Deep brain stimulation has become an established treatment for advanced Parkinson’s disease. Its postoperative management is a delicate phase, dedicated to finding the optimal balance between stimulation and dopaminergic treatment. Postoperative management can be divided into an acute phase, aimed at the selection of the best stimulation contact, and a stabilization phase, aimed at the progressive adjustment of stimulation parameters and medications. A good knowledge of the electrophysiological anatomy of the target and surrounding structures, of the potential consequences of dopaminergic treatment modifications, and of the time course and interactions between stimulation and medication effects is mandatory for optimal outcome. This chapter focuses on the main strategies for the acute and chronic management of stimulation parameters and medication in the three main nuclei targeted in Parkinson’s disease, namely the subthalamic nucleus, the ventral intermediate thalamic nucleus, and the internal part of the globus pallidus.
Deep brain stimulation targeting the subthalamic nucleus or globus pallidus internus are highly effective for the symptomatic treatment of Parkinson’s disease. The assessment and management of psychiatric issues is relevant to preoperative patient selection and to optimal postoperative outcomes. This chapter reviews the evidence on psychiatric symptoms in the perioperative state including suicidal behaviors, depression, anxiety, mania, apathy, and impulse control disorders.
This book opens from the viewpoint of a four year old child who sees his father leave to fight in World War II and how it affects him. After the war our family moves into a new subdivision made up of all manner of WW II vets. Our house neighbored a five acre dairy farm. When the farm owner dies, the widow makes a bad decision that causes an invasion of rats. After a battle with the rats, the widow begins boarding horses which we were allowed to ride in exchange for caring for them. Our family fell into hard times in the mid-50's, the house was sold, and a move took place to a rural town (Arnold, Mo). The move occurred at a time which placed the author in a unique historical event, the graduation of Fox High School's very first senior class. After Graduation the author served three years in the U.S. Army, twenty six months of it in Germany. He was in Germany when the Berlin Wall was built It was also while the author was in Germany that the he received Jesus Christ as Savior. This book goes on to show what a Radical and beautiful change that Jesus makes in the Author's life to give it meaning and purpose.
Deep brain stimulation has become an established treatment for advanced Parkinson’s disease. Its postoperative management is a delicate phase, dedicated to finding the optimal balance between stimulation and dopaminergic treatment. Postoperative management can be divided into an acute phase, aimed at the selection of the best stimulation contact, and a stabilization phase, aimed at the progressive adjustment of stimulation parameters and medications. A good knowledge of the electrophysiological anatomy of the target and surrounding structures, of the potential consequences of dopaminergic treatment modifications, and of the time course and interactions between stimulation and medication effects is mandatory for optimal outcome. This chapter focuses on the main strategies for the acute and chronic management of stimulation parameters and medication in the three main nuclei targeted in Parkinson’s disease, namely the subthalamic nucleus, the ventral intermediate thalamic nucleus, and the internal part of the globus pallidus.
Deep brain stimulation targeting the subthalamic nucleus or globus pallidus internus are highly effective for the symptomatic treatment of Parkinson’s disease. The assessment and management of psychiatric issues is relevant to preoperative patient selection and to optimal postoperative outcomes. This chapter reviews the evidence on psychiatric symptoms in the perioperative state including suicidal behaviors, depression, anxiety, mania, apathy, and impulse control disorders.
In this third absolute collection of the bestselling original series WITCHBLADE, NYC Detective Sara Pezzini is back from her foray into the Underworld. As she emerges with FULL power over the Witchblade and makes her final attempt to banish the creatures back to the underworld from whence they came, she is also given a clue as to the true nature of the Witchblade. Collects WITCHBLADE #37-57, DESTINY’S CHILD #1-3, and WITCHBLADE/LADY DEATH #1
The only official, comprehensive reference guide to the CISSP All new for 2019 and beyond, this is the authoritative common body of knowledge (CBK) from (ISC)2 for information security professionals charged with designing, engineering, implementing, and managing the overall information security program to protect organizations from increasingly sophisticated attacks. Vendor neutral and backed by (ISC)2, the CISSP credential meets the stringent requirements of ISO/IEC Standard 17024. This CBK covers the new eight domains of CISSP with the necessary depth to apply them to the daily practice of information security. Written by a team of subject matter experts, this comprehensive reference covers all of the more than 300 CISSP objectives and sub-objectives in a structured format with: Common and good practices for each objective Common vocabulary and definitions References to widely accepted computing standards Highlights of successful approaches through case studies Whether you've earned your CISSP credential or are looking for a valuable resource to help advance your security career, this comprehensive guide offers everything you need to apply the knowledge of the most recognized body of influence in information security.
