The textbook focuses on physiological, pathophysiological, and psychosocial concepts as they relate to nursing care; Brunner is known for its strong Nursing Process focus and its readability. This edition's thoroughly revamped CD-ROM includes over 3,500 NCLEX-style questions and numerous three-dimensional animations that demonstrate disease processes. The companion Website at http://thepoint.lww.com includes over 99 free journal articles.

    For Mary, raised in a strict convent in rural south Ireland, working in her first London hospital was a shocking and life-changing experience. Against a backdrop of ongoing rationing and poverty, she saw for the first time the horrors of disease, the heart-breaking outcomes of failed abortions – and faced the genuine shock of seeing a man naked for the first time!60 Years a Nurse follows the dramas and emotions as Mary found her feet during those early years. From the firm friends she made under the ever-watchful gaze of Matron and the sisters, to the eclectic mix of Londoners she strove to care for; the Teddy Boys she danced with and the freedom of living away from home; and her own burgeoning love story, as extraordinary as it was romantic – these are the funny and heartwarming moments that helped Mary to follow her dream.

    What she did not count on was how much death would be a part of her work. Almost immediately, Chen found herself wrestling with medicine’s most profound paradox, that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education, training, and practice as she grapples at strikingly close range with the problem of mortality, and struggles to reconcile the lessons of her training with her innate knowledge of shared humanity, and to separate her ideas about healing from her fierce desire to cure.From her first dissection of a cadaver in gross anatomy to the moment she first puts a scalpel to a living person; from the first time she witnesses someone flatlining in the emergency room to the first time she pronounces a patient dead, Chen is struck by her own mortal fears: there was a dying friend she could not call; a young patient’s tortured death she could not forget; even the sense of shared kinship with a corpse she could not cast aside when asked to saw its pelvis in two. Gradually, as she confronts the ways in which her fears have incapacitated her, she begins to reject what she has been taught about suppressing her feelings for her patients, and she begins to carve out a new role for herself as a physician and as human being. Chen’s transfixing and beautiful rumination on how doctors negotiate the ineluctable fact of death becomes, in the end, a brilliant questioning of how we should live.Moving and provocative, motored equally by clinical expertise and extraordinary personal grace, this is a piercing and compassionate journey into the heart of a world that is hidden and yet touches all of our lives. A superb addition to the best medical literature of our time.

    In Papua New Guinea, a primitive tribe is nearly obliterated by a sickness whose chief symptom is uncontrollable laughter. Across Europe, millions of sheep rub their fleeces raw before collapsing. In England, cows attack their owners in the milking parlors, while in the American West, thousands of deer starve to death in fields full of grass.What these strange conditions–including fatal familial insomnia, kuru, scrapie, and mad cow disease–share is their cause: prions. Prions are ordinary proteins that sometimes go wrong, resulting in neurological illnesses that are always fatal. Even more mysterious and frightening, prions are almost impossible to destroy because they are not alive and have no DNA–and the diseases they bring are now spreading around the world.In The Family That Couldn’t Sleep, essayist and journalist D. T. Max tells the spellbinding story of the prion’s hidden past and deadly future

    In the midst of all this death, a bizarre disease appeared in Europe. Eventually known as encephalitis lethargica, or sleeping sickness, it would spread across the world, leaving millions dead or locked in institutions. Then, in 1927, it would disappear as suddenly as it had arrived-or so the doctors at first thought. Asleep, set in 1920s and '30s New York, follows a group of neurologists through hospitals and insane asylums as they try to solve this worldwide epidemic. The symptoms could include not only unending sleep but dangerous insomnia, facial tics, catatonia, Parkinson's, and even violent insanity. Molly Caldwell Crosby, acclaimed author of The American Plague, explores the frightening history of this forgotten disease- and details the frantic effort to conquer it before it strikes again.

    As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.

