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Monday, November 3, 2014

[U926.Ebook] PDF Ebook The Pagan Lord: A Novel (Saxon Tales), by Bernard Cornwell

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The�seventh installment of Bernard Cornwell’s New York Times�bestselling series chronicling the epic saga of the making of England, “like Game of Thrones, but real” (The Observer, London)—the basis for The Last Kingdom, the hit television series.

At the onset of the tenth century, England is in turmoil. Alfred the Great is dead and his son Edward reigns as king. Wessex survives but peace cannot hold: the Danes in the north, led by Viking Cnut Longsword, stand ready to invade and will never rest until the emerald crown is theirs.

Uhtred, once Alfred’s great warrior but now out of favor with the new king, must lead a band of outcasts north to recapture his old family home, the impregnable Northumbrian fortress Bebbanburg.

Loyalties will be divided and men will fall as each Saxon kingdom is drawn into the bloodiest battle yet with the Danes—a war that will decide the fate of every king, and the entire English nation.

With The Pagan Lord, New York Times bestselling author Bernard Cornwell—"the most prolific and successful historical novelist in the world today” (Wall Street Journal)—continues his magnificent epic of the making of England during the Middle Ages, vividly bringing to life the uneasy alliances, violent combat, and deadly intrigue that gave birth to the British nation.

Sales Rank: #20525 in Books
Published on: 2015-01-06
Released on: 2015-01-06
Original language: English
Number of items: 1
Dimensions: 8.00" h x .72" w x 5.31" l, .0 pounds
Binding: Paperback
320 pages

From Booklist
Uhtred of Bebbanburg rides into battle once again in the seventh installment of Cornwell’s stellar Saxon Tales series. This time it is a decidedly older but no less ferocious Uhtred who, after the death of King Alfred, is determined to reclaim his birthright—the Northumbrian fortress of Bebbanburg—once and for all. Of course, this being the tangled tale of the bloody birth of England, nothing is as straightforward as that. The Danes (who incidentally raised the Saxon-born Uhtred) are poised and ready to expand their territory in the north, threatening the sanctity and safety of all the Saxon kingdoms. Although on the outs with the Saxon kings and Christian priests currently wielding the real power, a warrior as cunning and as skillful as Uhtred is always in demand when the Vikings come to call. Cornwell excels at depicting gloriously gory battle scenes as well as the inherent religious, political, and martial conflicts upon which a great nation was born. --Margaret Flanagan

Review
“A violent, absorbing historical saga, deeply researched and thoroughly imagined.” (Washington Post)

“Cornwell successfully brings an unjustly obscure era in British history to life….The conflict between Dane and Saxon is examined with sympathy and insight-without projecting 21st century values onto cultures now alien to us. In the course of this, he shows how historical novels should be written.” (Publishers Weekly)

“Cornwell, a master of historical fiction, has written another energetic and involving mix of history and storytelling that will please his many fans….A sweeping story.” (Library Journal)

“Cornwell does a masterful job of showing not only how Uhtred fights, but also in how he uses his wits to backstab, threaten, bluff, and maneuver his way into a position where he’s able to fight with the best possible odds.” (Bookreporter.com)

“Plunges the reader into the world of the past, with all of its cruelties, nonexistent plumbing and deplorable personal grooming....Cornwell is a master at writing these historical novels, and The Pagan Lord as usual, is no exception.” (The Oklahoman)

“Uhtred of Bebbanburg rides into battle once again in the seventh installment of Cornwell’s stellar Saxon Tales series….Cornwell excels at depicting gloriously gory battle scenes as well as the inherent religious, political, and martial conflicts upon which a great nation was born.” (Booklist)

From the Back Cover

In a clash of heroes, the kingdom is born.

At the onset of the tenth century, England is in turmoil. Alfred the Great is dead and Edward, his son, reigns as king. Wessex survives, but peace cannot hold: the Danes in the north, led by Viking Cnut Longsword, stand ready to invade and will not rest until the emerald crown is theirs.

Uhtred, once Alfred's great warrior but now out of favor with the new king, must lead a band of outcasts north to recapture his old family home, that great Northumbrian fortress, Bebbanburg.

In The Pagan Lord, loyalties will be divided and men will fall, as every Saxon kingdom is drawn into the bloodiest battle yet with the Danes: a war that will decide the fate of every king, and the entire British nation.

