Lyme neuroborreliosis (LNB) designates the nervous system disorders caused by the tick-borne spirochete Borrelia burgdorferi (Bb). The clinical syndromes are usually distinct and are classified as early and the rare late or chronic LNB. Early LNB occurs 3–6 weeks after infection most frequently as a lymphocytic meningoradiculoneuritis (LMR). Symptoms are mainly due to a painful sensory radiculitis and a multifocal motor radiculo-neuritis. Fifty percent have cranial nerve involvement predominantly uni- or bilateral facial nerve palsies. Meningitic symptoms occur primarily in children. Nerve biopsies, autopsies, animal models, and nerve conduction studies showed that the pathology is a lymphocytic perineuritis leading to multisegmental axonal injury of nerve roots, spinal ganglia, and distal nerve segments. Due to meningeal and root inflammation cerebrospinal fluid (CSF) shows lymphocytic inflammation. The only evidence that Bb causes peripheral neuropathy without CSF inflammation is seen in patients with acrodermatitis chronica atrophicans (ACA), a chronic dermatoborreliosis. In the rare chronic or late LNB the pathology and thus the clinical presentation is primarily due to chronic meningitis and meningovascular CNS involvement, whereas the peripheral nervous system is not primarily affected. In early and late LNB the diagnosis is based on a characteristic clinical appearance and CSF inflammation with Bb-specific intrathecal antibody production. Both conditions, but not the ACA-associated neuropathy, respond to antibiotic therapy.
Disorders of the peripheral nerve system (PNS) are heterogeneous and may involve motor fibers, sensory fibers, small myelinated and unmyelinated fibers and autonomic nerve fibers, with variable anatomical distribution (single nerves, several different nerves, symmetrical affection of all nerves, plexus, or root lesions). Furthermore pathological processes may result in either demyelination, axonal degeneration or both. In order to reach an exact diagnosis of any neuropathy electrophysiological studies are crucial to obtain information about these variables. Conventional electrophysiological methods including nerve conduction studies and electromyography used in the study of patients suspected of having a neuropathy and the significance of the findings are discussed in detail and more novel and experimental methods are mentioned. Diagnostic considerations are based on a flow chart classifying neuropathies into eight categories based on mode of onset, distribution, and electrophysiological findings, and the electrophysiological characteristics in each type of neuropathy are discussed.
Disorders of the peripheral nerve system (PNS) are heterogeneous and may involve motor fibers, sensory fibers, small myelinated and unmyelinated fibers and autonomic nerve fibers, with variable anatomical distribution (single nerves, several different nerves, symmetrical affection of all nerves, plexus, or root lesions). Furthermore pathological processes may result in either demyelination, axonal degeneration or both. In order to reach an exact diagnosis of any neuropathy electrophysiological studies are crucial to obtain information about these variables. Conventional electrophysiological methods including nerve conduction studies and electromyography used in the study of patients suspected of having a neuropathy and the significance of the findings are discussed in detail and more novel and experimental methods are mentioned. Diagnostic considerations are based on a flow chart classifying neuropathies into eight categories based on mode of onset, distribution, and electrophysiological findings, and the electrophysiological characteristics in each type of neuropathy are discussed.
Lyme neuroborreliosis (LNB) designates the nervous system disorders caused by the tick-borne spirochete Borrelia burgdorferi (Bb). The clinical syndromes are usually distinct and are classified as early and the rare late or chronic LNB. Early LNB occurs 3–6 weeks after infection most frequently as a lymphocytic meningoradiculoneuritis (LMR). Symptoms are mainly due to a painful sensory radiculitis and a multifocal motor radiculo-neuritis. Fifty percent have cranial nerve involvement predominantly uni- or bilateral facial nerve palsies. Meningitic symptoms occur primarily in children. Nerve biopsies, autopsies, animal models, and nerve conduction studies showed that the pathology is a lymphocytic perineuritis leading to multisegmental axonal injury of nerve roots, spinal ganglia, and distal nerve segments. Due to meningeal and root inflammation cerebrospinal fluid (CSF) shows lymphocytic inflammation. The only evidence that Bb causes peripheral neuropathy without CSF inflammation is seen in patients with acrodermatitis chronica atrophicans (ACA), a chronic dermatoborreliosis. In the rare chronic or late LNB the pathology and thus the clinical presentation is primarily due to chronic meningitis and meningovascular CNS involvement, whereas the peripheral nervous system is not primarily affected. In early and late LNB the diagnosis is based on a characteristic clinical appearance and CSF inflammation with Bb-specific intrathecal antibody production. Both conditions, but not the ACA-associated neuropathy, respond to antibiotic therapy.
