In this fully updated and revised edition, diabetes educator Gary Scheiner provides the tools to “think like a pancreas”—to successfully master the art and science of matching insulin to the body’s ever-changing needs. Comprehensive, free of medical jargon, and packed with useful information not readily available elsewhere, this new edition covers the many strides taken in diabetes education and management since the first edition seven years ago. Think Like a Pancreas includes critical information, such as day-to-day blood glucose control and monitoring, designing an insulin program to best match your lifestyle, up-to date medication and technology, and new insulin formulations and combinations.

    While the two declare an uneasy truce in an effort to work together, both struggle with mutual, and unexpected, attraction. Honor, however, has more than one reason to resist her growing feelings for the attractive newcomer—not the least of which is that her heart belongs to the woman whose wedding ring she wears. Amidst the chaos and drama of a busy emergency room, Quinn and Honor must contend not only with the fragile nature of life, but also with the mysteries of the heart and the irresistible forces of fate.

    A team of authors with a wealth of diverse teaching and clinical experience have carefully crafted the book to efficiently cover the information taught in contemporary anatomy courses. A user-friendly format, a regional organization, and outstanding artwork make mastering anatomy remarkably easy. Unique coverage of surface anatomy, correlative diagnostic images, and clinical case studies demonstrate practical applications of anatomical concepts. STUDENT CONSULT offers convenient and versatile online access to the book's content plus interactive exercises and more. And, an international advisory board, comprised of more than 100 anatomy instructors, ensures that the material is accurate, up to date, and easy to use.The smart way to study!Elsevier titles STUDENT CONSULT will help you master difficult concepts and study more efficiently in print and online! Perform rapid searches. Integrate bonus content from other disciplines. Download text to your handheld device. And a lot more. Each STUDENT CONSULT title comes with full text online, a unique image library, case studies, USMLE style questions, and online note-taking to enhance your learning experience.

    Goljan, MD, makes it easy for you to master all of the pathology material covered on the USMLE™ Step 1 Exam. It combines an outline-format review of key concepts with over 400 hundred USMLE-style practice questions - online - that give you all the practice you need to succeed! Book • Outline format: Concise, high-yield subject matter is presented in a study-friendly format.• High-yield margin notes: Key content that is most likely to appear on the exam is reinforced in the margin notes.• Visual elements: Full-color photographs are utilized to enhance your study and recognition of key pathology images. Abundant two-color schematics and summary tables enhance your study experience.• Two-color design: Colored text and headings make studying more efficient and pleasing.New! Online Study and Testing Tool• A minimum of 350 USMLE Step 1–type MCQs: Clinically oriented, multiple-choice questions that mimic the current USMLE format, including high-yield images and complete rationales for all answer options. • Online benefits: New review and testing tool delivered via the USMLE Consult platform, the most realistic USMLE review product on the market. Online feedback includes results analyzed to the subtopic level (discipline and organ system). • Test mode: Create a test from a random mix of questions or by subject or keyword using the timed test mode. USMLE Consult simulates the actual test-taking experience using NBME’s FRED interface, including style and level of difficulty of the questions and timing information. Detailed feedback and analysis shows your strengths and weaknesses and allows for more focused study. • Practice mode: Create a test from randomized question sets or by subject or keyword for a dynamic study session. The practice mode features unlimited attempts at each question, instant feedback, complete rationales for all answer options, and a detailed progress report. • Online access: Online access allows you to study from an internet-enabled computer wherever and whenever it is convenient. This access is activated through registration on www.studentconsult.com with the pin code printed inside the front cover.Student Consult• Full online access: You can access the complete text and illustrations of this book on www.studentconsult.com. • Save content to your PDA: Through our unique Pocket Consult platform, you can clip selected text and illustrations and save them to your PDA for study on the fly! • Free content: An interactive community center with a wealth of additional valuable resources is available.

    Full of advice on how surgeons should use their heads as well as their hands - how to think, plan, and improvise - when, for example, operating on a massively bleeding trauma patient. Starts with general principles, continues with specific injuries to abdomen, chest, neck, and peripheral vessels. Generously illustrated throughout, with drawings produced specifically for this book. For residents, general surgeons with an interest in trauma, and for surgeons operating on badly wounded patients in isolated military, rural, or humanitarian settings. Asher Hirshberg and Kenneth L Mattox are trauma surgeons at the Ben Taub General Hospital, Houston, and professors at the Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, USA. Kenneth L Maddox is famous as the lead editor of McGraw Hill's classic text, Trauma, now in its fifth edition. This is going to be a GREAT book!

    This book was originally written by third-year medical students searching for the perfect review book--not finding it on the market, they wrote it themselves! Now in its third edition, Step-Up to Medicine boils down the full scope of tested pathology in a single ingenious tool. Each element is tailored for immediate content absorption, and an all-new, full-color interior differentiate elements for even faster, more efficient review. And, Step-Up to Medicine , third edition provides two types of self-assessment--the kinds of questions you will ask yourself as a clinician plus USMLE-style practice questions. This review book gives you just the Step-Up to the medicine clerkship, accompanying shelf exams, and USMLE Step 2 that you need! NEW Features for this blockbuster edition: Full-color, updated interior design brings the content to you in a rousing, memorable style. Full-color, updated art program illustrates concepts when a picture says it best--plenty of clinical images also supplement topics. New content on evidence-based medicine keeps you current and informed to guide your clinical decision making. Expanded content on drug dosing is added where relevant.CLASSIC Features students swear by: Complete coverage of high-yield medical topics ensures you are test ready Clinical Pearls boxes help you "file away" clinical medicine connections for handy retrieval at test time Quick Hits glimmering in the margins highlight highly testable material--just see how the sparks fly at test timeBONUS Material and study resources: eBook with the fully searchable text is available via thePoint . NEW 300 USMLE-style questions provide another means of self-assessment and practice for those exams NEW Audio clips of breath and heart sounds also available on thePoint

    Among the victims were Shawn Simons and Alvaro Llanos, roommates from poor neighborhoods who made their families proud by getting into college. They managed to escape, but both were burned terribly.After the Fire is the story of these young men and their courageous fight to recover from the worst damage the burn unit at Saint Barnabas hospital had ever seen. It is the story of the extraordinary doctors and nurses who work with the burned. It is the story of mothers and fathers, of faith and family and the invisible ties that bind us to each other. It is the story of the search for the arsonists - and the elaborate cover-up that nearly obscured the truth. And it is the story of the women who came to love these men, who knew that real beauty is a thing not seen in mirrors.

