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"AbstrakBrain relaxation and prevention from cerebral edema are essential in craniectomy. Osmotherapy with 20% mannitol are generally used to withdraw fluid from the brain parenchyma, however may cause hemodynamic fluctuation, due to increase diuresis. On the other hand 0.5 M hypertonic sodium lactate (HSL) appeared as an alternative of osmotherapy. This study aimed to observe the effect of hypertonic sodium lactate (HSL) on brain relaxation, blood glucose level and hemodynamic variables in craniectomy due to moderate brain injury.Methods: A randomized controlled study of 42 cases with moderate brain injury, aged 18 - 65 years, ASA 1 - 3, between September-November 2012, was carried out. The patients were divided into group M (n = 21) that received 2.5 mL/kg 20% mannitol and group HSL that received 2.5 mL/kg 0.5M HSL. Mean arterial pressures (MAP), central venous pressures (CVP) and urine output were measured after induction, and at 15, 30, 45, 60 min after infusion. Brain relaxation was assessed at a four-point scale after opening the duramater. Blood glucose levels were measured before induction and at 60 min after the infusion. Appropriate statistical tests were used for comparison. Unpaired t-test was used to compare hemodynamic and blood glucose level, and chi-square was used to compare brain relaxation.Results: MAP at 60 minute was significantly higher in HSL group than M group (81.66 ± 7.85 vs 74.33 ± 6.18 mmHg; p = 0.002). There was no difference in brain relaxation (p = 0.988). A significant increase in blood glucose level was observed in group HSL (17.95 ± 11.46 mg/dL; p = 0.001).Conclusion: Half-molar HSL was as effective as 20% mannitol in producing brain relaxation, with better hemodynamic stability and gave significant increase in blood glucose level."

"Providing a critical and incisive examination of community forestry, this is a detailed study of complex issues in local forest governance, community sustainability and grassroots environmentalism. It explores community forestry as an alternative form of local collaborative governance in globally significant developed forest regions, with examples ranging from the Gulf Islands of British Columbia to Scandinavia. Responding to the global trend in devolution of control over forest resources and the ever-increasing need for more sustainable approaches to forest governance, the book highlights both the possibilities and challenges associated with community forestry implementation. It features compelling case studies and accounts from those directly involved with community forestry efforts, providing unique insight into the underlying social processes, issues, events and perceptions. It will equip students, researchers and practitioners with a deep understanding of both the evolution and management of community forestry in a pan-national context."

"This is not a traditional textbook or collection of case studies, but is intended to demonstrate the complex and manifold questions of retail management in the form of 18 lessons that provide a thematic overview of key issues and illustrate them with the help of comprehensive case studies.In the second edition, all chapters were revised and updated. Three new chapters were added to treat topics like online-retailing and multi-channel-strategies as well as the so called verticals in specific chapters. All case studies were replaced by new ones to reflect the most recent developments. Eighteen well-known retail companies from different countries, like Best Buy, IKEA,TK Maxx, Tesco and Decathlon, are now used to illustrate particular aspects of retail management."