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Akademische Chirurgie: Aus-, Weiter- und Fortbildung Analysen und Perspektiven

Akademisch ausgebildetes Pflegefachpersonal: Entwicklung und Chancen

Die Bedeutung der Hochschulen, der Arbeitsgeber, der Wissenschaft und Politik!Dieses Buch richtet sich an Pflegepädagogen, Hochschuldozenten, Pflegefachpersonen, Praxisanleiter, politische Entscheider und Führungspersonen im Pflegebereich und zeigt aus verschiedenen Betrachtungsweisen die Herausforderungen und Chancen der akademischen Entwicklung. Beschrieben werden die drei verschiedenen relevanten Blickwinkel: Hochschule, Wissenschaft und Politik, Arbeitgeber. Die hochrangigen Autoren beschreiben mögliche und bereits entstehende Einsatzorte und Aufgabenbereiche für akademisch ausgebildete Pflegefachpersonen. Dabei gehen Sie auf die Anforderungen bei den Mitwirkenden ein und zeigen Lösungsansätze für eine erfolgreiche Umsetzung auf. Hier bekommen Sie einen aktuellen Überblick aus erster Hand! Mit einem Geleitwort von Franz Wagner (Bundesgeschäftsführer DBfK

AJCC Cancer Staging Manual

The American Joint Committee on Cancer's Cancer Staging Manual is used by physicians throughout the world to diagnose cancer and determine the extent to which cancer has progressed. All of the TNM staging information included in this Sixth Edition is uniform between the AJCC (American Joint Committee on Cancer) and the UICC (International Union Against Cancer). In addition to the information found in the Handbook, the Manual provides standardized data forms for each anatomic site, which can be utilized as permanent patient records, enabling clinicians and cancer research scientists to maintain consistency in evaluating the efficacy of diagnosis and treatment. The CD-ROM packaged with each Manual contains printable copies of each of the book’s 45 Staging Forms.

AJCC Cancer Staging Atlas: A Companion to the Seventh Editions of the AJCC Cancer Staging Manual and Handbook

Significantly expanded, expertly and beautifully illustrated, The AJCC Cancer Staging Atlas, 2nd Edition, offers more than 600 illustrations created exclusively for this new edition and is fully updated to reflect the concepts discussed in the 7th Edition of both the AJCC Cancer Staging Manual and its companion Handbook. This Atlas illustrates the TNM classifications of all cancer sites and types included in the 7th Edition of the Manual and visually conceptualizes the TNM classifications and stage groupings. Specifically designed for simplicity and precision, the drawings have been verified through multi-disciplinary review to ensure accuracy and relevancy for clinical use. Every illustration provides detailed anatomic depictions to clarify critical structures and to allow the reader to instantly visualize the progressive extent of malignant disease. In addition, nodal maps are included for each site, appropriate labeling has been incorporated to identify significant anatomic structures, and each illustration is accompanied by an explanatory legend. The AJCC Cancer Staging Atlas, 2nd Edition, is an official publication of the American Joint Committee on Cancer, the recognized international leader in state-of-the-art information on cancer staging. This Atlas has been created as a companion to the updated 7th Edition of the AJCC Cancer Staging Manual, which continues to disseminate the importance of anatomical and pathological staging in the management of cancer. This state-of-the-art, invaluable 2nd Edition includes a CD containing PowerPoint slides of all illustrations, additional color, and a user-friendly, easy-to-read layout. The AJCC Cancer Staging Atlas, 2nd Edition will serve as an indispensable reference for clinicians, registrars, students, trainees, and patients.

AJCC Cancer Staging Atlas: AJCC Cancer Staging Illustrations in PowerPoint® From the AJCC Cancer Staging Atlas

The AJCC Cancer Staging Atlas contains black-and-white illustrations, created exclusively for the book, depicting the anatomic extent of disease for tumor (T), regional lymph node (N), and distant metastasis (M). The images provide anatomic depictions to clarify critical structures and allow the reader to instantly visualize the progressive extent of malignant disease. Numerous labels identify important anatomic structures.NOTE: The AJCC Cancer Staging Atlas is based on the 6th edition staging schemas and many images may not reflect the current 7th edition staging system.