    But the story of the vaccine has a dark side, one that has never been fully told before...Between 1954 and 1963, close to 98 million Americans received polio vaccinations contaminated with a carcinogenic monkey virus, now known as SV40. A concerted government effort downplayed the incident, and it was generally accepted that although oncogenic to laboratory animals, SV40 was harmless to humans.But now SV40 in showing up in human cancers, and prominent researchers are demanding a serious public health response to this forgotten polio vaccine contaminant. A gripping medical detective story, The Virus and the Vaccine raises major questions about vaccine policy.

    For patients to achieve maximum benefits of this surgical correction, they need understand and manage many important details both before and in the first year after surgery.This comprehensive guide explains everything from the preoperative decision-making process to the surgery itself, how to prepare your home for post-surgery rehabilitation, and a week by week description of how to rehabilitate yourself following your TKA. The road to recovery is laid out clearly in this book in such detail that there are no surprises. It concentrates extensively on postoperative rehabilitation, which is vital to the success of a TKA, and as important as the surgery itself.This book contains 145 exercises, 190 illustrations and photos, and questions and answers at the end of each chapter. It empowers patients with the knowledge they need to take charge of their own rehabilitation program.

    Now in its Eleventh Edition, this classic atlas continues to provide students with accurate anatomical images presented in a pedagogically effective, clinically relevant manner. This new edition has been revised to include 100 additional four-color illustrations, additional orientation drawings, and updated terminology.This edition is packaged with a student version of Dynamic Human Anatomy, an interactive electronic supplement which includes 800 images from the Eleventh Edition of Grant's, 8 video clips from Acland's DVD Atlas of Human Anatomy, and 100 USMLE-style review questions in anatomy.

    He searched in vain for a book that would give him the information and advice he so desperately sought. Now this award-winning journalist has compiled just the kind of emotionally supportive and useful resource that he wished he had been able to consult-to give men the tools they need to help their wives, their families, and themselves through this scary, uncertain time.In his years as a consumer journalist and veteran of the News You Can Use staff at U.S. News & World Report, Marc Silver learned what kind of information and advice on medical crises readers found most valuable. He draws on that experience as he covers in depth all the issues couples coping with breast cancer will have to face during diagnosis, treatment, and beyond. Highlights include: - The shared experiences of other breast cancer husbands- Guidance from top cancer doctors in the country- Advice on when, how, and what to tell your young children- Tips on coping with radiation and chemotherapy - A candid discussion of sex and intimacy following breast cancer surgeryMore than 200,000 women are diagnosed with cancer each year in the United States. At last, with this book, the men who love them have a road map to help them through a difficult and unprecedented journey.

    Laura set the tone with her quick remarks. Frances, from Newfoundland, was famous for her improvised recipes. Justine, the union rep, wore t-shirts emblazoned with defiant slogans, like “Nurses Care But It’s Not in the Budget.” Shalof was the one who had been to university. The others accused her of being “sooo sensitive.”They depended upon one another. Working in the ICU was both emotionally grueling and physically exhausting. Many patients, quite simply, were dying, and the staff strove mightily to prolong their lives. With their skill, dedication, and the resources of modern science, they sometimes were almost too successful. Doctors and nurses alike wondered if what they did for terminally-ill patients was not, in some cases, too extreme. A number of patients were admitted when it was too late even for heroic measures. A boy struck down by a cerebral aneurysm in the middle of a little-league hockey game. A woman rescued – too late – from a burning house. It all took its toll on the staff.And yet, on good days, they thrived on what they did. Shalof describes a colleague who is managing a “crashing” patient: “I looked at her. Nicky was flushed with excitement. She was doing five different things at the same time, planning ahead for another five. She was totally focused, in her element, in control, completely at home with the chaos. There was a huge smile on her face. Nurses like to fix things. If they can.”Shalof, a veteran ICU nurse, reveals what it is really like to work behind the closed hospital curtains. The drama, the sardonic humour, the grinding workload, the cheerful camaraderie, the big issues and the small, all are brought vividly to life in this remarkable book.From the Hardcover edition.

    Diarmuid Jeffreys traces the story of aspirin from the drug's origins in ancient Egypt, through its industrial development at the end of the nineteenth century and its key role in the great flu pandemic of 1918, to its subsequent exploitation by the pharmaceutical conglomerates and the marvelous powers still being discovered today.

    After 17 years of practicing medicine, I can say that it is impossible to achieve your optimal health if you do not have adequate iodine levels. I have yet to see any item that is more important to promoting health or optimizing the function of the immune system than iodine. Learn what forms of iodine you need and why there is not enough iodine in salt. See how iodine can help: breast cancer, fibrocystic breast disease, detoxification, fatigue, Graves' disease, and Hashimoto's disease. Find out why iodine deficiency may be the root cause of thyroid problems including hypothyroidism and thyroid cancer. Discover how to get iodine in your diet and improve your immune system.

