Do you suffer from lower back pain after a long weekend ride? Do your shoes wear out on one side more than the other? Are you experiencing numbness in your hands, or knee pain? Phil Burt, Head Physiotherapist at British Cycling and Team Sky Consultant Physiotherapist, has worked with hundreds of cyclists to help them solve these and many other classic cycling niggles. In this book he outlines his methods to help you analyse your position and get the best from your bike. The right BIKE FIT can mean the difference between a good ride and a bad one, but a professional fit can cost more than you paid for your bike. The information is all here. Let Phil Burt guide you through your own BIKE FIT, to ensure your bike and body work in harmony. Packed with useful diagrams, step by step diagnostics and case studies, this is the must-read for any cyclist keen to get a performance advantage.

    Like all of Linda Silvestri review books, detailed rationales are provided for all answer choices, plus comprehensive test-taking strategies, and references to Elsevier nursing textbooks. This review also includes many critical thinking and alternate item formats, plus a comprehensive exam consisting of 300 questions.

    John Gibney proceeds from the beginning of Ireland’s modern period and continues through to virtually the present day, offering an integrated overview of the island nation’s cultural, political, and socioeconomic history. This succinct, scholarly study covers important historical events, including the Cromwellian conquest and settlement, the Great Famine, and the struggle for Irish independence. Gibney's book explores major themes such as Ireland’s often contentious relationship with Britain, its place within the British Empire, the impact of the Protestant Reformation, the ongoing religious tensions it inspired, and the global reach of the Irish diaspora. This unique, wide-ranging work assimilates the most recent scholarship on a wide range of historical controversies, making it an essential addition to the library of any student of Irish studies.

    Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration for the hit Fox TV series House, M.D.The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it–on some level–restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer.A healthy young man suddenly loses his memory–making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment–only to have their symptoms mysteriously return. A young woman lies dying in the ICU–bleeding, jaundiced, incoherent–and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis.Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness–the diagnosis–revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives.

    In the span of twelve hours, lives can be lost, life-altering medical treatment decisions made, and dreams fulfilled or irrevocably stolen. In Brown’s skilled hands--as both a dedicated nurse and an insightful chronicler of events--we are given an unprecedented view into the individual struggles as well as the larger truths about medicine in this country, and by shift’s end, we have witnessed something profound about hope and healing and humanity. Every day, Theresa Brown holds patients' lives in her hands. On this day there are four. There is Mr. Hampton, a patient with lymphoma to whom Brown is charged with administering a powerful drug that could cure him--or kill him; Sheila, who may have been dangerously misdiagnosed; Candace, a returning patient who arrives (perhaps advisedly) with her own disinfectant wipes, cleansing rituals, and demands; and Dorothy, who after six weeks in the hospital may finally go home. Prioritizing and ministering to their needs takes the kind of skill, sensitivity, and, yes, humor that enable a nurse to be a patient’s most ardent advocate in a medical system marked by heartbreaking dysfunction as well as miraculous success.

    . . but just one lone survivorOn June 28th, 2005, a four-man Navy SEAL reconnaissance team under Operation Red Wings was ambushed in northeastern Afghanistan--as depicted in the book and film Lone Survivor. A quick reaction force was dispatched to assist them. Turbine 33, carrying eight Navy SEALs and eight members of the 160th Special Operations Aviation Regiment was struck by a rocket propelled grenade, bringing the dual rotor chinook careening toward the rugged peak of Sawtalo Sar.The result was the deadliest single incident in Afghanistan Special Operations at the time.Commanders, unwilling to let this disaster get any worse, quickly called on the largest element of the secretive Joint Special Operations Command (JSOC), the 75th Ranger Regiment. The rescue mission: Operation Red Wings II.Tony Brooks, then a newly minted Army Ranger, tells a first-hand account of the daring recovery of Turbine 33, and the subsequent search for the remaining compromised Navy SEAL reconnaissance team--one of whom was Marcus Luttrell, the lone survivor. The Rangers would need to overcome lack of intel, treacherous terrain, violent weather, and an enemy that was born and raised to fight.Like his fellow Rangers, Tony Brooks lived--and many died--by the axiom, "Leave No Man Behind." His account is the first to tell the story other books and films have left out, one of courage, skill, and perseverance in overcoming overwhelming odds to accomplish a mission to bring every American soldier home.

