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Winner of a HIGHLY COMMENDED AWARD in the Neurology category of the 2012 BMA Medical Book Competition. More than five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people worldwide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of antihypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke and presents current best practice recommendations for this most challenging group of patients.

Evidence in Context: A Trial Evidence Workbook

Disc Track Title Duration Disc 1 1 Kid Gloves 5.40 mins Disc 1 2 The King of Zydeco 3.43 mins Disc 1 3 Middle Name 4.15 mins Disc 1 4 Alexis 4.07 mins Disc 1 5 Empire State Express 5.08 mins Disc 1 6 Ghost Blues 8.01 mins Disc 1 7 Heaven's Gate 5.10 mins Disc 1 8 The Loop 2.23 mins Disc 1 9 Walkin' Wounded 5.09 mins Disc 1 10 Slumming Angel 3.40 mins Disc 1 11 Never Asked You for Nothin' 4.29 mins Disc 1 12 Bowed But Not Broken 3.26 mins

Soldier Herbert Devereux is dismissed and disowned after deserting his post to rescue his half-brother Rupert in the heat of battle. Court-martialled, banished and in disgrace, Herbert is forced to change his name. Twenty years later, the half-brothers encounter each other once again, with unexpected consequences. A riveting tale from author E. Phillips Oppenheim, packed full of drama, suspense, forbidden love, and vengeance.E. Phillips Oppenheim (1866-1946) was a hugely prolific and highly popular British author of novels and short stories. Born in Tottenham, London, Oppenheim left school as a teenager and worked for his leather-merchant father for 20 years prior to launching his literary career. Oppenheim published five novels under the pseudonym ‘Anthony Partridge’ before establishing his reputation as a writer under his own name. An internationally successful author, Oppenheim’s stories revolved mainly around glamourous characters, luxurious settings, and themes of espionage, suspense, and crime. He is widely regarded as one of the earliest pioneers of the thriller and spy-fiction genre as it is recognised today. Oppenheim’s incredible literary success meant that his own life soon began to mirror that of his opulent characters. He held lavish, Gatsby-style parties at his French Villa and was rumoured to have had frequent love affairs aboard his luxury yacht. Oppenheim’s success earned him the cover of Time magazine in 1927. Some of his most well-known novels include ‘The Great Impersonation’, ‘The Long Arm of Mannister’ and ‘The Moving Finger’.

EXKLUSIVA MEDLEMPRISER -Combining the latest medical research with real-life stories from the author's experience with thousands of students, "How Meditation Heals" shows in specific detail how and why meditation improves the natural functioning of the human body. In straightforward, practical terms, this book describes the proven health benefits of meditation for both the body and the mind. It explains how relaxation helps restore equilibrium to the function of the body and how meditation, the art of consciously relaxing, accelerates the process. Much more than simply a guide to understanding the power of meditation, "How Meditation Heals" offers specific applications of meditation for healing both physical and emotional problems. It also features detailed meditation plans for relieving numerous ailments such as hypertension, insomnia, pain, fatigue, migraines, and panic attacks. Format Häftad Omfång 198 sidor Språk Engelska Förlag Ingram International Inc. Utgivningsdatum 2006-02-22 ISBN 9781569755174

EVIDENCE

The clinical management of patients with diabetes is rapidly evolving. Evidence-based Management of Diabetes provides a succinct summary of a range of topics, including areas where there is already well developed evidence for a particular treatment, but also those areas where the evidence is perhaps doubtful or there is some associated controversy or ambiguity. Where possible throughout the book treatment recommendations are given based on the available evidence and practice guidelines. The book also highlights the gaps in evidence where further research is needed. In the practice of diabetes care, there are many issues influencing practitoners currently. This book addresses many of the most pertinent issues concerning delivery of diabetes care. The authors are internationally renowned experts in the field of diabetes care who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with diabetes.

