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Книги з теми "High-risk equipment"

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1

Barsky, Steven M. Diving in high-risk environments. 4th ed. Ventura, CA: Hammerhead Press, 1999.

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2

Lee, Harvey Shui-Hong. Assessment of potential aerodynamic effects on personnel and equipment in proximity to high-speed train operations: Safety of high-speed ground transportation systems. Washington, D.C: U.S. Dept. of Transportation, Federal Railroad Administration, Office of Research and Development, 1999.

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3

Wong, S. High pressure coolant injection (HPCI) system risk-based inspection guide for Browns Ferry Nuclear Power Station. Washington, DC: Division of Systems Safety and Analysis, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1993.

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4

Office, General Accounting. Defense acquisitions: Despite restructuring, SBIRS high program remains at risk of cost and schedule overruns : report to the Subcommittee on Strategic Forces, Committee on Armed Services, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington 20013): U.S. General Accounting Office, 2003.

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5

Barsky, Steven M. Diving in high-risk environments. 2nd ed. Dive Rescue International, 1993.

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6

Diving in High-Risk Environments. 3rd ed. Hammerhead Pr, 1999.

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7

Barsky, Steven. Diving in High Risk Environments. 4th ed. Hammerhead Press, 2007.

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8

Corporation, Market Intelligence Research, ed. New dimensions in OB/GYN instruments market: Rise in high-risk pregnancies drives market growth. Mountain View, CA: Market Intelligence Research Corp., 1991.

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9

United States. Dept. of Energy. Office of Audit Services., ed. Audit report: Management controls over defense related high risk property. [Washington, D.C.]: U.S. Dept. of Energy, Office of Inspector General, Office of Audit Services, 2008.

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10

High pressure coolant injection (HPCI) system risk-based inspection guide. Washington, DC: Division of Radiation Protection and Emergency Preparatness, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1992.

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11

W, Shier, U.S. Nuclear Regulatory Commission. Division of Systems Safety and Analysis., and Brookhaven National Laboratory, eds. High pressure coolant injection system risk-based inspection guide for Hope Creek. Washington, DC: Division of Systems Safety and Analysis, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1992.

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12

U.S. Nuclear Regulatory Commission. Division of Systems Safety and Analysis. and Brookhaven National Laboratory, eds. High pressure coolant injection system risk-based inspection guide for Hatch Nuclear Power Station. Washington, DC: Division of Systems Safety and Analysis, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1993.

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13

1948-, Gunther W., Travis R, U.S. Nuclear Regulatory Commission. Division of Systems Safety and Analysis., and Brookhaven National Laboratory, eds. High pressure coolant injection (HPCI) system risk-based inspection guide for Quad-Cities station, units 1 and 2. Washington, DC: Division of Systems Safety and Analysis, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1993.

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14

R, Travis, Gunther W. 1948-, U.S. Nuclear Regulatory Commission. Division of Systems Safety and Analysis., and Brookhaven National Laboratory, eds. High pressure coolant injection (HPCI) system risk-based inspection guide for Enrico Fermi atomic power plant, unit 2. Washington, DC: Division of Systems Safety and Analysis, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1993.

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15

M, Villaran, Gunther W. 1948-, U.S. Nuclear Regulatory Commission. Division of Systems Safety and Analysis., and Brookhaven National Laboratory, eds. High pressure coolant injection (HPCI) system risk-based inspection guide for Dresden Nuclear Power Station, units 2 and 3. Washington, DC: Division of Systems Safety and Analysis, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1993.

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16

Dang, Pragya, and Constance D. Lehman. Breast MRI Overview: Imaging Techniques and Equipment, Clinical Uses, Image Interpretation. Edited by Christoph I. Lee, Constance D. Lehman, and Lawrence W. Bassett. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190270261.003.0009.

