Jumat, 19 Oktober 2012

[A124.Ebook] Get Free Ebook Crazy About the Baumgartners, by Selena Kitt

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Crazy About the Baumgartners, by Selena Kitt

TOP 100 BAUMGARTNER SERIES ~*~FREE!~*~ Meet the Baumgartners amazon.com/dp/B0042RUM9G
---------
FROM NEW YORK TIMES BESTSELLING & AWARD WINNING AUTHOR SELENA KITT
---------
Doc and Mrs. B have hired a new au pair and she’s crazy about the Baumgartners.

Poor rejected Gretchen, fired from her previous job and still licking her wounds from a recent breakup, is desperately seeking the kind of attention and affection only the Baumgartners can offer.

So why do they seem to thwart her advances at every turn? It isn’t as if the polyamorous couple has been secretive about their fondness for threesomes.

Naughty Gretchen makes up her mind, on their annual trip to the steamy sun and fun of Key West, to show the Baumgartners just how crazy she is about the both of them!

Listed in Chronological Order!
*FREE* Meet the Baumgartners amazon.com/dp/B0042RUM9G
A Baumgartner Christmas amazon.com/dp/B006P5A644
Babysitting the Baumgartners amazon.com/dp/B003G2ZVF8
The Baumgartners Plus One amazon.com/dp/B004LGRZXO
Letters to the Baumgartners amazon.com/dp/B006CW59VK
Crazy About the Baumgartners amazon.com/dp/B00LPPE0LE
A Baumgartner Reunion amazon.com/dp/B003GDI6JA
Baumgartner Generations: Janie amazon.com/dp/B003P9X2N0
Baumgartner Generations: Henry amazon.com/dp/B004C43H14
A Baumgartner Valentine amazon.com/dp/B00THLQL6A
*NEW* Baumgartners Empty Nest amazon.com/dp/B00W7X74QQ
The Baumgartner Dirty Show amazon.com/dp/B00CSXHLAO

  • Sales Rank: #83455 in eBooks
  • Published on: 2014-07-10
  • Released on: 2014-07-10
  • Format: Kindle eBook

Review
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FREE! Meet the Baumgartners�� amazon.com/dp/B0042RUM9G

From the Author
*~*~*~*~*~FREEBIES from Selena Kitt!~*~*~*~*~*~

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About the Author
Selena Kitt is a TOP 15 NEW YORK TIMES and USA TODAY bestselling author of erotic romance fiction and erotica. OVER A MILLION BOOKS SOLD! Her writing embodies everything from the spicy to the scandalous.

When she's not pawing away at her keyboard, Selena runs an innovative publishing company (excessica.com). She does bellydancing and photography, and she loves four poster beds, tattoos, voyeurism, blindfolds, velvet, baby oil, the smell of leather, and playing kitty cat.

Her books EcoErotica (2009), The Real Mother Goose (2010) and Heidi and the Kaiser (2011) were all Epic Award Finalists. Her gay male romance, Second Chance, won the Epic Award in Erotica in 2011. Her FREE story, Connections, was one of the runners-up for the 2006 Rauxa Prize, given annually to an erotic short story of "exceptional literary quality," out of over 1,000 nominees, where awards are judged by a select jury and all entries are read "blind" (without author's name available.)

She can be reached on her website at selenakitt.com

Most helpful customer reviews

4 of 4 people found the following review helpful.
Crazy for them too!
By S Schuster
I received a copy of this book via Netgalley in exchange for an honest review

This is my first time reading about the Baumgartners. Not knowing what to expect, I'm so glad I read this! It is "fun" erotica; a m�nage relationship with lots of sex, toys & experimentation, discreetly done so the kids are none the wiser, involving characters that are so enjoyable that you would want to know them in real life. A loving vibe flows throughout the book. This couple brings the nanny, who has lost everything, into their family... and bed.

5 of 6 people found the following review helpful.
Good Addition to the Series
By Awesome Reviews
I still have to hold out for my favorite, the very first, Babysitting the Baumgartners, but this is good addition the series. It’s sexy and, because it’s Selena Kitt, it rubs you raw with hotness throughout. Like all good erotica, it would fall apart without the sex and the sex compels the story forward. But it’s also poignant and profound. I actually enjoyed how much this second-telling of falling into a relationship with the Baumgartners, this time Gretchen instead of Ronnie, parallels the first one. But this is a different story, one worth telling, and one worth reading. Good book!

0 of 0 people found the following review helpful.
Gretchen and the Baumgartners find love
By Blanca Hudson
Of course I enjoyed this book. I started with the free book and just could not stop reading them. The idea is the same with Carrie carefully and slowly seducing the nanny. Gretchen is the nanny and has been with them for sometime since she and her roommate Ronnie separated and went in different directions. The Baumgartners come to the rescue and help out Gretchen by offering her the position of live in nanny. Who wouldn't take them up on an offer of free room and board and still pay her for watching 2 young pre=teens. Problems are Gretchen is in need of some loving and she wonders why the Baumgartners have not made any advances and she thinks she is lacking in some way. Once the trip to Florida Keys is set she finds that they would like her as part of a threesome. Problem is they have a small baby they are fostering and wish to adopt and Carrie is fearful that sexual tones of their relationship might cause them some problems and have to return the child Carrie want so much. So there is a good plot with all the hot m�nage sex. This author never fails to stimulate your libido. Instead of a star rating it should have a battery rating because you do make your sex toys work overtime.

