this condition has grown immensely over the past decade but morbidity and mortality remain unacceptably high. To enhance the understanding of clinicians and researchers, this book addresses the pathophysiology of acute lung injury from a molecular and cellular standpoint; includes animal models of acute lung injury and points to potential therapeutic advances based on scientific findings. It is a concise compendium of the multiple pathways, mechanisms and molecules involved in the pathophysiology of acute lung injury and is intended to help caregivers understand the process and thus care for patients more effectively.

The second edition of Pediatric Critical Care Medicine spans four volumes, with major sections dedicated to specific organ systems. Each major section consists of separate chapters dedicated to reviewing the specific disease processes affecting each organ system. Each chapter concludes with a comprehensive list of references, with brief, concise remarks denoting references of 'special interest' and 'of interest'. Consequently, the books are unique in their comprehensive coverage of pediatric critical care and their ease of use and will be of value to those studying towards pediatric critical care examinations and those who are already qualified.

This second edition spans four volumes, with major sections dedicated to specific organ systems. Each major section consists of separate chapters dedicated to reviewing the specific disease processes affecting each organ system. Each chapter concludes with a comprehensive list of references, with brief, concise remarks denoting references of 'special interest' and 'of interest'. Consequently, the books are unique in their comprehensive coverage of pediatric critical care and their ease of use and will be of value to those studying towards pediatric critical care examinations and those who are already qualified.

Neurologic emergencies are a common reason for admission to the pediatric intensive care unit (PICU). A thorough understanding of the diseases and disorders affecting the pediatric central nervous system is vital for any physician or healthcare provider working in the PICU. In the following pages, an international panel of experts provides an in-depth discussion on the res- citation, stabilization, and ongoing care of the critically ill or injured child with central nervous system dysfunction. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley v Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU).

Asymptotic methods are frequently used in many branches of both pure and applied mathematics, and this classic text remains the most up-to-date book dealing with one important aspect of this area, namely, asymptotic approximations of integrals. In this book, all results are proved rigorously, and many of the approximation formulas are accompanied by error bounds. A thorough discussion on multidimensional integrals is given, and references are provided. Asymptotic Approximations of Integrals contains the "distributional method," which is not available elsewhere. Most of the examples in this text come from concrete applications. Since its publication twelve years ago, significant developments have occurred in the general theory of asymptotic expansions, including smoothing of the Stokes phenomenon, uniform exponentially improved asymptotic expansions, and hyperasymptotics. These new concepts belong to the area now known as "exponential asymptotics." Expositions of these new theories are available in papers published in various journals, but not yet in book form.

The second edition of Pediatric Critical Care Medicine spans three volumes, with major sections dedicated to specific organ systems.Each major section consists of separate chapters dedicated to reviewing the specific disease processes affecting each organ system.Each chapter concludes with a comprehensive list of references, with brief, concise remarks denoting references of special interest and of interest .Consequently, the books are unique in their comprehensive coverage of pediatric critical care and their ease of use and will be of value to those studying towards pediatric critical care examinations and those who are already qualified."