    The heroines are the seven Vivian sisters, Abbiennian princesses, who, after many battles, fires, tempests, and lurid torture, succeed in forcing the Glandelinians to give up their barbarous ways. "The Disasters of War" offers an affordable introduction to Darger's astonishing outsider oeuvre. It explains the technique, diligence and creativity of the works, illustrates details, and features a conversation between the Darger estate holder and the Kunstwerke's curator. A selection of 12 previously unpublished excerpts from "The Realms of the Unreal" and from Darger's diary explore the artist's favorite topics: thunderstorms and atrocities. With a biography and exhibition history.

    Each case includes an extended discussion, definition of terms, clinical pearls, and USMLE format review questions. This interactive learning system is proven to improve shelf-exam scores and helps students to learn in the context of real patients insted of simply memorizing.

    Lauren Streicher discusses everything a woman needs to know to make informed choices about this often-controversial subject, including emotions and sex after surgery, hormone replacement, and much more.

     This is the story of miners who were unaware of the toxins they took into their lungs, then brought home in their clothes-infecting their families. It is the story of the ongoing use of asbestos in products ranging from insulation to cat litter. It is the story behind the George W. Bush administration's successful campaign to cover up the full extent of the post-9/11 asbestos problem in Lower Manhattan. But it is also the story of the townspeople and government workers who took on the government in Washington to demand justice for those who died-and those who are still dying-of preventable exposure to asbestos.

    Its portability, comprehensiveness, and ease of access makes it a favorite on-call resource for housestaff and faculty around the world. In this edition, color has been added for better navigation, new decision support algorithms have been added, and an improved templated and bulleted format facilitates a quicker answer.With this edition you now have the capability to upload this content to your handheld device and receive updates to the information throughout the activation period. Plus, you have access to eight medical calculators that include:GFR - Cockcroft-Gault Method (Adult) Urea Reduction % (Hemodialysis) Transtubular Potassium Gradient Osmolal Gap Anion Gap Serum Osmolality Reticulocyte Index Body Mass Index (BMI)The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

    Organized primarily by body system, each chapter begins with an overview of the system and a brief guide to history taking. Then each symptom or condition is examined with discussions on its background, prevalence, etiology, differential diagnosis, questions to ask the patient, and conditions to eliminate. The book also contains algorithms to aid in diagnosis, summary tables on what questions should be asked and why, and references for further study.Comprehensive - covers all the most common conditions and gives the evidence to back-up OTC (over-the-counter) recommendations Well-structured presentation including some features unique to this book: Prevalence/epidemiology section for each condition that puts the presenting symptom into the primary care contextArriving at a differential diagnosis - what questions to ask to narrow down the possible diagnosesPrimers for differential diagnosis - schematic representations of how to arrive at a diagnosis for certain conditionsEvidence base for OTC medication - to help the reader understand what does and does not work from an evidence-based perspectivePractical prescribing summary tables that cover key issues to be aware of when recommending certain productsHints and tips boxes that give practical advice on how to use products - for example, how to administer eye drops Self-assessment sections, including MCQs, review questions and case studies Full-colour layout with colour pictures of important conditions

    Magnesium is a mineral that can make a huge difference to your health and yet many people, even in the developed world, have inadequate magnesium levels in their body. This book looks at the many different and common problems that can surprisingly be relieved by simple and safe supplementation with magnesium.Magnesium gives elite athletes the winning edge they would otherwise never achieve, enabling them to conquer world championships.Magnesium can calm irritable children and balance your nervous system naturally - that's why I call magnesium "THE GREAT RELAXER".Magnesium can be life saving, as it is known to reduce the risk of sudden death from cardiac castasrophes - this is particularly important for men under stress.Make sure you are not deficient in magnesium and you may just change your life - yes it's really true - you won't believe the difference magnesium can make to your health!

    Twenty-five case studies with patients suffering from heart disease, breast cancer, prostate cancer, multiple sclerosis, adult onset diabetes, and other illnesses document the emotional and physiological causes behind patients' symptoms. The interaction of a person's energy system with health and illness is discussed in detail, as are the revelations that medical intuition offers about life, death, healing, and the existence of God. Instructive strategies for increased health and well-being offer ways to increase resistance to disease and reverse the progress of illness.

    Veteran journalist Gary Matsumoto shows that the worst friendly-fire incident in military history came from something no soldier had any reason to think would harm him: a vaccine administered by the military's own medics. When troops went to the Middle East to fight the Gulf War in 1991 and the Iraq War in 2003, many -- perhaps thousands -- received an experimental anthrax vaccine instead of the FDA-approved vaccine. Without their knowledge or consent, the U. S. government used them as human guinea pigs in a massive medical experiment that went disastrously wrong.

    A focus on the "need to know" information and a large number of practice cases--with actual 12 leads--provides readers with the solid background and extensive hands-on practice that will help them gain confidence and build competence quickly. Includes sturdy reference cards (detachable from the book) that users can use for reference in actual clinical situations. KEY TOPICS: Lead Placement and Machine Logic. Finding your way around a 9, 12, or 15 Lead ECG. The 12 Lead Assessment. Rapid Axis and Hemiblock Determination. Bundle Branch Blocks. Who's at Risk for Complete Heart Block? Ventricular Tachycardia: Primary Assessment. Acute MI Recognition. A System for Assessing for MI: The Secondary Assessment. Acute MI Clinical Implications. Chamber Enlargement. Electrolyte Changes. Miscellaneous Conditions. The Benefits of Monitoring Lead MCL-1. Difficult Diagnosis: AMI in the Setting of LBBB. Practice Cases. MARKET: For EMS Education/Paramedic Programs, Critical Care/UMBC programs, and Nursing/Critical Care of Emergency Care programs.

