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Contemporary Surgical Management of Liver, Biliary Tract, and
Pancreatic Diseases presents an excellent resource for surgical
residents, hepatobiliary fellows and practicing surgeons interested
in hepatobiliary surgery. This textbook offers a readable, concise
and practical alternative. It is divided into three sections:
liver, biliary tract, and pancreatic diseases. Each section covers
the spectrum of benign and malignant disease. In addition, several
chapters in each section are devoted to surgical techniques. This
textbook should ultimately serve as an essential source for the
rapidly evolving field of hepatobiliary surgery and its
practitioners.
Ellen G. White was a major figure of nineteenth-century American
Christianity although she has not been widely studied or
researched. Shortly after the second coming of Jesus predicted by
the Millerites did not materialize on October 22, 1844, White
became one of the principal leaders of a small remnant group of
disappointed believers. She also began claiming visionary
manifestations. The Sabbatarians, who later came to be known as the
Seventh-day Adventists, gradually accepted White as having the
genuine gift of prophecy and her gift became one of their
distinctive doctrines. How did the early Sabbath-keeping Adventists
become convinced of her prophetic claims? This volume is a
historical examination of the process through which early
Seventh-day Adventists justified and accepted White's prophetic
claims between 1844 and 1889. It evaluates and analyzes the
development of their understanding of the doctrine of the gift of
prophesy in general, and White's gift in particular. In 1844, she
claimed to have received her first vision, and by 1889, the
essential arguments for and against her prophetic gift were in
place. Ellen White's gift of prophecy has remained a controversial
subject within and outside the Seventh-day Adventist denomination.
This analysis provides an important historical context that
illuminates the prophetic claims of Ellen White and the attempts of
her denomination to find a more balanced and informed approach
toward such a complex topic.
Gastrointestinal bleeding is an age-old problem. The original
description of g-
trointestinalbleedingmayhavebeenfromGalenandhisworkconnectingdyspepsia
andmelanoticstool.
Thechangesinourmanagementofgastrointestinalbleeding
overthecenturieshavebeendrivenbynaturalalterationsinthespectrumofdiseases,
expanding our understanding of these diseases and the never ending
advances in
technologyandpharmacologythathaveoccurredrelativetoGIdiseases.
Academic
interestingastrointestinalbleedingpeakedinthelasthalfofthetwentiethcentury
withtheexpandingroleofsurgery,thediscoveryofacid-basedpepticulcerthe-
pies,andtheriseof?exibleendoscopyandculminatedinthedescriptionofh.
pylori as a causative agent for ulcer disease. More recently there
has been a decrease
incidenceinbleedingdiseasesofthegutandthereforeadecreasinginterestinthe
scholarlywritingaboutthesediseases.
Therehasnotbeenamajortextbookwritten
aboutgutbleedinginover10yearsandthereforetheintentionofthistextbookisto
?llthatvoidbyprovidingareviewofacomprehensiveapproachtouppergut,mid,
andlowergutbleeding.
CliniciansatDukeUniversitywhohaveacommoninterestinthegastrointes-
naltracthavecollaboratedintheconstructionofthistext.
Thisefforthasbrought together surgeons, gastroenterologists, and
radiologists, to carefully chronicle the presentation, diagnosis,
and management of modern day causes of gastrointes- nal bleeding.
These co-authors concentrate on some of the latest innovations in
the endoluminal and minimally invasive techniques that characterize
the current approaches to these diseases. Emphasis has been placed
on capsule endoscopy, double-balloon endoscopy, laparoscopic peptic
ulcer surgery, and angiographic diagnosis and management
techniques. The text has been written in such a way
thatthereadercanquicklyreviewaspeci?ccauseofGIbleedingpriortomanaging
ofsuchapatient. Weexpectthistextwillbeusedwiththesameimmediacyasthe
diseasespresent.
Wehopethatthistextprovidesafoundationforlearningformedicalstudents,
interns,residents,andpractitionerswhoencounterthesecriticallyillanddif?cultto
managepatients. Durham,NC,USA AuroraD. Pryor Durham,NC,USA
TheodoreN. Pappas Durham,NC,USA MalcolmStanleyBranch v
Acknowledgment TheeditorswouldliketothankMs.
VirginiaCashforherhelpinthepreparation andcoordinationofthetext.
vii Contents Part I Upper GI Bleeding Stabilization of Patients
Presenting with Upper Gastrointestinal Bleeding. ..3 ErrolL.
BushandMarkL. Shapiro Urgent Workup for Upper Gastrointestinal
Bleeding...13 LorettaErhunmwunseeandSandhyaA. Lagoo-Deenadayalan
Management of Esophageal Variceal Bleeding ...23
KekiBalsaraandLisaPickett Management of Dieulafoy's Lesions ...31
SerainaK. Faes,BrianR. Untch,ClaireEdwards,JohnTurner,
MartinPoleski,andDouglasS. Tyler Management of Bleeding Peptic
Ulcer Disease ...39 JamesC. PadussisandTheodoreN. Pappas Management
of Unusual Sources of Upper GI Bleeding...65
ElisabethTracyandJanetTuttle-Newhall Mallory-Weiss Syndrome...79
JacobN. SchroderandMalcolmS. Branch Management of Bleeding Small
Bowel Tumors...85 KeriE. LunsfordandAuroraD. Pryor Management of
Bleeding from the Bile Duct ...103 CarlosE. MarroquinandBridgetM.