    Others are sure it's the environment we experience in childhood. But could it be that many of our individual characteristics—our health, our intelligence, our temperaments—are influenced by the conditions we encountered before birth? That's the claim of an exciting and provocative field known as fetal origins. Over the past twenty years, scientists have been developing a radically new understanding of our very earliest experiences and how they exert lasting effects on us from infancy well into adulthood. Their research offers a bold new view of pregnancy as a crucial staging ground for our health, ability, and well-being throughout life.Author and journalist Annie Murphy Paul ventures into the laboratories of fetal researchers, interviews experts from around the world, and delves into the rich history of ideas about how we're shaped before birth. She discovers dramatic stories: how individuals gestated during the Nazi siege of Holland in World War II are still feeling its consequences decades later; how pregnant women who experienced the 9/11 attacks passed their trauma on to their offspring in the womb; how a lab accident led to the discovery of a common household chemical that can harm the developing fetus; how the study of a century-old flu pandemic reveals the high personal and societal costs of poor prenatal experience. Origins also brings to light astonishing scientific findings: how a single exposure to an environmental toxin may produce damage that is passed on to multiple generations; how conditions as varied as diabetes, heart disease, and mental illness may get their start in utero; why the womb is medicine's latest target for the promotion of lifelong health, from preventing cancer to reducing obesity. The fetus is not an inert being, but an active and dynamic creature, responding and adapting as it readies itself for life in the particular world it will enter. The pregnant woman is not merely a source of potential harm to her fetus, as she is so often reminded, but a source of influence on her future child that is far more powerful and positive than we ever knew. And pregnancy is not a nine-month wait for the big event of birth, but a momentous period unto itself, a cradle of individual strength and wellness and a crucible of public health and social equality.With the intimacy of a personal memoir and the sweep of a scientific revolution, Origins presents a stunning new vision of our beginnings that will change the way you think about yourself, your children, and human nature itself.

    Ramachandran is internationally renowned for uncovering answers to the deep and quirky questions of human nature that few scientists have dared to address. His bold insights about the brain are matched only by the stunning simplicity of his experiments -- using such low-tech tools as cotton swabs, glasses of water and dime-store mirrors. In Phantoms in the Brain, Dr. Ramachandran recounts how his work with patients who have bizarre neurological disorders has shed new light on the deep architecture of the brain, and what these findings tell us about who we are, how we construct our body image, why we laugh or become depressed, why we may believe in God, how we make decisions, deceive ourselves and dream, perhaps even why we're so clever at philosophy, music and art. Some of his most notable cases:A woman paralyzed on the left side of her body who believes she is lifting a tray of drinks with both hands offers a unique opportunity to test Freud's theory of denial.A man who insists he is talking with God challenges us to ask: Could we be "wired" for religious experience?A woman who hallucinates cartoon characters illustrates how, in a sense, we are all hallucinating, all the time.Dr. Ramachandran's inspired medical detective work pushes the boundaries of medicine's last great frontier -- the human mind -- yielding new and provocative insights into the "big questions" about consciousness and the self.

    And yet, this painfully common human experience is so rarely talked about. How do we continue functioning? How do we tell our partner what we need? How do we deal with emotional dumpster fire that is the aftermath of a miscarriage? How do we not kill the fifth person who tells us “You can always have another baby.” With unflinching honesty and fearless humor, psychologist Dr. Sunita Osborn addresses the relevant but often unspoken topics following a miscarriage including the impact of miscarriage on a relationship, hating pregnant people and all things baby after miscarriage, your relationship with your body after miscarriage, and how to move forward (not past). Informed by her clinical expertise and her own personal experience with miscarriage, the Miscarriage Map offers women, their partners, and loved ones with the nitty gritty realities of a miscarriage, the accompanying emotional roller coaster, and specific steps to take to help them get through this loss.