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Kamis, 18 Oktober 2012

[S198.Ebook] Download PDF The Middle Ages, by Dorothy Mills

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The Middle Ages, by Dorothy Mills

The Mills’ series concludes with The Middle Ages, where students are privileged to see how Christianity spread out, building a new civilization on the remnants of the Roman Empire. From the foundation of monasteries to the bell-towers of universities, from the crowning of Charlemagne to the execution of Joan of Arc, the travel through Christendom unfolds beautifully.
The preceding volumes in this series are also published by Memoria Press. They are The Book of the Ancient World, The Book of the Ancient Greeks, and The Book of the Ancient Romans.

  • Sales Rank: #1077344 in Books
  • Published on: 2012-05-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.00" h x .87" w x 6.00" l,
  • Binding: Paperback
  • 386 pages

Most helpful customer reviews

3 of 3 people found the following review helpful.
Excellent "spine" for learning about the Middle Ages
By Mary G
The Middle Ages is filled with interesting characters and stories that continue to impact our understanding/systems today. Mills' book is a great way to teach kids about this era (one that spanned many centuries) ... a way to tell stories that the students can grab onto and hold and remember long after the quiz or test. This with the Famous Men of the Middle Ages and you've got a great start to a history curriculum for middle and high school students!

9 of 11 people found the following review helpful.
Best One Volume
By JKF
This is a great one volume edition covering the middle ages. Excellent and easy read for young adults as well as adults too. It is an exceptionally informative book. I highly recommend to all readers interested in the Middle Ages!

0 of 0 people found the following review helpful.
Five Stars
By Amazon Customer
Excellent intro to the Middle Ages.

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Rabu, 17 Oktober 2012

[X530.Ebook] PDF Ebook Measuring Advertising Effectiveness (Advertising and Consumer Psychology)From Psychology Press

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Measuring Advertising Effectiveness (Advertising and Consumer Psychology)From Psychology Press

This volume includes edited and revised versions of the papers delivered and discussed at the recent Advertising and Consumer Psychology Conference. Following the theme of the conference -- "Measuring Advertising Effectiveness" -- the book blends academic psychology, marketing theory, survey methodology, and practical experience, while simultaneously addressing the problems and limitations of advertising.

Acknowledging that advertisements are subtle, diverse, complex phenomena that require detailed investigation, this compilation explores the multidimensional nature of advertising's diverse effects from both academic and applied perspectives. Updates on theories and methods -- along with expert commentaries -- help to make this a valuable collection that will be of interest to advertising and marketing specialists and communications experts alike.

  • Sales Rank: #6618973 in Books
  • Published on: 1997-05-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 1.10" h x 6.10" w x 9.00" l, 1.55 pounds
  • Binding: Hardcover
  • 424 pages

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[W986.Ebook] PDF Ebook Becoming a Technical Leader: An Organic Problem-Solving Approach, by Gerald M. Weinberg

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Becoming a Technical Leader is a personalized guide to developing the qualities that make a successful leader. It identifies which leadership skills are most effective in a technical environment and why technical people have characteristic trouble in making the transition to a leadership role. For anyone who is a leader, hopes to be one, or would like to avoid being one.

This is an excellent book for anyone who is a leader, who wants to be a leader, or who thinks only people with 'leader' or 'manager' in their title are leaders. The book can be described briefly as a guide to developing personal leadership potential, but it is much more than that . . . it is filled with useful insights into personal growth as a professional.

Readers say it's always fascinating, and "focuses our attention on what it takes to make teams of thinking technical people work effectively together." Moreover, they say "it's always extremely practical and down-to-earth."

Becoming a Technical Leader is the "textbook" for Jerry Weinberg's world-famous Problem Solving Leadership Workshop. It consists of twenty-four well-reasoned, thought-provoking chapters on making the change from technical star to problem-solving leader.

  • Sales Rank: #83065 in Books
  • Published on: 1986-09
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.00" h x 6.00" w x .75" l, .90 pounds
  • Binding: Paperback
  • 304 pages

Review
"...extremely practical and down-to-earth...." -- CAUSE/Effect

"it is filled with useful insights into personal growth as a professional." -- Journal of Systems Management

Most helpful customer reviews

66 of 69 people found the following review helpful.
Here's a method that works!
By Lisa
This book resonates in me more than any other book on the subject. Weinberg forces you to participate in the exploration of how a technical leader is created, and he provides *real steps* on how to get there. He also provides many short exercises for you to test your progress in your day-to-day activities.
While reading this book, I had several major realizations about work relationships, why people react they way that they do, and how to motivate them. The title of the book uses the term "Organic" to describe this process, and it is a very valid claim because many of the leadership qualities are not masks that you put on or tricks that you acquire. Instead, they are internal realizations and shedding of misconceptions and assumptions that currently prevent you from being an effective leader. Cathartic in a self-help kind-of a way.
This is highly recommended reading for technical folks in leadership positions, or those who are looking to become technical leaders. Weinberg includes many stories and examples which carify each chapter. The book is a very easy read.

