eChapters

  Term anesthesia by Dr Oliver Wendell Holmes (1886).
  Anasthesis (Greece Word) – absence of sensation.

History of Animal Anesthesia
  Paracelsus (1540) produced ether and reported it to have a soporific effect on fowl. 
  Sir Humphrey Davy (1800) suggested that N₂O might have anesthetic property. 
  Chloroform was discovered by Liebig in 1831.
  Dr. Horace Wells (1844) discovered the general anesthetic properties of nitrous oxide. 

Arterial diseases are important because of their serious effect on vital organs like brain, heart and kidney. Thrombosis is the most common complication of arterial diseases but hemorrhage and aneurysm formation may occur.

Luxation/Dislocation : It refers to the displacement of opposing articular surfaces of bone. The direction of displacement is described with reference to the distal bone in relation to the proximal bone.

Subluxation : It refers to partial or incomplete dislocation.

Classification
    1.    Acute : Recent occurrence of luxation.
    2.    Chronic : Luxation existing for a long time.
    3.    Recurrent : Reluxation after correction.
    4.    Simple : No open wound is communicating with the joint.
    5.    Compound : Open wound is communicating with the joint.
    6.    Pathological : Dislocation due to any pathological lesion.

Inflammation of the joint is known as arthritis.
Coxitis : Inflammation of hip joint.
Gonitis : Inflammation of stifle joint.
Omarthritis : Inflammation of shoulder joint.
Carpitis : Inflammation of carpal joint.

Sprain : It is defined as a joint injury in which fibers of supporting ligaments of the joint are ruptured by direct or indirect trauma. Depending upon the degree of ligament rupture, sprain can be classified as follows: 

It is defined as the reaction of living tissue to injury which begins following a sub-lethal injury to tissues and ends with complete healing. The purpose of inflammation is to destroy and remove the irritant and to repair the damaged tissue. 

Causes
    1.    Pathogenic organisms: Bacteria, virus, fungi, protozan and parasites.
    2.    Chemical poisons: Acid and alkalies. 
    3.    Mechanical or thermal injuries. 
    4.    Immune reaction: Antigen antibody reaction.

A hernia is the protrusion of an organ through a defect in the wall of the abdominal cavity in which it lies.

Classification
1. On the Basis of Anatomical Site
    Abdominal (umbilical and ventral)
    Diaphragmatic

Burn : Tissue changes due to excessive absorption of heat is known as burns.
Scald : A scald is a burn caused by moist heat and is usually partial thickness.

Etiology
       Dry heat
       Actinic rays (sunburn)
       Irradiation
       Moist heat
       Electricity
       Friction
       Dry heat causes desiccation and charring.

A wound is defined as a breach or disruption in the normal continuity of tissue in any body part. The wounds are mainly caused by physical, chemical or biological insult.

Dissolution in the continuity of bone/cartilage with or without displacement of fractured fragments is known as fracture.

Classification
1. On the Basis of Communication of Fractured Site to the Environment
    a.    Simple fracture : The fracture site does not communicate with the environment. 
    b.    Compound fracture : The fracture site communicates with the environment.  This type of fractures is more prone to infection. 
    c.    Complicated fracture : A closed fracture in which there is considerable injury to important neighboring vessels or nerves or accompanied by the opening of a joint or vascular cavity.

Shock is a life threatening condition which is usually manifested by serious pathophysiological abnormalities. In most cases it is due to poor tissue perfusion with impaired cellular metabolism.

       It is a clinical state resulting from an inadequate supply of oxygen to the tissues or an ability of the tissues to properly use oxygen.

       Shock can also be defined as imbalance between oxygen supply and oxygen consumption. In other words, the delivary of oxygen does not meet the needs of the tissues.

       Shock is a state in which the vital functions of the body are depressed because of acute reduction in cardiac output and effective circulating blood volume.

There is a delicate balance among electrolyte concentrations, body water and acid base status to maintain body homeostasis. Disturbances in homeostasis results in life threatening abnormalities. The aim of fluid therapy is to replace losses and maintain fluid and electrolyte balance in the body.

Sutures or surgical threads : means a material used to hold the edges of tissue in close approximation. 

Objectives
    1.    To facilitate healing. 
    2.    Haemostatic.
    3.    To retain drainage tube and implants. 
    4.    To reduce the size of natural opening.

Sterilization is a process of killing all microorganisms, including bacteria, fungi and their spores, and viruses from animate or inanimate surfaces with the use of either physical or chemical agents. Joseph Lister first gave antiseptic principle in 1867.

Surgical Plan
i. Pre-operative Course of Action 
    a.    Client communication.
    b.    Clinical laboratory evaluation, radiograph, treatment for fluid or blood volume deficits. 

ii. Intra-operative Plan of Action 
    a.    Surgical approach 
    b.    Material and equipment needed 
    c.    Technical and support personnel

Surgery : The branch of medical science which deals with the treatment of injuries, deformities or disease condition by manipulation or operations with the hand. The term surgery is derived from a Greek word – Chirurgia. 
Cheir – Hand 
Ergon – Work 
Veterinary surgery : Veterinary surgery is the surgery which is practiced on animals. 

Abstract

Human resource management (HRM) has experienced a strong evolution. It is necessary to evaluate the design and implementation of personnel policies in order to provide useful information to managers. The objective of HR Audit is to analyze and evaluate the HR policies and their level of fit with the firm’s strategy and the characteristics of human capital. A periodic and systematic audit is very important in order to check the effectiveness and proper implementation of various HR policies in the organization. This chapter will represent various sections where the HR audit can be carried out, what should be the task of auditors, what are the steps/processes that needs to be followed at the time of audit, and various tools for HR Audit and preparation of Audit Report to be used for future references. At the end of this chapter a case study has been presented in order to make the study more effective.

Abstract

The major objective of this chapter is to examine how knowledge management initiative can bring competitive edge and help organizations to compete in a knowledge era. People now viewed as being the most valuable asset and ‘people management’ being a pertinent issue in knowledge management, the pivotal role of HR is being increasingly recognized by the organizations in a knowledge economy. The chapter starts with a discussion on the nature of knowledge management, theory, and process and then explores the role of human resource practices in facilitating the KM process in organizations. The author examines how different HRM practices like talent management, performance management, training and development, fostering trust, reward systems, institutionalizing learning systems and leadership can be linked with the knowledge management process to achieve competitive advantage.

Abstract

This chapter highlights the need of performance appraisal. It discusses various measures and methods of performance appraisal with respect to organizational goals. Performance counseling, when used as a part of performance appraisal is a strong motivational tool for the employees and results in organizational effectiveness. The issue has been discussed from the perspective of employer and employee

Abstract

The professionals carry additional moral responsibilities as compared to the general population and in society the professionals are capable of taking actions and decisions in a situation which the general public cannot take due to the lack of relevant training and knowledge. Ethics are used world-wide in large companies as well as in small businesses. Ethics is required to be promoted in the work place since it gives employees a sense of trust and worth that can help the business and employees succeed. The client places trust in the professional on the basis that the service provided will be of benefit to them. The purpose of this chapter is to study about need of ethics, types of professional ethics, moral principles of professionals and ethical decision making. Further the study is supported by case studies to make the chapter more relevant.