The acute respiratory distress syndrome (ARDS) is a complex disorder associated with rapidly progressive lung inflammation, non-cardiogenic pulmonary edema, hypoxemic respiratory failure and one or more well-defined risk factors including sepsis and severe trauma. Since its original description in 1967, experimental and clinical evidence has provided considerable insight into the key roles deregulated systemic inflammation and coagulation play in this devastating clinical syndrome. Despite substantial advances in our understanding of the pathogenesis of ARDS, until recently, little progress had been made in uncovering clinical strategies to improve the outcome of patients with ARDS. However, over the past 10 years protective ventilation and other supportive management strategies have been identified that markedly improve the outcome in ARDS. More recently, research has identified patients at risk for the development of the syndrome. Currently, clinical trials are underway.
The story takes place in a small town in Upper New York. Amelia is a private detective, was hired to find her estrange husband Thaddeus, who was the genius behind creating the "Star Wars" missile defense program. This new defense program will stop any missiles from entering in the United States. The Russians have been watching Thaddeus though, and when he found out his family was endanger, he left Julia for another woman. The Russians has kidnapped him with the help of a Russian sleeper working with Thaddeus. Will she find him in time to save him?
Taken from the best of Donna Magazine that can be found at: http: //kakonged.wordpress.com on the Internet comes a book that you can take with you anywhere
The acute respiratory distress syndrome (ARDS) is a complex disorder associated with rapidly progressive lung inflammation, non-cardiogenic pulmonary edema, hypoxemic respiratory failure and one or more well-defined risk factors including sepsis and severe trauma. Since its original description in 1967, experimental and clinical evidence has provided considerable insight into the key roles deregulated systemic inflammation and coagulation play in this devastating clinical syndrome. Despite substantial advances in our understanding of the pathogenesis of ARDS, until recently, little progress had been made in uncovering clinical strategies to improve the outcome of patients with ARDS. However, over the past 10 years protective ventilation and other supportive management strategies have been identified that markedly improve the outcome in ARDS. More recently, research has identified patients at risk for the development of the syndrome. Currently, clinical trials are underway.
My aim is to present Tolstoy's work as he may have understood it himself," writes Donna Orwin. Reconstructing the intellectual and psychic struggles behind the masterpieces of his early and middle age, this major study covers the period during which he wrote The Cossacks, War and Peace, and Anna Karenina. Orwin uses the tools of biography, intellectual and literary history, and textual analysis to explain how Tolstoy's tormented search for moral certainty unfolded, creating fundamental differences among the great novels of the "pre-crisis" period. Distinguished by its historical emphasis, this book demonstrates that the great novelist, who had once seen a fundamental harmony between human conscience and nature's vitality, began eventually to believe in a dangerous rift between the two: during the years discussed here, Tolstoy moved gradually from a celebration of life to instruction about its moral dimensions. Paying special attention to Tolstoy's reading of Rousseau, Goethe, Schopenhauer, and the Russian thinker N. N. Strakhov, Orwin also explores numerous other influences on his thought. In so doing, she shows how his philosophical and emotional conflicts changed form but continued unabated--until, with his religious conversion of 1880, he surrendered his long attempt to make sense of life through art alone.
The essential guide for managers and professionals dealing with difficult workplace conversations "Surviving Dreaded Conversations" gives managers all they need to get through those difficult, face-to-face conversations we all encounter in our office. Whether it's firing an employee, asking for a raise or delivering bad financial news to a client or staff, expert author Donna Flagg shows readers how to stop putting off these uncomfortable conversations and start successfully facing them head-on. Filled with tips, strategies, exercises, and easy-to-memorize scripts for effective preparation, "Surviving Dreaded Conversations" is packed with practical advice to help professionals get through the rough spots in the workplace.
Demystifying the evaluation journey, this is the first evaluation mentoring book that addresses the choices, roles, and challenges that evaluators must navigate in the real world. Experienced evaluator and trainer Donna R. Podems covers both conceptual and technical aspects of practice in a friendly, conversational style. She focuses not just on how to do evaluations but how to think like an evaluator, fostering reflective, ethical, and culturally sensitive practice. Extensive case examples illustrate the process of conceptualizing and implementing an evaluation--clarifying interventions, identifying beneficiaries, gathering data, discussing results, valuing, and developing recommendations. The differences (and connections) between research, evaluation, and monitoring are explored. Handy icons identify instructive features including self-study exercises, group activities, clarifying questions, facilitation and negotiation techniques, insider tips, advice, and resources. Purchasers can access a companion website to download and print reproducible materials for some of the activities and games described in the book.