Most helpful customer reviews

140 of 146 people found the following review helpful.
Still a thundering good yarn
By JPS
This is instalment seven of the Warrior Chronicles set in the time of King Alfred and his successors, with Uthred, the pagan warlord brought up by the Danes, still fighting on the side of the Saxons, although getting a bit long in the tooth. Unsurprisingly, a number of reviewers who (just like myself) have read through the whole series over the years might have a sense a "d�j� vu", to the extent that some might be getting a bit tired with having similar scenes played over and over again. These include the hero getting himself into trouble by murdering and terrorising overbearing churchmen, throwing his weight around, rushing around the country waving his sword and saving the Saxons almost on his own. If the book was limited to this, then indeed I would share their feelings. But there is, at least for me, far more to it than that...

As mentioned in the title of this review, the book is a thundering good yarn, regardless of whether you have read the previous ones in the series (although it is preferable to do so). It was, at least for me, hugely entertaining. It is one of these books that you can't drop until you have reached the last page and I admit to spending most of Saturday reading it from cover to cover non-stop. Hence you get comments from some other reviewers about the book being shorter than others, perhaps, and shorter than they would have wished, quite certainly. This, in itself, makes the book well worth reading. It is a first class swashbuckler adventure story, fast-paced and with lots of "blood and thunder". In this respect, Bernard Cornwell is true to form.

Then there is the historical context, and the painting of what was shortly to become "England". Here also, the author has been true to form, meaning excellent. One of the strongpoints of this book is to show that while King Alfred is commonly credited for having "saved" England from the Danes, more accurately, he saved Wessex, and there was still a chance that the largest part of the island would one day be called "Daneland", rather than England.

Among other features, the author shows to what extent the Scandinavians (they were not all Danes, even if these were a majority) had taken control of Northumbria, East Anglia and the northern part of Mercia, where they had settled in what seems to be large numbers. The book contains several glimpses of these Danish settlers and the author contends through his characters (and directly in his historical note) that the survival of "Anglo-Saxon England" was not at all a given after the death of King Alfred.

Having mentioned this, the author does seem to have taken a few liberties with the history records. For instance, Chester (Ceaster), the old Roman legionary fortress of Deva, seems to have been reconquered by the Saxons a few years before the battle of Tettenhall, and, as Cornwell mentions, the Danish warlords that he includes in his story are mostly fictional. This, however, does not detract from the story in any way and, because of the paucity of the sources, the novelist has quite a lot of room to weave his story in between the few known facts that they mention.

The characterisation is perhaps where some readers might have had the sense of "d�j� vu" that I was mentioning earlier. Uthred, in particular, often seems to be his usual swashbuckling but cunning self, and most of the other characters also seem to be true to form. Even there, however, there are a couple of interesting and somewhat original features.

One is the indulgent and somewhat amused attitude that those who really know Uthred start to have when he is at his most threatening and blustering. They are, however, careful not to show it until the warlord's gambles have either paid off or failed. This also points to a key feature of the society in Northern Europe at the time, or at least of the war-like nobility in the British Isles. A warrior's reputation was everything, and he needed to keep it up by appearing fearless, however terrified he might actually be when in the shield wall. This is something that Bernard Cornwell yet again shows rather vividly when describing how horrible and traumatising such an experience might have been.

Another feature, related to the first, is the rather dare-do, mischievous and sympathetic character of the very young Athelstan (the future king) who was indeed brought up at the court of Mercia alongside his aunt (the sister of Edward the Elder, and daughter of King Alfred). He could accordingly very well be part of this book and share at least some of Uthred's adventures alongside "the Lady of Mercia."

Given all this, I simply cannot find any reason for rating the book less than five stars. For me at least, it was a superb read. I just hope it will work at least as well for you...

43 of 48 people found the following review helpful.
Uhtred Fights Again
By Susan Johnson
Uhtred is one of my favorite characters and I have liked all the book in the series. My favorite is the first one as it was the most exciting. England, as we know it, was down to a piece of swapland in the 900's and Uhtred, almost single-handledly, wins the kingdom back for Alfred. Even so I have enjoyed the progression of Uhtred and continue to do so in this one even though it's very short (296 pages and some of them blanks).