    The DOs chronicles the development of this controversial medical movement from the nineteenth century to the present. Historian Norman Gevitz describes the philosophy and practice of osteopathy, as well as its impact on medical care. From the theories underlying the use of spinal manipulation developed by osteopathy's founder, Andrew Taylor Still, Gevitz traces the movement's early success, despite attacks from the orthodox medical community, and details the internal struggles to broaden osteopathy's scope to include the full range of pharmaceuticals and surgery. He also recounts the efforts of osteopathic colleges to achieve parity with institutions granting M.D. degrees and looks at the continuing effort by osteopathic physicians and surgeons to achieve greater recognition and visibility.In print continuously since 1982, The DOs has now been thoroughly updated and expanded to include two new chapters addressing recent and current challenges and to bring the history of the profession up to the beginning of the new millennium.

    Often they seem aloof, uncaring, and hurried. Of course, they’re not all like that, and most didn’t start out that way. Here are voices of third-year students just as they begin to take on clinical responsibilities. Their words focus on the odd transition students face when they must deal with real people in real time and in real crises and when they must learn to put aside their emotions to make quick, accurate, and sensitive decisions. Their decisions aren’t always right, and the consequences can be life-altering—for all involved. Moving, disturbing, and candid, their true stories show us a side of the profession that few ever see, or could even imagine. They show, often painfully, how medical students grow up, right at the bedside.

    Hamilton, M.D., has spent more than three decades caring for newborns. In his practice, Dr. Bob has seen it all--what works, what doesn't. How can you get your baby to nurse, sleep, and maybe even cease crying? What strategies can help you connect and communicate with your infant? What important decisions will you make during the first year for your child, yourself, and your partner? Here, Dr. Bob shares his clear, sensible, warm advice--as well as all the latest scientific data and research--on how to:- Offer comfort to a crying newborn using the "Hold"- Gently teach your baby how to sleep (and get some sleep yourself)- Establish healthy patterns- Breastfeed, formula-feed, or bottle-feed using either- Play!- Manage screen time in your home- And more to help you navigate the unforgettable first year of your child's life.

    Instead, they are asking questions. The problem is the search for answers only leads parents to conflicting, one-sided information: doctors claim that parents are endangering their child's life if they refuse shots, while radical vaccine opponents claim parents are endangering their child's life if they accept shots. With The Vaccine Book, parents finally have one, fair, impartial, fact-based resource they can turn to for answers. Each chapter is devoted to a disease/vaccine pair and offer a comprehensive discussion of what the disease is, how common or rare it is, how serious or harmless it is, the ingredients of the vaccine, and any possible side effects from the vaccine. Ultimately, parents will have to make their own informed decisions as Dr. Bob Sears is neither pro-vaccine nor anti-vaccine. But The Vaccine Book will provide exactly the information parents want and need as they make their way through the vaccination maze.

    The latest edition offers greatly expanded coverage of directed mutagenesis and protein engineering, therapeutic agents, and genetic engineering of plants. Updated chapters reflect recent developments in biotechnology and the societal issues related to it, such as cloning, gene therapy, and patenting and releasing genetically engineered organisms. Over 480 figures, including 200 that are new in this edition, illustrate all key concepts. "Milestones" summarize important research papers in the history of biotechnology and their effects on the field. As in previous editions, the authors clearly explain all concepts and techniques to provide maximum understanding of the subject, avoiding confusing scientific jargon and excessive detail wherever possible. Each chapter concludes with a summary, references, and review questions. Ideally suited as a text for third- and fourth-year undergraduates as well as graduate students, this book is also an excellent reference for health professionals, scientists, engineers, or attorneys interested in biotechnology.

    Author Lauralee Sherwood has streamlined physiological study without dumbing it down by organizing the material around one central human process: homeostasis. In addition to the easy-to-understand text, Sherwood ties physiological study to real world scenarios in fields like pathophysiology and clinical physiology. Plus, it includes PhysioEdge, the most powerful CD-ROM you can get. PhysioEdge2 is packed with tutorials and fast access to answers. And Personal Tutor with SMARTHINKING (access to a live online human physiology tutor) and InfoTrac (an online university library that will save you a trek across campus), HUMAN PHYSIOLOGY: FROM CELLS TO SYSTEMS is the text you need to succeed in physiology class and get ready for health-related careers.