This new edition continues its tradition of providing the most comprehensive and up-to-date content available today. New chapters on medical nutrition therapy for psychiatric disease and developmental disorders spotlight the advances made in these areas. Extensive appendices, tables, illustrations, figures, and clinical insight boxes give practical hands-on procedures and clinical tools with the most current information, including brand-new guidelines on food intake and physical activity, and highlight the inclusion of the new food guide pyramid, MyPyramid, to use in everyday practice.Edited by two leading experts in nutrition, L. Kathleen Mahan and Sylvia Escott-Stump, and written by nationally recognized contributors to ensure that all information is comprehensive and current.Hundreds of full-color illustrations bring nutrition therapy to life and provide a realistic representation of clinical practice.UNIQUE! Pathophysiology algorithms present the cause, pathophysiology, and the medical nutrition management for a variety of disorders and conditions, helping you better understand the illness process and provide optimum nutritional care.Clinical Insight, New Directions, and Focus On... boxes provide additional information and suggest further discussion, study, or research.Clinical Scenarios offer case studies that help you apply what you've learned to real-world situations.Relevant websites direct you to online resources for further information on specific chapter topics.Key Terms are defined at the beginning of each chapter and highlighted within the text to help you focus your study and test your mastery of the information.Evolve Student Resource contains WebLinks and more than 1,000 self-assessment study questions that provide instant feedback.Medical Nutrition Therapy for Psychiatric Conditions chapter explores recent research into the links between nutrition and mental disorders such as Alzheimer's disease, anxiety disorder, bipolar disorder, dementia, depression, and schizophrenia.Medical Nutrition Therapy for Developmental Disabilities chapter looks at the unique nutritional needs of individuals with ADHD, Downs syndrome, cerebral palsy, and muscular dystrophy and the role medical nutrition therapy plays in providing effective care.Information on energy, macronutrients, vitamins, and minerals is now summarized in easy-to-read, need-to-know tables and bulleted lists, providing a quick review of basic nutrition.Updated information on the Dietary Guidelines for Americans 2005 and MyPyramid presents information on the newest recommendations for nutrients and physical activity throughout the text, while integrating the customizable MyPyramid into plans of care.Sample Nutrition Diagnosis boxes in each chapter present a problem, its etiology, and its signs and symptoms before concluding with a sample nutrition diagnosis, providing you with real-life scenarios you may encounter in practice.Nutritional Facts in the appendices put the content of the chapter into a practical and convenient format that students and dietetics professionals can use in their education of the client on necessary nutritional care.Updated content is provided on the new Dietary Reference Intakes, the 2000 Dietary Guidelines and Healthy People 2010.New information is included on type 2 diabetes and prediabetes.The newest guidelines released by the National Institute of Health to assist with implementing the DASH diet for effective management of hypertension.The latest information is presented on dietary supplementation and integrative care, with cutting-edge evidence of how the nursing care process is changing to provide better care.

     Former practicing psychiatrist Mark Rubinstein opens the door and takes the reader deep into the world of mental illness. From the chaos of a psychiatric emergency room to the bowels of a maximum security prison, the stories range from bizarre to poignant and the people from noble to callously uncaring. Bedlam's Door depicts the challenges mental illness poses for patients, their families, health-care professionals, and society. More importantly, it demystifies the subject while offering real hope.

    In this book you will see how commonly performed operations can be found to be useless or even harmful when properly evaluated. That these claims come from an experienced, practicing orthopedic surgeon who performs many of these operations himself, makes the unsettling argument particularly compelling. Of course no surgeon is recommending invasive surgery in bad faith, but Ian Harris argues that the evidence for the success for many common operations, including knee arthroscopies, back fusion or cardiac stenting, become current accepted practice without full examination of the evidence.

    is an American Board of Emergency Medicine certified ED doctor. His journey began in the mid-1970s, when he chose to pursue a career in medicine. In his youthful perspective, he came to regard doctors as the good guys, the ones who healed people and saved lives. He knew he’d be one of those good guys one day. Now, with a career spanning more than thirty years, he works as an emergency-room physician in North Carolina. In A License to Heal: Random Memories of an ER Doctor, Bentley describes the real world of emergency medicine from the viewpoint of a practicing physician. This memoir is filled with real-life stories of the ER, including life and death, triumph and tragedy. Meet a man named Solomon Darby, who spoke to long-dead relatives during his own near-death experience. Bentley also recalls the heartbreaking story of a young widow who desperately needed to understand and cope with the death of her husband. Amid the grief, there are also episodes of great humor and human comedy. In the dynamic world of emergency medicine, there is a great deal of pain, blood, and tragedy, but there is also hope, compassion, and excitement—for both the patients and the staff."