Uhtred is a man of contrasts. Although he was born Saxon, he was raised by the invading Danes. A follower of Thor who fights for the Christian King, Alfred, who is now dead. His loyalty and lust has been given to Alred's daughter, Aethelflaed. Christianity is spreading rapidly throughout the kingdom and Uhtred, as a grouchy 50 year old, doesn't understand it. Personally, I don't either as Thor, as Uhtred envisions him, seems like a fun god. In Valhalla there is plenty of feasting and partying and good times.

Uhtred is still trying to get his birthright, Bebbanburg, returned to him. The Danes are trying to take over more territory and the Christian priests again try to exile Uhtred so there is plenty of fighting going on. I love the descriptions of the shield wall and the battle scenes are very realistic. I can almost imagine being there.

So even if Uhtred is getting long in tooth and has very few battles ahead of him, I still enjoy spending time with him. He is a man who knows who he is and is comfortable in his own skin. He lives and fights under his own rules and keeps a honorable standard of conduct. He doesn't believe in killing women and children. He dislikes most priests and wants to die with a sword in his hand. It's not often you meet a man who knows exactly what he wants. Uhtred is one and, I think, that's why I enjoy him so much.

27 of 30 people found the following review helpful.
Excellent story, brilliantly paced.
By RCF_NZ
I understand a comment comparing this work to earlier work in Cornwell's career, however I would say he may have adjusted his style slightly for this series, and not dropped his standards at all.

This book is exactly what I would assume the author intended it to be, a continuation of the series, written in the same style, featuring the same uncompromising Uhtred, facing the same issues. Exactly what I wanted it to be.

For me the story grips as much as it always has. Excellent story, brilliantly paced. 5 stars.

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Tuesday, October 28, 2014

[S941.Ebook] Download PDF Mechanical Fault Diagnosis and condition monitoring, by R. Collacott

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Although the most sophisticated fault diagnosis and condition monitoring systems have their origin in the aerospace and nuclear energy industries, their use is by no means restricted to such areas of 'high technology'. Modern machinery in most industrial plants is now so complex and expensive that mechanics find it increas� ingly difficult to detect failure by, for instance, recognising changes in sound 'signatures', and few plants can afford the luxury of regular 'stripping down'. Increasingly, therefore, eady-warning devices are being employed in an effort to prevent catastrophic breakdown. This book provides the first co-ordinated compilation of fault diagnosis and con� dition monitoring devices. It proceeds in three logical steps. The eady chapters deal with those conditions which contribute to deterioration and the consequent likely development of faults. The middle part of the book considers the various tech� niques of monitoring and discusses the criteria for their selection in different situ� ations. The final chapters provide a guide to the interpretation of the information signals deriving from monitoring, relating to reliability science and the mathematics of probability, and thus providing decision data on which management can act.

Sales Rank: #7148822 in Books
Published on: 2013-10-04
Released on: 2013-10-04
Original language: English
Number of items: 1
Dimensions: 9.25" h x 1.16" w x 6.10" l, 1.56 pounds
Binding: Paperback
496 pages

Most helpful customer reviews

0 of 2 people found the following review helpful.
root causes, lubrication analysis, failure diagnoses, and re
By said elsayed
Main ,items is oil analysis to measure the condition of the syastem by defined the deposits types and the size of each.
Also the reliability data sources , it is good guides for follow that.

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Friday, October 24, 2014

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Sales Rank: #3363268 in Books
Published on: 2012-06-06
Original language: Spanish
Dimensions: 9.45" h x .59" w x 5.98" l,
Binding: Hardcover

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0 of 0 people found the following review helpful.
Five Stars
By Marta Papic
Excellent book but very sad

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Wednesday, October 22, 2014

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"We are rapidly ripening for fascism. This American writer leaves us with no illusions about ourselves."�—Svetlana Alexievich, Winner of the Nobel Prize in Literature

The Founding Fathers tried to protect us from the threat they knew, the tyranny that overcame ancient democracy. Today, our political order faces new threats, not unlike the totalitarianism of the twentieth century. We are no wiser than the Europeans who saw democracy yield to fascism, Nazism, or communism.� Our one advantage is that we might learn from their experience.

