Snowed in on Christmas Eve in her remote Maine cottage, Lisette Quentin was grateful for the peaceful and quiet break from her hectic life. It was just what she needed, but what she wanted was another matter. There was only thing on her Christmas wish list, a sexy hunk with a heart of gold who was crazy about her and knew how to satisfy her. Too much to hope for, she knew. But on Christmas, magic can happen and anything is possible. When Thane Saxton, who fills the job description to a tee, walks for miles through the drifting snow and shows up on her doorstep, wet and cold after a snowmobile accident, first Lisette gets him out of those wet clothes. And after the power goes out, he gives her what she wants and much more, more than she ever dreamed. Snowbound in Maine is an erotic Christmas romance about one man and one woman wrapped up in each other. This story has sexually explicit content. 1. Language: English. Narrator: Lila Fallon. Audio sample: http://samples.audible.de/bk/acx0/003856/bk_acx0_003856_sample.mp3. Digital audiobook in aax.
Snowed in while a storm dumps three feet of snow on her house in Maine, Alyssa Silva doesn't really mind that the road isn't plowed yet. It means that she has to stay home from work, and with the internet out she can't even work from home. She needed a break from her busy routine. She wanted some down time to relax, but truly what she wanted more than anything else was a hot guy in her life, who was crazy about her and wanted nothing more than to pleasure her and be with her. Too much to hope for, she knew. When Shane Stone, who fills the job description to a tee, shows up on her doorstep, wet and freezing, after his car goes off the road, first he needs to get out of those wet clothes. And after the power goes out, he finds a way to get her out of her clothes, too, and gives her just what she wants and much more, more than she ever dreamed. Alyssa discovers that sometimes you not only get what you need, you get what you want, too. PLEASE NOTE: Snowstorm Passion is version of the author's popular erotic Christmas romance, Snowbound in Maine. In this version the holiday magic is replaced by a more down to earth case of love at first sight. The characters are different and there are many other changes but ultimately, like the Christmas story, it is about one man and one woman who find ecstasy with each other. This story has sexually explicit content. 1. Language: English. Narrator: Lila Fallon. Audio sample: http://samples.audible.de/bk/acx0/005810/bk_acx0_005810_sample.mp3. Digital audiobook in aax.
This Atlas of transesophageal echocardiography represents four years' clinical expe rience with peri operative color Doppler echocardiography performed at the Depart ment of Heart Surgery of the University of Heidelberg. Four years ago we started a training program in echocardiography with the purpose of utilizing the information derived from transesophageal and epicardial echocardiography for intraoperative diagnosis and surgical decisions. The great impact of echocardiographic information on the surgical procedures disclosed to us an increasing number of applications of TEE and its enormous diagnostic potential. At the moment, intraoperative transeso phageal echocardiography represents, in our Institution, an indispensable diagnostic technique for assessing the adequacy of heart surgery. The aim of this Atlas, which was conceived primarily to deal with intraoperative imaging, goes beyond the purpo se of making the cardiac surgeon familiar with this technique. The clinical cardiolo gist will find immense advantages from the description of many rare diseases and from the direct verification of the echocardiographic diagnoses by the operative fin dings. We hope that our experience will contribute to supporting all colleagues who are engaged in the treatment of heart disease. Prof. Dr. Siegfried Hagl Department of Heart Surgery University of Heidelberg Germany Foreword VII Preface Why an atlas? This book was conceived primarily as a short manual to introduce cardiac surgeons to the basics of color Doppler echocardiography.
Published appraisals of real-time three-dimensional transesophageal echocardiography (TEE) is a breakthrough technology feasible in most patients, permitting faster image acquisition, and delivering superior images of certain cardiac structures than can be obtained with either real-time transthoracic echocardiography (TTE) or reconstructed 3D TEE imaging technology. The technology is used predominantly for the preoperative assessment of the mitral valve and, going forward, for the guidance of percutaneous procedures, such as interatrial septal occluders, occlusion of the left atrial appendage, and reduction of mitral regurgitation, using either clips or annuloplasty devices. This atlas is intended as the first book to provide a comprehensive description of normal anatomy of the internal structures of the heart (natives valves, interatrial septum, left atrial appendage, left atrium etc..) as seen by this revolutionary ultrasound technique. In the section I, after a brief introduction of the physical principles, normal TEE cardiac structures will be described and compared side-by-side with the corresponding anatomical specimens focusing on the fundamental as well as the details of the cardiac structures. Anatomic specimens will be provided by Prof Ho head of Cardiac Morphology National Heart and lung Institute Imperial College in London. This will provide a fine understanding of the actual anatomy and relationships between structures that were not previously observed with either real-time transthoracic echocardiography (TTE) or reconstructed 3D TEE imaging technology. Section II will focus on a large number of challenging cardiac pathology cases observed in clinical settings and based of the combined experience of five outstanding Institution in Europe and United States. Each case is accompanied by a brief presentation and discussion of the value of the imaging modality to effective diagnosis. The format will use a question and answer technique to reinforce the teaching value of the Atlas.
The Tee Language is spoken in the Tee district of Tai Local Government in Rivers State, Nigeria. The name Tee is indigenously used for both the language and its speakers.Tee is fast losing its speakers to predator neighboring languages and therefore may be at the verge of extinction if there are no activities to enhance its usage by the speakers. This monograph is an attempt to document a grammatical description of Tee. It is our hope that this publication will contribute to the academic needs and as well project the linguistic and culturalidentity of the Tee people.
¿Advances in technology and human skill have made possible percutaneous catheter-based procedures for a wide spectrum of structural heart disease. A growing number of structural heart diseases that over the past two decades would have required open heart surgery can be safely treated using percutaneous catheter-based procedures.Traditionally, guidance of catheter-based procedures is done using fluoroscopy and two-dimensional transesophageal echocardiography (2D TEE). The recent introduction in the clinical practice of RT 3D TEE has overcome most of limitations of 2D TEE. The purpose of this book is to describe the use of this imaging modality in percutaneous interventional procedures underlying its growing role and acceptance among the interventional cardiologists but also emphasizing areas of weakness. Because today interventional cardiology ranges from closure of atrial and ventricular septal defects, to repair of mitral regurgitation and aortic stenosis, from the closure of left atrial appendage and prosthesis dehiscence, to the recent use in electrophysiological procedure, this book targets not only specialists in echocardiography and interventional cardiology but also general cardiologists. General cardiologists will find in any chapter anatomy of the structure treated (i.e. atrial septum, mitral valve...), a description of the morphopathology as seen with RT 3D TEE (degenerative or ischemic mitral regurgitation) the up-to-date indications to the specific percutaneous treatment and typical and unusual clinical cases.¿
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