NEW YORK TIMES BESTSELLER • One million copies sold! “A deeply spiritual book [that] honors what is tough, smart and untamed in women.”—The Washington Post Book World Book club pick for Emma Watson’s Our Shared Shelf Within every woman there lives a powerful force, filled with good instincts, passionate creativity, and ageless knowing. She is the Wild Woman, who represents the instinctual nature of women. But she is an endangered species. For though the gifts of wildish nature belong to us at birth, society’s attempt to “civilize” us into rigid roles has muffled the deep, life-giving messages of our own souls. In Women Who Run with the Wolves, Dr. Clarissa Pinkola Estés unfolds rich intercultural myths, fairy tales, folk tales, and stories, many from her own traditions, in order to help women reconnect with the fierce, healthy, visionary attributes of this instinctual nature. Through the stories and commentaries in this remarkable book, we retrieve, examine, love, and understand the Wild Woman, and hold her against our deep psyches as one who is both magic and medicine. Dr. Estés has created a new lexicon for describing the female psyche. Fertile and life-giving, it is a psychology of women in the truest sense, a knowing of the soul.
CBC BOOKS CANADIAN FICTION BOOKS TO READ IN FALL 2024 “With a lush, tropical setting, an entrancing protagonist, and swirling ghosts that guide and subvert, Gonzalez has crafted a darkly romantic, immersive world.” — JENNILEE AUSTRIA-BONIFACIO, author of Reuniting with Strangers The House of the Spirits meets Mexican Gothic in a tale of love and betrayal, belonging and exile, and the supernatural forces that pervade life in the Philippines. The secrets of the house are the secrets of the heart. It begins with an act of betrayal that destroys the tenuous bonds of Celestina Errantes’s family. For years afterwards, Celestina longs for an escape from her unhappy home. Then an unexpected gift from her wealthy Lolo offers that chance: a long-forsaken property in Manila’s bohemian district, close to where ladies of the evening ply their trade. It is no place for a proper young woman, but this house, even with its ghosts, makes Celestina feel at home. Celestina tears into life, losing herself in the pleasures of the night, but soon finds that the emptiness within her is not easily filled. When finally a true chance at happiness promises to save her, a sinister voice from the past returns, threatening to destroy it all. A RARE MACHINES BOOK
As Crimson Romance celebrates its first anniversary, we honor those pioneers who helped shape the direction of romance novels for all of us. Suspense, mystery, paranormal activity and love - always love - have been the cornerstone of the genre since the early 1970s. Now we have updated the covers to these classics - but not the words - and reissued these timeless reads to let you relive the thrill of discovering a world of romance all over again. Married at an early age to the handsome, dissolute Sir George Nason, Joy attempted to be a dutiful and loving wife. But the abuses she was forced to suffer at her husband’s hands drove her into the arms of her first lover, with whom she eloped, leaving a storm of scandal behind her. Victim of her own sensuality, she risked scandal and disgrace in an endless quest . . . for love! Sensuality Level: Behind Closed Doors
“Clarissa Harwood's latest is Jane Eyre meets The Secret Garden. A resourceful heroine, a gloomy manor, and a dark secret to uncover—who could ask for anything more? The Curse of Morton Abbey is a terrific gothic romp of a novel!” - KATE QUINN, New York Times bestselling author of The Rose Code Solicitor Vaughan Springthorpe knows perfectly well that Sir Peter Spencer’s offer of employment seems too good to be true: he hires her sight unseen, offering a suspiciously large salary to prepare the sale of Morton Abbey, his crumbling Yorkshire estate. But few people in late-Victorian England will entrust their legal affairs to a woman, and Vaughan is desperate to prove herself. Once at Morton, Vaughan discovers that someone is determined to drive her away. An intruder tries to enter her bedroom at night, gunshots are fired outside her window, and an eerie crying echoes from the uninhabited second floor. Even Netherton, the nearest village, seems odd: the picturesque houses and perfect-looking families are haunted by dark secrets connected to Morton Abbey itself. To complete her work and solve the mystery at the heart of Morton, Vaughan needs the help of Joe Dixon, the handsome gardener, and Nicholas Spencer, her employer’s irascible invalid brother. But with her questions diverted, her progress thwarted, and her sleep disrupted by the crying, will Vaughan escape Morton Abbey with her sanity intact or be cursed by the secrets within?