Sales Rank: #279 in Books
Published on: 2017-02-28
Released on: 2017-02-28
Original language: English
Dimensions: 6.20" h x .40" w x 4.40" l,
Binding: Paperback
128 pages

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13 of 14 people found the following review helpful.
Vital and Timely
By GM
Breathtaking. Shatters any illusion that democracy is a given in the US or in any country. One detail among the sweeping history Snyder presents: his argument that the evisceration of privacy and the humiliation of the individual is a very old fascist technique. Consider that when you think about the email breaches of the last election, or why doxing is a weapon of choice among the cyber brown shirts. Another: the long and terrible legacy of dismantling the rule and protections of law as "exceptions" -- which quickly become permanent -- due to safety "emergencies." Americans may be tested on that sooner than later. Democracy has and can become totalitarianism in but a few months. The time to stand up for institutions, fair voting, and (this is surprisingly crucial) the ethics of your profession is NOW.

0 of 0 people found the following review helpful.
Absolute Must Read
By Amazon Customer
I had seen references to Timothy Snyder's writing, but none of the catalog was about a topic or period of interest. But, I saw that On Tyranny was on pre-order. It seemed interesting. I am so glad I ordered it, and so glad I read it. This book has the information that more of us NEED to read ... right now! Awesome book.

14 of 14 people found the following review helpful.
A must read: important, urgent --- and, sadly, necessary
By headbutler
Does Donald Trump mark “the tunnel at the end of the light” — is the United States on the verge of authoritarian rule? We’ve seen this meme on the Web since November 8. In the last few months, it’s become a larger conversation. But in writing by experts? Not to my knowledge.

In November, a piece headlined "Him: his election that November came as a surprise" read like a surprise. Because it sounded like recent history. The rallies. The racism. The conspiracy theories. Only toward the end do you get it — the year is 1933, the subject is Hitler.

A few weeks later, I was rocked by "20 Lessons from the 20th Century on How to Survive in Trump’s America," a Facebook post that had 12,000 “likes” and 15,000 “shares” — such a remarkable response it has been expanded and is now this book.

What was especially disturbing was the byline on both pieces. Timothy Snyder is Housum Professor of History at Yale, author of “Bloodlands: Europe Between Hitler and Stalin,” which received a dozen awards and has been translated into 33 languages. In 2015, Snyder published “Black Earth: The Holocaust as History and Warning,” now available in 24 foreign editions. Never has a subtitle been more accurate — or terrifying.

“On Tyranny" may be the most important civics book of the year. It’s certainly the most urgent. As Snyder said in a recent interview, “I think things have tightened up very fast; we have at most a year to defend the republic, perhaps less. What happens in the next few weeks is very important.”

Overwrought? Possibly. But I had relatives in Germany who, in 1933, felt that similar sentiments were overwrought. They “normalized” Hitler. I don’t have those relatives any more. So I called Timothy Snyder..