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Анотація:
Contrast-enhanced breast MRI is a highly sensitive modality for early detection and diagnosis of breast cancer, particularly in high-risk populations. It has also been shown to be superior to mammography in establishing the extent of disease in patients with newly diagnosed breast cancer. This chapter, appearing in the section on breast cancer overview, reviews breast MRI imaging technique, clinical uses, gives an overview of image interpretation, and applied physics. Topics discussed include equipment such as hardware, imaging protocols, patient preparation and positioning, and relevant physics. Additionally, clinical situations where the use of breast MRI is appropriate, systematic review of images, and formulation of final assessment and recommendations in accordance with the ACR BI-RADS imaging lexicon are discussed in this chapter.
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17

Mushambi, Mary C., and Rajesh Pandey. Management of the difficult airway. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0026.

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Failed or difficult intubation is still a major cause of maternal morbidity and mortality. The management of the airway in the pregnant patient requires careful consideration of anatomical and physiological changes, training issues, and situational factors. Despite significant improvements in monitoring and airway equipment, and a reduction in anaesthetic-related maternal mortality, the incidence of failed intubation in the pregnant woman in many units has remained between 1/250 and 1/300. This may result from many factors such as the reduction of the number of caesarean deliveries performed under general anaesthesia which has resulted in limited opportunities to teach airway skills in obstetrics, the increased incidence of obesity, and the rise in maternal age and associated co-morbidities. Improved training and careful planning and performance of a general anaesthetic (i.e. reducing the risk of aspiration; optimum pre-oxygenation, patient positioning, and application of cricoid pressure; and availability of appropriate airway equipment) have the potential to reduce airway-related morbidity and mortality in the pregnant woman. Simple bedside tests such as Mallampati scoring, thyromental distance, neck movement, and ability to protrude the mandible may help to predict a potential difficult airway, particularly when used in combination. Management of a predicted difficult airway requires early referral to the anaesthetists, formulation of an airway management strategy, and involvement of the multidisciplinary team in decision-making. Fibreoptic equipment and skills should be readily available when required. Management of the unpredicted difficult airway should make maintenance of maternal and fetal oxygenation the primary goal. Decision-making during a failed intubation on whether to proceed or wake the patient should involve the obstetrician and ideally be planned in advance. The periods during extubation and recovery are high risk and require preparation and planning in advance.
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18

Frerk, Christopher, and Takashi Asai. The airway in anaesthetic practice. Edited by Michel M. R. F. Struys. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0048.

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Анотація:
This chapter provides a comprehensive review of current airway management set against its historical context and likely future developments in the field. Developments in equipment design are discussed against the background of a short review of the anatomy and physiology relevant to clinical airway management. An exploration of airway devices examines progress in design from the first facemasks and early hands-free delivery systems, through to current second-generation supraglottic airways and the future of providing improved protection against aspiration. Continuing advances in tracheal tube and cuff design are set alongside developments in techniques and equipment for laryngoscopy and possibilities for supplementing capnography in confirmation of correct tube placement within the trachea. The use of newer drugs to facilitate control of airway reflexes is also discussed. The importance of using optimal evidence-based techniques in airway management is highlighted in the reduction of complications. This covers preoperative evaluation of the airway, planning a strategy, induction of anaesthesia, and establishing a clear airway through to safe termination of anaesthesia, emergence, tracheal extubation, and recovery. Techniques for dealing with complications if they arise are described. Drawing on lessons from the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society ‘Major complications of airway management in the United Kingdom’ (NAP4) and the general literature, emphasis is placed on high-risk areas of airway management and areas where the existing knowledge base is not covered in depth in other texts.
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19

Merry, Alan F., Simon J. Mitchell, and Jonathan G. Hardman. Hazards in anaesthetic practice: general considerations, injury, and drugs. Edited by Jonathan G. Hardman. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0044.