    This is one of those funny, grotesque books you won’t forget that’s written by a nurse with a penis (you’re going to have to be able to take a joke that’s racial, bigoted, or otherwise extreme). Interested? Read on. Most “humorous” nursing books out there are injected with weak humor in an attempt to make the nursing profession look good. I, on the other hand, inject nursing with black humor. I don’t pretend there’s anything special about nursing, and I don’t try to sell this profession. In fact, once you’re done reading you’ll likely think twice before enrolling in a nursing school. I just tell it how it is. I follow only one rule: go to where the pain is. Through ten stories, I reveal the inner thoughts of male nurses and the unique challenges they face being minorities in a backdrop of vaginas and estrogen. At the end of each story, I share coaching tips. I've been a male nurse for several years and want to share my most interesting adventures and insights. I've also asked the following questions as guide posts: What do men really need to know about nursing? What can I share to add value to people considering nursing as a career? What would I have wanted to know when I was 18 years old? How could I express what people need to know, not what they want to know? Whether you’re a nursing student struggling with touching anuses or a 40 year old thinking that becoming a nurse will make life meaningful, you will find value in this book. Heck, even a nurse practitioner with a business practice will find timeless advice. I quit nursing, only to come back again. Here are some stories and lessons along the way.

    Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:> How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.> What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.> How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.> Why traditional modern management is the single biggest impediment to lean healthcare.> How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.> How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.> How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care.

    Domestic violence, thriving after abuse

    From Mary Lamb, sister of Charles, who in the throes of a nervous breakdown turned on her mother with a kitchen knife, to Freud, Jung, and Lacan, who developed the new women-centered therapies, Lisa Appignanesi’s research traces how more and more of the inner lives and emotions of women have become a matter for medics and therapists. Here too is the story of how over the years symptoms and diagnoses have developed together to create fashions in illness and how treatments have succeeded or sometimes failed. Mad, Bad, and Sad takes us on a fascinating journey through the fragile, extraordinary human mind.

    The book has the hallmark features for which Lippincott's Illustrated Reviews volumes are so popular: an outline format, over 600 full-color illustrations, end-of-chapter summaries, review questions, plus an entire section of clinical case studies with full-color illustrations. This edition's medical/clinical focus has been sharpened to provide a high-yield review. Five additional case studies have been included, bringing the total to nineteen. Review questions have been reformatted to comply with USMLE Step 1 style, with clinical vignettes.

    In The Anatomy of Violence, Raine dissects the criminal mind with a fascinating, readable, and far-reaching scientific journey into the body of evidence that reveals the brain to be a key culprit in crime causation.  Raine documents from genetic research that the seeds of sin are sown early in life, giving rise to abnormal physiological functioning that cultivates crime. Drawing on classical case studies of well-known killers in history—including Richard Speck, Ted Kaczynski, and Henry Lee Lucas—Raine illustrates how impairments to brain areas controlling our ability to experience fear, make good decisions, and feel guilt predispose us to violence. He contends that killers can actually be coldhearted: something as simple as a low resting heart rate can give rise to violence. But arguing that biology is not destiny, he also sketches out provocative new biosocial treatment approaches that can change the brain and prevent violence.  Finally, Raine tackles the thorny legal and ethical dilemmas posed by his research, visualizing a futuristic brave new world where our increasing ability to identify violent offenders early in life might shape crime-prevention policies, for good and bad. Will we sacrifice our notions of privacy and civil rights to identify children as potential killers in the hopes of helping both offenders and victims? How should we punish individuals with little to no control over their violent behavior? And should parenting require a license? The Anatomy of Violence offers a revolutionary appraisal of our understanding of criminal offending, while also raising provocative questions that challenge our core human values of free will, responsibility, and punishment.From the Hardcover edition.

