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This unique textbook focuses exclusively on wound healing of the face and neck, integrating scientific principle with state-of-the-art clinical precept. Detailed, step-by-step surgical techniques demonstrate the best methods of repair of tissue. Contemporary healing concepts encompass the structures of the skin, cartilage, bone, nerve, oral mucosa, middle ear mucosa and airway mucosa. The book benefits from the diverse backgrounds and expertise of each of its authors bringing the reader new insights to the question of why some facial and neck wounds heal satisfactorily and others do not. Dr. Hom suggests a holistic approach to surgery of the face and neck that includes the healing process. Future directions for wound healing of the face and neck are also illuminated. The first section describes the healing aspects of the structures of the face and neck the second section addresses common clinical tissue healing problems encountered and methods to treat them. The third section discusses specific therapies used to optimize healing.
Why does Western medicine fail to cure chronic physical and mental illness? Why do so many treatments and drugs work only for a limited time before eventually losing effectiveness or producing harmful side effects?
Dr. Steven Goldsmith's answer is at once counterintuitive and commonsensical: the root of the problem is our combative approach. Instead of resisting and fighting our ailments, we should cooperate with and even embrace them. We should look for and apply treatments that are integrated with the causes of illness, not regard illness as an enemy to conquer.
This "hair of the dog" principle is already widely evident in practice. Take, for example, vaccines and inoculations, which are small doses of the microbes that cause the diseases being prevented; the use of the stimulant Ritalin to calm and ground people with Attention Deficit Hyperactivity Disorder; and radiation, which is both a well-known cause of cancer and a well-known method of treating it. These are just a few of Goldsmith's many examples, which he relays in clear, evocative, and thought-provoking language. Perhaps most compelling of all, he explores reasons why this clearly effective principle is ignored by Western medicine.
Drawing on fascinating case studies and personal experiences from his forty-year career as a medical doctor and psychiatrist-as well as abundant clinical, experimental, and public health data that support his seemingly paradoxical assertion-Dr. Goldsmith presents an exciting, revolutionary approach that will change the way you think about medicine and psychotherapy.¶
Little research expenditure has gone towards the investigation of processes responsible for the corrosion of concrete drinking water infrastructure. One important mode of attack on concrete involves access of corrosive water to underlying reinforcing steel through cracks. Under some circumstances it is known that cracks in the concrete surface can repair themselves through reactions with constituents in the water. This phenomenon has been termed “autogenous healing.”
The objective of this project was to examine the effects of bulk water chemistry on concrete corrosion and autogenous repair of concrete. This project identified that autogenous healing can be controlled by water chemistry, and it can be an effective method of sealing small cracks that initiate in concrete before they develop into larger cracks that can cause failure. When high levels of magnesium and silicon are present this seal can develop high strength. Carbonation of internal surfaces was not detected when cracks were sealed via autogenous healing. In some cases, water permeability and chloride diffusion are impeded by autogenous healing regardless of strength attained.
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