The effects of nuclear attacks on the petroleum industry,

"SRI project no. IU-3084."

Reply of Colonel Orne to the attacks of Mr. Nathaniel Greene, and David Henshaw, and others, in the Boston Statesman.

Mode of access: Internet.

Anantachary answered, or Unitarian Christianity vindicated against the attacks of the Gentlemen's Gooroos : in a tract entitled "some additional reason, in answer to the question--why do you go to the (so called) Unitarian chapel?"--to which is added,--a list of false readings and mistranslations of the scriptures /

Mode of access: Internet.

Sir Charles Metcalfe defended against the attacks of his late counsellors /

Includes index.

The Hon. R.B. Sullivan's attacks upon Sir Charles Metcalfe refuted by Egerton Ryerson microform : being a reply to the letters of "Legion".

Originally published in the British colonist--Cf. Pref.

An Introduction to the art of fortification, containing draughts of all the common works used in military architecture, and of the machines and utensils necessary either in attacks or defences : also a military dictionary, wherein the said works and machines are not only more fully described, but all other technical terms and phrases made use of in the science of war are distictly [sic] explained.

A separate issue of the title appended to The theatre of the present war in the Netherlands and upon the Rhine (London : J. Brindley, 1745).

Prelude to panic; the story of the bank holiday.

Mode of access: Internet.

Jesus as judged by his enemies ; a study of the criticisms and attacks made on Jesus by his enemies.

Mode of access: Internet.

Narrative of the Texan Santa Fé expedition : Comprising a tour through Texas with an account of the disasters that the expedition encountered for want of food, and by attacks of Indians : the final capture of the Texians, and their sufferings as prisoners in Mexico /

Mode of access: Internet.

A reply to a pamphlet, entitled Bondage, a moral institution sanctioned by the Scriptures and the Savior, &c. &s. so far as it attacks the principles of expulsion, with no defence however of abolitionism /

Mode of access: Internet.

Listed Construction Materials and Equipment and Methods of Construction and of Installation of Equipment Conforming to the Fire and Panic Safety Standards

Mode of access: Internet.

An integrated cognitive model of panic disorder: The role of positive and negative cognitions

One reason for the neglect of the role of positive factors in cognitive-behavioural therapy (CBT) may relate to a failure to develop cognitive models that integrate positive and negative cognitions. Bandura [Psychol. Rev. 84 (1977) 191; Anxiety Res. 1 (1988) 77] proposed that self-efficacy beliefs mediate a range of emotional and behavioural outcomes. However, in panic disorder, cognitively based research to date has largely focused on catastrophic misinterpretation of bodily sensations. Although a number of studies support each of the predictions associated with the account of panic disorder that is based on the role of negative cognitions, a review of the literature indicated that a cognitively based explanation of the disorder may be considerably strengthened by inclusion of positive cognitions that emphasize control or coping. Evidence to support an Integrated Cognitive Model (ICM) of panic disorder was examined and the theoretical implications of this model were discussed in terms of both schema change and compensatory skills accounts of change processes in CBT. (C) 2004 Elsevier Ltd. All rights reserved.

Doubling daily inhaled corticosteroid dose is ineffective in mild to moderately severe attacks of asthma in adults

Background: Asthma guidelines recommend increasing or doubling inhaled corticosteroid (ICS) dose to treat mild and moderate exacerbations of asthma in adults. Aim: To: (i) compare the effectiveness of doubling existing daily ICS dose (fluticasone) with maintaining usual ICS dose and usual daily ICS dose accompanied by oral steroids (OS) (dexamethasone) during mild and moderately severe exacerbations of asthma in adults; (ii) examine determinants of success and failure; and (iii) compare side-effect profiles. Methods: A randomized, double-blind, placebo-controlled (double-dummy), triple crossover trial. Participants acted as their own control. Outcome measures included treatment success/failure, peak expiratory flow (PEF) after 7 days therapy or at treatment failure, and side-effects. Results: From 22 participants (nine males and 13 females), 18 pairs of data were available for maintaining usual ICS versus doubling ICS and doubling ICS versus OS, and 19 for maintaining usual ICS versus OS. Median (fifth-95th percentile) age was 46.5 (32-64) years and forced expiratory volume in one second (FEV1) 73% (29-97%) predicted. The outcome after doubling ICS was not superior to maintaining usual ICS, with 11 (61%) failures in both arms (P = 0.66). OS, with only 5 (26%) failures, was superior to maintaining usual ICS with 12 (63%) failures (P = 0.04), and to doubling ICS with 5 (28%) versus 11 (61%) failures (P = 0.07). Median PEF (as percentage of run-in best) at end-points were 90.5% (57.1-177.1) for OS, 78.3% (39.5-103.1) for maintaining usual ICS and 77.9 (27.7-110.3) for doubling ICS. Neither gender nor PEF at exacerbation were predictive of failure. Although doubling ICS was not an effective therapy overall, ICS dose at exacerbation were predictive of success in the doubling ICS arm (P = 0.04). Treatment failures when doubling daily ICS dose were more common if achieved fluticasone dose was less than 2000 mu g (three of 11, 73%) compared to 2000 mu g or greater (eight of eight, 37.5%). Increasing age and the presence of an upper respiratory tract infection (URTI) were predictive of failure with OS. Side-effects were more commonly reported with OS (52.6%) than doubling ICS (42.1%) or maintaining usual ICS (19.1%) with the most common being mood changes (36.8%), sleep disturbance (31.6%) and changes in appetite (26.3%). Conclusions: Doubling daily ICS dose per se is not effective for the treatment of mild to moderately severe exacerbations of asthma in adults. Success may depend on achieved ICS dose. Oral steroids are effective, but side-effects are common. A review of current guidelines may be warranted.