This Gold Standard in clinical child neurology presents the entire specialty in the most comprehensive, authoritative, and clearly written fashion. Its clinical focus, along with relevant science, throughout is directed at both the experienced clinician and the physician in training. New editor, Dr. Ferriero brings expertise in neonatal neurology to the Fourth Edition. New chapters: Pathophysiology of Hypoxic Ischemic Encephalopathy, Congenital Disorders of Glycosylation, Pediatric Neurotransmitter Diseases, Neurophysiology of Epilepsy, Genetics of Epilepsy, Pediatric Neurorehabilitation Medicine, Neuropsychopharmacology, Pain and Palliative Care Management, Ethical Issues in Child Neurology
School Library Journal Best Books of 2011 Eureka! Silver Honor Books—California Reading Association Capitol Choices 2012 list of Noteworthy Titles for Children and Teens 2012 Notable Children's Books—ALSC The new National Geographic Treasury of Greek Mythology offers timeless stories of Greek myths in a beautiful new volume. Brought to life with lyrical text by award-winning author Donna Jo Napoli and stunning artwork by award-winning illustrator Christina Balit, the tales of gods and goddesses such as Zeus, Aphrodite, Apollo, and Athena and heroes and monsters such as Helen of Troy, Perseus, and Medusa will fascinate and engage children’s imaginations. National Geographic completes the book with embellishments of each story: sidebars for each god, goddess, hero, and monster link the myths to constellations, geography, history, and culture to help young readers connect the stories to real life events, people, and places. A family tree and a “cast of characters” profile page help make relationships between the characters clear, and a mapping feature adds to the fun and fascination. Resource notes and ample back matter directing readers to more information round out this luminous book. Sure to dazzle all those intrigued with the fantastic tales of Greek mythology and enchant new readers, this vibrant book will soon become a family keepsake. National Geographic supports K-12 educators with ELA Common Core Resources. Visit www.natgeoed.org/commoncore for more information.
Provocative . . . articulates the importance of embodied, erotic spirituality to black female subjectivity and empowerment."--Tulsa Studies in Women's Literature "Sets out to reclaim the right of black women to their sexual and erotic expression untainted by the stereotypes and disparagements that have historically confined them."--African American Review "Captures one of the most challenging concerns of scholars who engage black women's literature, culture, and theory: the ongoing quest to locate a form of black female sexual agency that neither withers in the chilly lake of sexual repression nor explodes in the heat of hypersexual stereotypes."--MELUS: Journal of the Society for the Study of the Multi-Ethnic Literature of the United States "Successfully undertakes an analysis of how black women writers have used overlapping narrative depictions of sexuality and spirituality to recast the denigrated black female body and rewrite an empowered and fully actualized black female subject."--Candice M. Jenkins, author of Private Lives, Proper Relations: Regulating Black Intimacy "Weir-Soley speaks with an authority that comes from real knowledge of, investment in, and attention to the details of the African cosmologies and textual complexities she unearths."--Carine Mardorossian, SUNY-Buffalo "The most original and significant contributions are the often brilliant readings of Morrison, Adisa, and Danticat. The work is riveting, both methodologically and critically."--Leslie Sanders, York University Western European mythology and history tend to view spirituality and sexuality as opposite extremes. But sex can be more than a function of the body and religion more than a function of the mind, as exemplified in the works and characters of such writers as Zora Neale Hurston, Toni Morrison, Opal Palmer Adisa, and Edwidge Danticat. Donna Weir-Soley builds on the work of previous scholars who have identified the ways that black women's narratives often contain a form of spirituality rooted in African cosmology, which consistently grounds their characters' self-empowerment and quest for autonomy. What she adds to the discussion is an emphasis on the importance of sexuality in the development of black female subjectivity, beginning with Hurston's Their Eyes Were Watching God and continuing into contemporary black women's writings. Writing in a clear, lucid, and straightforward style, Weir-Soley supports her thesis with close readings of various texts, including Hurston's Their Eyes Were Watching God and Morrison's Beloved. She reveals how these writers highlight the interplay between the spiritual and the sexual through religious symbols found in Voudoun, Santeria, Condomble, Kumina, and Hoodoo. Her arguments are particularly persuasive in proposing an alternative model for black female subjectivity.
Consequences of Consciousness shows how great Russian authors conversed with each other through their fictions as they explored both the limits and the autonomy of subjective consciousness.
Daniel Lewis's legacy as a hugely influential choreographer and teacher of modern dance is celebrated in this biography. It showcases the many roles he played in the dance world by organizing his story around various aspects of his work, including his years at the Juilliard School, dancing and touring with the Jose Limon Company, staging Limon's masterpieces around the world, directing his own company (Daniel Lewis Dance Repertory Company), writing and choreographing operas and musicals, and his years as dean of dance at New World School of the Arts. His life has spanned a particular period of growth of modern and contemporary dance, and his biography gives insight into how the artistic and journalistic perspectives on modern dance were influenced by what was occurring in the broader dance and arts communities. The book also offers rarely seen photographs and interviews with unique perspectives on many dance luminaries.
The third edition of Psychiatric Care of the Medical Patient brings a classic reference text into the twenty-first century. It combines critical scholarship with the voice of expert clinicians who work at the interface of psychiatry with medical specialties. It is meant to be read for pleasure as well as consulted as a reference. The editors have worked with the authors to bring a consistent perspective to the book - one that sees the medical psychiatrist as an agent for bringing a more comprehensive perspective to medical care. Even seasoned and knowledgeable practitioners will find much that is new to them in this book. The volume covers topics in depth that other books in the field may not cover at all, such as the use of herbal and nutritional therapies for medical-psychiatric symptoms and syndromes, and the choice of questionnaires to supplement history-taking. It looks at old topics in a new way: The chapter on the physical examination applies psychometric considerations to the Babinski sign, describes the method and application of quantitative bedside olfactory testing, and discusses smartphone apps to improve the sensitivity of the examination. Psychiatric Care of the Medical Patient, 3rd Edition provides concepts and information to facilitate the dialogue between psychiatrists and general medical specialists - minimizing psychiatric jargon and speaking in the common language of caring and curious physicians.
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