Marroquin Management of Bleeding from the Pancreas...
This book provides a comparative analysis of the processes and
impacts of austerity measures introduced in the field of Local
Public Services (LPS) across Mediterranean Europe. The book
describes and compares the trajectories of austerity, and the types
of effects. It investigates how many (and what kind of) different
responses were given to similar inputs and under the influence of
what factors in order to understand if there are regularities in
the way that the Mediterranean countries adopted and implemented
the austerity measures and how these latter impacted on local
government and LPS management and delivery. The book is a product
of a sub network from the COST Action LocRef IS1207 and analyses
seven countries (Portugal, Spain, Italy, Greece, Croatia, Cyprus
and Albania).
This book provides a comparative analysis of the processes and
impacts of austerity measures introduced in the field of Local
Public Services (LPS) across Mediterranean Europe. The book
describes and compares the trajectories of austerity, and the types
of effects. It investigates how many (and what kind of) different
responses were given to similar inputs and under the influence of
what factors in order to understand if there are regularities in
the way that the Mediterranean countries adopted and implemented
the austerity measures and how these latter impacted on local
government and LPS management and delivery. The book is a product
of a sub network from the COST Action LocRef IS1207 and analyses
seven countries (Portugal, Spain, Italy, Greece, Croatia, Cyprus
and Albania).
Personal observations and philosophy of over 60 years in service to
our country and community. Interesting stories, some wild
adventures, travels across the world, politics and family A great
read for every one
WORLD IN TRANSITION is a book about Life, which, in turn is about
relationships. The earth is a big classroom filled with students
over 6 and one half billion of us.Every day of life is like going
to school, what you get out of life depends on what effort you put
into it. Personal growth comes through the constant increase of
one's self awareness as well as an awareness of the world we live
in. The book will include the subjects of Economics, Political
situations, Ecology, Religions, Education, Marriage, Divorce, Drugs
and Alcohol, and Health.We shall delve into the above with hopes
that we can increase our knowledge and awareness of not only
ourselves but of what is going on in the world of today, and what
are the possible directions and solution that could transpire from
what is happening in our relationships
This is an EXACT reproduction of a book published before 1923. This
IS NOT an OCR'd book with strange characters, introduced
typographical errors, and jumbled words. This book may have
occasional imperfections such as missing or blurred pages, poor
pictures, errant marks, etc. that were either part of the original
artifact, or were introduced by the scanning process. We believe
this work is culturally important, and despite the imperfections,
have elected to bring it back into print as part of our continuing
commitment to the preservation of printed works worldwide. We
appreciate your understanding of the imperfections in the
preservation process, and hope you enjoy this valuable book.
This scarce antiquarian book is a selection from Kessinger
Publishing's Legacy Reprint Series. Due to its age, it may contain
imperfections such as marks, notations, marginalia and flawed
pages. Because we believe this work is culturally important, we
have made it available as part of our commitment to protecting,
preserving, and promoting the world's literature. Kessinger
Publishing is the place to find hundreds of thousands of rare and
hard-to-find books with something of interest for everyone!
Since the development of natural philosophy in Ancient Greece,
scientists have been concerned with determining the nature of
matter's smallest constituents and the interactions among them.
This textbook examines the question of the microscopic composition
of matter through an accessible introduction to what is now called
'The Physics of Elementary Particles'. In the last few decades,
elementary particle physics has undergone a period of transition,
culminating in the formulation of a new theoretical scheme, known
as 'The Standard Model', which has profoundly changed our
understanding of nature's fundamental forces. Rooted in the
experimental tradition, this new vision is based on geometry and
sees the composition of matter in terms of its accordance with
certain geometrical principles. This textbook presents and explains
this modern viewpoint to a readership of well-motivated
undergraduate students, by guiding the reader from the basics to
the more advanced concepts of Gauge Symmetry, Quantum Field Theory
and the phenomenon of spontaneous symmetry breaking through
concrete physical examples. This engaging introduction to the
theoretical advances and experimental discoveries of the last
decades makes this fascinating subject accessible to undergraduate
students and aims at motivating them to study it further.
Methods of Research on Human Development and Families is an
introduction to quantitative and qualitative research methods that
teaches students how to be intelligent and critical consumers of
research on families. This new book has been adapted from the
author team's previous SAGE text, Methods of Family Research, and
includes applications and examples from both family science and
human development research. With a focus on interpreting and
understanding research techniques rather than doing research, this
text illustrates how research on families is conducted and helps
students gain the competence and confidence to effectively read,
interpret, and critique published research reports.
