In Shock

How Nearly Dying Made Me a Better Intensive Care Doctor

Author: Rana Awdish

Publisher: Random House

ISBN: 147355246X

Category: Biography & Autobiography

Page: 272

View: 7120

'I read the first chapters at such a pace that I almost had to remind myself to breathe.' Sunday Times 'Tense, powerful and gripping... her writing style is often nothing short of beautiful - evocative and emotional.' Adam Kay, Observer At seven months pregnant, intensive care doctor Rana Awdish suffered a catastrophic medical event, haemorrhaging nearly all of her blood volume and losing her unborn first child. She spent months fighting for her life in her own hospital, enduring a series of organ failures and multiple major surgeries. Every step of the way, Awdish was faced with something even more unexpected and shocking than her battle to survive: her fellow doctors’ inability to see and acknowledge the pain of loss and human suffering, the result of a self-protective barrier hard-wired in medical training. In Shock is Rana Awdish's searing account of her extraordinary journey from doctor to patient, during which she sees for the first time the dysfunction of her profession’s disconnection from patients and the flaws in her own past practice as a doctor. Shatteringly personal yet wholly universal, it is both a brave roadmap for anyone navigating illness and a call to arms for doctors to see each patient not as a diagnosis but as a human being.

Copp in Shock

Author: Don Pendleton

Publisher: Harpercollins

ISBN: 9780061004599

Category: Fiction

Page: 256

View: 6172

Left with amnesia after a shooting incident, Copp realizes that he is a number-one suspect in the death of a beautiful woman, who lies dead in the L.A. County Morgue, killed with a bullet from his gun. Reprint. PW.

High Temperature Phenomena in Shock Waves

Author: Raymond Brun

Publisher: Springer Science & Business Media

ISBN: 3642251196

Category: Technology & Engineering

Page: 337

View: 3097

The high temperatures generated in gases by shock waves give rise to physical and chemical phenomena such as molecular vibrational excitation, dissociation, ionization, chemical reactions and inherently related radiation. In continuum regime, these processes start from the wave front, so that generally the gaseous media behind shock waves may be in a thermodynamic and chemical non-equilibrium state. This book presents the state of knowledge of these phenomena. Thus, the thermodynamic properties of high temperature gases, including the plasma state are described, as well as the kinetics of the various chemical phenomena cited above. Numerous results of measurement and computation of vibrational relaxation times, dissociation and reaction rate constants are given, and various ionization and radiative mechanisms and processes are presented. The coupling between these different phenomena is taken into account as well as their interaction with the flow-field. Particular points such as the case of rarefied flows and the inside of the shock wave itself are also examined. Examples of specific non-equilibrium flows are given, generally corresponding to those encountered during spatial missions or in shock tube experiments.

Mentally in Shock

Author: Bobbie Jean Cross

Publisher: Xlibris Corporation

ISBN: 1493121952

Category: Biography & Autobiography

Page: 181

View: 8846

The family moves to California and the childrens father Deon is back in their life. He constantly beats and starves Sarah Jeans brother Steve because he believes that he is not his son. Deon also beats Rayna, and she justifies against him, resulting in his incarceration. Raynas life spirals downward into drinking and having loud parties that often go on for day. Steady streams of men come into her life, and they physically abuse her like Deon. Sarah Jeans closest friend dies in a house and this plunges her into depression. She runs away and Rayna beats and starves her for three days. Sarah Jean runs away again and lives in dumpsters. Marcy introduces her to drugs and stealing, and she meets men who rape and beat her. She is send to a Juvenile detention home and then a psychiatric ward. She become pregnant and tries her best to care for her daughter Cindy.

Strategies for Planar Laser-induced Fluorescence Thermometry in Shock Tube Flows

Author: N.A

Publisher: Stanford University

ISBN: N.A

Category:

Page: N.A

View: 2540

This thesis was motivated by the need to better understand the temperature distribution in shock tube flows, especially in the near-wall flow regions. Two main ideas in planar laser-induced fluorescence (PLIF) diagnostics are explored in this thesis. The first topic is the development of a single-shot PLIF diagnostic technique for quantitative temperature distribution measurement in shock tube flow fields. PLIF is a non-intrusive, laser-based diagnostic technique capable of instantaneously imaging key flow features, such as temperature, pressure, density, and species concentration, by measuring fluorescence signal intensity from laser-excited tracer species. This study performed a comprehensive comparison of florescence tracers and excitation wavelengths to determine the optimal combination for PLIF imaging in shock tube flow applications. Excitation of toluene at 248nm wavelength was determined to be the optimal strategy due to the resulting high temperature sensitivity and fluorescence signal level, compared to other ketone and aromatic tracers at other excitation wavelengths. Sub-atmospheric toluene fluorescence yield data was measured to augment the existing photophysical data necessary for this diagnostic technique. In addition, a new imaging test section was built to allow PLIF imaging in all regions of the shock tube test section, including immediately adjacent to the side and end walls. The signal-to-noise (SNR) and spatial resolution of the PLIF images were optimized using statistical analysis. Temperature field measurements were made with the PLIF diagnostic technique across normal incident and reflected shocks in the shock tube core flow. The resulting images show uniform spatial distribution, and good agreement with conditions calculated from the normal shock jump equations. Temperature measurement uncertainty is about 3.6% at 800K. The diagnostic was also applied to image flow over a wedge. The resulting images capture all the flow features predicted by numerical simulations. The second topic is the development of a quantitative near-wall diagnostic using tracer-based PLIF imaging. Side wall thermal boundary layers and end wall thermal layers are imaged to study the temperature distribution present under constant pressure conditions. The diagnostic technique validated in the shock tube core flow region was further optimized to improve near-wall image quality. The optimization process considered various wall materials, laser sheet orientations, camera collection angles, and optical components to find the configuration that provides the best images. The resulting images have increased resolution (15[Mu]m) and are able to resolve very thin non-uniform near-wall temperature layers (down to 60[Mu]m from the surface). The temperature field and thickness measurements of near-wall shock tube flows under various shock conditions and test gases showed good agreement with boundary layer theory. To conclude this thesis, new applications and future improvements to the developed PLIF diagnostic technique are discussed. These suggested refinements can provide an even more robust and versatile PLIF imaging technique capable of measuring a wider range of flow conditions near walls.

Classic Papers in Shock Compression Science

Author: James N. Johnson,Roger Cheret

Publisher: Springer Science & Business Media

ISBN: 1461222184

Category: Technology & Engineering

Page: 524

View: 4899

The field of shock compression science has a long and rich history involving contributions of mathematicians, physicists and engineers over approximately two hundred years. The middle of the nineteenth century was an especially ac tive period with the contributions of Riemann, Rankine and Hugoniot, among others. The middle of the twentieth century saw another increase in activity re lated to shock compression of condensed matter as a result of military applica tions. It was also recognized that shock compression provided a means of sub jecting solids and liquids to extreme states of temperature and pressure difficult to achieve by static means. It has thus become an academic study in its own right. The principal modem contributions to this science were summarized in the landmark paper by Rice, McQueen and Walsh [Solid State Physics, Vol. 6, pp. 1-63, 1958]. As this field has continued to mature, interest has increased in tracing the early papers that have served as the foundations of the field. Cheret [Shock Compression of Condensed Matter - 1989, Elsevier Sci. Pub. B. V. , pp 11-19, 1990) has contributed to this literature with his review of the life of Hugoniot on the one-hundredth anniversary of the publication of Hugoniot's classic paper on the propagation of discontinuous waves in gases. This contribution prompted additional historical investigation involving the precursors to Hugoniot.

House of God

Author: Samuel Shem

Publisher: Knaur eBook

ISBN: 3426416743

Category: Fiction

Page: 496

View: 9174

Sechs junge Ärzte beginnen vollen Enthusiasmus ihr erstes Klinikjahr im House of God, beseelt von dem Wunsch, Menschen zu helfen und zu heilen. Doch ihre Ideale werden schnell fortgerissen im Strudel ihres rastlosen Alltags. Sie lernen die Schattenseiten der modernen Medizin kennen, werden zynisch, verzweifelt oder gleichgültig. Das House of God wird für sie zur Hölle ... »House of God« von Samuel Shem ist ein eBook von Topkrimi – exciting eBooks. Das Zuhause für spannende, aufregende, nervenzerreißende Krimis und Thriller. Mehr eBooks findest du auf Facebook. Werde Teil unserer Community und entdecke jede Woche neue Fälle, Crime und Nervenkitzel zum Top-Preis!