    Nestled in a remote Montana mountain valley, this has always been a peaceful place. Jack, his dad, Will, and Andy have always kept it simple - hard work and a feeling of contentment at the end of the day. They like it that way.When Jack finds his long lost daughter, his life seems complete until tragedy strikes leaving him to raise an injured grandson he has never met. The men are definately going to need help.Jack thinks he's found just what the doctor ordered. What he doesn't realize is the 'sweet little lady' is going to turn their lives upside down and inside out. Determined to turn the old ranch house into a home and this bunch of contankerous men into a family, Adrianna Banks, armed with her faith in God and a quiet sense of humor, sets out to just that.

    It provides hints, tips and practical advice on aspects such as placements, reading research, living as a student and the nursing profession as a whole.

    These professional men and women deliver emergency aid to victims of armed conflict, epidemics and natural disasters as well as to many others who lack reliable health care. Each year, more than 2,500 volunteer doctors, nurses and other professionals join locally hired staff to provide medical aid and health care in more than 80 countries.At the forefront of this organization and its work are the volunteer doctors and other health professionals who risk their lives to perform surgery, establish or rehabilitate hospitals and clinics, run nutrition and sanitation programs, and train local medical personnel. This book follows these men and women on location as they risk their own health, well-being and lives to treat patients in desperate need.These engaging true stories with dramatic color photographs examine the lives of individual volunteer medical professionals from around the world who:Perform emergency surgery in the war-torn regions of Africa and Asia Treat the homeless in the streets of Europe Understand cultural customs and societal differences that affect health care Witness and report genocidal atrocities. This new paperback edition is updated to include events that occurred following publication of the hardcover.Hope in Hell chronicles the raucous founding of Doctors Without Borders (MSF) and the awarding of the Nobel Peace Prize to the organization. If there is a horrific event, MSF will be there. This book tells why and how.

    Useful both as a learning tool across the chiropractic curriculum and as a reference and clinical aid to practitioners, the text helps readers distinguish key radiologic features—invaluable in clinical decision making.This edition incorporates the latest imaging technologies—including SPECT bone scan, diagnostic ultrasound, helical 3D CT, and MRI—and features more than 4,500 images obtained with state-of-the-art techniques. Coverage includes new chapters on soft-tissue imaging and paraspinal abnormalities and more information on sports-related injuries.

    Before you see a doctor, you should read this book.” —Eric Schlosser, author of Fast Food NationUsing the examples of Vioxx, Celebrex, cholesterol-lowering statin drugs, and anti-depressants, Overdosed America shows that at the heart of the current crisis in American medicine lies the commercialization of medical knowledge itselfFor twenty years, John Abramson, M.D., cared for patients of all ages in a small town north of Boston. But increasingly his role as family doctor was undermined as pressure mounted to use the latest drugs and high-tech solutions for nearly every problem. Drawing on his background in statistics and health policy research, he began to investigate the radical changes that were quietly taking place in American medicine.At the heart of the crisis, he found, lies the changed purpose of medical knowledge—from seeking to optimize health to searching for the greatest profits. The lack of transparency that has become normal in commercially sponsored medical research now taints the scientific evidence published in even our most prestigious medical journals. And unlike the recent scandals in other industries that robbed Americans of money and jobs, this one is undermining our health.Commercial distortion pervades the information that doctors rely upon to guide the prevention and treatment of common health problems, from heart disease to stroke, osteoporosis, diabetes, and osteoarthritis. The good news, as Dr. Abramson explains, is that the real scientific evidence shows that many of the things that you can do to protect and preserve your own health are far more effective than what the drug companies' top-selling products can do for you—which is why the drug companies work so hard to keep this information under wraps.In what is sure to be one of the most important and eye-opening books you or your doctor will ever read, John Abramson offers conclusive evidence that American medicine has broken its promise to best improve our health and is squandering more than $500 billion each year in the process.

    Each question is accompanied by a complete answer and explanation derived from and cross-referenced to Harrison s Principles of Internal Medicine, 18e. These questions are designed to bolster your understanding of pathophysiology, epidemiology, differential diagnosis, clinical decision making, and therapeutics.FeaturesContent that closely follows the organization and coverage of the 18th edition of Harrison s Principles of Internal MedicineMore than 1,100 Q&As that simulate those on the primary certification examination in internal medicineDetailed answers explanations for each questionCoverage that spans the entire spectrum of internal medicineFull-color atlasEach topic is covered in proportion to its level of importance on the Internal Medicine Examination Blueprint"

    It covers everything from basic principles through state-of-the-art tech-niques, with a focus on the specific information needed to pass the boards and practice radiology. Concise but compre-hensive, it is extremely easy to read, with abundant charts and lists to summarize important facts at a glance.Displays a full range of images for each type of abnormality, helping readers to recognize the range of sonographic findings.Covers both general & vascular with obstetric and gynecologic ultrasound, for convenient one-stop reference.Offers an organization that parallels Ultrasound: Case Review, making it easy for readers to practice applying the information they've learned.Offers new chapters on Practical Physics - Lower Genitourinary - General Abdomen - Neck & Chest - and Extremities, covering the latest ultrasound topics and techniques.Presents new discussions of nuchal translucency, cystic adenomatoid malformation, and ectopic pregnancy in the obstetrics and gynecology chapters.Features almost completely new images-148 now in full color-all captured with state-of-the-art equipment for optimal clarity.