    Over 1,000 Board-style questions, with detailed rationales, cover the most essential, need-to-know concepts in physiology. Includes thorough reviews of all major body systems, with emphasis on system interaction, homeostasis, and pathophysiology.Offers a comprehensive practice exam of over 1,000 questions in USMLE format.Includes answers and explanations for every question, as well as page references to the Guyton & Hall's Textbook of Medical Physiology.Follows a parallel chapter organization to Textbook of Medical Physiology.Provides all of the essential information needed to prepare for the physiology portion of the USMLE Step 1.Dedicates a brief section to helpful hints on preparing for the USMLE exam.

    Chae Hyun Moon, a celebrated cardiologist in Redding, California. Corapi had been suffering from exhaustion and shortness of breath, and although a physical examination and a conventional stress test revealed nothing abnormal, Moon insisted that the calcium level in Corapi's coronary arteries called for a highly invasive diagnostic test: an angiogram. A chain-smoking Korean immigrant known for his gruff bedside manner, Moon performed the procedure briskly and immediately handed down a devastating diagnosis: "I'm sorry; there is nothing I can do for you. You need a triple bypass tomorrow morning." He then abruptly left the room.Several hours later, however, Moon inexplicably decided the surgery could wait until Corapi returned from a previously scheduled cross-country trip. Unnerved by the dire diagnosis and also by Moon's inconsistent statements, Corapi sought other opinions. To his amazement, a second, third, and fourth doctor found that his heart was perfectly healthy. In fact, for a man his age, Corapi's arteries were "remarkably free of disease."Sensing a cause more disturbing than human error, Corapi took his story to the FBI. As local agent Mike Skeen soon discovered, Corapi was one of a number of people who had suspicions about Moon and Moon's go-to cardiac surgeon, Dr. Fidel Realyvasquez, an equally respected member of the close-knit northern California community. Working ata hospital owned by Tenet Healthcare, Moon would make the diagnoses and Realyvasquez would perform the surgeries. Together, these leaders of the Redding medical establishment put hundreds of healthy people at risk, some of whom never recovered. Soon Skeen launched a major investigation, interviewing numerous doctors and patients, and forty federal agents raided the hospital where the doctors worked.A timely and provocative dissection of America's medical-industrial complex, "Coronary" lays bare the financial structures that drive the American healthcare system, and which precipitated Moon's and Realyvasquez's actions. In a scheme that placed the demands of Wall Street above the lives of its patients, Tenet Healthcare rewarded doctors based on how much revenue they generated for the corporation.A meticulous three-year FBI investigation and hundreds of civil suits culminated in no criminal charges but a series of settlements with Tenet Healthcare and the doctors that totaled more than $450 million and likely put an end to Moon's and Realyvasquez's medical careers. The case's every twist and turn is documented here.A riveting, character-rich narrative and a masterpiece of long-form journalism, "Coronary" is as powerful as it is alarming. This is a hair-raising story of the hundreds of men and women who went under the knife, not in the name of medicine, but of profit and prestige. Brilliantly told, Stephen Klaidman's "Coronary" is a cautionary tale in the age of miracle medicine, and a shocking reminder to always get a second opinion.

    Professor Lynch's admirable survey (concentrating on the western church, and emphasising ideas and trends over personalities) meets a long-felt need for a single-volume comprehensive history, designed for students and non-specialists.

    He spends his days fending off anxious mums, elderly sex maniacs and hopeless hypochondriacs. The rest of his time is taken up by sparring with colleagues, battling bureaucrats and banging his head against the brick walls of the NHS.

    And yet for many years it was equally baffling for scientists themselves. Manjit Kumar gives a dramatic and superbly-written history of this fundamental scientific revolution, and the divisive debate at its heart.For 60 years most physicists believed that quantum theory denied the very existence of reality itself. Yet Kumar shows how the golden age of physics ignited the greatest intellectual debate of the twentieth century.Quantum sets the science in the context of the great upheavals of the modern age. In 1925 the quantum pioneers nearly all hailed from upper-middle-class academic families; most were German; and their average age was 24. But it was their irrational, romantic spirit, formed in reaction to the mechanised slaughter of the First World War that inspired their will to test science to its limits.The essential read for anyone fascinated by this complex and thrilling story and by the band of young men at its heart.

