Übergewicht und Adipositas nehmen weltweit zu: In Deutschland ist die Mehrzahl der Erwachsenen übergewichtig oder adipös, unter den Kindern und Jugendlichen ist es bereits fast ein Viertel. Adipositas bedeutet für die Betroffenen gravierende gesundheitliche Risiken und Probleme, die im Rahmen einer Notfall- oder Krankenhausbehandlung lebensbedrohlich werden können. Die Vielzahl der Begleiterkrankungen und der pathophysiologischen Veränderungen des Atemapparates und des Herz-Kreislaufsystems führen zu einem deutlich erhöhten Risiko perioperativer Komplikationen. Zur Beherrschung dieser Risiken sind spezielle Abläufe und Behandlungsmanagements notwendig: integrierte Konzepte für die präoperative Evaluation, für ein adäquates Atemwegsmanagement mit einer adaptierten Narkoseführung sowie für die Intensivtherapie und Schmerztherapie. Zudem erfordern diese Patienten speziell geschultes Krankenhaus- und Rettungspersonal, geeignetes Equipment sowie eine adäquate bauliche Ausstattung, für die zukünftig alle Krankenhäuser und Gesundheitseinrichtungen sorgen müssen. Dieses Praxishandbuch vermittelt umfassend die Theorie und Praxis der besonderen Voraussetzungen, Konzepte und Strukturen zur Behandlung und Versorgung von übergewichtigen oder adipösen Erwachsenen und Kindern.
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Throughout the fifth edition of the International Forum of Agricultural Robots (FIRA) in December 2020, more than 1,500 farmers, manufacturers, advanced technology suppliers, innovators, investors, journalists and experts from 71 countries around the world gathered to ask questions, share stories and exchange ideas about agricultural robots. This book is a journey into the state of the art of this industry in 2020, and includes 27 agricultural robot information sheets. It is designed to provide a nuanced look at the industry’s most pressing topics, from the overarching impact of the global food crisis to the everyday influence of semi-autonomous tractors on a family-owned farm in France. The book achieves this goal by taking a deep dive into the perspectives shared by FIRA 2020 presenters and panelists.

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PROLOGUE****When a dentist decides to start clinical photography, the first problem he faces is little or no knowledge about what to acquire, which is why this book focuses on transmitting the knowledge necessary for the correct selection of photographic equipment for photography. dental clinic. In modern dentistry, clinical photography has become an essential tool, not only as an auxiliary or complementary instrument, but as a fundamental component in the repertoire of any professional seeking excellence in their profession.****The authors have meticulously structured a comprehensive guide that simplifies the technical and practical dimensions of photographic equipment. This book not only serves as a technical compendium, but also as a catalyst to contemplate the favorable repercussions that clinical photography gives us for its use in various facets of our profession.****From the meticulous selection of camera body and lens to the implements that help us achieve the most benefits, this publication presents a comprehensive and pragmatic perspective that is invaluable to students and dentists of all specialties and levels of practice. competence. The lucidity with which the recommendations and points of view are articulated makes this book accessible to beginners venturing into clinical photography, as well as to experienced people who wish to improve their knowledge of their equipment and methodologies.****The work not only describes the necessary tools, but also provides an insightful and thoughtful analysis of the challenges and obstacles that professionals face when acquiring such equipment. This critical perspective, along with pragmatic suggestions and tangible illustrations, positions this book as an indispensable resource for all dentists who wish to raise the level of their professional practice.****In essence, this book represents a seminal achievement in contemporary dental literature. Its holistic approach, technical precision and articulated exposition make it an essential reference point for professionals seeking to initiate or achieve excellence in clinical photography. Without a doubt, the authors' contributions will have a positive impact on new and old professionals, awakening the enthusiasm and appreciation of all who have the privilege of participating in them.****Paúl Fernando Vergara Sarmiento****Universidad Católica de Cuenca

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The Guide for the evaluation of agroecology proposes an approach and methodological tools to assess, on the one hand, the effects of agroecological practices and systems on the agro-environmental and socio-economic performance of agriculture and, on the other hand, the conditions for the development of agroecology. It aims to help development actors to better design their projects, programmes and public policies in favour of agroecology, to facilitate the creation of references (performance and development conditions) and to support farmers so that they can better evaluate the results of their practices and thus have a decision-making aid. This guide is divided into three parts. The first part presents the general approaches to spot evaluation and monitoring-evaluation. The second part consists of evaluation sheets dealing either with the elements on which agroecology is likely to have effects in the agro-environmental and socio-economic fields, or with the conditions for its development. Finally, the third part offers methodological complements in the form of tool sheets. This book is the result of collaboration between teams from GTAE (Agrisud International, AVSF, Cari and GRET), AgroParisTech, CIRAD, IRD and the Institut Agro Montpellier.

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Transport and energy infrastructures - roads, motorways, railways, inland waterways and high-voltage lines - have been major technical, economic and political markers of progress. But the upheavals caused by climate change and the erosion of biodiversity, to which they have contributed, are turning this perspective on its head. These major lines make it possible to isolate or connect environments, generate new relationships with space and create new landscapes. They hold the promise of transforming our lifestyles, fostering cooperation between stakeholders and creating a more positive relationship between living beings and human constructions, against the backdrop of the challenge of decarbonisation. By mobilising active and creative research, the Ittecop research programme (land transport infrastructures, territories, ecosystems and landscapes) brings together public and private players to improve their actions and knowledge on these subjects. Aimed at infrastructure managers and developers, experts from government departments and consultancy firms, as well as students and researchers, this book examines how infrastructures help to mobilise territories around environmental issues and explores the possibility of a hybridisation of knowledge and practices between ecological and social sciences. It looks at policy tools and how they can be criticised, the environmental assessment procedures for projects, and the 'avoid-reduce-compensate' doctrine. Finally, research on infrastructures is considered as a contribution to the renewal of the management and design of these major developments.

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The book contains data on development of the technologies based on the use of non-stationary electric discharges in plasma jets. Formation of a plasma jet takes place under the effect of non-stationary detonation waves propagating between electrode units. In this case the energy parameters of the plasma can be controlled by a fuel mixture composition, electric potential and geometric characteristics of a device. As a result of interaction with plasma, the treated surface is subjected to pulsed electromagnetic, thermal and elastic-deformation influence. The results of studies of modified layers subjected to pulse plasma treatment are presented. The book describes technologies and equipment that are commercially applied for modification of working surfaces of machine parts and tools. Examples of application of the technologies in metallurgy, mining industry, wood working, machine building and other industrial sectors are given. For engineering and technical workers of machine-building enterprises and institutions specializing in the field of hardening processing of products.

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Milk production and marketing in West Africa is an integral part of the economy and way of life of rural herder and agropastoralist families. They represent a significant socio-economic and environmental challenge for the region. Despite the dynamism of the local milk sector, marked by an increase in the number of mini-dairies, the current supply remains insufficient to meet the increase in demand, which is growing faster than production, particularly in the cities. Family farms remain poorly connected to the market and have little incentive to increase their sales. They also face constraints in organising collection, as well as management and marketing difficulties. This book is intended for managers, promoters and advisers of mini-dairies. It provides information on the processing of dairy products and presents the key points for the development of these structures. It provides information on the processing of dairy products and presents the key points for the development of these structures. In a didactic manner, based on GRET's experience, and combining theory and practice, it provides the elements of understanding necessary for the proper conduct of this activity. This guide is completed by a series of sheets summarising the processing stages of the main dairy products manufactured in West Africa.

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