Free Download Auditing Payroll by DIIR - Arbeitskreis "Revision Personalmanagement und Interne Dienstleistungen";DIIR - Deutsches Institut für Interne Revision e. V.; English | 2023 | ISBN: 3503237194 | 82 pages | True PDF | 7.41 MB
Free Download Edward Harcourt, "Attachment and Character: Attachment Theory, Ethics, and the Developmental Psychology of Vice and Virtue" English | ISBN: 0192898124 | 2022 | 272 pages | EPUB, PDF | 809 KB + 2 MB Free Download Atomic habits. Piccole abitudini per grandi cambiamenti: Trasforma la tua vita un piccolo passo per volta Italiano | 2019 | ISBN: 8851172412 | 232 Pages | PDF | 3.3 MB Mental coach, formatori, guru motivazionali: tanti dicono che nella vita è fondamentale porsi obiettivi ambiziosi, decidere dove si vuole arrivare e fare di tutto per arrivarci. Ma è davvero questa la chiave del successo? Perché allora è così difficile fare quello che continuamente diciamo di voler fare? Per quale motivo non riusciamo a dimagrire, ricominciamo a fumare, perdiamo ore incollati a uno smartphone? Perché non costruiamo davvero relazioni più salutari, carriere più soddisfacenti? James Clear, uno degli esperti di crescita personale più innovativi e seguiti in America, non ha dubbi: stiamo semplicemente sbagliando bersaglio. L'ossessione per gli obiettivi, invece di aiutarci a migliorare, rischia di diventare un'ulteriore fonte di stress, e perfino di farci fallire. Noi non siamo i nostri obiettivi: siamo la somma delle nostre abitudini. Per questo, secondo Clear, è proprio dalle piccole abitudini di ogni giorno che dobbiamo partire per dare alla nostra vita una nuova direzione. Il vero cambiamento non nasce da una singola grande svolta, ma dalla combinazione di tanti miglioramenti quasi impercettibili: un piccolo passo alla volta, un progresso quotidiano dell'uno per cento. Questo manuale brillante e dettagliato ci accompagna, passo dopo passo, sulla strada del cambiamento sostenibile, attraverso un metodo chiaro e facile da mettere in pratica per creare buone abitudini, per liberarci da quelle cattive, e per rimanere felicemente fedeli alle nostre scelte. Perché soltanto concentrandoci su ciò che abbiamo il potere di cambiare - ciò che ogni giorno decidiamo di fare o non fare - potremo ottenere una trasformazione profonda e duratura. Free Download Atlas of Keystone Reconstructive Technique in Melanoma Management English | 2023 | ISBN: 303139867X | 213 Pages | PDF (True) | 35 MB Worldwide, it is quoted that 85% of Melanoma cases are treated surgically. The reliability of the Keystone Perforator Island Flap (KPIF) as a reconstructive technique has wide applications. Its low complication rate is the key to its surgical success. The technique is clearly explained in this Atlas by the author, a renowned plastic and reconstructive surgeon, who established this reconstructive principle over 20 years. The illustrations range from simple to complex cases in an easy-to-follow format. Audio files, as a supplementary tool, amplify the technique to enhance the reader's experience and foster clear understanding. Chapters focussing on anatomical regions contain carefully selected cases accompanied by images to demonstrate a step-by-step surgical technique. The basic design format for all Keystones are highlighted, all sitting within the dermatomal precincts. The KPIF must contain a fascial base for lining and the island outline is an essential pre-requisite. It is hypothesized that this islanding creates a sympathectomy effect resulting in hyperaemic blood flow which optimises healing. Undermining up to 2/3 is permissible as long as there is a deep attachment of 1/3 at the base of the flap to contain the random perforator vascular support. This design allows the rotation, advancement and transposition (ART) of the flap to facilitate the reconstructive closures. Presumably, there are somatic and autonomic neural support lines accompanying the vascular pathways of these random perforator flaps. The vascular perforator tree must not be skeletonised (as in propellor flaps) to allow preservation of such anatomical elements - somatic, autonomic and lymphatic pathways, all of which are an essential component in any surgical repair. This KPIF provides an alternative to microvascular procedures where the biggest drawback is tissue match. The KPIF addresses this problem admirably with a low pain component, an excellent aesthetic match with a low vascular complication rate and a performed in an expeditious manner - these all characterise the KPIF. Simple solutions solve problems and this KPIF Atlas for Melanoma becomes a welcome companion to any surgical speciality including plastic and reconstructive surgeons, surgical oncologists, general surgeons and dermatologists. 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