43 of 45 people found the following review helpful.
A gem. Powerful and life-changing. Does the job!
By A Customer
A life-changing book. The best one I know about becoming a manager or supervisor. Written for any person who is competent in a "technical field" (e.g., medicine, law, computer programming) who is now being given managerial responsibility. Each chapter has brief but powerful journaling exercises to focus your observations and support your development. Unusually clear. A great resource on power and leadership; problem solving and innovation; vision and motivating others; leadership styles; and much more. He concentrates on increasing your mindfulness of the demands of your new role and sharpening your self-awareness of personal beliefs, behaviors, and traits that affect how you affect others. If you can't buy it, track it down on interlibrary loan

27 of 27 people found the following review helpful.
Excellent Book For New And Future Leaders
By Philip R. Heath
I have gotten more out of this book than any other that I have read. It is ideal for current software developers who think they might be interested in leadership. It begins with some basic ideas about leadership and how they will relate to the rest of the book. The real meat of the book is in sections 2, 3, and 4 which are dedicated to Innovation, Motivation, and Organization - the three key components of being a technical leader. Weinberg does an excellent job of explaining these topics as well as the barriers to them. Each chapter ends with a list of questions. You will not get as much out of the book if you do not take the time to think through and write down your answers. Also, you will be asked to begin keeping a personal journal in one of the chapters on Innovation. You will not regret taking the five minutes a day to do this. It is well worth it. The book ends with some advice to help you implement changes necessary to become a technical leader as well as understand why you want to do it. The book asks a lot of its readers, but it gives a good return on the investment.

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Senin, 15 Oktober 2012

[P708.Ebook] Get Free Ebook McGraw-Hill's DAT with CD-ROM (Mcgraw-Hill Test Prep), by Thomas Evangelist, Wendy Hanks

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McGraw-Hill's DAT with CD-ROM (Mcgraw-Hill Test Prep), by Thomas Evangelist, Wendy Hanks

WE WANT TO HELP YOU SUCCEED ON THE DAT

We've put all of our proven expertise into McGraw- Hill's DAT to make sure you're ready for this difficult exam. This book gives you essential skill-building techniques and strategies developed by a team of expert test-prep tutors. Their practical experience and expert coaching will help you master every question type. You'll get all the facts about the exam, hundreds of helpful illustrations, and three full-length practice tests. McGraw-Hill's DAT guides you step-by-step through your preparation program--and gives you the tools you need to succeed.

Inside you'll find:

  • A diagnostic DAT to measure your strengths and weaknesses
  • Two complete sample DATs on CD-ROM
  • Complete reviews of each section on the DAT: biology, general chemistry, organic chemistry, perceptual ability, reading comprehension, and quantitative reasoning
  • Problem-solving techniques to boost your performance on the most difficult question types
  • An answer key with clear explanations for every question

  • Sales Rank: #236576 in Books
  • Published on: 2012-10-23
  • Original language: English
  • Number of items: 1
  • Dimensions: 10.90" h x 1.00" w x 8.60" l, 1.95 pounds
  • Binding: Paperback
  • 544 pages
Features
  • CD with test-like practice tests
  • Study material for biology, general chemistry, organic chemistry, perceptual ability, reading comprehension, and quantitative reasoning.

About the Author

THOMAS EVANGELIST is an assistant principal in the New York City Department of Education.

WENDY HANKS has worked in the testpreparation industry since 1993. Both have written and contributed to numerous books on test preparation.

Most helpful customer reviews

8 of 9 people found the following review helpful.
Great study guide
By J. Voelkle
This Study Guide covers all the necessary topics in great detail (Biology, General and Organic Chemistry, Reading comprehension, Mathematics). The questions are of the same difficulty level as the DAT. There are interesting (and useful) Perceptual Ability tests. In addition to the written guide is a CD-ROM which makes studying more flexible. This is the best DAT book I've seen.

2 of 2 people found the following review helpful.
My Choice
By Lucy A Hurrell
I've bought multiple DAT test prep books, and this one is the most thorough, clear, and direct of them all. When reading the other books if I came by confusing wording I would refer to this book to clear up any questions I had.

1 of 1 people found the following review helpful.
2buy or not2buy
By 2buy or not2buy
This is not a very good nor a very thorough book to buy. The online practice tests may entice you however these tests are much too easy in comparison with the real DAT. I only used this book a couple of times and did random questions. The biology section is a good sort of outline to use however I definitely do not recommend using this book by itself. Compared to the REAL DAT i would say this was somewhat too easy especially in biology. Still if you can find it for a good price it is not a bad book to have as a study guide.

2buy or no2buy
BUY if you can get it for cheap and are using destroyer, bootcamp, or kaplan
DONT BUY if it is expensive and you already have other sources to study from

See all 7 customer reviews...

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Sabtu, 29 September 2012

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Smarter Faster Better, by Charles Duhigg

NEW YORK TIMES BESTSELLER • From the author of The Power of Habit comes a fascinating book that explores the science of productivity, and why managing how you think is more important than what you think—with an appendix of real-world lessons to apply to your life.

At the core of Smarter Faster Better are eight key productivity concepts—from motivation and goal setting to focus and decision making—that explain why some people and companies get so much done. Drawing on the latest findings in neuroscience, psychology, and behavioral economics—as well as the experiences of CEOs, educational reformers, four-star generals, FBI agents, airplane pilots, and Broadway songwriters—this painstakingly researched book explains that the most productive people, companies, and organizations don’t merely act differently.
 
They view the world, and their choices, in profoundly different ways.

A young woman drops out of a PhD program and starts playing poker. By training herself to envision contradictory futures, she learns to anticipate her opponents’ missteps—and becomes one of the most successful players in the world.

A group of data scientists at Google embark on a four-year study of how the best teams function, and find that how a group interacts is more important than who is in the group—a principle, it turns out, that also helps explain why Saturday Night Live became a hit.

A Marine Corps general, faced with low morale among recruits, reimagines boot camp—and discovers that instilling a “bias toward action” can turn even the most directionless teenagers into self-motivating achievers.

The filmmakers behind Disney’s Frozen are nearly out of time and on the brink of catastrophe—until they shake up their team in just the right way, spurring a creative breakthrough that leads to one of the highest-grossing movies of all time.