How much more can 16 year old Kiera take with her parents divorce,and having to move from Portland,Oregon to a small town in Texas,then finding out she comes from a long line of magical witches and now a witch hunter wants her and her mother dead. With the help of her friends they might just win the fight to stay alive.
Romance's roots go deep into literary history, and Crimson Romance is proud to bring you this collection from one of our genre's pioneers: Clarissa Ross. This rare set of classics highlights the surprisingly modern problems that trip up would-be lovers, from career woes to social status, family ties to old flames. Ross takes readers from historic London to 1970s New York City in these ten novels - but always leaves you believing in happily ever after! Venetian Moon Masquerade Eternal Desire So Perilous, My Love Flame of Love A Scandalous Affair Wine of Passion Jennifer by Moonlight A Bridge for Judith Only Make-Believe Sensuality Level: Behind Closed Doors
Game of Thrones was an international sensation, and has been looked at from many different angles. But to date there has been little research into its audiences: who they were, how they engaged with and responded to it. This book presents the findings of a major international research project that garnered more than 10,000 responses to an innovative 'qualiquantitative' questionnaire. Among its findings are: a new way of understanding the place and role of favourite characters in audiences’ responses; new insights into the role of fantasy in encouraging thinking about our own world; and an account of two combined emotions – relish and anguish – which structure audiences’ reactions to controversial elements in the series.
The three neighboring houses on Maine's seacoast seemed lost in the fog, cut off from the rest of the world. The houses belonged to Vera Waters, her aunt, and, now, a strange new family who came shrouded in mystery as deep as the fog. Who were the Harpers? Just two men and a woman who liked the area, as they claimed? If so, why did their first sight of Vera shock them into near silence? And why did Aunt Samantha's astrological readings, usually happy and frequently correct, warn Vera of impending danger?
As Crimson Romance celebrates its first anniversary, we honor those pioneers who helped shape the direction of romance novels for all of us. Suspense, mystery, paranormal activity and love - always love - have been the cornerstone of the genre since the early 1970s. Now we have updated the covers to these classics - but not the words - and reissued these timeless reads to let you relive the thrill of discovering a world of romance all over again. Dashing Lord Andrew Blair swept his bewildered bride deep into his life of decadence on the infamous night they were wed. As the first shock waves of Revolution echoed through France, the disillusioned Lady Enid fled - alone - to Versailles and the arms of her dearest friend. Lady Enid soon found sweet revenge in the arms of Count Armand Beaufaire. But the revolution claimed Armand, even while Enid embraced the tawdry refuge of London’s stage. Soon she would be recruited from her home in England and returned to France: this time as a Royalist spy sent to seek and destroy the Revolution’s most dangerous agent, determined to rescue the only man she ever loved . . . and destined to fight her final battle with the husband who vowed never to let her go! Sensuality Level: Sensual
A patron of the arts offers to help recoup the losses of a young woman's art gallery. After proving his honorable intentions, she couldn't refuse the hospitality of his Long Island mansion, but what did he want in return?
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