    More than 90 preeminent surgical pathologists offer expert advice on the diagnostic evaluation of every type of specimen from every anatomic site. The Fifth Edition contains over 4,400 full-color photographs.This edition provides detailed coverage of the latest developments in the field, including new molecular and immunohistochemical markers for diagnosis and prognosis of neoplasia, improved classification systems for diagnosis and prognosis, the role of pathology in new diagnostic and therapeutic techniques, and the recognition of new entities or variants of entities. Where appropriate updated World Health Organization (WHO) terminology has been employed for tumor diagnosis. A few of the many specific changes include:An update on the serrated adenoma and serrated carcinoma pathway Virtually new chapters on salivary gland, larynx, blood vessels, heart, non-melanocytic skin tumors, and placenta Complete updates of the lymph node and bone marrow chapters incorporating the new WHO terminology An expanded discussion of the molecular biology of thyroid neoplasiaAll full-color illustrations have been color-balanced to dramatically improve image quality.A companion Website will include the fully searchable text and an image bank.

    In Incidental Findings, she's finished her training and is learning through practice to become a more rounded healer. The book opens with a dramatic tale of the tables being turned on Dr. Ofri: She's had to shed the precious white coat and credentials she worked so hard to earn and enter her own hospital as a patient. She experiences the real "slight prick and pressure" of a long needle as well as the very real sense of invasion and panic that routinely visits her patients.These fifteen intertwined tales include "Living Will," where Dr. Ofri treats a man who has lost the will to live, and she too comes dangerously close to concluding that he has nothing to live for; "Common Ground," in which a patient's difficult decision to have an abortion highlights the vulnerabilities of doctor and patient alike; "Acne," where she is confronted by a patient whose physical and emotional abuse she can't possibly heal, so she must settle on treating the one thing she can, the least of her patient's problems; and finally a stunning concluding chapter, "Tools of the Trade," where Dr. Ofri's touch is the last in a woman's long life.

    This is an excellent study guide for the emergency medicine shelf exam and the USMLE Step 2.

    The book includes 1,000 enriched color images and photographs, a glossy insert with detailed images by Anatomical Chart Company in a glossy insert, 68 appendices, and cut thumb tabs for quick A-to-Z reference. More than 46 leading consultants from health professions and nursing contributed to the enhancements of this edition.A bound-in bonus CD-ROM includes the features of the print edition in fully searchable format, over 48,000 audio pronunciations, approximately 50 anatomical animations, plus a free version of Stedman's Plus Medical/Pharmaceutical Spellchecker (a $99.00 value).

    teaches the basic design of medical terminology and how to easily remember, pronounce, and apply the meanings of all the prefixes, roots and suffixes that combine to form over 11,000 complex medical terms in only 14 hours!

    Read this book and you will think twice about common cancer screening tests such as total body scans, mammograms, and prostate-specific antigen (PSA) tests. Combining patient stories and solid data on common cancers, Dr. H. Gilbert Welch makes the case that testing healthy people for cancer is really a double-edged sword: while these tests may help, they often have surprisingly little effect and are sometimes even harmful. Bringing together a body of little-known medical research in an engaging and accessible style, he discusses in detail the pitfalls of screening tests, showing how they can miss some cancers, how they can lead to invasive, unnecessary treatments, and how they can distract doctors from other important issues. Welch's conclusions are powerful, counterintuitive, and disturbing: the early detection of cancer does not always save lives, it can be hard to know who really has early cancer, and there are some cancers better left undiscovered. Should I Be Tested for Cancer? is the only book to clearly and simply lay out the pros and cons of cancer testing for the general public. It is indispensable reading for the millions of Americans who repeatedly face screening tests and who want to make better-informed decisions about their own health care.

    DeVol, is a set of two workbooks for people in poverty that shows how to use the hidden rules of class to build up financial, emotional, social, and other resources. Understanding the hidden rules of the middle class and wealth, and choosing to use them, can open doors to new relationships, new jobs, and higher resources. The workbook is designed to be used as an investigation tool by people working in groups with a trained facilitator. The participants explore the impact that poverty has had on them, investigate economic realities, complete a self-assessment of their own resources, make plans to build their own resources, and develop a mental model of community prosperity.

    Each system affects the others, enhancing and/or inhibiting processes elsewhere in the body. Research in this field has grown tremendously in recent years as science better understands the checks and balances of these interdisciplinary systems and processes. Introduction to Psychoneuroimmunology provides the first introductory text for this complex field.Beginning with a discussion of immune system basics, Introduction to Psychoneuroimmunology explores endocrine-immune modulation, neuro-immune modulation, the relationship between stress, contextual change, and disease, as well as infection, allergy, immune activity and psychopathology, and immune function enhancement. This text provides a sound introduction to the field and will serve as a valuable overview to what is otherwise a complex interdisciplinary subject at the junction of molecular biology, genetics, the neurosciences, immunology, cell biology, endocrinology, pharmacology, biochemistry, and the behavioral sciences.

    Answers and explanations are provided in the back of the book.

    

    "It is Dr. Sacks's gift that he has found a way to enlarge our experience and understanding of what the human is." --"The Wall Street Journal "Dubbed "the poet laureate of medicine" by "The New York Times, " Oliver Sacks is a practicing neurologist and a mesmerizing storyteller. His empathetic accounts of his patients's lives--and wrily observed narratives of his own--convey both the extreme borderlands of human experience and the miracles of ordinary seeing, speaking, hearing, thinking, and feeling. Vintage Sacks includes the introduction and case study "Rose R." from Awakenings (the book that inspired the Oscar-nominated movie), as well as "A Deaf World" from Seeing Voices; "The Visions of Hildegard" from Migraine; excerpts from "Island Hopping" and "Pingelap" from The Island of the Colorblind; "A Surgeon's Life" from An Anthropologist on Mars; and two chapters from Sacks's acclaimed memoir Uncle Tungsten.