Discover the secret origins of the Triceratons: how they began on Earth, what that means for their return, and how they successfully rebelled against their Utrom captors! Plus, the Turtles fight to save their city, but become trapped in tight quarters when NYC is evacuated. Will they find a way to freedom without driving each other crazy? Then, Raphael and Alopex go undercover at Null Industries. They find more than they bargained for, including very angry mutants! Collects issues #16-20.
Anatomical localization skills based in physical examination are essential for any clinician caring for patients with neurologic disease processes. Now fully revised and up to date, Localization in Clinical Neurology, 8th Edition, uses easy-to-read descriptions, full-color illustrations and videos to help readers understand and locate the source of a patient’s signs and symptoms. This gold standard text now features dozens of clinical videos that help clinicians improve diagnostic accuracy and avoid unnecessary testing.
This volume provides an introduction to all the clinical topics required by the trainee psychiatrist. It emphasizes an evidence-based approach to practice and gives full attention to ethical and legal issues.
Collects Avengers: War Across Time (2023) #1-5. Journey back to the Avengers' earliest days! Eisner Hall of Famer Paul Levitz, known for his storied career at DC Comics, writes his first-ever Marvel story - a love letter to Avengers history - together with fellow superstar Alan Davis! Kang the Conqueror has targeted the classic Avengers team in a showdown that will span centuries - but what will Thor, Iron Man, Captain America, the Wasp and Giant-Man learn about the team's future? From battling the Hulk on the streets of NYC and invading the Fantastic Four's Baxter Building to facing the menaces of the Asgardian dwarves and the Lava Men, Earth's Mightiest Heroes must field every threat Kang throws their way - but despite their courage and heroism, will they ultimately be lost to the swirling mists of time?
Neuroleptic malignant syndrome (NMS) and other hyperthermic conditions are rare complications of antipsychotic drugs that can cause discomfort, disability, and even death. As a result, every psychiatrist, physician, and mental health care professional needs to understand and identify these disorders in time to prevent a fatal outcome. Neuroleptic Malignant Syndrome and Related Conditions is an important tool for clinicians, outlining a framework for understanding, diagnosing, treating, and preventing these little-understood disorders. This new edition extensively updates and revises the first edition, integrating an explosion of findings that have occurred since the earlier edition was published in 1989. In addition to NMS, chapters focus on antipsychotic drug-related heatstroke, hyperthermia associated with other neuropsychiatric drugs, and malignant catatonia, as well as A new chapter on serotonin syndrome, the first comprehensive review to appear in the world literature. With the proliferation of serotonergic drugs such as Selective Serotonin Reuptake Inhibitors (SSRIs), the incidence of adverse reactions is on the rise, and this information will help practitioners spot early warning signals. Important information on thermoregulatory mechanisms to help clinicians understand the pathogenesis of hyperthermic conditions. With an understanding of the basic mechanisms underlying these conditions, practitioners will develop more effective strategies for recognition, diagnosis, and treatment. Written by four internationally renowned authorities on NMS, Neuroleptic Malignant Syndrome and Related Conditions is the most comprehensive resource on the subject in existence. With nearly 850 citations in the reference section, it is a must for researchers -- and for practitioners who need a practical approach based on the most current science.