This is a reproduction of a book published before 1923. This book
may have occasional imperfections such as missing or blurred pages,
poor pictures, errant marks, etc. that were either part of the
original artifact, or were introduced by the scanning process. We
believe this work is culturally important, and despite the
imperfections, have elected to bring it back into print as part of
our continuing commitment to the preservation of printed works
worldwide. We appreciate your understanding of the imperfections in
the preservation process, and hope you enjoy this valuable book.
++++ The below data was compiled from various identification fields
in the bibliographic record of this title. This data is provided as
an additional tool in helping to ensure edition identification:
++++ La Nuit Des Noces, Drame En Trois Actes Armand Joseph et Nezel
Overnay (Theodore), Theodore N +++, D ..... P ..... Theodore Nezel
Duvernois, 1826
The Sarbanes-Oxley Act of 2002, PL 107-204 described by some as the
most important and far-reaching securities legislation since
passage of the Securities Act of 1933, 15 USC 77a et seq, and the
Securities Exchange Act of 1934, 15 USC 78a et seq, both of which
were passed in the wake of the Stock Market Crash of 1929. The Act
establishes a new Public Company Accounting Oversight Board which
is to be supervised by the Securities and Exchange Commission. The
Act restricts accounting firms from performing a number of other
services for the companies which they audit. The Act also requires
new disclosures for public companies and the officers and directors
of those companies. Among the other issues affected by the new
legislation are securities fraud, criminal and civil penalties for
violating the securities laws and other laws, blackouts for insider
trades of pension fund shares, and protections for corporate
whistleblowers. This book contains important analyses on the impact
of this Act.
First published in 1993, with a new and updated preface, this book
is based on two years of intensive field study in Kruger National
Park in South Africa. Ted Bailey examines leopard population
characteristics, activity and habitat use patterns, movements,
feeding ecology, and social organization, and provides new
information on leopard mortality, scavenging, and relationships to
other large predators and to humans. Illustrated with photographs,
maps, graphs, charts, and tables. For professional wildlife
biologists, students, and others concerned with the natural history
of large carnivores. Ted Bailey is a retired Kenai National
Wildlife Refuge wildlife biologist who has lived on the Kenai
Peninsula in Alaska for more than 27 years. He is an adjunct
instructor at the Kenai Peninsula College. "Bailey has added a
substantial and high-quality work." Science 1994 264:1004-1005 "The
leopard remains an enigma in conservation. It is a difficult task
for biologists and managers to balance their desires to protect
such a species and also promote systems increasing the values
people place on the species. It may be the mystery and chase that
elevate the value of the trophy, be it fur or photographic. This
book provides clues for many new mysteries around the leopard. J
Wildlife Management 1995 59:191-192 "It represents simply the most
comprehensive treatise on the leopard available to date." Julian C.
Kerbis Peterhans, Center for Evolutionary and Environmental
Biology, The Field Museum
Adolf Hitler declared war on Christianity when he silenced the
Catholic Church with a diplomatic treaty and arranged for a Nazi
Army chaplain to become supreme bishop over the Protestants of
Germany. The "Confessing Church" resisted. Pastors were muzzled,
put under house arrest, jailed, and held for years in concentration
camps. Thousands were drafted and sent to the war to die, while
others were murdered outright. The result was a lack of
"man"-power. Women stepped in. Pastors' wives replaced their absent
husbands in the pulpits, and Theologinnen--theologically trained
women--preached and assumed administration of the orphaned
parishes. Women fought to save their civil rights, and freedoms of
speech, assembly, press, and religion. Some went to jail. Some
died. A social and theological revolution thus erupted when women
stood by the side of men in leadership positions in the church.
The diagnosis and management of gastrointestinal bleeding is
multidisciplinary by nature involving surgeons, gastroenterologist
and radiologists. Due to various pathologies, it involves upper
gut, lower gut and occult bleeding. Gastrointestinal Bleeding: A
Practical Approach to Diagnosis and Management covers all aspects
of bleeding in a systemic approach organized by the site of
bleeding. Elective and emergent bleeding is also covered. This
volume provides a practical text for the practitioner in addressing
patient issues in their practice, with a step by step approach
through appropriate diagnosis and management strategies including
surgical, endoscopic, medical and angiographic techniques, making
this a truly multidisciplinary and disease based text.. Specific
sections in the book are crafted by experts in each topic.
Gastrointestinal Bleeding: A Practical Approach to Diagnosis and
Management provides a ready reference that will help physicians
understand and work through diagnostic and therapeutic dilemmas and
will be of great value to full range of practitioners that manage
patients with bleeding including surgeons, gastroenterologist and
radiologists as well as residents and fellows in these
subspecialties.
This atlas is composed of 31 chapters with authoritative
commentaries and illustrations in a number of surgical procedures
amenable to laparoscopic techniques. The Atlas is a tool that will
simplify and organize surgical thought for the advanced
laparoscopist.
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Titanic
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