    The new edition of the highly successful Anaesthesia Science Viva Book incorporates this new clinical emphasis, giving candidates an insight into the way the viva works, offering general guidance on exam technique, and providing readily accessible information relating to a wide range of potential questions. Questions are divided broadly into the four areas covered by the exam: applied anatomy, physiology, pharmacology and clinical measurement. Answers have been constructed to provide candidates with more than enough detail to pass the viva. Covering the full scope of the basic science syllabus, and written by an experienced FRCA examiner, The Anaesthesia Science Viva Book, Second Edition, is an essential purchase for every anesthesia student.

    Improvements in the 260th edition are:content enlarged to 2,000 pages,new layout with clearer structure,revised and updated entries in all fields,more than 2,000 new terms such as: "SARS," "Gesundheitssystem-Modernisierungsgesetz," "aut idem," "DRGs," ...,includes new legal provisions of the Health Care Reform,about 70,000 cross-references within the book,about 400 new illustrations and tables.

    While numerous books have recounted the history of medicine in the Civil War, little has been said about the drugs that were used, the people who provided and prepared them, and how they were supplied. This is the first book to provide detailed discussion of the role of pharmacy. Among the topics covered in this essential volume are the duties of medical purveyors, the role of the hospital steward, and the nature and state of medical substances commonly used in the 1860s. This last subject would become a matter of considerable controversy and ultimately cost William Hammond, the brilliant and innovative Surgeon General, his career in the Union Army.This richly detailed book shows why the South found drug provision especially difficult and describes the valiant efforts of Confederate sympathizers to run the Union blockade in order to smuggle in their precious cargoes. You'll also learn about the scurrilous privateers who were out to make a personal fortune at the expense of both the Union and the Confederacy. In addition, Civil War Pharmacy illuminates the systematic effort of pharmacists, physicians, and botanists to derive from Southern plants adequate substitutes for foreign substances that were difficult, if not impossible, to obtain in the Confederacy.In this painstakingly researched yet highly readable book, Michael A. Flannery, co-author of the critically acclaimed America's Botanico-Medical Movements: Vox Populi, examines all these topics and more. In addition, he assesses the relative successes and failures of the pharmaceutical aspect of health care at the timesuccesses and failures that affected every man in army camps and in the field.Civil War Pharmacy: A History of Drugs, Drug Supply and Provision, and Therapeutics for the Union and Confederacy includes photographs, helpful tables and figures, and six appendices that make hard-to-find information easy to access and understand. You'll find: the Standard Supply Table of Indigenous Remedies (1863) Circular No. 6 from the Surgeon General's Office (May 4, 1863), calling for the removal of calomel and tartar emetic from the Supply Table instructions on reading and filling a 19th century prescriptionwith a glossary of Latin phrases and approximate measures, an excerpt from The Hospital Steward's Manual, and more! a circular from the Confederate Medical Purveyor's Office a Materia Medica for the South: A list of medicinal substances from Porcher's Resources of the Southern Fields and Forests common prescriptions of the Civil War period as well as basic syrups of the era with monographs on their principal substances: alcohol, cinchona, hydrargyrum (mercury), opium, and quinine Packed with more information than can be listed here and, just as importantly, presented in a reader-friendly manner, this is a book that no one interested in Civil War historyor pharmacy historyshould be without!

    The Harrison's name is synonymous with internal medicine. HPIM continues to be the most authoritative and #1 selling medical textbook throughout the world. From its unique section on signs and symptoms through to the most comprehensive coverage of most all conditions seen by physician's, Harrison's is the internal medicine reference of choice. Harrison's 16th Edition features new, expanded, revised and updated material on the key topics in medical practice today. From the latest research findings to up-to-the-minute advances in diagnostic and treatment methodologies, Harrison's puts the facts you need at your fingertips. The 16th Edition improves on a winning formula with: *State-of-the-art coverage of over 4,700 diseases and disorders--more than any other internal medicine text - in the areas of oncology and hematology; infectious diseases; cardiology; pulmonology; gastroenterology; clinical immunology; rheumatology; endocrinology; and neurology *A brand new full color format--665 full color drawings, 175 clinical and laboratory images, and hundreds of boxes, tables, and algorithms that use color to guide you to the information you need ASAP in everyday patient care *Thorough revision and updates of virtually all chapters *The addition of key new chapters - including extensive new coverage of Critical Care Medicine *145 algorithms for making accurate clinicaldecisions fast at the point of care *1,160 easy-access tables for immediate access to vital information and formulas *Cardinal manifestations of disease/signs and symptoms in 55 chapters (you'll find yourself turning to this section over and over again). Here you will find all the major manifestations, such as fever, pain, aches and rash, presented in depth, with a referral that takes you to the disease section for the complete chapter. Stay a step ahead of everyday practice with the most authoritative, comprehensive, and useful guide to the entire spectrum of internal medicine.

    The second volume in the new Diagnostic Imaging Series from Amirsys and Saunders, it features a templated full-color format that makes finding information much easier. Each chapter presents all of the information readers need to pinpoint a diagnosis. Coverage of each entity addresses Clinical Presentation ? Pathologic Features ? Imaging Findings for the appropriate modalities ? and Differential Diagnosis lists. In addition, chapters have detailed anatomic drawings in full color, an extensive image case gallery, and a visual "thumbnail" differential diagnosis. Numerous surgical, gross and histologic pathology photographs are included. No other neuro imaging text is as comprehensive and user-friendly. The unique bulleted format provides efficient reading, with the same information in the same place-every time! It's as if an expert has done the highlighting for you!

