Despite its relatively narrow focus, it is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared more than 30 years ago, it has remained the classic treatise on the initial approach to abdominal pain. Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high anxiety situation and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 21st Edition, Dr. Silen has again updated the text in a respectful but significant way. He has strengthened its emphasis on pitfalls in the interpretation of CT and ultrasound scans, on misadventures caused by over-reliance on blood tests and radiographs, and on careful history-taking to avoid the costs of inappropriate lab tests. He has also reviewed the data from a randomized clinical trial indicating that patients should receive adequate analgesia while awaiting a definitive diagnosis, a dictum that is contrary to traditional teaching

    

    This Teacher's Resource CD-ROM for Stage 8 gives suggestions for how to introduce concepts in the classroom and how to deal with common misconceptions. A large collection of worksheets offers more ideas for practical and other activities. Answers to all questions in the Coursebook and Workbook, as well as guidance and safety notes for all practical activities, are also included.

    

    

    Covers applied mechanics, strength of materials, hydraulics and fluids mechanics, hydraulic machines, building material irrigation, engineering, public health engineering, and concrete technology.

    Includes chapters on orbital mechanics, spacecraft construction, satellite-path radio wave propagation, modulation techniques, multiple access, and a detailed analysis of the communications link.

    Gopal uses smell to protect the memory of his sister. Journalist Kathy uses her blindness to get a clear picture of human characters. Daniel has a tongue that earns him a living but could also be his downfall. And Jamie learns to balance the benefits of t'ai chi in his search for health and happiness.

    

    Essentials of Orthopaedics & Applied Physiotherapy

    

    PEDERSONThe Unforgettable Psychological ThrillerWinner of the Nobel PrizeEXCERPTS"I opened the window and looked out. From where I was standing I had a view of a clothes, line and an open field. Farther away lay the ruins of a burnt-out smithy, which some labourers were busy clearing away. I leant with my elbows resting on the window-frame and gazed into open space. It promised to be a clear day--autumn, that tender, cool time of the year, when all things change their colour, and die, had come to us. The ever- increasing noise in the streets lured me out. The bare room, the floor of which rocked up and down with every step I took across it, seemed like a gasping, sinister coffin. There was no proper fastening to the door, either, and no stove. I used to lie on my socks at night to dry them a little by the morning. The only thing I had to divert myself with was a little red rocking-chair, in which I used to sit in the evenings and doze and muse on all manner of things." "Yes, it was clear that it was the same man he had driven. He recognized him--and he drove so that the horse's shoes struck sparks as they touched the stones.All through this phase of excitement I had not for one second lost my presence of mind. We pass a policeman, and I notice his number is 69. This number struck me with such vivid clearness that it penetrated like a splint into my brain--69--accurately 69. I wouldn't forget it.I leant back in the vehicle, a prey to the wildest fancies; crouched under the hood so that no one could see me. I moved my lips and commenced to I talk idiotically to myself. Madness rages through my brain, and I let it rage. I am fully conscious that I am succumbing to influences over which I have no control. I begin to laugh, silently, passionately, without a trace of cause, still merry and intoxicated from the couple of glasses of ale I have drunk. Little by little my excitement abates, my calm returns more and more to me. I feel the cold in my sore finger, and I stick it down inside my collar to warm it a little. At length we reach Tomtegaden. The driver pulls up.I alight, without any haste, absently, listlessly, with my head heavy. I go through a gateway and come into a yard across which I pass. I come to a door which I open and pass through; I find myself in a lobby, a sort of anteroom, with two windows. There are two boxes in it, one on top of the other, in one corner, and against the wall an old, painted sofa-bed over which a rug is spread. To the right, in the next room, I hear voices and the cry of a child, and above me, on the second floor, the sound of an iron plate being hammered. All this I notice the moment as I enter.I step quietly across the room to the opposite door without any haste, without any thought of flight; open it, too, and come out in Vognmansgaden. I look up at the house through which I have passed. "Refreshment and lodgings for travellers."It is not my intention to escape, to steal away from the driver who is waiting for me. I go very coolly down Vognmansgaden, without fear of being conscious of doing any wrong. Kierulf, this dealer in wool, who has spooked in my brain so long--this creature in whose existence I believe, and whom it was of vital importance that I should meet--had vanished from my memory; was wiped out with many other mad whims which came and went in turns. I recalled him no longer, except as a reminiscence--a phantom."

    Since then, others with a variety of cancers have reported similar successes. Cameron wanted to find out why such an apparently simple cancer cure--just carrots--works. Based on her extensive reading in scientific journals focused on nutrition and cancer, her ground-breaking book describes the details of the carrot treatment and the scientific evidence for its power. In this book, she shares little-known research that is revolutionizing scientific thinking about cancer and how to treat it. The research comes from the exciting new field of epigenetics--the study of how chemical switching mechanisms in our bodies change the expression of our genes. Our environment, the foods we eat, and the way we live can silence pro-cancer genes or turn them on, set anti-cancer genes on alert or turn them off. Genes aren't our destiny. Neither is cancer. Cancer develops when the body loses its ability to recognize and eliminate rogue cells--cells that take over the body if they don't quit dividing. In some cases--probably many--carrots can restore the body's natural power to regulate growth and kill defective cells. The scientific information in this book could be a life-saver and a beacon of hope for you or someone you know. Equally helpful, it offers the practical knowledge Cameron gained from her journey through cancer and back to health--how to use the internet to research proposed treatments and the quality of hospitals and doctors; how to reduce the cost of cancer care; and how to arrive at individual treatment decisions that are best for you.

    Sufficient information about General Phonetics has been included in the book, with a view to facilitating the reader's understanding of the Phonetics of English. Plenty of examples are given from English, Tamil, Hindi and Urdu/Arabic to illustrate the points made. There are a number of diagrams throughout the book,illustrating the articulation of the sounds of English. The book also includes some information about General Phonology and the Phonology of English. A few sentences, dialogues and a popular tale have been given at the end of the book, both in orthography and in simple phonemic transcription. The book covers the Phonetics/Phonology syllabus of most Indian universities and ELT institutes