JESSE KORNBLUTH: Until I read “Bloodlands,” I knew almost nothing about what happened between 1930 and 1945 in Eastern Europe and the western Soviet Union, where Hitler and Stalin killed between 14 to 20 million people. In “Black Earth,” there was a fresh revelation: “Almost all of the Jews killed in the Holocaust lived beyond Germany.” Why were these revelations for me?
TIMOTHY SNYDER: We tend to think about history nationally, so we follow the experiences of German Jews, and once you focus on German national history, it’s hard to see others. I started with Jews and asked: Where were they killed?
JK: Why was the destruction of state institutions the critical factor in mass murder?
TS: Institutions are everything. For Germany to kill Jews, they had to make Jews unconnected to states. In Germany, that was a slow, legal process. So they started elsewhere, in places where for other reasons they destroyed the state.
JK: “Black Earth” suggests that Hitler backed into the Holocaust. He wanted Jews to be sent to Siberia or Madagascar. Why didn’t that happen?
TS: Hitler always wanted a world without Jews. In “Mein Kampf,” he said nature could only be restored by their elimination. He did not know just how this would take place. It was not clear to anyone, even to him, that Germans would shoot millions of Jews face to face. But when Germany invaded the Soviet Union, he gained a practical lesson in how mass murder is done.
JK: For Hitler, failure to conquer the Soviet Union and defeat Britain had to be caused by “enemies.” How did he come to think that and position himself as infallible?
TS: National Socialism fits into the larger Fascist tradition: pay no attention to facts, just follow the leader. Hitler said the Soviet Union would fall in 9 to 12 weeks. When that didn’t happen, he still had to be right, just, as it were, at a higher level. The cause of the defeat had to be the Jews.
JK: In some ways, Germany’s problem in the 1930s was about food shortages. These could have been solved by science — but science was suspect. Goebbels defined the purpose of a war of extermination as “a big breakfast, a big lunch, and a big dinner.” For German citizens, did the Holocaust really come down to this?
TS: It’s not quite that simple, but it’s important to understand that the Germans were living in a material world, and even a country as advanced as Germany had trouble with its food supply. Food was thus a matter of politics. Without a war to colonize Eastern Europe and, in particular, Ukraine for what Hitler called “Lebensraum,” there would have been no Holocaust.
JK: The thesis of “Black Earth” is that the Holocaust is “not only history, but warning.” In “Him” you’re especially scornful of lawyers and judges who submerged their professional ethics “in an
understanding of the greater good.” Why those people in particular?
TS: History doesn’t repeat itself. One person is not another. But the rule of law is a fundamental asset — it precedes democracy, it precedes the free market, everything depends on it. America is a very lawyerly society. Germans also cared a great deal about the rule of law. Yet in Germany, lawyers found ways to reverse the normal understanding of law. After that, anything could be done. So it might make sense for us to think about lawyers.
JK: In your Facebook post, you offer suggestions for good citizenship during the Trump presidency. You start with lessons learned from Nazi Germany: “Do not obey in advance. Defend an institution. Recall professional ethics.” Further down, it gets heavier: “Practice corporeal politics… Make new friends and march with them…. Make eye contact and small talk. This is not just polite. It is a way to stay in touch with your surroundings, break down unnecessary social barriers, and come to understand whom you should and should not trust. If we enter a culture of denunciation, you will want to know the psychological landscape of your daily life.” And then this: “Be as courageous as you can. If none of us is prepared to die for freedom, then all of us will die in unfreedom.” That is terrifying. “Die for freedom” — could it come to that here?
TS: It comes to that all the time. We’re just not used to it, because the exception is America in the last few generations. I don’t mean you should be prepared to throw yourself on the first available fire. I’m saying this: If none of us cares, we’ll all lose everything. Those are lessons from Fascism, Nazism but also Communism in the twentieth century. We have spent the last 25 years forgetting the history that we once thought vital to the preservation of our own institutions, convincing ourselves that our institutions will thrive on their own.
JK: In the last few months, we’ve seen scores of free-lance threats and acts of violence against Muslims. Do you see that as the precursor of an official assault on institutions?
TS: It’s a shot across the bow. Institutions are constantly under attack — they don’t stand up by themselves. What’s new in our country is a president who does not see himself as upholding an institution but as a person whose job is to denigrate institutions. We’re about to find out if all our big American talk about defending freedom is actually true.
JK: As a historian, do you believe that restricting freedom and targeting “enemies” start with an event: the Reichstag fire, for example, or 9/11? If that happens, what’s a useful response?
TS: Hitler used the Reichstag fire to suspend rights and declare a state of emergency that lasted for 12 years. When an event like that happens, It is natural that you experience fear and grief. But you have to understand your feelings can be exploited to undo a political order and resist. The Reichstag fire is a good example of that. A terrible thing, but compared to Nazi Germany….
JK: La Rochefoucauld wrote: “No one can look long at the sun or death.” At the end of 2016, I felt a general lessening of rage, a dull acceptance and dread — and a return to private concerns. Then came the protests. But commitment may wane again.
TS: You can pretend you have a choice. But you don’t have it. What I notice is a new interest in the 1930s among people in their 20s. We told them that history is over, go to work in finance. We were wrong. It’s crucial now how this generation reacts.
JK: Your final chapter addresses the ultimate defenders of decency — “the righteous few.” Who are they?
TS: That small minority who behaved heroically during the holocaust when all was black, when all institutions were destroyed. I worked hard in the Jewish sources to find and understand those rescuers. We tend to think we’re all like that. That’s na�ve. If government makes institutions go away, people will behave differently and in ways we now find unthinkable. In some future crisis, no doubt a few people will behave well. But we have no idea who they are now. It’s a mistake to count on being rescued. What we have to do is preserve the political order that we have come to take for granted.