Airways Smooth Muscle: Peptide Receptors, Ion Channels and Signal Transduction (Respiratory Pharmacology and Pharmacotherapy)

Airways Smooth Muscle: Neurotransmitters, Amines, Lipid Mediators and Signal Transduction (Respiratory Pharmacology and Pharmacotherapy)

Airways Smooth Muscle: Modelling the Asthmatic Response In Vivo (Respiratory Pharmacology and Pharmacotherapy)

Building on the existing titles in the "Airways Smooth Muscle" sub-series, the sixth volume explores physiological and pharmacological processes in the lung in vivo. The various animal models available for studying the bronchospasm and inflammation associated with human asthma are thoroughly reviewed by internationally recognised scientists. Specific chapters focus on the problems of administering drugs to animal airways, the mechanics of assessing lung function in the models, and describe in detail the species used, from rodents to primates. The use of genetically altered animals, an area of particular interest to molecular biologists, is also considered in depth. This up-to-date and extensively referenced work will prove invaluable to pharmacologists, physiologists and other biological scientists at all levels in academia and in the pharmaceutical industry.

Airways Smooth Muscle: Biochemical Control of Contraction and Relaxation (Respiratory Pharmacology and Pharmacotherapy)

Airways Smooth Muscle: Development and Regulation of Contractility (Respiratory Pharmacology and Pharmacotherapy)

Most studies on autonomic innervation of smooth muscle have focused on the short-term mechanisms involved in neurotransmission in physiological and pathophysiological conditions. However recent obser­ vations of the long-term plasticity of this system, i. e. its capacity for regeneration and for compensatory change in pattern of innervation and expression of cotransmitters and receptors in ageing, following surgery, trauma or in disease, have indicated that an understanding of the mechanisms involved could influence the design of therapeutic regimes. There is increasing evidence for long-term communication between nerves and smooth muscle cells during development and throughout adult life. To date, the trophic interactions between nerves and airway musculature have attracted little interest, consequently, much of the information presented here is drawn from studies using other smooth muscles. However, the questions posed about trophic interactions dur­ ing development apply as much to airways smooth muscle neuroeffector systems as to other autonomic neuroeffector systems. These are: i) How do developing nerve fibres know where to go and how do they reach their target sites? ii) What determines the density and pattern of inner­ vation at reaching the effector? iii) How do the nerves survive and maintain their position once established? iv) What factors influence neurochemical differentiation such that genetically multipotential neu­ rones are triggered to synthesize one or combinations of neurotransmit­ ters? v) What influence do nerves have on the structure, function and receptor expression of their effector cells? vi) How do diseases interrupt these processes? - see [1].

Airways Smooth Muscle: Structure, Innervation and Neurotransmission (Respiratory Pharmacology and Pharmacotherapy)

Many factors may influence the release of neurotransmitters from airway nerves [1]. This is likely to be important in physiological control of airway functions and may be particularly relevant in airway diseases, such as asthma and chronic obstructive pulmonary disease (COPD). Neural elements in airways interact in a complex manner and the activation of certain neural pathways may profoundly influence the release of transmitters from other neural pathways. Similarly inflamma­ tory mediators released from inflammatory cells in the airways may also modulate neurotransmitter release. There are marked differences be­ tween species in airway innervation and in neuromodulatory effects and, wherever possible, studies in human airways have been emphasised, although information on neuromodulation in human airways is some­ what limited at present. Release of neurotransmitters from nerve terminals occurs via a Ca2+­ dependent secretion evoked by a nerve action potential, but may also be evoked experimentally by a high extracellular K + concentration which directly depolarises the nerve terminal membrane. Modulation refers to the alteration of neurotransmitter release, which may either be increased (facilitation) or reduced (inhibition) by the action of a particular agent, thus changing the magnitude of the neurally-mediated response. Such agents would normally act on receptors on the nerve terminal which are referred to as pre-junctional (or presynaptic) receptors, in contrast to post-junctional (or post-synaptic) receptors located on the target cells which are influenced by that particular transmitter.