    Investigations into the causes of aircraft accidents have for decades focused on what happened and who did it - very rarely 'Why'? It is the question 'Why' that David Beaty has addressed here, fighting the misnomer of 'pilot error' and propounding that the cause should be sought deeper inside human beings who make apparently simple human errors.

    Keith Block is at the global vanguard of innovative cancer care. As medical director of the Block Center for Integrative Cancer Treatment in Evanston, Illinois, he has treated thousands of patients who have lived long, full lives beyond their original prognoses. Now he has distilled almost thirty years of experience into the first book that gives patients a systematic, research-based plan for developing the physical and emotional vitality they need to meet the demands of treatment and recovery.Based on a profound understanding of how body and mind can work together to defeat disease, this groundbreaking book offers:- Innovative approaches to conventional treatments, such as "chronotherapy"-chemotherapy timed to patients' unique circadian rhythms for enhanced effectiveness and reduced toxicity- Dietary choices that make the biochemical environment hostile to cancer growth and recurrence, and strengthen the immune system's ability to attack remaining cancer cells- Precise supplement protocols to tame treatment side effects, relieve disease-related symptoms, and modify processes like inflammation and glycemia that can fuel cancer if left untreated- A new paradigm for exercise and stress reduction that restores your strength, reduces anxiety and depression, and supports the body's own ability to heal- A complete program for remission maintenance-a proactive plan to make sure the cancer never returnsAlso included are "quick-start" maps to help you find the information you need right now and many case histories that will support and inspire you. Encouraging, compassionate, and authoritative, Life over Cancer is the guide patients everywhere have been waiting for.

    “One day I was feeding chickens and listening to Hank Williams and the next day I was expected to know what wines went with what,” she tells her husband, Jack. Yet no matter where she travels, her rural southern heritage is never far from her thoughts, her habits, and her heart.Nancy is on a lifelong quest to understand her place in the world. Returning home to the family farm, she searches for photographic evidence of an ancestor bearing her own name. Still in her jeans, she brings home strange ideas and an assertiveness she learned up north. Always adventurous, Nancy travels far and wide–searching, seeking. The narrative sweep of her life traverses the turbulent sixties, the Vietnam War, the eighties and the foreboding death of John Lennon, and finally the new millennium–when a self-assured Nancy finally emerges. These humorous and often touching stories recount her courtship and marriage to Jack, her relationship with her precocious son, and the deep, loving bond between her parents, Spence and Lila Culpepper. Eventually Nancy’s marriage is threatened by a cultural divide that plagued her and Jack from the start. But when she inherits the Culpepper family farm and discovers more pieces of her ancestral puzzle, she realizes that her life is assuming its proper shape. Later, standing on a lonely mountain in England, she sees the world from a surprising perspective. Bestselling author Bobbie Ann Mason’s prizewinning Nancy Culpepper chronicles have appeared in The New Yorker, The Boston Globe, The Southern Review, and other distinguished literary anthologies. She has compiled these stories into one definitive collection, which includes the novella Spence + Lila, two new, never-before-published stories, and one Pushcart Prize winner. Heartfelt and thought-provoking, Nancy Culpepper is a poignant depiction of change and growth in a modern-day heroine.From the Hardcover edition.

    Completely revised and updated, the 7th Edition consistently emphasizes the clinical aspects by using a wealth of case studies, clinical correlations, and hundreds of outstanding illustrations.Features a wealth of clinical case studies-and hundreds of color photgraphs-enabling readers to relate what they are learning to clinical practice.Contains a chapter on birth defects that can be used as a mini textbook on the subject.Integrates the molecular aspects of embryonic development, including information on stem cells - homeobox genes - gamete formation - regulation control and the molecules/receptors involved - gene activity and expression - and more.Includes illustrations of new diagnostic procedures, including sonographs, MRIs, electron micrographs, 3D images, and clinical photographs.Includes the new terminology developed for embryology-the Terminoligica Embryologica.Presents completely revised and updated Clinically Oriented Questions and Answers based on the current requirements of the USMLE Step 1.Has been reviewed by leading geneticists and pediatricians to ensure that all of the information reflects the realities of clinical practice.