China's green accounting system on shaky ground

High-frequency oscillatory ventilation on shaky ground.

We thought it was impossible. Physiological principles maintained that ventilation at tidal volumes less than the anatomical deadspace should be ineffective (i.e., inspired air not reaching the alveolae). Data from a 1980 study dispelled that myth, showing unequivocally that ventilation with tidal volumes as small as 20 to 30 ml in dogs, a mere fraction of the anatomical deadspace, could mainta...

Commentary: Live telecast surgery on shaky ground.

Shaken Baby Syndrome Diagnosis On Shaky Ground

An epidemic of accusations against parents and baby sitters of Shaken Baby Syndrome is sweeping the developed world. The United States and the United Kingdom are in the forefront of such questionable practice. Brain (mainly subdural, less often subarachnoid) and retinal haemorrhages, retinal detachments, and rib and other bone ‘fractures’ are considered pathognomic. However, the reality of thes...

Chapter 7 Green Accounting

Whether I decide to be a soccer fan, an opera expert or a religious mystic is not a matter I need to coordinate with others; it is the kind of decision that I can take by myself. Think about it and you will find a large number of others decisions that do not require coordination with other people. Indeed, most decisions regarding consumption are best made by the individual doing the consuming. ...

Building COPD care on shaky ground: a mixed methods study from Swedish primary care professional perspective

BACKGROUND Chronic obstructive pulmonary disease (COPD) is a public health problem. Interprofessional collaboration and health promotion interventions such as exercise training, education, and behaviour change are cost effective, have a good effect on health status, and are recommended in COPD treatment guidelines. There is a gap between the guidelines and the healthcare available to people wit...