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The hazards of anaesthesia should be considered in the context of the hazard of surgery and of the pathology for which the surgery is being undertaken. Anaesthesia has become progressively safer since the successful demonstration of ether anaesthesia in Boston, Massachusetts, United States in 1846 and the first reported death under anaesthesia in 1847. The best estimation of the rate of anaesthesia-related mortality comes from the anaesthesia mortality review committees in Australia and New Zealand, where data have been collected under essentially consistent definitions since 1960, and reports are amalgamated under the auspices of the Australian and New Zealand College of Surgeons. An internationally accepted definition of anaesthetic mortality is overdue. Extending the time for inclusion of deaths from 24 h to 30 days or longer substantially increases estimated rates of mortality. Attribution of cause of death may be problematic. Even quite small degrees of myocardial injury in patients undergoing non-cardiac surgery increase the risk of subsequent mortality, and in older patients, 30-day all-cause mortality following inpatient surgery may be surprisingly high. Patients should be given a single estimate of the combined risk of surgery and anaesthesia, rather than placing undue emphasis on the risk from anaesthesia alone. Hazards may arise from equipment or from drugs either directly or through error. Error often underlies harmful events in anaesthesia and may be made more likely by fatigue or circadian factors, but violations are also important. Training in expert skills and knowledge, and in human factors, teamwork, and communication is key to improving safety.
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20

Mpedi, Letlhokwa George, ed. Santa Claus: Law, Fourth Industrial Revolution, Decolonisation and Covid-19. African Sun Media, 2020. http://dx.doi.org/10.18820/9781928314837.

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The origins of Santa Claus, or so I am told, is that the young Bishop Nicholas secretly delivered three bags of gold as dowries for three young girls to their indebted father to save them from a life of prostitution. Armed with immortality, a factory of elves and a fleet of reindeer, his has been a lasting legacy, inextricably linked to Christmas. Of course, this Christmas looks a little different. Amidst a global pandemic, shimmying down the chimneys of strangers certainly does not adhere to social distancing guidelines. Some borders remain closed, and in some instances, the quarantine period is far too long. After all, he only has 24 hours to spread cheer across the world. As with the rest of us, Santa Claus is likely to get the remote working treatment. The reindeers this year are likely to be self-driving, reminiscent of an Amazon swarm of technology, and the naughty and nice lists are likely to be based on algorithms derived from social media accounts. In the age of the fourth industrial revolution, it is difficult to imagine that letters suffice anymore. How many posts were verified as real before shared? Enough to get you a drone. Fake news? Here is a lump of coal. Will we see elves in personal protective equipment (PPE) and will Santa Claus, high risk because of age and his likely comorbidities from the copious amount of cookies, have to self-isolate in the North Pole? In fact, will there be any toys at all this year? Surely production has been stalled with the restrictions on imports and exports into the North Pole. Perhaps, there is a view to outsourcing, or perhaps, there is a shift towards local production and supply chains. More importantly, as we have done in many instances in this period, maybe we should pause to reflect on the current structures in place. The sanctification of a figure so clearly dismissive of the Global South and to be critical, quite classist must be called into question. From some of the keenest minds, the contributions in this book make a strong case against this holly jolly man. We traverse important topics such as, is the constitution too lenient with a clear intruder who has conveniently branded himself a Good Samaritan? Allegations of child labour under the guise of elves, blatant animal cruelty, constant surveillance in stark contrast to many democratic ideals and his possible threat to national security come to the fore. Nevertheless, as the song goes, he is aware when you are asleep, and he knows when you are awake. Is feminism a farce to this beloved man – what role does Mrs Claus play and why are there inherent gender norms in his toys? Then is the worry of closed borders and just how accurate his COVID-19 tests are. Of course, this brings his ethics into question. While there is an agreement that transparency, justice and fairness, nonmaleficence, responsibility, and privacy are the core ethical principles, the meaning of these principles differs, particularly across countries and cultures. Why are we subject to Santa Claus’ notions of good and evil when he is so far removed from our context? As Richard Thaler and Cass Sunstein would tell you, this is fundamentally a nudge from Santa Claus for children to fit into his ideals. A nudge, coined by Thaler, is a choice that predictably changes people’s behaviour without forbidding any options or substantially changing their economic incentives. Even with pinched cheeks and an air of holiday cheer, Santa Claus has to come under scrutiny. In the process of decolonising knowledge and looking at various epistemologies, does Santa still make the cut?
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