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In the first book of the Deveraux Trilogy, Danielle discovers a child she thought had died in birth is actually alive. Imagine her surprise to find not one child but three. Robert Deveraux despises Danielle for giving away their children, selling them off like unwanted property, only to discover an awful truth about lies, deceit, and the redemption his mother is desperately seeking. Is love truly everlasting? Can a broken heart be reforged? It may be too much for Dani’s heart.
In this fifth installment of the bestselling Mail Order Bride series, two young couples seek freedom and love amidst slavery-rich Charleston, South Carolina. When nineteen-year-old Benjamin arrives from South Africa, he is scheduled to be sold into slavery--but is set free by a Christian who takes him in as a paid worker. The man's son, Dan Johnson, befriends Benjamin, and the two make plans to start a cattle ranch in Texas. With bold dreams and the support and courage of their mail order brides, they struggle against bigotry and hatred to find their dream of happiness.
This book proposes a novel learning approach that complements and augments the prevailing method of case-based learning. Learning these signs requires the application and integration of the fundamental skills of observation, palpation, percussion, and auscultation, and in more advanced cases, the use of maneuvers performed at the patient’s bedside. The book provides a discussion of the utility of the signs and reviews the mechanism and pathophysiology of related cardiovascular diseases. Each chapter discusses eponymic signs for a variety of cardiovascular diseases such as atherosclerosis, heart failure, hypertension, venothromboembolism, ischemic heart disease, pericarditis, and peripheral vascular disease. Finding a particular sign during the physical examination enhances clinical suspicion for a specific cardiovascular disease, directing physicians to obtain more specific studies to confirm a diagnosis. This should lead to the delivery of more efficient care with the potential benefit of lowering health care costs. Cardiovascular Eponymic Signs: Diagnostic Skills Applied During the Physical Examination is an essential resource for physicians and related professionals, residents, fellows, and graduate students in cardiology, primary care, and internal medicine.
This book provides an ethnography of love-marriages in the late 1990s in Delhi, identifying the ways in which marriage is ever more a pitch of intense political contestation. It bears upon anthropological understandings of marriageability, urban morality, gender, kinship and the study of the individual and the couple in contemporary India.
Whenever the heart is challenged with an increased work load for a prolonged period, it responds by increasing its muscle mass--a phenomenon known as cardiac hypertrophy. Although cardiac hypertrophy is commonly seen under physiological conditions such as development and exercise, a wide variety of pathological situa tions such as hypertension (pressure overload), valvular defects (volume overload), myocardial infarction (muscle loss), and cardiomyopathy (muscle disease) are also known to result in cardiac hypertrophy. Various hormones such as catecholamines, thyroid hormones, angiotensin II, endothelin, and growth factors have also been shown to induce cardiac hypertrophy. Although the exact mechanisms underlying or pathological forrns of cardiac hypertrophy are poorly under the physiological stood, an increase in the intraventricular pressure is believed to represent the major stimulus for the development of cardiac hypertrophy. In this regard, stretching of the cardiac muscle has been shown to induce the hypertrophic response, but the role of metabolic influences in this process cannot be ruled out. Furthermore, different hormones and other interventions in the absence of stretch have been observed to stimulate protein synthesis in both isolated cardiomyocyte and vascular myocyte preparations. Nonetheless, it is becoming dear that receptor as well as phospholipid linked signal transduction pathways are activated in some specific manner depend ing upon the initial hypertrophic stimulus, and these then result in an increase in the size and mass of cardiomyocytes.
Intelligence-Based Cardiology and Cardiac Surgery: Artificial Intelligence and Human Cognition in Cardiovascular Medicine provides a comprehensive survey of artificial intelligence concepts and methodologies with real-life applications in cardiovascular medicine. Authored by a senior physician-data scientist, the book presents an intellectual and academic interface between the medical and data science domains. The book's content consists of basic concepts of artificial intelligence and human cognition applications in cardiology and cardiac surgery. This portfolio ranges from big data, machine and deep learning, cognitive computing and natural language processing in cardiac disease states such as heart failure, hypertension and pediatric heart care. The book narrows the knowledge and expertise chasm between the data scientists, cardiologists and cardiac surgeons, inspiring clinicians to embrace artificial intelligence methodologies, educate data scientists about the medical ecosystem, and create a transformational paradigm for healthcare and medicine. Covers a wide range of relevant topics from real-world data, large language models, and supervised machine learning to deep reinforcement and federated learning Presents artificial intelligence concepts and their applications in many areas in an easy-to-understand format accessible to clinicians and data scientists Discusses using artificial intelligence and related technologies with cardiology and cardiac surgery in a myriad of venues and situations Delineates the necessary elements for successfully implementing artificial intelligence in cardiovascular medicine for improved patient outcomes Presents the regulatory, ethical, legal, and financial issues embedded in artificial intelligence applications in cardiology
The myocardium in heart failure: Cellular and subcellular alterations in the failing human myocardium. H. Just Medizinische Universitatsklinik Freiburg i. Br., Innere Medizin III - Kardiologie, FRG The syndrome of heart failure continues to be a major challenge to clinicians and scientists. Incidence and mortality of the disease are high, the patient is disabled, and is permanently threatened by the high morbidity and mortality. The clinician faces a syndrome of complex pathophysiology. Multiple causes or underlying disorders of the heart have to be differentiated from heart failure itself, which often results in exceedingly difficult diagnoses. Likewise, prognostication meets with difficulties due to problems in separating influences of the underlying disease and the heart failure syndrome itself. In chronic refractory failure annual mortality may exceed 50%. If aortic stenosis or ischemic cardiomyopathy with main stem lesions are present, this percentage may be even higher. The situation becomes particularly threatening to the patient when the reduction in cardiac performance goes along with complex ventricular arrhythmias. Therapy has remained difficult and of limited effectiveness. Major progress was achieved with the introduction of diuretic substances. Of similar importance was the introduction of va so dilating drugs into the treatment of heart failure. The principle of vasodilation has greatly improved our understanding of the disease, and has brought about a major improvement of symptoms, increase of exercise capacity, and reduc tion of mortality. This is especially true for the introduction of the angiotensin converting enzyme inhibitors.
The Directory contains research resumes from the U.S. and other countries.
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