What do these people have in common?

They know that productivity relies on making certain choices. The way we frame our daily decisions; the big ambitions we embrace and the easy goals we ignore; the cultures we establish as leaders to drive innovation; the way we interact with data: These are the things that separate the merely busy from the genuinely productive.

In The Power of Habit, Pulitzer Prize–winning journalist Charles Duhigg explained why we do what we do. In Smarter Faster Better, he applies the same relentless curiosity, deep reporting, and rich storytelling to explain how we can improve at the things we do. It’s a groundbreaking exploration of the science of productivity, one that can help anyone learn to succeed with less stress and struggle, and to get more done without sacrificing what we care about most—to become smarter, faster, and better at everything we do.

Praise for Smarter Faster Better

“A pleasure to read . . . Duhigg’s skill as a storyteller makes his book so engaging to read.”—The New York Times Book Review

“Not only will Smarter Faster Better make you more efficient if you heed its tips, it will also save you the effort of reading many productivity books dedicated to the ideas inside.”—Bloomberg Businessweek

“Duhigg pairs relatable anecdotes with the research behind why some people and businesses are not as efficient as others.”—Chicago Tribune

“The book covers a lot of ground through meticulous reporting and deft analysis, presenting a wide range of case studies . . . with insights that apply to the rest of us.”—The Wall Street Journal

  • Brand: imusti
  • Published on: 2017-01-12
  • Original language: English
  • Dimensions: 7.80" h x .98" w x 5.08" l,
  • Binding: Paperback
Features
  • Random House Business Books

Review
“A pleasure to read . . . [Charles] Duhigg’s skill as a storyteller makes his book so engaging to read.”—The New York Times Book Review
 
“Not only will Smarter Faster Better make you more efficient if you heed its tips, it will also save you the effort of reading many productivity books dedicated to the ideas inside.”—Bloomberg Businessweek
 
“Duhigg pairs relatable anecdotes with the research behind why some people and businesses are not as efficient as others. . . . He takes readers from inside the cockpit of a crashing plane to the writing room of Disney’s Frozen.”—Chicago Tribune
 
“The book covers a lot of ground through meticulous reporting and deft analysis, presenting a wide range of case studies . . . with insights that apply to the rest of us.”—The Wall Street Journal
 
“[Duhigg] looks at the numerous ways that people can become more effective, whether in improving motivation, setting goals, making decisions or thinking creatively . . . [He’s] an effective storyteller with a knack for combining social science, fastidious reporting and entertaining anecdotes.”—The Economist
 
“Engagingly written, solidly reported, thought-provoking and worth a read.”—Associated Press
 
“Charles Duhigg is the master of the life hack.”—GQ
 
“A gifted storyteller, Duhigg . . . combines his reporting skills with cutting-edge research in psychology and behavioural economics to explain why some companies and people get so much done, while some fail. Almost all books written in this genre are full of case studies and stories, but Duhigg’s storytelling skills make this book memorable and persuasive. Duhigg succeeds in challenging our mindsets and existing thought processes. It is not just another productivity book. It is about making sense of overwhelming data we live with.”—The Financial Express
 
“There are valuable lessons in Smarter, Faster, Better. . . . Duhigg is a terrific storyteller, and a master of the cliffhanger.”—Financial Times

“As he did in The Power of Habit, Charles Duhigg melds cutting-edge science, deep reporting, and wide-ranging stories to give us a fuller, more human way of thinking about how productivity actually happens. He manages to reframe an entire cultural conversation: Being productive isn’t only about the day-to-day and to-do lists. It’s about seeing our lives as a series of choices, and learning that we have power over how we think about the world.”—Susan Cain, author of Quiet
 
“A brilliant distillation of the personal and organizational behaviors that produce extraordinary results. Duhigg uses engaging storytelling to highlight fascinating research and core principles that we can all learn and use in our daily lives. A masterful must-read for anyone who wants to get more (and more creative) stuff done.”—David Allen, author of Getting Things Done
 
“Charles Duhigg has a gift for asking just the right question, and then igniting the same curiosity in the rest of us. In Smarter Faster Better he finds provocative answers to a riddle of our age: how to become more productive (by two times, or even ten times) and less busy, how to be more effective in the world and more in control of our lives. Duhigg has rendered, yet again, a great service with his sharp, lucid prose.”—Jim Collins, author of Good to Great

About the Author
Charles Duhigg is a Pulitzer Prize–winning investigative reporter for The New York Times and the author of The Power of Habit. He is a winner of the National Academies of Sciences, National Journalism, and George Polk awards. A graduate of Harvard Business School and Yale College, he lives in Brooklyn with his wife and two children.

Charles Duhigg is available for select readings and lectures. To inquire about a possible appearance, please contact Penguin Random House Speakers Bureau at speakers@penguinrandomhouse.com or visit www.prhspeakers.com.

Excerpt. © Reprinted by permission. All rights reserved.
1

Motivation

Reimagining Boot Camp, Nursing Home Rebellions, and the Locus of Control

The trip was intended as a celebration, a twenty-nine-day tour of South America that would take Robert, who had just turned sixty, and his wife, Viola, first to Brazil, then over the Andes into Bolivia and Peru. Their itinerary included tours of Incan ruins, a boat trip on Lake Titicaca, the occasional craft market, and a bit of birding.