    Do you require fire, police or ambulance?' asked the female switchboard operator with brisk professionalism. I thought fast. 'I actually need all three,' I answered .It's not every day that a home visit turns out to be an eco-protestor with appendicitis stuck up a tree. But as Dr Rosemary shares in this book, it's all part of a day's work for a south London GP. From an octogenarian nymphomaniac to a teenager in labour with a baby she didn't know about, when Dr Rosemary opens her surgery door she doesn't know who's going to walk in...

    The 20 stand-alone chapters of this new work describe how technological failures result from the incompatibilities between the way things are designed and the way people actually perceive, think, and act. New technologies will succeed or fail based on our ability to minimize these incompatibilities between the characteristics of people and the characteristics of the things we create and use.This book is the quintessential 'must read' for all those who deal with technology in any fashion. From the frustration of an awkward ATM machine to the threat of accidental, nuclear Armageddon, Casey shows how the same crucial factors come into play told through the very eyes of those people who saw and experienced these things. No student of design, psychology, behavioral science, or technology should be without this book, and neither should any intelligent member of society who wants to know what goes on with the successes and failures of modern technology.Sit ringside to the action where compelling events unfold. The stories in this book will take you to airports and airline cabins, an amusement park, a fertility clinic, a pharmaceutical plant, an emergency dispatch center, the Olympic games, and a bank; to hospitals, spacecraft, ships, and cars. From the coasts of Peru and Monterey, in orbit aboard the International Space Station, the freeways of Southern California and the back roads of France, the battlefields of Afghanistan, and a nuclear fuel plant in Japan this is The Atomic Chef.

    Janell Carroll clearly conveys foundational biological and health issues, extensively cites both current and classic research, and addresses all material in a fresh and fun way; her book helps teach students what they need, and want, to know about sexuality. Her focus takes into account the social, religious, ethnic, racial, and cultural contexts of today's students. Dr. Carroll has used feedback from the first edition to add even further value to this popular title-streamlining student pedagogy and providing dynamic learning opportunities through Active Summaries at the end of chapters, a new online student tutorial, new video components, and content for Classroom Response Systems. This continues to be the text most representative of today's students, incorporating new sexual position art, a new pronunciation guide, and (for instructors) a new cross-cultural Slang Guide.

    Our intimate connection with the world, skin protects us while advertising our health, our identity, and our individuality. This dazzling synthetic overview, written with a poetic touch and taking many intriguing side excursions, is a complete guidebook to the pliable covering that makes us who we are. Skin: A Natural History celebrates the evolution of three unique attributes of human skin: its naked sweatiness, its distinctive sepia rainbow of colors, and its remarkable range of decorations. Jablonski begins with a look at skin's structure and functions and then tours its three-hundred-million-year evolution, delving into such topics as the importance of touch and how the skin reflects and affects emotions. She examines the modern human obsession with age-related changes in skin, especially wrinkles. She then turns to skin as a canvas for self-expression, exploring our use of cosmetics, body paint, tattooing, and scarification. Skin: A Natural History places the rich cultural canvas of skin within its broader biological context for the first time, and the result is a tremendously engaging look at ourselves.

    The design should incorporate flexibility for dealing with seasonal changes, as well as long-term changes in wastewater quality and future regulations. Good planning and design, therefore, must be based on five major steps:characterization of the raw wastewater quality and effluent, pre-design studies to develop alternative processes and selection of final process train, detailed design of the selected alternative, contraction, and operation and maintenance of the completed facility. Engineers, scientists, and financial analysts must utilize principles from a wide range of disciplines: engineering, chemistry, microbiology, geology, architecture, and economics to carry out the responsibilities of designing a wastewater treatment plant. The objective of this book is to present the technical and nontechnical issues that are most commonly addressed in the planning and design reports for wastewater treatment facilities prepared by practicing engineers. Topics discussed include facility planning, process description, process selection logic, mass balance calculations, design calculations, and concepts for equipment sizing. Theory, design, operation and maintenance, trouble shooting, equipment selection and specifications are integrated for each treatment process. Thus delineation of such information for use by students and practicing engineers is the main purpose of this book.