Lucy Randall couldn't save her partner, Ragnar, when their mission against a rogue wolf-pack went bad, but she can finish the job and at least honor Ragnar's memory by killing the men who ambushed him. Reaching the investigator who hired her, Smith, seems easy enough -- until she runs into a man with Ragnar's face and twice as much attitude. Axel always thought he would have time to mend fences with his twin brother, until a strange girl with purple hair careens into his life and tells him otherwise. And when it becomes clear Lucy carries other secrets with her, Axel wonders whether inviting her into his life will only destroy what remains of his heart. Can they avenge Ragnar's death and get one step closer to destroying the rogue wolf-pack, or will their hearts grow too heavy to bear?
Established in 1911, The Rotarian is the official magazine of Rotary International and is circulated worldwide. Each issue contains feature articles, columns, and departments about, or of interest to, Rotarians. Seventeen Nobel Prize winners and 19 Pulitzer Prize winners – from Mahatma Ghandi to Kurt Vonnegut Jr. – have written for the magazine.
The 6th International Symposium on Artificial Heart and Assist Devices met in Tokyo in July 1996, bringing together researchers and specialists from around the world. The symposiums proceedings in this volume comprise papers from nine sessions, each opening with contributions by leading scientists: TAH, heart transplantation, biomaterials, VAS, clinical application, pathophysiology, engineering, new approaches, and special sessions. Of special note is the inclusion, for the first time, of pathophysiology related to clinical use of assist devices. The clinical application section includes a paper by Dr. Michael DeBakey on the progress made in recent years. With descriptions of the scientific exhibition, accompanied by photographs of all artificial heart devices and systems displayed by major laboratories and manufacturers, Artificial Heart 6 presents the latest information on developments in the field of artificial heart, biomaterials, and heart transplantation.
This book first describes medical devices in relation to regenerative medicine before turning to a more specific topic: artificial heart technologies. Not only the pump mechanisms but also the bearing, motor mechanisms, and materials are described, including expert information. Design methods are described to enhance hemocompatibility: main concerns are reduction of blood cell damage and protein break, as well as prevention of blood clotting. Regulatory science from R&D to clinical trials is also discussed to verify the safety and efficacy of the devices.
Mechanical Circulatory Support, by Drs. Robert L. Kormos and Leslie W. Miller, provides the clinically relevant information you need to effectively use this therapy to treat and manage end-stage cardiovascular disease. In this Companion to Braunwald’s Heart Disease, the world’s most prominent experts in mechanical circulatory support (MCS) cover basic science, device construction, clinical applications, socioeconomic implications, future directions, and more. Stay on top of hot topics - including innovative devices like continuous flow pumps, next-generation centrifugal pumps, and total artificial hearts; MCS for pediatric and congenital heart disease; cellular, molecular, genomic, and functional changes that occur in the failing heart in response to MCS; and Interagency Registry of Mechanically Assisted Circulatory Support (INTERMACS) as a tool to track and advance clinical practice. Tap into discussions of hot topics in mechanical circulatory support (MCS), including current types of devices and clinical settings for MCS; MCS for pediatric and congenital heart disease; myocardial recovery, regenerative therapy, bleeding and thrombosis with MCS; cellular, molecular, genomic, and functional changes that occur in the failing heart in response to MCS; and Interagency Registry of Mechanically Assisted Circulatory Support (INTERMACS) as a tool to track and advance clinical practice. Get a complete picture of the role of mechanical circulatory support in treatment through coverage of device construction, clinical applications, socioeconomic implications, and future directions. Master the pathophysiology and rationale of treatment with discussions of basic science in addition to clinically-relevant information and current clinical practice guidelines. Apply the expertise of the world’s most prominent leaders in mechanical circulatory support.
First-grade teacher Caroline isn't the kind of girl who goes looking for trouble, but after a trip north to meet single men with her best friend, it seems like trouble finds her. She spends a wild night with a handsome stranger and ends up with a broken heart -- and a few months later, a different kind of surprise. Bear shifter Max didn't expect to have any fun at a mail order bride gathering, but fate had other things in store for him. When Caroline flees the morning after their tryst, he resigns himself to more lonely nights out at the oil fields. Then she comes looking for him, and he realizes there's more going on between them than just a wild night. She can't hide her baby bump like he hides his bear side. He's just getting used to the idea of being a father when the enemy wolf pack starts stirring up trouble. Caroline doesn't understand what Max is hiding, but getting kidnapped by a bunch of strangers and wolves seems like just another day for his family. She isn't ready to raise a kid by herself, but she can't stay at the ranch when there's danger around every corner. How can she have a baby with a guy she barely knows, and one who seems to be hiding something huge? Can she and Max figure it all out before the biggest change of their lives is... delivered?
This book provides a comprehensive overview of mechanical circulatory support of the failing heart in adults and children. The book uniquely combines engineering knowledge and the clinician’s perspective into a single resource, while also providing insights into current and future development of mechanical circulatory support technology, such as ventricular assist devices, the total artificial heart and catheter-based technologies for heart failure. Topics featured in this book include: The history of mechanical circulatory device development. Fundamentals of hemodynamics support. Clinical management of mechanical circulatory devices. Surgical implantation techniques. Current limitations of device therapies in advanced heart failure. Advanced and novel devices in the development pipeline. Opportunities for advancement in the field. Mechanical Support for Heart Failure: Current Solutions and New Technologies is a must-have resource for not only physicians, residents, fellows, and medical students in cardiology and cardiac surgery, but also clinical and basic researchers in biomedical engineering with an interest in mechanical circulatory support, heart failure, and new technological applications in medicine.
A gifted Bible teacher and acclaimed revival speaker shows how saturating one's life with Jesus is the key to restoring love to one's marriage, finding the antidote to fear, discovering hope in the midst of grief, and more.