That much relaxation, Robert had joked with friends before leaving, seemed unsafe. He was already anticipating the fortune he would spend on calls to his secretary. Over the previous half century Robert Philippe had built a small gas station into an auto parts empire in rural Louisiana and had made himself into a Bayou mogul through hard work, charisma, and hustle. In addition to the auto-parts business, he also owned a chemical company, a paper supplier, various swaths of land, and a real estate firm. And now here he was, entering his seventh decade, and his wife had convinced him to spend a month in a bunch of countries where, he suspected, it would be awfully difficult to find a TV showing the LSU-Ole Miss game.

Robert liked to say there wasn't a dirt road or back alley along the Gulf Coast he hadn't driven at least once to drum up business. As Philippe Incorporated had grown, Robert had become famous for dragging big-city businessmen from New Orleans and Atlanta out to ramshackle bars and forbidding them from leaving until the ribs were picked clean and bottles sucked dry. Then, while everyone nursed painful hangovers the next morning, Robert would convince them to sign deals worth millions. Bartenders always knew to fill his glass with club soda while serving the bigwigs cocktails. Robert hadn't touched booze in years.

He was a member of the Knights of Columbus and the chamber of commerce, past president of the Louisiana Association of Wholesalers and the Greater Baton Rouge Port Commission, the chairman of his local bank, and a loyal donor to whichever political party was more inclined to endorse his business permits that day. "You never met a man who loved working so much," his daughter, Roxann, told me.

Robert and Viola had been looking forward to this South American trip. But when they stepped off the plane in La Paz, midway through the monthlong tour, Robert started acting oddly. He staggered through the airport and had to sit down to catch his breath at the baggage claim. When a group of children approached him to ask for coins, Robert threw change at their feet and laughed. In the bus to the hotel, Robert started a loud, rambling monologue about various countries he had visited and the relative attractiveness of the women who lived there. Maybe it was the altitude. At twelve thousand feet, La Paz is one of the highest cities in the world.

Once they were unpacked, Viola urged Robert to nap. He wasn't interested, he said. He wanted to go out. For the next hour, he marched through town buying trinkets and exploding in a rage whenever locals didn't understand English. He eventually agreed to return to the hotel and fell asleep, but woke repeatedly during the night to vomit. The next morning, he said he felt faint but became angry when Viola suggested he rest. He spent the third day in bed. On day four, Viola decided enough was enough and cut the vacation short.

Back home in Louisiana, Robert seemed to improve. His disorientation faded and he stopped saying strange things. His wife and children, however, were still worried. Robert was lethargic and refused to leave the house unless prodded. Viola had expected him to rush into the office upon their return, but after four days he hadn't so much as checked in with his secretary. When Viola reminded him that deer hunting season was approaching and he'd need to get a license, Robert said he thought he'd skip it this year. She phoned a doctor. Soon, they were driving to the Ochsner Clinic in New Orleans.

The chief of neurology, Dr. Richard Strub, put Robert through a battery of tests. Vital signs were normal. Blood work showed nothing unusual. No indication of infection, diabetes, heart attack, or stroke. Robert demonstrated understanding of that day's newspaper and could clearly recall his childhood. He could interpret a short story. The Revised Wechsler Adult Intelligence Scale showed a normal IQ.

"Can you describe your business to me?" Dr. Strub asked.

Robert explained how his company was organized and the details of a few contracts they had recently won.

"Your wife says you're behaving differently," Dr. Strub said.

"Yeah," Robert replied. "I don't seem to have as much get-up-and-go as I used to."

"It didn't seem to bother him," Dr. Strub later told me. "He told me about the personality changes very matter of fact, like he was describing the weather."

Except for the sudden apathy, Dr. Strub couldn't find evidence of illness or injury. He suggested to Viola they wait a few weeks to see if Robert's disposition improved. When they returned a month later, however, there had been no change. Robert wasn't interested in seeing old friends, his wife said. He didn't read anymore. Previously, it had been infuriating to watch television with him because he would flip from channel to channel, looking for a more exciting show. Now, he just stared at the screen, indifferent to what was on. She had finally convinced him to go into the office, but his secretary said he spent hours at his desk gazing into space.

"Are you unhappy or depressed?" Dr. Strub asked.

"No," Robert said. "I feel good."

"Can you tell me how you spent yesterday?"

Robert described a day of watching television.

"You know, your wife tells me your employees are concerned because they don't see you around the office much," said Dr. Strub.

"I guess I'm more interested in other things now," Robert replied.

"Like what?"

"Oh, I don't know," Robert said, and then went silent and stared at the wall.

Dr. Strub prescribed various medications--drugs to combat hormonal imbalances and attention disorders--but none seemed to make a difference. People suffering from depression will say they are unhappy and describe hopeless thoughts. Robert, however, said he was satisfied with life. He admitted his personality change was odd, but it didn't upset him.

Dr. Strub administered an MRI, which allowed him to collect images from inside Robert's cranium. Deep inside his skull, near the center of Robert's head, he saw a small shadow, evidence that burst vessels had caused a tiny amount of blood to pool temporarily inside a part of Robert's brain known as the striatum. Such injuries, in rare cases, can cause brain damage or mood swings. But except for the listlessness, there was little in Robert's behavior to suggest that he was suffering any neurological disability.

A year later, Dr. Strub submitted an article to the Archives of Neurology. Robert's "behavior change was characterized by apathy and lack of motivation," he wrote. "He has given up his hobbies and fails to make timely decisions in his work. He knows what actions are required in his business, yet he procrastinates and leaves details unattended. Depression is not present." The cause of this passivity, Dr. Strub suggested, was the slight damage in his brain, which had possibly been triggered by Bolivia's altitude. Even that, however, was uncertain. "It is possible that the hemorrhages are coincidental and that the high altitude played no physiologic role."

