Dangerous Heart

Dangerous is back... In this, the fourth of Leslie Thomas's novels about Dangerous Davies, the last detective, Davies has retired from the Metropolitan Police and set up as a private eye. Cases are hard to come by until he is aburptly thrown into two mysteries - the murders of women answering lonely hearts advertisements, and the disappearance of a young girl student, a psychologist and a secret worth millions. But can Davies solve any of the mysteries and will his new career as a private detective be a success? People with the amazing characters that are the trademark of any book by Leslie Thomas, this is a highly original detective story that is as ingenious as it is touching and funny.

The flagship title of the certification suite from the American College of Sports Medicine, ACSM's Guidelines for Exercise Testing and Prescription is a handbook that delivers scientifically based standards on exercise testing and prescription to the certification candidate, the professional, and the student. The 9th edition focuses on evidence-based recommendations that reflect the latest research and clinical information. This manual is an essential resource for any health/fitness and clinical exercise professional, physician, nurse, physician assistant, physical and occupational therapist, dietician, and health care administrator. This manual give succinct summaries of recommended procedures for exercise testing and exercise prescription in healthy and diseased patients.

Caffeine in Food and Dietary Supplements is the summary of a workshop convened by the Institute of Medicine in August 2013 to review the available science on safe levels of caffeine consumption in foods, beverages, and dietary supplements and to identify data gaps. Scientists with expertise in food safety, nutrition, pharmacology, psychology, toxicology, and related disciplines; medical professionals with pediatric and adult patient experience in cardiology, neurology, and psychiatry; public health professionals; food industry representatives; regulatory experts; and consumer advocates discussed the safety of caffeine in food and dietary supplements, including, but not limited to, caffeinated beverage products, and identified data gaps. Caffeine, a central nervous stimulant, is arguably the most frequently ingested pharmacologically active substance in the world. Occurring naturally in more than 60 plants, including coffee beans, tea leaves, cola nuts and cocoa pods, caffeine has been part of innumerable cultures for centuries. But the caffeine-in-food landscape is changing. There are an array of new caffeine-containing energy products, from waffles to sunflower seeds, jelly beans to syrup, even bottled water, entering the marketplace. Years of scientific research have shown that moderate consumption by healthy adults of products containing naturally-occurring caffeine is not associated with adverse health effects. The changing caffeine landscape raises concerns about safety and whether any of these new products might be targeting populations not normally associated with caffeine consumption, namely children and adolescents, and whether caffeine poses a greater health risk to those populations than it does for healthy adults. This report delineates vulnerable populations who may be at risk from caffeine exposure; describes caffeine exposure and risk of cardiovascular and other health effects on vulnerable populations, including additive effects with other ingredients and effects related to pre-existing conditions; explores safe caffeine exposure levels for general and vulnerable populations; and identifies data gaps on caffeine stimulant effects.

We live in perilous times, filled with existential problems and challenges. The fate of humanity hangs in the balance. But, according to author Pastor Kevin “KD” Desmore, the biggest problem is that humankind is choosing to ignore Biblical knowledge, and he believes it will lead to more division and destruction. In The Most Dangerous Problem of Mankind, Desmore addresses this growing issue. He maintains that the Bible is the answer and solution to all our problems. He shares that the most unappreciated verse in the entire Bible is Genesis 1:26. It tells us of who we are, the authority we have and God’s original intent for our lives here on earth. It shows us how we can discover our value and give us a sense of worth before leaving this transient world. Desmore maintains that our purpose is to make the kingdom of God visible here on earth. If we don’t understand the intent of our creator, there’s no way to fix what’s causing us to malfunction. Through the Tell-All book of God, he implores mankind to go back to the Bible, accept Christ and become partakers of his divine nature.

Get expert, step-by-step guidance on a wide variety of both open and interventional cardiac surgical techniques. Atlas of Cardiac Surgical Techniques, 2nd Edition, helps you expand your surgical repertoire and hone your skills with a vividly illustrated, easy-to-navigate text and pearls and pitfalls throughout. This revised atlas covers the surgical procedures you need to master, including minimally invasive techniques, robotic surgery, aortic dissection, and much more. Seven brand-new chapters cover Hybrid Coronary Revascularization, Aortic Valve Repair Techniques, Transcatheter Aortic Valve Replacement, Robotic Mitral Valve Surgery, Surgery for Hypertrophic Cardiomyopathy, Approaches and Techniques to Extra-Corporeal Membrane Oxygenation, and Pulmonary Endarterectomy. Multiple new contributing authors offer a fresh perspective in their areas of expertise. A consistent chapter format guides you quickly from surgical anatomy and preoperative considerations through operative steps and postoperative care. More than 400 full-color images, line drawings, and intraoperative photographs clearly depict the step-by-step progression of procedures.

One of the most time-consuming tasks in clinical medicine is seeking the opinions of specialist colleagues. There is a pressure not only to make referrals appropriate but also to summarize the case in the language of the specialist. This book explains basic physiologic and pathophysiologic mechanisms of cardiovascular disease in a straightforward manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do. It is ideal for any hospital doctor, generalist, or even senior medical student who may need a cardiology opinion, or for that ma.

Be inspired to pray boldly, pray powerfully, pray with passion, and trade ineffective prayers and lukewarm faith for raw, daring prayers that will transform your daily life. Do you ever wonder if God answers your prayers? Do you wish you could see the evidence that prayer changes lives? Do you long for more than playing it safe in your faith? Join New York Times bestselling author Craig Groeschel as he helps you discover the power of authentically communicating with God, breaking out of the restrictive spiritual safety bubble, and expanding your ideas about what's possible with God. The Bible tells us that prayer has the power to move God's heart, but some prayers move him more than others. He wants more for us than a tepid faith and half-hearted routines at the dinner table. God called you to a life of courage, not comfort. In Dangerous Prayers, Groeschel will show you how to pray the prayers that search your soul, break your habits, and send you out to pursue the calling God has for you. But be warned: If you're fine with settling for what's easy, or if you're okay with staying on the sidelines, this book isn't for you. You'll be challenged. You'll be tested. You'll be moved to take a long, hard look at your heart. But you'll be inspired, too. Dangerous Prayers will give you the encouragement and tools you need to: Transform the patterns around your daily prayer life Truly embrace and believe in the power of intentional prayer Start to pray daring, faith-filled, God-honoring, life-changing, world-transforming prayers You'll discover the secret to overcoming fears of loss, rejection, failure, and the unknown, and you'll welcome the blessings God has for you on the other side. But best of all, you'll gain the courage it takes to pray dangerous prayers.

Growing up motherless with an outlaw father made Ginger Freeman hard and unforgiving—and for the past seven years she's been driven by a single goal: to make Grant Kelley pay for letting her brother die. Now that she's tracked the hated doctor to a westward-bound wagon train, her mission of vengeance is nearly completed. But the sense of family and community that suddenly surrounds her is unlike anything Ginger has ever experienced. And under the nurturing eye of Miss Sadie, the outlaw's daughter begins to lose her rough edges. Here, in the company of loving, newfound friends, Ginger feels herself becoming part of something much bigger than revenge. But catastrophe is in the wind when her pa and his gang arrive to infiltrate the wagon train. Will Ginger's new relationship with God tear her away from her family forever . . . and cost her everything she's now begun to hold dear?