Industries, regulators, and consumers alike see cybersecurity as an ongoing challenge in our digital world. Protecting and defending computer assets against malicious attacks is a part of our everyday lives. From personal computing devices to online financial transactions to sensitive healthcare data, cyber crimes can affect anyone. As technology becomes more deeply embedded into cars in general, securing the global automotive infrastructure from cybercriminals who want to steal data and take control of automated systems for malicious purposes becomes a top priority for the industry. Systems and components that govern safety must be protected from harmful attacks, unauthorized access, damage, or anything else that might interfere with safety functions. Automotive Cybersecurity: An Introduction to ISO/SAE 21434 provides readers with an overview of the standard developed to help manufacturers keep up with changing technology and cyber-attack methods. ISO/SAE 21434 presents a comprehensive cybersecurity tool that addresses all the needs and challenges at a global level. Industry experts, David Ward and Paul Wooderson, break down the complex topic to just what you need to know to get started including a chapter dedicated to frequently asked questions. Topics include defining cybersecurity, understanding cybersecurity as it applies to automotive cyber-physical systems, establishing a cybersecurity process for your company, and explaining assurances and certification.
With Pantheon High out of commission, Aziza and Yukio must attend Gilgamesh High, home to their greatest rival demigods. But when Yukio is getting beaten up, Ketan - the demigod of bad luck - comes along and offers his help and protection. Will being friends with the bad luck demigod bring Yukio good luck? Meanwhile, Griffin manages to tag along when the Valkyries escort Grace to Valhalla...
Glane Breld conned billions when he turned over the planet Heist to the Pan-Galactic goverment. Now he's going to steal it back. Of course he's a fugitive, and everyone wants him dead, but Glane won't let the little things in his way. GLANE HAS GOT A PLANET TO STEAL. NO BIG DEAL. JUST DON'T GET IN HIS WAY. Welcome to planet Heist! It's the cutthroat capital of the entire Nehring System, home to billions of the worst men and women in the galaxy. The Pan-Galactic government has no idea what to do with the planet, but conman Glane Breld and his band of thieves know exactly what to do with Heist—they're going to steal it. It’s Ocean’s Eleven in space, brought to you by writer Paul Tobin (Colder and Bandette) and Arjuna Susini (The Replacer)—the only minds crazy enough to steal an entire world. Collects the complete eight issue series.
The 6th Edition of the indispensable Textbook of Interventional Cardiology, by Drs. Eric Topol and Paul S. Teirstein, offers you comprehensive, seasoned clinical advice on all aspects of this rapidly evolving subspecialty. You’ll find balanced, expert perspectives on the scientific and clinical advances established over the last few decades so you can better decide which procedures deliver optimal results in any given situation. You’ll also get an updated look at promising new techniques like transcatheter aortic valve implantation; new interventional approaches for left mainstem disease and thrombus-containing lesions; transradial intervention; and optical coherence tomography (OCT). At www.expertconsult.com you can access the complete contents of the book, plus additional case discussions and procedural videos to enhance your knowledge and skills. Rely on Dr. Topol’s premier text to provide unmatched leadership in the ever-evolving practice of interventional cardiology. Achieve the best outcomes for your patients with dependable, objective advice on both proven and emerging procedures and devices. Perform effective interventions for heart disorders with the expert guidance of leading authorities who offer a fresh and balanced perspective on all aspects of interventional cardiology. Keep up with emerging procedures including transcatheter aortic valve implantation (TAVI), transradial intervention, and optical coherence tomography (OCT), as well as new interventional approaches for left mainstem disease and thrombus-containing lesions. Stay current with the latest genetic information and clinical trials. Search the complete text plus additional case discussions, download all the images, and watch procedural videos online at www.expertconsult.com.
It's a normal, quiet day at Empire State University, filled with lots of lectures and higher education - until a fistfight breaks out! A big one! And Doreen Green gets a new Flying Squirrel suit from a mystery benefactor that would render her even more unbeatable, if such a thing was scientifically possible! But a new super villain in town wants to mold Squirrel Girl into the perfect minion. Gasp at a secret invasion of character motivations! Thrill at a civil war of emotions! Boggle as monsters truly get unleashed and Doreen's fate hangs in the balance! Also, machine-gun-wielding bears! It's squirrels and girls and punching, oh my! Plus: When Squirrel Girl goes to the Negative Zone, it's up to Koi Boi, Chipmunk Hunk and Brain Drain to keep the city safe. Uh-oh! Collecting UNBEATABLE SQUIRREL GIRL (2015B) #17-21.