It was an interesting but ultimately inconclusive case, Dr. Strub wrote.



Over the next two decades, a handful of other studies appeared in medical journals. There was the sixty-year-old professor who experienced a rapid "decrease in interest." He had been an expert in his field with a fierce work ethic. Then, one day, he simply stopped. "I just lack spirit, energy," he told his physician. "I have no go. I must force myself to get up in the morning."

There was a nineteen-year-old woman who had fallen briefly unconscious after a carbon monoxide leak and then seemed to lose motivation for the most basic tasks. She would sit in one position all day unless forced to move. Her father learned he couldn't leave her alone, as a neurologist wrote, when she "was found by her parents with heavy sunburns on the beach at the very same place where she laid down several hours before, under an umbrella: intense inertia had prevented her from changing her position with that of the shadow while the sun had turned around."

There was a retired police officer who began waking up "late in the morning, would not wash unless urged to do so, but meekly complied as soon as his wife asked him to. Then he would sit in his armchair, from which he would not move." There was a middle-aged man who was stung by a wasp and, not long after, lost the desire to interact with his wife, children, and business associates.

In the late 1980s, a French neurologist in Marseille named Michel Habib heard about a few of these cases, became intrigued, and started searching archives and journals for similar stories. The studies he found were rare but consistent: A relative would bring a patient in for an examination, complaining of a sudden change in behavior and passivity. Doctors would find nothing medically wrong. The patients scored normally when tested for mental illness. They had moderate to high IQs and appeared physically healthy. None of them said they felt depressed or complained about their apathy.

Habib began contacting the physicians treating these patients and asked them to collect MRIs. He then discovered another commonality: All the apathetic individuals had tiny pinpricks of burst vessels in their striatum, the same place where Robert had a small shadow inside his skull.

The striatum serves as a kind of central dispatch for the brain, relaying commands from areas like the prefrontal cortex, where decisions are made, to an older part of our neurology, the basal ganglia, where movement and emotions emerge. Neurologists believe the striatum helps translate decisions into action and plays an important role in regulating our moods. The damage from the burst vessels inside the apathetic patients' striata was small--too small, some of Habib's colleagues said, to explain their behavior changes. Beyond those pinpricks, however, Habib could find nothing else to explain why their motivation had disappeared.

Neurologists have long been interested in striatal injuries because the striatum is involved in Parkinson's disease. But whereas Parkinson's often causes tremors, a loss of physical control, and depression, the patients Habib studied only seemed to lose their drive. "Parkinsonians have trouble initiating movement," Habib told me. "But the apathetic patients had no problems with motion. It's just that they had no desire to move." The nineteen-year-old woman who couldn't be left alone at the beach, for example, was able to clean her room, wash the dishes, fold the laundry, and follow recipes when instructed to do so by her mother. However, if she wasn't asked to help, she wouldn't move all day. When her mother inquired what she wanted for dinner, the woman said she had no preferences.

When examined by doctors, Habib wrote, the apathetic sixty-year-old professor would "stay motionless and speechless during endless periods, sitting in front of the examiner, waiting for the first question." When asked to describe his work, he could discuss complicated ideas and quote papers from memory. Then he would lapse back into silence until another question was posed.

None of the patients Habib studied responded to medications, and none seemed to improve with counseling. "Patients demonstrate a more or less total indifference to life events that would normally provoke an emotional response, positive or negative," Habib wrote.

"It was as if the part of their brain where motivation lives, where élan vital is stored, had completely disappeared," he told me. "There were no negative thoughts, there were no positive thoughts. There were no thoughts at all. They hadn't become less intelligent or less aware of the world. Their old personalities were still inside, but there was a total absence of drive or momentum. Their motivation was completely gone."



II.

The room where the experiment was conducted at the University of Pittsburgh was painted a cheery yellow and contained an fMRI machine, a computer monitor, and a smiling researcher who looked too young to have a PhD. All participants in the study were welcomed into the room, asked to remove their jewelry and any metal from their pockets, and then told to lie on a plastic table that slid into the fMRI.

Once lying down, they could see a computer screen. The researcher explained that a number between one and nine was going to appear on the monitor. Before that number appeared, participants had to guess if it was going to be higher or lower than five by pressing various buttons. There would be multiple rounds of guessing, the researcher said. There was no skill involved in this game, he explained. No abilities were being tested. And though he didn't mention this to the participants, the researcher thought this was one of the most boring games in existence. In fact, he had explicitly designed it that way.

The truth was, the researcher, Mauricio Delgado, didn't care if participants guessed right or wrong. Rather, he was interested in understanding which parts of their brains became active as they played an intensely dull game. As they made their guesses, the fMRI was recording the activity inside their skulls. Delgado wanted to identify where the neurological sensations of excitement and anticipation--where motivation--originated. Delgado told participants they could quit whenever they wanted. Yet he knew, from prior experience, that people would make guess after guess, sometimes for hours, as they waited to see if they had guessed wrong or right.

Each participant lay inside the machine and watched the screen intently. They hit buttons and made predictions. Some cheered when they won or moaned when they lost. Delgado, monitoring the activity inside of their heads, saw that people's striata--that central dispatch--lit up with activity whenever participants played, regardless of the outcome. This kind of striatal activity, Delgado knew, was associated with emotional reactions--in particular, with feelings of expectation and excitement.

As Delgado was finishing one session, a participant asked if he could continue playing on his own, at home.