    But like most people, Jeff Stimpson, the father who wrote Alex, never gave premature babies a thought beyond the cliche of medical miracles. Many of these children grow up with special needs, necessitating an increasing and ever-controversial burden on society. Medicine is creating not only a new population of individuals, but a special and growing population of parents and families. Alex was born in June of 1998. He weighed 21 ounces. He spent the first year of his life in the hospital. This is the story of his first years. It's a story of doctors, hospitals, conferences, hate, love, gratitude, envy, frustration, joy, and worry. It's the story of a preemie. Stimpson saw his son get a spinal tap without anaesthesia (it isn't given to micro-preemies) and three times witnessed Alex stop breathing-once on his lap. Stimpson and his wife were at the hospital every day, and there they encountered not only how far the science of saving preemies has advanced but how far it hasn't, and how far healthcare and other professionals need to go to understand what parents go through when their infant lives in a hospital. The Stimpsons got a crash course in life behind the billboard of medical miracle, and learned how care of preemies can greatly differ, and, perhaps most important, how patients' families must learn to be consumers when trying to find that care. What keeps a family going when a child spends a year in the hospital? In compelling prose, Stimpson traces the life of his child from birth to kindergarten: four wings in two hospitals; coming home with a roomful of medical gear and round-the-clock drugs and nursing; the gains and downturns of home therapy through Early Intervention; finding and prospering in a special-needs pre-school; a diagnosis of autism; and the ongoing battle to give Alex a fair shot at childhood, and at life.

    The New Edition of this two-volume masterwork retains the practical approach that has earned it a loyal following and widespread critical acclaim. At the same time, it delivers expanded and updated content on molecular pathology, immunohistochemical markers, and cytopathological diagnosis. What's more, this definitive reference is now illustrated in full color throughout Virtually all of its more than 3,900 illustrations are now in full color, providing unprecedented diagnostic assistance. A bonus CD-ROM delivers all of the book's illustrations in digital format.

    

    Chapters are structured according to anatomic regions, focusing on the lymphatic knots and their tributary regions in the throat, armpit, trunk, and groin. Photographs illustrate the lymphatic knots and lymphatic courses, which are drawn on the human body, and provide a clear picture of the structures to be treated. Designated points are numbered to illustrate the progression of treatment in each region. Also includes coverage of complete decongestive therapy (CDT).Explains procedures in a detailed, step-by-step format.Features a helpful chart of lymph node groups and their tributary regions that outlines each lymph node as it pertains to a specific anatomical region.Key information is summarized in the margins, making it easier for readers to review what they've read and focus on important topics.Self-test questions provide an excellent means for readers to assess their comprehension and review key material in the book. These questions are also helpful in preparing for exams.Two-color illustrations help the reader visualize and learn theoretical aspects of this therapy.The text has been completely updated to reflect the latest techniques in lymph drainage therapy.Coverage of individual treatment strokes and stroke sequences have been updated, with more comprehensive descriptions and detailed photos that illustrate proper hand placement, pressure, and movement.Expanded coverage of complete decongestive therapy, including a CDT survey - consisting of the case history, examination, and palpation - that can be used to gather valuable information to formulate therapeutic goals and evaluate treatment results.

    Barbara Ravage has fashioned an enlightening, invaluable book.” —Stewart O’Nan, author of The Circus Fire: A True Story of an American TragedyThough each of us is just a spark away from being a burn victim, the public knows little and understands less about the world that patients inhabit. Pulling the curtains back on this private and sterile environment, Burn Unit is a riveting account of the frontline efforts—both modern-day and historical—to save lives devastated by fire. With unflinching urgency, Barbara Ravage follows an extraordinary team of healers at Massachusetts General Hospital, the cradle of modern burn treatment and the site of one of the best burn units in the world. From Boston’s Cocoanut Grove fire of 1942 to the treatment of the victims of the Rhode Island nightclub fire in early 2003, we watch everyday heroes do their incredible but punishing work against the backdrop of history. Both a moving human drama and an engrossing scientific exploration of this little-known field of medicine, Burn Unit is an unforgettably powerful read.

    Following the publication cycle of ATLS (Advanced Trauma Life Support) by the Committee on Trauma of the American College of Surgeons, the PHTLS program is designed to enhance and increase knowledge and skill in delivering trauma care. The PHTLS textbook is the required book for the PHTLS course, and is also ideal for use as the trauma component of a paramedic course or as a general reference book on trauma assessment and management. It combines both basic and advanced trauma concepts and skills in one definitive resource and now features an entirely new chapter on evidence-based guidelines for military medicine, developed by the Committee on Tactical Combat Casualty Care.

    Based on years of research and clinical practice, Playing Sick? provides the clues that can help practitioners and family members recognize these disorders, avoid invasive procedures, and sort out the motives that drive people to hurt themselves and deceive others. With insight and years of hands-on experience, Feldman shows how to get these emotionally ill patients the psychiatric help they need.

    Entries are very easily searchable and terminology summaries are bite-sized, succinct, yet comprehensive and very practical.Covers pharmacology, physiology, anatomy, physics, statistics, medicine, surgery, general anaesthetic practice, intensive care, equipment.Provides extensive cross-referencing by an experienced author team ensures easy access to related information.Discusses major topics, easily forgotten formulae, and definitions in bite-sized summaries covering all aspects of the FRCA syllabus, providing you with a one-stop reference of the essential terminology and formulae in one easily accessible book.Illustrated throughout with clear drawings and tables.Both Anaesthesia and Intensive Care entries have been greatly expanded to reflect the latest advances.New entries include Creutzfeldt-Jakob Disease, new monitoring modalities, herbal medicines, MOET scoring system (monitoring obstetric emergencies and trauma) and pharmakogenetics.Now incorporates the professional standards and guidelines from the Association of Anaesthetists of Great Britain and Ireland.Incorporates latest guidelines in CPR.All drug doses updated and new drugs and techniques added.All illustrations professionally redrawn and a quarter of them are brand-new.

