In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast?Breaking down this monolithic business into the individual industries--the hospitals, doctors, insurance companies, and drug manufacturers--that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw.The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

    Drawing on 40 years of experience of presenting art to the public, Marilyn Stokstad offers this comprehensive look at art in all of its diversity, from paintings and architecture to tapestries, jewellery and electronic art.

    Child Development

    A clear, concise writing style and just the right dose of humor explain the role of epidemiology in measuring disease in a community, estimating risks, and influencing public policy and ethical concerns. Line diagrams, cartoons, and review questions with answers reinforce the text.The smart way to study!Elsevier titles with 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.Your purchase of this book entitles you to access www.studentconsult.com at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other STUDENT CONSULT titles.Content clipping for your handheld.An interactive community center with a wealth of additional resources. The more STUDENT CONSULT titles you buy, the more resources you can access online! Look for the STUDENT CONSULT logo on your favorite Elsevier textbooks!

    Elizabeth Blackburn discovered a biological indicator called telomerase, the enzyme that replenishes telomeres, which protect our genetic heritage. Dr. Blackburn and Dr. Elissa Epel's research shows that the length and health of one's telomeres are a biological underpinning of the long-hypothesized mind-body connection. They and other scientists have found that changes we can make to our daily habits can protect our telomeres and increase our health spans (the number of years we remain healthy, active, and disease-free).THE TELOMERE EFFECT reveals how Blackburn and Epel's findings, together with research from colleagues around the world, cumulatively show that sleep quality, exercise, aspects of diet, and even certain chemicals profoundly affect our telomeres, and that chronic stress, negative thoughts, strained relationships, and even the wrong neighborhoods can eat away at them. Drawing from this scientific body of knowledge, they share lists of foods and suggest amounts and types of exercise that are healthy for our telomeres, mind tricks you can use to protect yourself from stress, and information about how to protect your children against developing shorter telomeres, from pregnancy through adolescence. And they describe how we can improve our health spans at the community level, with neighborhoods characterized by trust, green spaces, and safe streets. THE TELOMERE EFFECT will make you reassess how you live your life on a day-to-day basis. It is the first book to explain how we age at a cellular level and how we can make simple changes to keep our chromosomes and cells healthy, allowing us to stay disease-free longer and live more vital and meaningful lives.

    For introductory courses in computer concepts or computer literacy often including instruction in Microsoft Office.A Computer Concepts Text Focused on Today’s Student!Technology in Action engages students by combining a unique teaching approach with rich companion media.

    Based on an extensive body of scholarship, Interplay cites more than 1,200 sources--almost 25% of which are new to this edition--and provides a variety of thought-provoking photos, sidebars, and cartoons that illustrate key points in the text and connect them to everyday life and popular culture. Updated and revised throughout, the tenth edition is now more accessible and useful to students, with revisions based on detailed recommendations by leading scholars in the field. UPDATED FEATURES OF THE TENTH EDITION * Revised and expanded material examines the relationship between gender and language use, the pervasiveness and inevitability of casual "mindless" listening, conflict styles, co-cultures within American society, and relational maintenance. * Focus on Research sidebars--50% of which are new to this edition--summarize current research on interesting and important topics. New profiles provide information on such topics as cell phone etiquette, self-presentation strategies of first-generation college students, unwritten rules for expressing emotions on the job, methods used by college students to discourage drinking and driving, and the functions of telling secrets in close relationships. * Film Clips--50% of which are new to this edition--profile recent feature films that illustrate communication concepts. These clips include Crash (stereotyping), Garden State (emotional expression), 50 First Dates (relational stages), Bend It Like Beckham (relational dialectics), and Before Sunset (self-disclosure). * An inviting new design features provocative photos and clever cartoons that reinforce concepts from the text and encourage students to explore the book's content. * The Interplay website at www.oup.com/us/interplay offers a wealth of resources for both students and their professors--online self-testing and other study aids, links to a variety of communication-related websites, and "Now Playing" reviews of recent films.

    It provides the background needed to understand related drugs currently on the market, as well as drugs yet to be released. In simplifying a complex subject, this text focuses on the essentials of pharmacology. Large print is used to show need-to-know information, and small print is used for nice to know material. At the end of each chapter, a summary of major nursing implications helps in applying the material to real-world situations. This edition includes a new companion CD-ROM featuring NCLEX(R) examination-style review questions, a variety of electronic calculators, and animations depicting drug mechanisms and effects.Uses a prototype drug approach that places a strong emphasis on understanding over memorization - equipping students with the knowledge to learn not only about related drugs currently on the market, but also about those drugs that will be released once the student begins practice.Summaries of Major Nursing Implications at the end of each chapter provide an in-depth look at assessment, implementation, and ongoing evaluations.Utilizes large print for essential information and small print for nice-to-know information to help both faculty and students focus their limited classroom and study time on understanding the essentials.Concise drug summary tables present detailed information on individual drugs, including class, generic and trade names, dosages, routes, and indications.Key Points at the end of each chapter summarize content in a bulleted format to help students review important concepts.Prototype drug discussions employ a clear and consistent format with separate headings for Mechanism of Action; Pharmacologic Effects; Pharmacokinetics; Therapeutic Uses; Adverse Effects; Drug Interactions; and Preparations, Dosage, and Administration.An attractive full-color design adds visual interest, highlights key information, and facilitates student learning.Drugs for Multiple Sclerosis and Drugs for Hemophilia chapters.Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia chapter covers newsworthy drugs such as Viagra and Levitra.Special Interest Topics boxes on current issues in pharmacology, such as Medication-Overuse Headache: Too Much of a Good Thing and Face Time with Botox.Adult Immunization appendix summarizes the latest information on immunizations.Numerous new illustrations show drug mechanisms and effects, and depict topics such as histologic changes in Alzheimer's disease and the movement of drugs following GI absorption.