"I don't think that's possible," Delgado told him, explaining that the game only existed on his computer. Besides, he said, letting the man in on a secret, the experiment was rigged. To make sure the game was consistent from person to person, Delgado had programmed the computer so that everyone won the first round, lost the second, won the third, lost the fourth, and so on, in a predetermined pattern. The outcome had been determined ahead of time. It was like betting on a two-headed quarter.

"That's okay," the man replied. "I don't mind. I just like to play."

"It was odd," Delgado told me later. "There's no reason he should have wanted to continue playing once he knew it was rigged. I mean, where's the fun in a rigged game? Your choices have no impact. But it took me five minutes to convince him he didn't want to take the game home."

Most helpful customer reviews

934 of 1017 people found the following review helpful.
Too much reliance on anecdote to prove its points
By Edward Durney
Charles Duhigg is a good journalist (his share of a Pulitzer Prize proves that), and his book Smarter Faster Better is a good read. I enjoyed reading it. It's inspiring and insightful.

But the book promises to be more than just entertainment. The title takes off the Olympic motto: Citius Altius Fortius (Faster Higher Stronger), and its cover shows a runner smartly running directly to the center of a maze. A self-help, self-improvement type of book, it promises "the secrets of being productive in life and business". That I don't think the book delivers.

Why not? The book is full of stories. Anecdotes. Case studies. Whatever you want to call them. Charles Duhigg researches a lot of disparate incidents involving various people, and tries to bring them together to show us how to draw on other people's experiences to be more productive. But he fails.

That's because you can pull out of anecdotes pretty much anything you want to. I can find an anecdote to support any argument I want to make. Anecdotes are like statistics. As Simpson's paradox says, often the same statistics can be used to show something and its exact opposite. The same with anecdotes.

Take Charles Duhigg's use of the life of Rosa Parks in his book The Power of Habit. He says that she shows the power of social habits. He tells of how her husband said she was so social she rarely ate dinner at home, instead eating at the home of friends. That gave her the social strength to start a movement.

But Susan Cain (a blurber for this book) in her book Quiet, tells the story of Rosa Parks to support her argument of the power of introverts. While extroverts tend to gain their energy in social situations, introverts typically recharge through solitude and feel drained from too much stimulation. The same person, but one author sees her as a social butterfly and another as an introvert who sought solitude.

That's not to say that Charles Duhigg or Susan Cain is wrong. And I don't want to push this example too strongly. But I do think that many authors, and most TED talk speakers, depend too much on anecdote and story telling to persuade, while they would do better to just entertain. I have no problem using anecdotes to pump people up. But to try to derive secrets from them seems a step too far.

Take another example, this one from this book. Charles Duhigg uses the example of the 2009 Air France Flight 447 jetliner crash in the Atlantic as an example of "cognitive tunneling" and poor mental models. In that tragic accident, the Airbus A330 plane was flying from Rio de Janeiro to Paris and ran into bad weather. The plane was flying fine, but its pitot tubes apparently froze up and gave the pilots the wrong speed information. They acted on that wrong information, put the plane into a stall, and fell into the ocean.

But does that anecdote unequivocally show cognitive tunneling? And can one take from that anecdote a lesson about how not to cognitively tunnel? I don't see how. I've read several other accounts of that Air France accident, and none of them blamed it on cognitive tunneling (although one did mention tunnel vision as one of many factors).

The Air France accident seems to me more like what Charles Perrow described in Normal Accidents: Living With High-Risk Technologies. Just like with the nuclear accident at Three Mile Island, people do not do well when their instruments lie to them about situations they cannot see with their eyes. Another account blames the Air France accident mainly on over-reliance on automated systems in the Airbus planes. (William Langewiesche's article in Vanity Fair is fascinating reading.)

My point is that any anecdote can, by its nature, be interpreted in many different ways. Just like in the old fable six blind men saw six different things in an elephant. None were wrong, yet none were right.

Rather than books like this one, I prefer my anecdotes in the form of biographies. When I read a good biography, or a good history, the author presents a life or a series of stories in a way that the reader can draw their own conclusions. I'm sure the author's slant comes through to some extent.

But when I read a book by someone like David Halberstam or David McCullough, I usually feel as though I read a gem that provides lessons for my life. I didn't get that with this book. To me, at least, it seemed too shallow, too broad, and too pushy. Not deep, focused, and subtle.

34 of 36 people found the following review helpful.
Mastering what separates “the merely busy from the genuinely productive”
By Robert Morris
Mastering what separates “the merely busy from the genuinely productive”

In Smarter Faster Better, Charles Duhigg sets the table: Various advances in communications and technology are supposed to make our lives easier. “Instead, they often seem to fill o0ur days with more work and stress. In part, that’s because we’ve been paying attention to the wrong innovations. We’ve been staring at the tools of productivity — the gadgets and apps and complicated filing systems for keeping track of various to-do lists — rather than the lessons those technologies are trying to teach us…This book is about how to recognize the choices that fuel true productivity…This is a book about how to become smarter, faster, and better at everything you do.”

He focuses on — and devotes a separate chapter to — “a handful of key insights” shared by hundreds of poker players, airline pilots, military generals, executives, and cognitive scientists who kept mentioning the same concepts again and again and again. In this book, he explores “the eight ideas that seem most important to expanding productivity.” Here they are, accompanied by my own annotations:

1. Motivation: Make choices that place you in control of a situation. If empowered, you will speak and act more decisively and accelerate gaining the respect and trust of others.

2. Teams: Manage the [begin italics] how [end italics], not the [begin italics] who [end italics] of teams. Send messages that empower others. Keep in mind this passage from Lao-tse’s Tao Te Ching:

"Learn from the people
Plan with the people
Begin with what they have
Build on what they know
Of the best leaders
When the task is accomplished
The people will remark
We have done it ourselves."