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Tuesday, October 21, 2014

[T826.Ebook] Ebook Download My Journey to an Organized Life: A Creative Road Map for Organizing Your Time, Space, and Finances, by Katherine Trezise, Jennifer Power

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My Journey to an Organized Life breaks the rules of traditional, organizational, self-help books through the use of a story. The reader is introduced to Mary, the epitome of a typical middle-aged woman challenged by chronic disorganization. Mary is a companion who walks the reader through her own life story of organizational agonies and successes. She provides the motivation, support, hope, confidence, and knowledge to aid others on their own journey to an organized life. Each chapter includes a Now It's Your Turn section that the reader can use as a step-by-step workbook to achieve her own organizational goals in the areas of goal setting, time management, finances, paper, and home organization.

Sales Rank: #2200427 in Books
Published on: 2015-09-17
Original language: English
Number of items: 1
Dimensions: 10.00" h x .32" w x 8.00" l, .63 pounds
Binding: Paperback
138 pages

About the Author
Katherine Trezise, CPO, CPO-CD, MBA, is the president of Absolutely Organized and the past president of the Institute for Challenging Disorganization. Katherine has traveled as far as Canada and Japan speaking on the topic of organizing. She has shared her expertise with The Wall Street Journal, Bloomberg Business Week, Style magazine, and WMAR television. She was a contributing writer for The ICD Guide to Collaborating with Professional Organizers and Jerry Baker's, Can The Clutter! Katherine has a bachelor’s degree in psychology and a master’s degree in business administration. Jennifer Power is a professional writer and former professional organizer. In addition to writing a weekly blog on organization, Jennifer has been published in The Chronical, a publication for the Institute for Challenging Disorganization. She has appeared on WBFF Fox 45 News Baltimore as a guest commentator on organizing. Jennifer has a bachelor’s degree in business administration and a master’s degree in professional writing.

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3 of 3 people found the following review helpful.
Easy read for some otherwise difficult topics.
By NReader
Interesting format for the topic. Stayed with the book to learn what happened to Mary! Even if most of the topics discussed are not relivent to you, the sections concerning estate planning and the identification of documents to be left for your heirs, is most helpful. I think everyone could find some useful information in this book while enjoying Mary's journey.

3 of 3 people found the following review helpful.
Finally, an organizing book that not only tells me ...
By HappyClam
Finally, an organizing book that not only tells me how to get my stuff together, but also has a story to show me how it is done. Thank you Mary! You are my hero.

2 of 2 people found the following review helpful.
It breaks the mold of traditional organizational self-help books and uses the power of a story.
By Sunday
This book is quite unique in the sense that it breaks the mold of traditional organizational self-help books and uses the power of a story to motivate people on their journey to a more organized life.

Realizing the power of having someone to relate to, the authors decided to use a fictional character (Mary) who represents all the traits typically seen in chronically disorganized people. By doing this, the authors hope that they will be able to forge a stronger bond with the readers, show them that they are not the first ones to walk on the path to organization, and make them feel that their journey is easier to navigate if they do it with someone they trust.

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Sunday, October 5, 2014

[H426.Ebook] Free Ebook Environmental Pollution Control Engineering, by C.S. Rao

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Sales Rank: #8381592 in Books
Published on: 2006-12-01
Original language: English
Dimensions: .83" h x 7.20" w x 9.33" l, 1.41 pounds
Binding: Paperback
2006 pages

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Friday, October 3, 2014

[Z615.Ebook] Download Less Medicine, More Health: 7 Assumptions That Drive Too Much Medical Care, by Dr. H Gilbert Welch

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The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated―and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.

Dr. H. Gilbert Welch is worried about too much medical care. It's not to deny that some people get too little medical care, rather that the conventional concern about "too little" needs to be balanced with a concern about "too much": too many people being made to worry about diseases they don't have―and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don't need―or can't benefit from. The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. So more medicine does not equal more health; in reality the opposite may be true. The general public harbors assumptions about medical care that encourage overuse, assumptions like it's always better to fix the problem, sooner (or newer) is always better, or it never hurts to get more information. Less Medicine, More Health pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his 25 years of medical practice and research, Dr. Welch notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments―a number of which are just plain wrong. By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices. His provocative prescriptions hold the potential to save money and, more important, improve health outcomes for us all.