Master detective Fleming Stone returns in ‘A Chain of Evidence’, the third in the mystery novel series by prolific author Carolyn Wells. An attorney in New York City, Otis Landon overhears a commotion in a neighbouring apartment and discovers that his neighbour Robert Pembroke has been brutally murdered in the melee. A mean, miserly old man, Pembroke had no shortage of enemies, but only two people have keys to his apartment – one of whom Otis is falling in love with. With his judgement clouded, Otis calls on Fleming Stone to help crack the case. A thrilling instalment in the mystery series from the popular author.Carolyn Wells (1862-1942) was a prolific American novelist and poet, best known for her children’s literature, mystery novels and humorous verse. Born in New Jersey, following school Wells worked as a librarian where she developed her love of reading, and her first book ‘At the Sign of the Sphinx’ was published in 1896. From 1900 Wells dedicated herself to her literary career, writing over 170 novels in total across a range of genres. Some of her most loved works include the ‘Patty Fairfield’ and ‘Marjorie Maynard’ series for girls, as well as the ‘Fleming Stone’ mystery series for adults. Wells is also well-known for her humorous nonsense verse, and was a frequent contributor of verse to magazines. She published an autobiography ‘The Rest of my Life’ in 1937. Wells died in New York City in 1942.Fleming Stone is a private investigator with a flair for reading books and people. New York police department often resorts to her skills when a crime turns out to be too complicated for them to resolve. Carolyn Wells’ Fleming Stone series follow the eponymous character’s adventures as she solves crimes and mysteries.

Practising evidence-based medicine necessarily depends on the clinician having access to the best evidence available, but in a fast-moving field, keeping up to date with the latest developments is a challenging prospect. In this new volume, leading experts focus on the most important clinical issues associated with the management of lipid disorders, evaluating and interpreting the evidence available to provide the reader with a reliable summary of our current knowledge. Topics covered include therapeutical strategies for managing hereditary lipid disorders, including familial hypercholesterolemia, both in adults and children, and familial combined hypercholesterolemia. The authors also evaluate the evidence for a link between inflammatory disease and cardiovascular risk the metabolic syndrome and the interconnections between dyslipidemias and diabetes. They also look at therapeutic challenges such as the management of patients who are statin resistant, and the control of lipid levels in those suffering renal insufficiency. Tables highlight important data, evidence from trial results and expert reports, and each section concludes with a series of key points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence.  Evidence-based Management of Lipid Disorders provides the busy clinician with a unique analysis of the data supporting current therapies and will help the reader formulate effective strategies for treating their own patients.

A millionaire dies while engaged in sado-masochistic sex with his mistress (Madonna) and she is accused of murdering him with her over-developed sexual desires. Lawyer Frank Dulaney (William Dafoe) takes her case, but also becomes involved with her, a dangerous position to be in when his faith in her innocence is shaken.

The clinical management of patients with epilepsy and the associated medical literature are rapidly evolving. Evidence-based Management of Epilepsy differs from other epilepsy textbooks by focusing specifically on topics where the available evidence is sufficiently well developed to be synthesized into straightforward summaries of proven therapies. When evidence is missing or there is doubt, controversy or ambiguity, the distinguished authors offer treatment recommendations based on practice guidelines or consensus statements that span the gaps in evidence while pointing to those areas where further research is needed. The initial chapters cover critically important aspects of antiepileptic drugs (AEDs) and surgical treatment such as when to start and stop AEDs, how to monitor their effectiveness, special considerations in women who become pregnant, and when to consider surgery to alleviate seizures. The following chapters cover the therapy of seizures when they develop after traumatic brain injury or stroke, and the treatment of concomitant depression and anxiety in patients with epilepsy. The final chapters discuss emerging topics in epilepsy: the treatment of the postictal state, technologies to predict and detect seizures, strategies for closing the treatment gap and sudden unexpected death in epilepsy. The contributors are renowned experts in their fields who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with epilepsy.

N.E.D.: No Evidence Of Disease [CD]

The treatment of hypertension is now evolving into a decision-making process of ever greater complexity. Not only has the range of drugs available increased but so too has our knowledge of the diversity of individual patients responsiveness to therapy, and the need to tailor their treatment with reference to a wide variety of additional factors. In order to provide effective patient care, the clinician needs to be aware of all the options available, but also of the evidence supporting their use and the extent to which that evidence justifies the choices made. In this new volume, leading authorities in their fields draw on the available evidence to provide answers to a series of key clinical questions facing the clinician treating hypertension: Should we treat prehypertension? How does the choice of therapy change in the presence of comorbidities such as obesity, ischemic heart disease, left ventricular hypertrophy, diabetes or cerebrovascular disease? Evidence-based Management of Hypertension provides answers to these and many other questions, as the authors present an expert analysis of the available evidence and offer authoritative recommendations for treatment planning. In each chapter, tables highlight evidence from a variety of sources, and every chapter concludes with a series of key practice points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. For any clinician concerned with the care of the hypertensive patient, this volume will be a valuable aid to treatment planning and long-term management.