    In The Ten Basic Principles of Good Parenting, Dr. Steinberg distills decades of research into a parenting book that explains the fundamentals of raising happy, healthy children, giving readers an invaluable map to help them navigate parenthood from infancy to adolescence.Dr. Steinberg found that the basic principles for effective parenting are simple and universal, and apply to all parents and children regardless of background. He explains each principle and shows how to put it into action, using anecdotes and examples: from “What You Do Matters” (parents make an enormous difference; children are not simply the product of their genes) to “Establish Rules and Limits” (how to provide structure in your child's life, and how to handle conflicts over rules) and “Help Foster Your Child's Independence” (help your child think through decisions instead of making them for him or her). Concise and authoritative, written with warmth and compassion, The Ten Basic Principles of Good Parenting is an intelligent guide to raising a happy, healthy child and to becoming a happier, more confident parent in the process.

    The ups and downs of writing life—including self-doubt and writer's block—are here, along with tips about getting published and writing in the electronic age. On your own, this book can be your "teacher," while groups, in or out of the classroom, can profit from sharing weekly assignments.

    These themes include mathematical reasoning, combinatorial analysis, discrete structures, algorithmic thinking, and enhanced problem-solving skills through modeling. Its intent is to demonstrate the relevance and practicality of discrete mathematics to all students. The Fifth Edition includes a more thorough and linear presentation of logic, proof types and proof writing, and mathematical reasoning. This enhanced coverage will provide students with a solid understanding of the material as it relates to their immediate field of study and other relevant subjects. The inclusion of applications and examples to key topics has been significantly addressed to add clarity to every subject. True to the Fourth Edition, the text-specific web site supplements the subject matter in meaningful ways, offering additional material for students and instructors. Discrete math is an active subject with new discoveries made every year. The continual growth and updates to the web site reflect the active nature of the topics being discussed. The book is appropriate for a one- or two-term introductory discrete mathematics course to be taken by students in a wide variety of majors, including computer science, mathematics, and engineering. College Algebra is the only explicit prerequisite.

    By examining fossils and DNA, Shubin shows us that our hands actually resemble fish fins, our head is organized like that of a long-extinct jawless fish, and major parts of our genome look and function like those of worms and bacteria.Shubin makes us see ourselves and our world in a completely new light. Your Inner Fish is science writing at its finest-enlightening, accessible, and told with irresistible enthusiasm.

    Psychiatrist and psychoanalyst, Norman Doidge, M.D., traveled the country to meet both the brilliant scientists championing neuroplasticity and the people whose lives they’ve transformed - people whose mental limitations or brain damage were seen as unalterable. We see a woman born with half a brain that rewired itself to work as a whole, blind people who learn to see, learning disorders cured, IQs raised, aging brains rejuvenated, stroke patients learning to speak, children with cerebral palsy learning to move with more grace, depression and anxiety disorders successfully treated, and lifelong character traits changed. Using these marvelous stories to probe mysteries of the body, emotion, love, sex, culture, and education, Dr. Doidge has written an immensely moving, inspiring book that will permanently alter the way we look at our brains, human nature, and human potential.

    Great care has been taken to select important concepts and to perfectly describe the anatomy of cells, organs, and organ systems. The plan that has been followed for eight editions of this text is to combine clear and accurate descriptions of anatomy with precise explanations of how structures function and examples of how they work together to maintain life. To emphasize the concepts of anatomy and physiology, the authors provide explanations of how the systems respond to aging, changes in physical activity, and disease, with a special focus on homeostasis and the regulatory mechanisms that maintain it. Timely and interesting examples demonstrate the application of knowledge in a clinical context.

    It covers patient care in various clinical settings by employing a unique levels of care approach, discussing nursing implementation at multiple levels. Special features highlight the content that is most relevant and challenging for today's nursing students, including patient teaching, nutrition, drug therapy, cultural and ethnic disparities, and more.Identifies and discusses all levels of nursing management, including Health Promotion, Acute Intervention, and Ambulatory and Home Care, to prepare the nurse to effectively intervene at various stages of illness.Online podcasts feature audio key points summaries for each chapter highlighting important information.Extensive gerontologic content discusses age-related changes for each body system and alerts the nurse to differences often encountered in older patients.Attractive four-color design and over 1,400 full-color illustrations enhance learning by presenting disease processes and related anatomy and physiology more clearly.About 55 thoroughly updated, comprehensive nursing care plans incorporate current NANDA diagnoses, defining characteristics, expected outcomes, interventions with rationales, evaluation criteria, and more.New chapters on Health Disparities, Stress and Stress Management, Infection and HIV, and Nursing Management: Obesity provide a more comprehensive look at the world of medical-surgical nursing.Electronic Resource Summary at chapter openers alert students to additional electronic resources available on companion CD and Evolve.Gender Differences boxes summarize how women and men are affected differently by medical conditions.Drug Alert boxes highlight important considerations applicable to key drugs.A glossary of key terms and definitions contains definitions and page references.NCLEX examination style review questions in each chapter include a focus on prioritization of patient care.All nursing care plans now incorporate NIC and NOC. Companion CD:More than 50 interactive case studies with realistic, 3-D animations to help you visualize disease processes from the inside outA unique Stress-Busting Kit for Nursing Students with strategies for managing your (and your patients') stressA collection of Multimedia Supplements with audio and video clips, plus additional animations375 NCLEX(R) examination-style review questions