Die Schock-Strategie

Der Aufstieg des Katastrophen-Kapitalismus

Author: Naomi Klein

Publisher: S. Fischer Verlag

ISBN: 3104907269

Category: History

Page: 768

View: 8000

Erst Schock durch Krieg oder Katastrophe, dann der sogenannte Wiederaufbau: Es funktioniert immer nach den gleichen Mechanismen. Wo vor dem Tsunami Fischer ihren Lebensunterhalt verdienten, stehen heute luxuriöse Hotelresorts, im Irak wurden nach dem Krieg die Staatsbetriebe und die Ölwirtschaft neu verteilt - an westliche Konzerne. Existenzen werden vernichtet, es herrscht Wild-West-Kapitalismus der reinsten Sorte. Naomi Klein, Autorin des Welt-Bestsellers ›No Logo‹, weist in ihrem beeindruckenden Buch nach, wie der Siegeszug der neoliberalen Ideologie in den letzten dreißig Jahren auf extremer Gewalt, auf Katastrophen und sogar auf Folter beruht, um die ungezügelte Marktwirtschaft rund um die Welt von Lateinamerika über Osteuropa und Russland bis nach Südafrika und in den Irak durchzusetzen.

Lipid Mediators in the Immunology of Shock

Author: M. Paubert-Braquet,P. Braquet,B. Demling,R. Fletcher,M. Foegh

Publisher: Springer Science & Business Media

ISBN: 1461309190

Category: Medical

Page: 540

View: 6456

Monitoring Tissue Perfusion in Shock

From Physiology to the Bedside

Author: Alexandre Augusto Pinto Lima,Eliézer Silva

Publisher: Springer

ISBN: 3319431307

Category: Medical

Page: 206

View: 3948

This book describes various aspects of the basic physiological processes critical to tissue perfusion and cellular oxygenation, including the roles of the circulatory system, respiratory system, blood flow distribution and microcirculation. In the context of monitoring critically ill patients in the early hours of circulatory shock, it is essential to recognize changes in traditional parameters such as mean arterial pressure and cardiac output, and to assess the need for active intervention. However, even if global macrocirculatory variables are restored, abnormalities in tissue oxygenation may persist. Tissue hypoperfusion is connected to the development of organ failure and, if it goes unrecognized, may worsen the prognosis. As a result, there is a growing interest in methods for monitoring regional perfusion in peripheral tissues to predict or diagnose ongoing hypoperfusion. In this work, eminent experts from a range of disciplines convey a working knowledge of how regional monitoring in shock can complement the conventional global parameters of oxygen transport, and demonstrate that real-time bedside assessment of tissue oxygenation is readily achievable using noninvasive monitoring techniques. Accordingly, the book offers a valuable, easy-to-use guide for the entire ICU team and other clinicians.

Bevor ich jetzt gehe

Was am Ende wirklich zählt - Das Vermächtnis eines jungen Arztes

Author: Paul Kalanithi

Publisher: Albrecht Knaus Verlag

ISBN: 3641189365

Category: Biography & Autobiography

Page: 208

View: 9236

„Dieses gehört zu der Handvoll Bücher, die für mich universell sind. Ich empfehle es wirklich jedem.“ ANN PATCHETT Was macht das eigene Leben lebenswert? Was tun, wenn die Lebensleiter keine weiteren Stufen in eine vielversprechende Zukunft bereithält? Was bedeutet es, ein Kind zu bekommen, neues Leben entstehen zu sehen, während das eigene zu Ende geht? Bewegend und mit feiner Beobachtungsgabe schildert der junge Arzt und Neurochirurg Paul Kalanithi seine Gedanken über die ganz großen Fragen.

Pathophysiology of Shock, Sepsis, and Organ Failure

Author: Günther Schlag,Heinz Redl

Publisher: Springer Science & Business Media

ISBN: 3642767362

Category: Medical

Page: 1165

View: 2406

In this book current knowledge of the pathophysiology of shock, sepsis and multi organ failure is presented. The rapid progress which has been made and the results achieved in intensive care medicine are based on sound basic research, which is duly reflected in these chapters. Multiorgan failure is the foremost cause of postoperative and posttraumatic death and many complex mechanisms are involved. Only with a good foundation of basic research can abnormalities in the physiological, biochemical, and morphological course of shock be recognized and the necessary conclusions for treatment drawn. Therapy must proceed from profound knowledge of the multi variant physiological events in order to influence shock, sepsis and organ failure. Although numerous possibilities for therapy have arisen from pharmaceutical research in recent years, they are beyond the scope of this book and are not discussed here. To gain a better understanding of the pathophysiological events it was necessary to examine and to describe different models that simulate and reproduce these events. Here we describe the causative agents (shock) and the consequences (sepsis, organ failure) in two main sections, divided on the basis of their pathophysiology.

