Since the time of pre-history, carpetmakers tie intricate knots to form carpets for the court of the Emperor. These carpets are made from the hairs of wives and daughters; they are so detailed and fragile that each carpetmaker finishes only one single carpet in his entire lifetime. This art descends from father to son, since the beginning of time itself. But one day the empire of the God Emperor vanishes, and strangers begin to arrive from the stars to follow the trace of the hair carpets. What these strangers discover is beyond all belief, more than anything they could have ever imagined... Brought to the attention of Tor Books by Orson Scott Card, this edition of The Carpet Makers contains a special introduction by Orson Scott Card. At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.
Since the time of pre-history, carpetmakers tie intricate knots to form carpets for the court of the Emperor. These carpets are made from the hairs of wives and daughters; they are so detailed and fragile that each carpetmaker finishes only one single carpet in his entire lifetime. This art descends from father to son, since the beginning of time itself. But one day the empire of the God Emperor vanishes, and strangers begin to arrive from the stars to follow the trace of the hair carpets. What these strangers discover is beyond all belief, more than anything they could have ever imagined... Brought to the attention of Tor Books by Orson Scott Card, this edition of The Carpet Makers contains a special introduction by Orson Scott Card. At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.
Yet the unprecedented buildup of border policing has taken place in an era otherwise defined by the opening of the border, most notably through NAFTA. This contrast creates a borderless economy with a barricaded border.".
The need for procedural sedation is extensive and on the increase in numbers of patients. Minor treatments or diagnostic procedures are being performed with inadequate sedation or even without any sedatives or analgesics. Also, sedation techniques that support advanced, high-quality, in-patient care procedures representing easy performance and rapid recovery are requested for increased effectiveness. In this doctoral thesis, patient-controlled sedation (PCS) using propofol and alfentanil for surgical and diagnostic procedures was studied. The overall aim was to study aspects of safety, procedural feasibility and patients’ experiences. The main hypothesis was that PCS using only propofol is a safe and effective method for the induction and maintenance of moderate procedural sedation. The studies included were prospective, interventional, and in some cases, randomized and double-blinded. Data on cardiopulmonary changes, level of conscious sedation (bispectral index and Observer’s assessment of alertness/sedation [OAA/S]), pain, discomfort, anxiety, nausea (visual analogue scales), interventions performed by nurse anaesthetists, surgeons’ evaluation of feasibility, procedure characteristics, recovery (Aldrete score) and pharmacokinetic simulation of concentrations of drugs at the effect site supported the analysis and comparison between PCS and anaesthetist-controlled sedation and propofol PCS with or without alfentanil. PCS can be adjusted to cover a broad range of areas where sedation is needed, which, in this thesis, included burn care, gynaecological out-patient surgery and endoscopic procedures for the diagnosis and treatment of diseases in the bile ducts (endoscopic retrograde cholangiopancreatography [ERCP]). PCS for burn wound treatment demands the addition of alfentanil, but still seems to be safe. PCS was preferred by the patients instead of anaesthetist-controlled sedation. The addition of alfentanil to PCS as an adjunct to gynaecological surgical procedures also using local anaesthesia increases the surgeon’s access to the patients, but impairs safety. Apnoea and other such conditions requiring interventions to restore respiratory function were seen in patients receiving both alfentanil and propofol for PCS. Patients’ experiencing perioperative pain and anxiety did not explain the effect-site concentrations of drugs. Different gynaecological procedures and patients’ weights seemed to best explain the concentrations. For discomfort and pain during the endoscopic procedure (ERCP), propofol PCS performs almost the same as anaesthetist-performed sedation. Overall, as part of the pre-operative procedures, PCS does not seem to be time-consuming. In respect to the perioperative perspective, PCS supports rapid recovery with a low incidence of tiredness, pain, and post-operative nausea and vomiting (PONV). The data suggest that PCS further needs to be adapted to the patient, the specific procedure and the circumstances of sedation for optimal benefit and enhanced safety.
This book is the first to present a comprehensive theory of non-canonical questions, those question types that do not (only) request information from the addressee, but rather (additionally) tell us something about the speaker's epistemic and/or emotional state, such as can't-find-the-value questions, echo questions, rhetorical questions, and surprise questions. While much recent research has explored the formal semantics and the phonetics and phonology of both canonical and non-canonical questions, the literature is still lacking a comprehensive account from a syntax-pragmatics perspective that brings together the multiple findings and strands of research from the last twenty years. The standard view in the syntax-pragmatics literature is that most special interpretations of non-canonical questions involve syntactic projections at or even above the level of illocutionary force. In this work, Andreas Trotzke argues that this approach is a mistake, and proposes a new alternative theory of non-canonical questions in which both their special pragmatics and their syntax, as well as in many cases their emotive component, can be derived solely from propositional-level operators that do not affect the illocutionary level of utterances and can be found across illocutionary forces. This account dramatically simplifies the syntactic analysis of non-canonical questions and is also able to capture some previously unobserved data in the discourse behavior of those question types.
What would you do if you were the richest person in the world overnight? Yesterday John Fontanelli was just a pizza delivery guy in New York City. One day later he’s the richest man in the world. One trillion dollars: $1,000,000,000,000! More money than anyone could imagine. For generations the Vacchis, an old Italian family of lawyers and asset managers, had supervised the fortune as it grew over five hundred years, until one particular date that the benefactor had stipulated in his will. The youngest male descendant would be fated to oversee the fortune for the good of humanity. John relishes his new life of luxury, rubbing elbows with royalty, buying up corporations, fielding a flood of beautiful women - until one day the phone rings, and a mysterious stranger tells the trillionaire that he knows what dirty secrets lie behind the fortune... Bestselling author Andreas Eschbach's »One Trillion Dollars« is a thriller that pits morality and choice against the lust for material goods - at any cost. This novel inspired the Paramount+ television series "One Billion Dollars".
Christopher Kidd ist auf der Flucht vor der Kohärenz, einer Gruppe von Leuten, deren Gehirne duch einen Chip zusammengeschlossen sind. Zusammen mit Serenity, Kyle und ihrem Vater plant er Widerstand. Ab 14.
This will help us customize your experience to showcase the most relevant content to your age group
Please select from below
Login
Not registered?
Sign up
Already registered?
Success – Your message will goes here
We'd love to hear from you!
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.