The Schrdinger equation is the master equation of quantum chemistry. The founders of quantum mechanics realised how this equation underpins essentially the whole of chemistry. However, they recognised that its exact application was much too complicated to be solvable at the time. More than two generations of researchers were left to work out how to achieve this ambitious goal for molecular systems of ever-increasing size. This book focuses on non-mainstream methods to solve the molecular electronic Schrdinger equation. Each method is based on a set of core ideas and this volume aims to explain these ideas clearly so that they become more accessible. By bringing together these non-standard methods, the book intends to inspire graduate students, postdoctoral researchers and academics to think of novel approaches. Is there a method out there that we have not thought of yet? Can we design a new method that combines the best of all worlds?
Sit on the couch. Speak. Engage in witty banter and share ideas with friends who really understand your predicaments. Sounds like the perfect cafe. Especially if you're a dog. Pooch Cafe is the home away from home for Poncho and his canine buddies. No Collar, No Service marks the second collection of the hip hit strip Pooch Cafe, named for the place where Poncho, Boomer, and the rest of their pals regularly gather to discuss life among the humans and to hatch their plans to catapult all the world's cats into space. But you won't find this spot on Main Street. Its actual location is a canine secret compromised just once when they tried to get a pizza delivered. Poncho is as passionate about his love for his master, Chazz, as he is about his distaste for kitties. When Poncho and Chazz move in with Carmen and her medley of cats, Poncho pals up with "Fish," a goldfish who conveniently speaks dog, to learn the lay of the land. Poncho views his master's new life as a threat to the sacred man-dog bond, despite Carmen's efforts to make peace with Poncho using love, tenderness, and cheese. Good thing there's always the gang at the cafe. No Collar, No Service is the saga of a strip that captures the intensity of the human-dog bond in a way that resonates with pet lovers everywhere.
135-Pages! Collects ALPHA GIRL #1-5 What happens when a third rate cosmetics company accidentally creates a pheromone that transforms the female population into man eating monsters? Enter the world of Alpha Girl, and follow Judith Meyers on her quest to survive and rescue her little brother from the vaginapocalypse.
Collects three standalone Plants vs. Zombies graphic novels into one deluxe boxed set! Also includes an exclusive, double-sided poster with a new piece of never-before-seen art by fan-favorite artist Ron Chan on the slipcase! Constructionary Tales gives a behind-the-scenes look at the ridiculous plans of the zombie army, as Dr. Zomboss proudly leads around a film crew from the Zombie Broadcasting Network. Zomboss tries to invade the dreams of the residents of Neighborville in Dream a Little Scheme, and in Faulty Fables, the zombie scientist continues his unfair fight by lulling the whole town to sleep with his stupefying twists on traditional fairy tales! Three action-and-humor-filled adventures!
Granted superhuman abilities via cybernetic implants, they were created to be the pawns of a corrupt and evil corporation. Free and united against their creators, they are known as Cyberforce.
Disturbed by his own nightmares, Dr. Zomboss invents a machine that allows him to enter the dreams of Neighborville's citizens. Zomboss hopes to hypnotize humans, using their dreams, into liking and approaching zombies instead of fearing them and running away. Brainwashed and dream-influenced citizens galore need Crazy Dave, his army of powerful plants, his genius niece Patrice, and neighborhood friend Nate to steer them in the correct direction--away from zombies! Eisner Award-winning writer Paul Tobin (Bandette, Genius Factor) collaborates with artist Christianne Gillenardo-Goudreau (Plants vs. Zombies: Better Homes and Guardens, Plants vs. Zombies: Multi-ball-istic) for a brand-new Plants vs. Zombies original graphic novel!
Thatababy is always coloring outside the lines. And on the furniture. And the walls. And on himself. With a magic marker in his hand, the whole world is Thatababy’s canvas. In this e-book only collection of cartoons from Paul Trap, Thatababy explores artistic pursuits ranging from creative at-home macaroni art (perfect for bejeweling Dad’s ties), to the indoor uses for outdoor chalk (works on upholstery just as well as sidewalks), to the number of colors that can be made using only ingredients from the fridge. (Hint: All of them.) Featuring the clean art and buoyant humor that earned the strip critical acclaim and a finalist’s spot in Amazon’s Comic Strip Superstars contest, Thatababy is the brainchild of Paul Trap, a freelance computer graphics illustrator and editorial cartoonist for Baseball America magazine.
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