3. Focus: Envision what will probably happen. What will happen first? Obstacles? How to avoid, pre-empt, or overcome them?

4. Goal Setting: Choose a stretch goal (a BHAG), then break that into sub-goals and develop SMART objectives.

5. Managing Others: Employees work smarter and better when they feel they have the power (see #1) to help make the right decisions about what to be done and how best to do it. They will be more motivated if convinced that others recognize and appreciated what they think, feel, and do.

6. Decision Making: Envision multiple futures as well as their potential implications and possible consequences. Obtain a variety of different (and differing) perspectives from those closest to the situation. Although this 360º process is helpful, you must be prepared to make the given decision.

7. Innovation: Combine new ideas in old ways and old ideas in new ways. Constantly challenge assumptions and premises. If they are sound, they will survive. Incremental innovation makes disruptive innovation even better.

8. Absorbing Data: When encountering new information, do something with it. Write it down. Read it aloud. Formulate Qs that it evokes. Put it to a small test. Ask others “Did you know that…?” Most new information is really unfamiliar information.

These are among the dozens of passages of greatest interest and value to me, also listed to suggest the scope of Duhigg’s coverage:

o Motivation (Pages 13-21 and 33-47)
o U.S. Marine Corps boot camp (22-31)
o Teamwork at Google (41-46, 50-51, and 65-68)
o Mental Models (88-93, 97-98, 101-102, and 277-279)
o Qantas Airways flight 32 and mental models (93-101 and 277-278)
o Prelude to Yom Kippur War (103-106 and 109-112)
o Stretch goals (125-128)
o Frank Janssen (134-139 and 161-165)
o Rick Madrid (139-144, 150-151, and 154-155)
o James Baron (145-150)
o Categories of culture (146-148)
o Productivity and control (153-155)
o Bayesian psychology (192-193)
o How Idea Brokers and Creative Desperation Saved Disney’s Frozen (205-215)
o West Side Story (210-212, 216-220, and 223-224)
o Information blindness (243-247)
o Debt collection (247-252)
o Stretch goals paired with SMART goals (274-279)

In addition to his lively as well as eloquent narrative, I commend Duhigg on his provision of the most informative annotated notes that I have as yet encountered. I urge everyone who reads this brief commentary to check them out (Pages 293-368). They enliven and enrich his narrative in ways and got an extent that must be experienced to be believed.

The best journalists as well as the best leaders are terrific storytellers and that is certainly true of Duhigg. He anchors his reader in hundreds of real-world situations to illustrate key points. Dozens of poker players, airline pilots, military generals, executives, and cognitive scientists that he interviewed learned valuable lessons with regard to the dos and don’ts of being productive in life and business, especially when under severe duress.

I highly recommend Smarter Faster Better as well as Charles Duhigg’s previously published book, The Power of Habit: Why We Do What We Do in Life and Business, also published by Random House.

181 of 200 people found the following review helpful.
The book's good points get buried and forgotten in an epic flood of words
By Mark G
A brief warning to busy and smart people: the book contains some interesting insights and pieces of valuable advice. But, in the tradition of most self-help books, its worthwhile points could be communicated in a book 70 to 80 percent shorter. It is just unbelievably tedious with runaway background information and stories. It contains so much superfluous material that it is actually painful to listen to. And the good points get buried and forgotten in a flood of words. I normally prefer unabridged versions of books but this one begs for a most severe abridgement.

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Jumat, 28 September 2012

[H800.Ebook] Download Ebook Pocket Anesthesia (Pocket Notebook Series), by Richard Urman, Jesse M. Ehrenfeld

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Pocket Anesthesia (Pocket Notebook Series), by Richard Urman, Jesse M. Ehrenfeld

Designed for easy transport and quick reference, Pocket Anesthesia, presents essential information that residents, anesthesiologists, CRNAs, and medical students need on the wards and in the operating room. Edited by anesthesia faculty at Harvard Medical School, this pocket-size reference is ideally suited for today's fast-paced anesthesia environment—it is concise, easy to read, and evidence-based. Essential information is presented in a well-organized schematic outline format with many tables, algorithms, and diagrams. The book is filled with must-know facts about drugs, frequent intraoperative problems, differential diagnosis, common disease states, patient evaluation, and anesthetic considerations for each subspecialty.� New to the revised, second edition, is the inclusion of ultrasound-guided regional anesthesia procedures.

  • Sales Rank: #15418 in Books
  • Brand: Brand: LWW
  • Published on: 2012-11-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 7.50" h x 5.00" w x 1.00" l, .74 pounds
  • Binding: Loose Leaf
  • 362 pages
Features
  • Used Book in Good Condition

Most helpful customer reviews

3 of 3 people found the following review helpful.
handy dandy
By pz
this almost comprehensive handy dandy pocket guide is very helpful. light, makes it easy to carry around.i would recommend it.

6 of 8 people found the following review helpful.
Great resource
By Jamie P
This book is a great resource. I was unsure of the format of the Kindle edition, but it is very usable on my IPhone. I would highly recommend it for the convenience of not carrying a book around.

1 of 1 people found the following review helpful.
This is a must for daily OR use!
By A
I have looked at 10 different reverence pocket notebooks for the OR and this is the one! I love it and so do almost all of my classmates. Most CRNAs that I am with look at it and say "I need one of these". It is quick and easy to use. Has metal wrings so you can add pages and cards as needed. Great little book!

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