Sales Rank: #1471451 in Books
Published on: 2016-05-24
Released on: 2016-05-24
Formats: Audiobook, MP3 Audio, Unabridged
Original language: English
Number of items: 1
Dimensions: 6.75" h x .50" w x 5.25" l,
Running time: 8 Hours
Binding: MP3 CD

Review
“Avoiding medical jargon, Welch speaks directly to the layperson and focuses on certain assumptions that have increased consumption in a market-driven society; some of which have become so ingrained by popular media that refuting them seems downright scandalous…�Welch’s words, though wise beyond money, border on sacrilege in a country of generally healthy people who have developed an expensive health-care habit and who are expected to support a lucrative health-care industry. Welch’s conversational style makes his prescription for better health an easy pill to swallow.”�
—Booklist, starred review

“A bright, lively discussion of the excesses of medical care to which patients often unwittingly go due to certain false assumptions…�Welch demonstrates the flaws in these assumptions. His stories involve the risks, uncertainties and harms of cancer screenings, treatments for heart disease, drugs, medical devices and surgical procedures. He makes an especially strong case for the risks of mass screenings for cancer—the fear, the false alarms, the overdiagnoses and the resulting overtreatments. Vivid images make what could be discouragingly technical quite understandable…�Welch's engaging style and touches of humor make this an easy read, and the facts he presents make a convincing case.”
—Kirkus Reviews

“Read this book. It is smart, witty, wonderfully written, and above all wise. We've overmedicalized life and yet we need medicine throughout our lives. No one explains better when we do, when we don't, and why.”
—Atul Gawande, author of Complications and Being Mortal

“Wise, witty, fascinating and alarmingly persuasive—this is a book�everyone should read, especially my doctor.”
—Bill Bryson, author of A Short History of Nearly Everything

“With the style of a trustworthy country doctor, Welch, an academic heavyweight, urges us to reject the allure of reducing all health risks by using the latest technology to gather all the data and to fix the problems sooner rather than later. Showing the dangers of our ill-informed enthusiasm for medicine, he brilliantly builds the case for respecting its power and limitations: to seek it when ill and all but avoid it when healthy.”
—Victor M. Montori, MD, Professor of Medicine, Mayo Clinic

“Gil Welch's latest book shows us exactly how too much medical care can be harmful and even deadly.� This is a needed corrective to the American attitude that the more screening and testing, the healthier we will be.”
—Marcia Angell, author of The Truth About Drug Companies

“Its title, ‘Less Medicine, More Health,’�sums up his trenchant, point-by-point critique of test-based health care and quality control.”
—New York Times

About the Author
H. Gilbert Welch, M.D., M.P.H., is Professor in the Departments of Medicine and Community and Family Medicine at Dartmouth Medical School and Codirector of the VA Outcomes Group in the Department of Veterans Affairs, White River Junction, Vermont.

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65 of 67 people found the following review helpful.
Glad I didnt't read this book before my mother's back surgery
By TooManyHobbies
I wish I wouldn't have read this book. I say that not because the book was bad, but because it was too good. Some of the chapters just hit a little too close to home. One chapter in particular filled me with fear and another filled me with sorrow.

I started reading the book when my 80 year-old mother went in for major back surgery. I breezed through the first four chapters during her five hours of surgery and two hours in post-op care. The chapters were educational and enlightening. Dr. Welch makes a very compelling case about how we are being over-diagnosed and over-treated. The tone of the book was witty, so I was chucking and nodding my head as I read about data overload, U-shaped curves, the general uselessness of screening, the harm that false alarms can cause, the analogy of types of cancers to barn-yard animals: cancer that will never cause a problem are turtles, cancers that can be fought are rabbits, and cancers you can do nothing about are birds.

Then I got to Chapter 5 and the assumption: Action Is Always Better Than Inaction. First Dr. Welch gave some statistics on hospital infections after surgery: 1.7 Million "health care associated infections" associated with 98,987 deaths in 2002. Whoa doggie, my mom was in surgery. Next he talked about "postoperative cognitive dysfunction" after surgery particularly in the elderly. (Getting scare now - does 80 count as elderly?) Then he talked about needless surgery due to back pain, and how the majority of the time it doesn't work. I wanted to cry at this point, was mom doing this all for nothing? But I felt better when I read the statement: "Back surgery should only be done on patients who don't have back pain". My mom's surgery was to relieve nerve compression caused by severe scoliosis. But then the section on "invasive surgery" had me worried again: her cut was 15 inches long. And the section "Inaction = Allowing the Body to Heal" had me second guessing the decision to have the surgery. Talk about a roller coaster of emotions. I had to stop reading at this point.