Shock Pathogenesis and Therapy

An International Symposium

Author: Klaus-Dietrich Bock

Publisher: Springer-Verlag

ISBN: 3662297671

Category: Medical

Page: 387

View: 4082

Physics of Shock Waves and High–Temperature Hydrodynamic Phenomena

Author: Wallace Hayes

Publisher: Elsevier

ISBN: 0323147852

Category: Science

Page: 505

View: 8201

Physics of Shock Waves and High-Temperature Hydrodynamic Phenomena, Volume II presents interpretations of the physical basis of shockwaves and high-temperature hydrodynamic phenomena and gives practical guidance to those who work with these subjects in science and modern technology. This volume contains chapters discussing such topics as the shockwave structure in gases; physical and chemical kinetics in hydrodynamic processes; the radiative phenomena in shock waves and in strong explosions in the air; thermal waves and shockwaves in solids; and self-similar processes in gasdynamics. Physicists, engineers, researchers, and professors and students in the field of the physical sciences will find the book very educational.

Metallurgical Applications of Shock-Wave and High-Strain Rate Phenomena

Author: Murr

Publisher: CRC Press

ISBN: 9780824776121

Category: Technology & Engineering

Page: 1136

View: 8164

Emphasizing metallurgical and materials applications of shock-wave and high-strain-rate phenomena, this superb volume presents the work of the leading international authorities who examine the state of the art of explosive and related technologies in the context of metallurgical and materials processing and fabrication.

Fundamentals of Shock Wave Propagation in Solids

Author: Lee Davison

Publisher: Springer Science & Business Media

ISBN: 3540745688

Category: Technology & Engineering

Page: 433

View: 9012

My intent in writing this book is to present an introduction to the thermo- chanical theory required to conduct research and pursue applications of shock physics in solid materials. Emphasis is on the range of moderate compression that can be produced by high-velocity impact or detonation of chemical exp- sives and in which elastoplastic responses are observed and simple equations of state are applicable. In the interest of simplicity, the presentation is restricted to plane waves producing uniaxial deformation. Although applications often - volve complex multidimensional deformation fields it is necessary to begin with the simpler case. This is also the most important case because it is the usual setting of experimental research. The presentation is also restricted to theories of material response that are simple enough to permit illustrative problems to be solved with minimal recourse to numerical analysis. The discussions are set in the context of established continuum-mechanical principles. I have endeavored to define the quantities encountered with some care and to provide equations in several convenient forms and in a way that lends itself to easy reference. Thermodynamic analysis plays an important role in continuum mechanics, and I have included a presentation of aspects of this subject that are particularly relevant to shock physics. The notation adopted is that conventional in expositions of modern continuum mechanics, insofar as possible, and variables are explained as they are encountered. Those experienced in shock physics may find some of the notation unconventional.

Handbook of Shock Waves, Three Volume Set

Author: Gabi Ben-Dor,Ozer Igra,Tov Elperin

Publisher: Elsevier

ISBN: 0080533728

Category: Technology & Engineering

Page: 2102

View: 1772

The Handbook of Shock Waves contains a comprehensive, structured coverage of research topics related to shock wave phenomena including shock waves in gases, liquids, solids, and space. Shock waves represent an extremely important physical phenomena which appears to be of special practical importance in three major fields: compressible flow (aerodynamics), materials science, and astrophysics. Shock waves comprise a phenomenon that occurs when pressure builds to force a reaction, i.e. sonic boom that occurs when a jet breaks the speed of sound. This Handbook contains experimental, theoretical, and numerical results which never before appeared under one cover; the first handbook of its kind. The Handbook of Shock Waves is intended for researchers and engineers active in shock wave related fields. Additionally, R&D establishments, applied science & research laboratories and scientific and engineering libraries both in universities and government institutions. As well as, undergraduate and graduate students in fluid mechanics, gas dynamics, and physics. Key Features * Ben-Dor is known as one of the founders of the field of shock waves * Covers a broad spectrum of shock wave research topics * Provides a comprehensive description of various shock wave related subjects * First handbook ever to include under one separate cover: experimental, theoretical, and numerical results