    It is for the physician, physician assistant, or nurse practitioner who sees patients and also wants to contribute to the medical literature. It is for the assistant professor aspiring to promotion and the clinician in private practice seeking personal enrichment. Loaded with practical advice and real-world examples, this text benefits readers who are new to medical writing and those who have authored a few articles or chapters and want to improve.Readers relate to this book because it is written by someone who has been in their shoes. Dr. Robert B. Taylor is a leader in the field of family medicine. Unlike the authors of many other books who have little experience outside of academia or publishing, writing is just one component of his career. He wrote this book to share what works and what doesnt in medical writing. Clinicians learn how to translate observations and ideas from their practices into written form and eventually into print.

    Filled with insider tips, websites, calendars, quotes, tables, and residency as well as job search strategies, this invaluable reference packages all of the tools that readers will need to negotiate each stage of the MD, PhD, or MD/PhD educational process. The authors' enjoyable writing style, anecdotes, and humorous illustrations present an honest depiction of the dilemmas that can arise on the way to graduation and provide focused and functional solutions to address these challenges. This is simply a must-have book for anyone with postgraduate ambitions in the biomedical sciences.

    At the heart of the dispute is "brucellosis," a dangerous disease that could devastate the cattle industry-and be transmitted to humans.Veterinarian Jed McCane is working on a new vaccine that could wipe out the disease. It never occurs to him that anyone could feel threatened by his research--until someone tries to kill him. The attack brings an unlikely ally into his life: an activist from Buffalo Nation, a group determined to stop the slaughter of America's last free-roaming bison. It also devastates Jed's world: who are his friends? Who are his enemies?Why would anyone object to a vaccine that could wipe out brucellosis forever? Jed must find the answer before time runs out, for both the buffalo and the safety of the world's food supply.

    Clinicians will welcome the updated clinical content and additional resources and educational recommendations.From the Forward by R. Mimi Secor, MS, MEd, FNP-BC, FAANP Family Nurse Practitioner/Consultant, Specializing in Women's Health National NP Radio Host for ReachMD Partners in PracticeThis landmark 10th edition of a highly respected classic and best-selling reference provides current guidelines for primary care management of common gynecological conditions across the age span. The fully revised new edition provides well-organized, concise, and easier-to-access evidence-based practice guidelines for use in community and ambulatory settings. It has been written by nurse practitioners with over 90 years of combined experience in women's health, and integrates the knowledge of noted experts for each topic.This 10th edition offers new information for all guidelines and presents essential new guidelines for sexually transmitted diseases, family planning, medical abortion, breast cancer screening and other breast conditions, osteoporosis, menopause, incontinence, sexual dysfunction, complementary and alternative therapies, smoking cessation, abuse and violence screening, abuse screening for disabled women, and Pap, PCOS, and preconception care. The guide also contains an entirely new chapter on annual well woman visits, an enhanced mental health chapter detailing discontinuation of SSRIs/SNRIs, recent guidelines from the World Health Organization regarding contraception, and more. This book will be of value to graduate nursing programs, all nurse practitioners, and nurse midwives.Key Features: Reflects best practice standards of care empirically proven to improve patient outcomes by at least 28%Provides quick and easy access to crucial clinical information through use of an intuitive alpha organization, a consistent format, and new spiral bindingContains new Well Woman Annual Visit chapterPatient education handouts are included in book AND are available in printable PDF format onlineContains completely new bibliographies reflecting the latest literature and evidence-based practice, and relevant websites

    With its pocket size and easy-reference format, this resource enables readers to quickly access the right guidance...at the right time...about what to do and how to do it correctly. This 5th Edition includes state-of-the-art content on surgical imaging - sentinel node biopsy - isolated limb perfusion chemotherapy - pancreatic islet cell transplantation - endovascular techniques - and much more.Covers preoperative and postoperative care - pathophysiology, diagnosis, and treatment of the most common surgical conditions - specialized protocols in orthopedics, neurosurgery, and vascular and cardiothoracic surgery - basic surgical procedures - and frequently prescribed pharmaceuticals.Presents the latest information on surgical imaging - sentinel node biopsy - isolated limb perfusion chemotherapy - pancreatic islet cell transplantation - endovascular techniques - and many other cutting-edge topics.Offers detailed figures depicting important anatomical structures and operative techniques.Includes helpful tables that present key data at a glance.Presents the latest information on surgical imaging - sentinel node biopsy - isolated limb perfusion chemotherapy - pancreatic islet cell transplantation - endovascular techniques - and many other cutting-edge topics.Guidelines for preoperative and postoperative care for a wide spectrum of surgical diseases whose pathophysiology is detailed.Includes surgical management that encompasses state-of-the-art technology and recent innovations in technique & instrumentation.Emphasis is placed on minimally invasive techniques including important coverage of laparoscopic cholecystetomy, appendectomy, and herniorrhaphy, as well as, advanced laparoscopic procedures.Guidelines are provided for proper medical record keeping, as well as, other mediocolegal aspects of surgical careContributions from: 47 University of Cincinnati Residents, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH

    Flu epidemics. Terminal illnesses. Coroner duties. Fishhook incidents. For more than three decades, Roger A. MacDonald served the people of Minnesota's north woods as a family practitioner and jack-of-all-trades, even responding to the occasional barn call for ailing animals. In this new collection of stories, MacDonald takes readers on another round of house calls, office visits, and emergency summons. His remote practice saw patients of every age and type, from a local child with a penchant for putting things up his nose to a dedicated church pianist with untreatable cancer, from a teenager with unexplained seizures to a vacationing Mafioso recovering from a heart attack. MacDonald offers tales of patients, colleagues, and neighbors, probing their very human responses to medical dilemmas and sharing humorous and touching episodes in equal portions. A Country Doctor's Chronicle is a charming collection of vignettes--some hopeful, some heartbreaking--that offer a unique look at a bygone era of twentieth-century rural America.