I started reading again a few weeks later only to begin Chapter 7 and the assumption: It's all About Avoiding Death. The central theme of the chapter is that sometimes the quality of life is more important than prolonging life by a few months. Particularly with painful, debilitating cancer treatments. This chapter had me sobbing with tears pouring from my eyes. It brought back so many sad memories that are still raw and close to the surface. Three years ago my little brother was diagnosed with colon cancer that had moved to his liver. He fought the "cancer" battle for two years (MD Anderson). He went through all the pain and suffering because he wanted to see his son graduate from high school, he wanted to see his daughter go to her first dance, he wanted to go to the beach one last time. During one treatment (they inserted a tube through his groin and were pumping chemo drugs directly into his liver) he went into cardiac arrest. The doctors brought him back, but later he told me he wished they would have let him die. He said the treatments were too much for his wife, his kids, his family, and him; that sometime the quality of life is more important than quantity. He said it is better to quickly die with dignity than to wither away in excruciating pain. All my brothers' words were being echoed back to me by Dr. Welch.

I'm crying again. Excellent book but like I said I wish I had not read it.

5 of 5 people found the following review helpful.
Read it before it is too late
By Samil Korkmaz
This book was especially relevant to me because my mother (65 years old) underwent a colonoscopy in which the doctor removed a few polyps and one of them had cancer cells close to the colon wall. Three out of four doctors said that she must have an operation which would remove a quarter of her colon (without saying anything about the risks of the operation). Only one doctor pointed out that may be all the cancer cells were taken out during the polyp removal, the risks and probability of success of the operation (which were horrible numbers). In the end my mother reasoned that the operation was not worth it. This was 6 months ago. Today she is alive and well, tending her garden.

Almost everybody has some sort of abnormality that won't hurt him but becomes a problem due to early diagnosis, i.e. you would be better of if did not perform the checks in the first place. Lesson: Don't do full checkups, only deal with things that you have symptoms of.

It shows the importance of randomization and biases that can be overlooked when performing medical trials, for example a trial based on volunteers can be biased because health conscious individuals are healthier than the average.

0 of 0 people found the following review helpful.
A wise doctor's prescripton for a happy, healthy, unmedicalized life
By Nancy Robertson
If I were president, the very first thing I would do is appoint Dr. Welch as US Surgeon General so he could slay the test pushing, pill popping, money grubbing healthcare monster. Today we are ordered to take tests we don't need for diseases we don't have and subjected to treatments that won't benefit us while we watch our wallets bled dry.

Unfortunately, I can't appoint Dr. Welch as Surgeon General, but I can recommend Less Medicine, More Health, a book that will teach you how to take control of your own healthcare so you can achieve the best health with a minimum of medical intrusion. Reading this book is like sitting down with a well respected, caring and wise physician, which is exactly what Dr. Welch is -- a professor of medicine and public health at Dartmouth Medical School, a doctor who was actually trained by the previous Surgeon General, Dr. C. Everett Koop.

I read Dr. Welch's previous book Overdiagnosis, and I have to say that while I loved the first book (and gave it a glowing review on amazon), the second book is even better because it doesn't just tell which medical tests to avoid, it tells you how to approach each interaction with doctors and the healthcare system, regardless of whether you are perfectly healthy, acutely ill, chronically ill, or dying. Moreover, it does it in an easy to read and enjoyable, conversational style.

I'm in my mid 60s and have given a lot of thought to how I want to live out the rest of my days. I'm happy to say it's exactly how Dr. Welch wants to live out the rest of his days. Like Dr. Welch, I want to stay as healthy as possible for as long as possible, but without medicalizing my life. That means I eat right, exercise, get vaccinations and treat only those conditions I actually have. I don't subject myself to anxiety provoking screenings to find new problems unless I have actual symptoms. I value my present happiness and ability to lead a pleasant, unmedicalized life far more than I do the small probability of extending my life by extraordinary means just so I can live long enough to develop another horrible illness. I want to enjoy a healthy, happy life today, but I absolutely refuse to making avoiding death my primary goal.

Thank you, Dr. Welch, for writing this important book and for spreading the message that we can safeguard our health by living right and seeking medical care only when necessary. We can take control and avoid being victims of the wasteful, harmful, greedy healthcare monster.

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