Airways Obstruction

Airway Wall Remodelling in Asthma

Asthma is a disease of high prevalence that has shown a trend toward increasing incidence, morbidity, and mortality over the last three decades despite apparently effective drug treatments and increasing awareness of the need for better disease management. Often the inflammatory component of asthma is studied; however, the tissue remodelling process is a significant process that should not be overlooked. This valuable reference synthesizes current data and concepts developed to determine the relationship between airway wall remodelling and the pathogenesis of asthma. It discusses evidence for structural changes in asthmatic airway, the relationship between airway thickening and hyperresponsiveness, the relationship between cytokine production and tissue remodelling and inflammation, the significance of epithelial changes and the extracellular matrix, and in vivo and in vitro experimental approaches to the assessment of remodelling. Pharmacological and biochemical mechanisms that control cell proliferation are also examined. The consequences of airway wall remodelling for airway hyperresponsiveness is the unique focus of this volume, offering a fresh perspective of advances in asthma research.

Airway Wall Remodelling in Asthma

Asthma is a disease of high prevalence that has shown a trend toward increasing incidence, morbidity, and mortality over the last three decades despite apparently effective drug treatments and increasing awareness of the need for better disease management. Often the inflammatory component of asthma is studied; however, the tissue remodelling process is a significant process that should not be overlooked. This valuable reference synthesizes current data and concepts developed to determine the relationship between airway wall remodelling and the pathogenesis of asthma. It discusses evidence for structural changes in asthmatic airway, the relationship between airway thickening and hyperresponsiveness, the relationship between cytokine production and tissue remodelling and inflammation, the significance of epithelial changes and the extracellular matrix, and in vivo and in vitro experimental approaches to the assessment of remodelling. Pharmacological and biochemical mechanisms that control cell proliferation are also examined. The consequences of airway wall remodelling for airway hyperresponsiveness is the unique focus of this volume, offering a fresh perspective of advances in asthma research.

Airway Stenting in Interventional Radiology

This book aims to provide comprehensive pictures of airway stenting technology in interventional radiology to clinical practitioners. The highlight of this book is that design concept and structure of stent are described in detail for readers to choose suitable stents for different airway diseases.The first part of the book introduces readers to airway foundation on basic ideas of trachea anatomy, common symptoms and imaging signs of respiratory system. The second part provides a broad overview of clinical application of interventional radiology in airway diseases, while the third part presents detailed interventional treatment of common airway diseases with case studies alongside in-depth analysis for each technique with comprehensive pictures. For each airway disease, a brief introduction, diagnosis, stent design, treatment plan as well as internal stent interventional operation procedures are offered to the readers. With the illustrative figures, this book is a useful reference to interventional radiologists, pulmonologists, thoracic surgeons, professional clinical staff, and medical students.

Airway Smooth Muscle in Health and Disease

I organized this book because there is a need to put together in book form recent advances in our knowledge of how airway smooth muscle:works in health and in disease. After a period when it seemed that progress was very slow, there has been in the past few years an incredibly rapid gathering of knowledge in this area. In particular, our understanding has improved regarding the cascades of events that follow the initial binding of agonist to plasma membrane receptors and that lead to the cross-bridge movements that determine contraction. This advance in our knowledge was stimulated by use of single-and whole-cell channel recordings of plasma membrane currents and by description of the l3-receptor-GTP-binding protein-adenylate cyclase-cAMP coupling system, which serves as a model for other coupling mechanisms. The discovery of the receptor-activated inositol phospholipid transduction system has greatly stimulated research and led to advances in our understanding of mechanisms involved in smooth muscle con­ traction. Major advances were also triggered by the development of indicators for measuring free cytosolic calcium concentration and starting the unraveling of 2 the events involved in Ca + -dependent activation of contractile proteins. Al­ though most of the studies that led to our current understanding of these areas were performed on nonairway smooth muscle, these studies usually add to our understanding of airway smooth muscle, and there is an enlarging body of data that have been obtained on airway smooth muscle.

