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Only a Comedy Keeper can save laughter at its source In this novel for serious class clowns, 12-year old Josh Markowitz must travel back to 1908 to convince an unruly family of very funny brothers to fulfill their comic destinies. It starts when Josh, the Class Clown of Patton Middle School in McMinnville, Oregon gets in trouble (again) for being a little bit too funny in school. The detention he receives threatens to ruin his baseball season. His friends Omar, Amy and the fabulous, fake English exchange student Elizabeth Walcot Woolcott all sympathize, but the evil Stevie San Pedro...

Guide to help you to understand how to operate a poker room. It explains in detail the employee's that are needed to operate a poker room, it explains their duties in detail including how to deal each game. It explains all of the rules for the various poker games. It provides a complete explaination and guide for setting up and managing promotional jackpots. It gives the rules for operating poker tournaments as recommended by the Tournament Directors Association.

Forms are provided to help you to maintain and evaluate your personal poker activities. It has a very extensive glossary...

Improving standards of care is a real challenge in Intensive Care Medicine. Bettering clinical performance, patient safety, risk management and audit represents the cornerstone for raising the quality of care in ICU patients. Communication is the platform from where to start to reach a consensus in an extremely crowded area, a unique multidisciplinary and multiprofessional environment in which quality of care and, ultimately, patient survival need to be ameliorated.

APICE 2004 has been organised to provide precise answers to these issues. In particular, considerable emphasis has been given to the reviews regarding the most important aspects - or the most significant...

Continuous update in critical care medicine is a real challenge due to the growing dimensions of its contents; these elements are the result of new research acquisitions, and of those clinical situations where the physician is able to intervene at a given moment, with the use of effective prevention techniques. They are also the result of new technologies able to define complex sub-clinical diagnostic aspects; lastly, they are the result of effective therapeutic techniques available, and of treatment strategies able to influence radically and positively the patient's clinical course....

Le condizioni di sepsi, sepsi grave e shock settico rappresentano i livelli gerarchici della risposta sistemica all'infezione normalmente causata da batteri in grado di determinare una condizione di disfunzione d'organo. Il quadro clinico e le citokine proinfiammatorie sono elementi importanti nella evoluzione della sepsi e l'elevato standard di cure rappresenta un elemento chiave per la sopravvivenza; in particolare il trattamento dell'infezione, la precoce stabilizzazione emodinamica e la terapia immunomodulatrice rappresentano alcuni dei punti cardine del trattamento della sepsi. Questo...

Continuing medical education and specialty training procedures represent highly dynamical processes, with a continuously evolving content. The specific teaching methods available (micro-teaching, team teaching, mastery learning, simulation, and e-learning) are essential elements of this process to promote professional updating and teaching at the bedside, aimed at providing an excellent clinical practice. The didactic laboratory is the core of this process: teachers, students and the School must be able to integrate in order to encourage this trend, and following this trend, the Trieste...