A millionaire dies while engaged in sado-masochistic sex with his mistress (Madonna) and she is accused of murdering him with her over-developed sexual desires. Lawyer Frank Dulaney (William Dafoe) takes her case, but also becomes involved with her, a dangerous position to be in when his faith in her innocence is shaken.

Winner of a HIGHLY COMMENDED AWARD in the Surgery category of the 2007 BMA Medical Book Competition. The first edition published in 1999, was described as a longed for addition to the literature , and as a text that cannot be compared with any other book on vascular surgery (Lancet 2000 355: 1918). At the time it was different a book to help busy clinicians sift through surgical research and use it to make sensible decisions for their clinical practice. The challenge for this second edition is to produce something better still. The new edition is larger and more comprehensive, thanks to valuable suggestions from colleagues and reviewers. The text is as accessible as possible, with short chapters, recommendations for management, comprehensive referencing and full colour illustration. It belongs on the shelf, or in the briefcase of everyone who has to treat patients with vascular disease.

Heed Jesus

Soldier Herbert Devereux is dismissed and disowned after deserting his post to rescue his half-brother Rupert in the heat of battle. Court-martialled, banished and in disgrace, Herbert is forced to change his name. Twenty years later, the half-brothers encounter each other once again, with unexpected consequences. A riveting tale from author E. Phillips Oppenheim, packed full of drama, suspense, forbidden love, and vengeance.E. Phillips Oppenheim (1866-1946) was a hugely prolific and highly popular British author of novels and short stories. Born in Tottenham, London, Oppenheim left school as a teenager and worked for his leather-merchant father for 20 years prior to launching his literary career. Oppenheim published five novels under the pseudonym ‘Anthony Partridge’ before establishing his reputation as a writer under his own name. An internationally successful author, Oppenheim’s stories revolved mainly around glamourous characters, luxurious settings, and themes of espionage, suspense, and crime. He is widely regarded as one of the earliest pioneers of the thriller and spy-fiction genre as it is recognised today. Oppenheim’s incredible literary success meant that his own life soon began to mirror that of his opulent characters. He held lavish, Gatsby-style parties at his French Villa and was rumoured to have had frequent love affairs aboard his luxury yacht. Oppenheim’s success earned him the cover of Time magazine in 1927. Some of his most well-known novels include ‘The Great Impersonation’, ‘The Long Arm of Mannister’ and ‘The Moving Finger’.

Body of Evidence (2)

A Chain of Evidence is a detective story by American author Carolyn Wells. This is the third mystery story involving the Sherlock Holmes like detective Fleming Stone who is brought in to solve another mystery. Here we have another locked room mystery this time its an apartment building with but one exit, the front door. The door is chained at 10 p.m., all the windows latched and the only suspects, a young woman and her female servant left in the apartment with the woman s uncle. The next morning, the man is found dead in his bed but its not a natural death, there s a pin stuck in his neck. Mr. Stone, I began, if three persons spent the night in an apartment so securely locked on the inside that there was no possible means of ingress, and if in the morning it was found that one of those three persons had been murdered at midnight, would you say that the guilt must rest upon either one or both of the other two persons? The solution - who knows? Listen and enjoy. A Chain of Evidence was first published in 1907. Audiobook read by Richard Kilmer, running time 7 hours, 17 min. Unabridged full version. Also available as E-Book: ePUB, 65,300 words, average reading time 5 hours, 25 min. Carolyn Wells (1862–1942) was an American author and poet. Carolyn Wells wrote a total of more than 170 books. During the first ten years of her career, she concentrated on poetry, humor, and children s books. However, Carolyn Wells began reading mystery stories written by Anna Katherine Green, and from then on she devoted her writings to puzzling mysteries in a similar vein.

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