Airway Mucus: Basic Mechanisms and Clinical Perspectives (Respiratory Pharmacology and Pharmacotherapy)

Conceptually unsavoury, airway mucus is vital to homeostasis in the respiratory tract. In contrast, when abnormal, mucus contributes significantly to the pathophysiology of a number of severe bronchial diseases, including asthma, chronic bronchitis and cystic fibrosis. This volume provides wide ranging and in-depth coverage of the scientific and clinical aspects of airway mucus. It commences with introductory chapters which address the biochemical and molecular biological basis of airway mucus and continues with comprehensive coverage of the various physiological and rheological aspects of respiratory secretions. The clinical aspects of the topic are then considered, with chapters discussing the involvement of mucus secretions in bacterial infection and in hypersecretory diseases of the airway. The volume concludes with a discussion of the therapeutic aspects of the topic, both in terms of the possible approaches to the treatment of mucus hypersecretion and the interaction of these drugs with airway mucus. Written by leading experts in the field, each contribution provides a comprehensive review of its particular subject. Reflecting the latest advances in this important area of respiratory research, this volume will be of great interest to scientists and clinicians working in the field of airway secretions and related areas.

Airway Management

Because of his international prominence, Professor Khan has been able to gather an enviable list of experts in the field to contribute their experience with airway management in a multitude of clinical settings. The critical appraisal of the airway authored by the editor, Professor Khan, sets the stage for the important preoperative tests that may alert the clinician of the potential for a difficult airway so that appropriate plans can be made. The formidable “guest list” of authors spans the world and encompasses clinicians from Malaysia, the United States, Pakistan, India, Denmark, Singapore, Germany, Canada and Iran. What is equally remarkable is the list of topics discussed in the textbook and the varied clinical settings in which airway management is likely to pose particular and unique challenges: pediatrics; patients with cervical spine injury and those with traumatic brain injury; ambulatory surgery; patients with obstructive sleep apnea and obstetric patients. The book also addresses the latest in technological advances that can aid the clinician in diagnosing and managing the difficult airway, such as ultrasonography and also describes surgical approaches to managing the difficult airway, such as cricothyrotomy. Finally, underscoring the truly international appeal of the textbook and acknowledging the potential technological limitations of the developing world, a chapter is dedicated to the use of indigenous devices in managing the difficult airway.

AiREAS: The Invisible made Visible Phase 1 (SpringerBriefs on Case Studies of Sustainable Development)

This book describes the coming about and first results of the AiREAS "healthy city" cooperative in the city of Eindhoven and Province of North Brabant in the Netherlands. AiREAS is an initiative focused on the multidisciplinary co-creation of healthy cities using the core human value of human health and air quality as guiding principle for profound regional innovation. The unique group process that followed uses the complexity of the city of Eindhoven as living lab. It is an anthropology based initiative that invites directly to the same table of core innovative responsibility the local government, innovative business partners, scientific insights and research, and civilian participation. The first phase is described here in which the consortium decided to want to make the invisible of air pollution and human exposure visible for the integral innovative participation of all city's core pillars (policy, education, infrastructure, culture and entrepreneurship). The experience is unique in the world and proceeding now with more phases in Eindhoven and the role out of the same working format in other cities. This Brief is made available to inspire the world to address together the most complex issues of our current era: pollution, climate and core human values.

Airborne Emergency (Mills And Boon Medical Ser. #1)

Fasten your seatbelts… turbulence ahead! Surgeon Cassandra St. James can't wait to join the Global Aid Organization's new flying Jet Hospital. Nothing could be more thrilling and challenging… until she encounters mission leader Vidal Santiago.

Airborne Care of the Ill and Injured

From the unique position of a decade in government service, I was given the opportunity to observe the changes in the provision of emer­ gency medical care across the country. In 1970, Emergency Medical Service (EMS) systems were a new and much needed development in the national health care delivery system. A systems approach to field casualty care has been progressively improved during each successive military conflict since the Civil War. These improvements were ini­ tiated after the rnedil:al care and evacuation disaster experienced by the Union Army of the Potomac at Bull Run on July 21, 1861. During the Civil War, major changes in administration, professional personnel, transportation, hospitals, sanitation, and medical records established patterns that have been continually refined and improved. Stimulated by the pressing demands of war surgery and coupled with parallel advances in medical care over the last century, an almost unbelievable level of performance was realized in Vietnam. Advances in field resuscitation, efficiency of aeromedical transportation, and energetic treatment of military casualties have proved to be major fac­ tors in the decrease in death rates of battle casualties reaching facilities: from 8% in World War I to 4. 5% in World War II to 2. 5% in Korea and to less than 2% in Vietnam.

