Sepsis is a very important public health problem. It is widely acknowledged that the severe inflammatory response syndrome/severe sepsis paradigm fails to stratify sepsis patients adequately. This book reviews in detail how sepsis should be managed on the basis of a novel approach to staging. The PIRO (predisposing factors, infection, response, organ dysfunction) model was first proposed at the start of the decade on a theoretical basis and has now been translated into a practical approach for use at the bedside. It is loosely based on the TNM staging system for cancers, with points being...

Infections and their complications are a very important clinical area in the intensive care unit setting. Community-acquired infections and nosocomial infections both contribute to the high level of disease acquisition common among critically ill patients. The accurate diagnosis of nosocomial infections and the provision of appropriate therapies, including antimicrobial therapy effective against the identified agents of infection, have been shown to be important determinants of patient outcome.

Critical care practitioners are in a unique position in dealing with infectious diseases....

"Emilio presents an engrossing story rich with samurai struggles and rich texture. He really knows how to weave a story "
-William J. Hall, author of The World's Most Haunted House: The True Story of the Bridgeport Poltergeist on Lindley Street

The all-powerful emperor sends Sen-hi Sakeda, a female Samurai, on a diplomatic mission to America. She travels on a merchant ship across the sea from Japan, slaying pirates as she goes. She expects a moment of respite when she arrives in San Francisco. Instead, she is thrown in prison. Her diplomatic mission was a set-up to get...

"Emilio presents an engrossing story rich with samurai struggles and rich texture. He really knows how to weave a story "
-William J. Hall, author of The World's Most Haunted House: The True Story of the Bridgeport Poltergeist on Lindley Street

The all-powerful emperor sends Sen-hi Sakeda, a female Samurai, on a diplomatic mission to America. She travels on a merchant ship across the sea from Japan, slaying pirates as she goes. She expects a moment of respite when she arrives in San Francisco. Instead, she is thrown in prison. Her diplomatic mission was a set-up to get...