The Air Spora: A manual for catching and identifying airborne biological particles

This is an illustrated guide to trapping, identifying and quantifying airborne biological particles such as fungus, plant spores and pollen. Including a comprehensive review of what is in the air and detailing the historical development of theories leading to modern aerobiology, the book explains the fundamental processes behind airborne dispersal and techniques used to sample, identify and quantify biological particles. Includes photographs and 9 colour reproductions of paintings of airborne particles.

Air Quality Management: Canadian Perspectives on a Global Issue

This book provides a wide overview of the issues related to managing of air quality in Canada. Learn about the air issues that have caused impacts to ecosystems or human health and hence been targeted to be managed. Discover how Canada’s national governance involving a federal government along with provincial and territorial governments impacts the air quality management process. Understand how Canadians manage their air quality in context with the USA, their largest and closest neighbour. Benefit from the experience of 43 of Canada’s most experienced air quality management professionals who share their insights into the state of air quality in Canada today, how it is managed, as well as giving a glimpse into the future.​

Air Quality and Livestock Farming (Sustainable Energy Developments)

Air quality has a direct influence on health, welfare and production performance of livestock as the high concentrations of noxious gases, dust and airborne microorganisms are likely to reduce production efficiency and the general welfare of farm animals. Long term exposure to particulates in livestock buildings might also affect the respiratory health of farm workers. Dust in animal buildings contains many biologically active substances such as bacteria, fungi, endotoxins and residues of antibiotics (as a result of veterinary treatments) that are suspected to be hazardous to human health. Furthermore, air pollutants emitted from livestock buildings can reduce air, water and soil quality and can potentially undermine the health of nearby residents. Airborne emissions include ammonia, methane, nitrous oxide, particulates like dust and microorganisms. In addition, other potentially harmful substances such as heavy metals, antibiotic residues and components of disinfectants might be also emitted from livestock building that are potentially damaging to ecosystems. In this book, key aspects of agricultural air quality, such as monitoring, managing and reducing airborne pollutants in and around livestock facilities are reviewed. Features: addressing the raising awareness of the importance of optimal health and welfare for lifestock species with contributions from international specialists and researchers providing up-to-date information for professionals involved in modern animal producti This book will be useful for farming professionals, academics, students, policy makers, business leaders, regulatory bodies and agricultural consultants.

Air Quality and Livestock Farming (Sustainable Energy Developments)

Air quality has a direct influence on health, welfare and production performance of livestock as the high concentrations of noxious gases, dust and airborne microorganisms are likely to reduce production efficiency and the general welfare of farm animals. Long term exposure to particulates in livestock buildings might also affect the respiratory health of farm workers. Dust in animal buildings contains many biologically active substances such as bacteria, fungi, endotoxins and residues of antibiotics (as a result of veterinary treatments) that are suspected to be hazardous to human health. Furthermore, air pollutants emitted from livestock buildings can reduce air, water and soil quality and can potentially undermine the health of nearby residents. Airborne emissions include ammonia, methane, nitrous oxide, particulates like dust and microorganisms. In addition, other potentially harmful substances such as heavy metals, antibiotic residues and components of disinfectants might be also emitted from livestock building that are potentially damaging to ecosystems. In this book, key aspects of agricultural air quality, such as monitoring, managing and reducing airborne pollutants in and around livestock facilities are reviewed. Features: addressing the raising awareness of the importance of optimal health and welfare for lifestock species with contributions from international specialists and researchers providing up-to-date information for professionals involved in modern animal producti This book will be useful for farming professionals, academics, students, policy makers, business leaders, regulatory bodies and agricultural consultants.