Gritty, powerful, and ultimately redemptive, Something for the Pain is a revealing glimpse into the fragility of compassion and sanity in the industrial setting of today’s hospitals.

    But time in the wards is limited, and clerkship covers only a tiny sample of the surgical universe. Dr. Pestana's Surgery Notes, by distinguished surgery instructor Dr. Carlos Pestana, is a proven guide to ensure your surgical knowledge. With a concise, comprehensive review and 180 high-yield surgical vignettes for self-testing, it contains the surgery knowledge you need to excel on the Surgery shelf exam and USMLE Step 2 CK.Features:— Concise high-yield review of core surgery material— 180 vignettes for self-testing— Used by med students for over a decade— Fully up-to-date— Pocket-sized to carry with you in the wards

    one of the most important and readable works on the human past published in recent years."Winner of the Pulitzer Prize and a national bestseller: the global account of the rise of civilization that is also a stunning refutation of ideas of human development based on race.In this "artful, informative, and delightful" (William H. McNeill, New York Review of Books) book, Jared Diamond convincingly argues that geographical and environmental factors shaped the modern world. Societies that had a head start in food production advanced beyond the hunter-gatherer stage, and then developed writing, technology, government, and organized religion—as well as nasty germs and potent weapons of war—and adventured on sea and land to conquer and decimate preliterate cultures. A major advance in our understanding of human societies, Guns, Germs, and Steel chronicles the way that the modern world came to be and stunningly dismantles racially based theories of human history.Winner of the Pulitzer Prize, the Phi Beta Kappa Award in Science, the Rhone-Poulenc Prize, and the Commonwealth Club of California's Gold Medal

    The beginning chapters introduce basic chemical and biological concepts to provide students with the framework they need to comprehend physiological principles. The chapters that follow promote conceptual understanding rather than rote memorization of facts. Health applications are included throughout the book to heighten interest, deepen understanding of physiological concepts, and help students relate the material to their individual career goals. Every effort has been made to help students integrate related concepts and understand the relationships between anatomical structures and their functions.

    Ballet dancers and rock musicians, professors and thieves-"anyone who had fallen, or, often, leapt, onto hard times" and needed extended medical care-ended up here. So did Victoria Sweet, who came for two months and stayed for twenty years. Laguna Honda, lower tech but human paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished. Gradually, the place transformed the way she understood her work. Alongside the modern view of the body as a machine to be fixed, her extraordinary patients evoked an older idea, of the body as a garden to be tended. God's Hotel tells their story and the story of the hospital itself, which, as efficiency experts, politicians, and architects descended, determined to turn it into a modern "health care facility," revealed its own surprising truths about the essence, cost, and value of caring for body and soul.

    Its aim is to explain the management of disease, based on an understanding of scientific principles and including the latest developments in treatment. It is written for medical students and doctors preparing for specialist exams, and is an ideal general reference text for all practising doctors. The new edition is part of Elsevier's new STUDENT CONSULT electronic community. STUDENT CONSULT titles comes with full text online, a unique image library, case studies, questions and answers, online note-taking, and integration links to content in other disciplines - ideal for problem-based learning.

    The Eighth Edition has been thoroughly revised and updated and is available in both print and e-book formats.Janeway s Immunobiology continues to set the standard for currency and authority with its clear writing style and organization, uniform art program, and scientific accuracy. It presents a consistent point of view throughout that of the host s interaction with an environment containing many species of potentially harmful microorganisms. The full-color art program is conceptually coherent and illustrates the processes and mechanisms underlying the concepts in the text. The 16 chapters in this readable, accessible textbook are organized and presented in such a way as to help deliver a complete one-semester immunology course, beginning with innate immunity, then moving to adaptive immunity, and ending with applied clinical immunology.Discussion questions are provided at the end of Chapters 2 to 16. These questions can be used for review, or as the basis for discussion in class or in informal study groups. Summaries conclude each section and each chapter. As in previous editions, a caduceus icon in the margins indicates topics which are correlated to Case Studies in Immunology, Sixth Edition by Geha and Notarangelo.New in the Eighth EditionInnate immunity has been updated and expanded and is now presented in two separate chapters (Chapters 2 and 3), as well as being further emphasized in the rest of the textbook. Chapter 2 covers antimicrobial peptides and the complement system, and Chapter 3 deals with cellular innate receptors and cell-mediated innate immunity (e.g. TLRs, phagocytosis, NK cells, interferon production, innate-like lymphocytes). The section on complement has been reworked and reconceived explaining the lectin pathway first making it easier to teach by placing it into the context of innate recognition. Evolution is now incorporated throughout the text, helping students see similar strategies used by different organisms. The text and figures of Chapter 7 Signaling Through Immune System Receptors have been revised to present a cohesive synthesis of signaling for immunology, focusing on improved illustration of antigen recognition signaling and lymphocyte activation. Signaling through other receptors is dealt with wherever appropriate throughout the book. Updated chapter on B-cell immune responses (Chapter 10), especially on trafficking of B cells in peripheral lymphoid organs (e.g. lymph nodes) and the locations at which they encounter antigen. Coverage of mucosal immunity (Chapter 12) has been brought up to date, including responses to the commensal microbiota and the role of specialized dendritic cells and the regulatory T cells in maintaining tolerance to food antigens and commensal bacteria. Chapter 13, Failures of Host Defense Mechanisms, has been reorganized and revised to structure an understanding of primary immunodeficiencies in the context of developmental pathways. Chapter 16, Manipulation of the Immune Response, has been heavily revised to include a greater emphasis on clinical issues and a complete update of immunotherapeutics and vaccines. Many new and revised figures illustrate the processes and mechanisms underlying the concepts presented in the text. The icons used have been updated and expanded to incorporate a new emphasis on signaling pathways. New references have been added throughout the text.

    Susan Macqueen was 12 years old when she accompanied her mother to see her friend Ms. Fairweather, the matron at the local nursing home, and from that day on she knew she wanted to be a nurse. A few years later, despite being told that her grades weren't good enough, Susan was accepted on the three-year nurses training course at Addenbooke's hospital in Cambridge. It wasn't long before Susan knew she wanted to work with children and set her sights on a job at Great Ormond Street. Thirty-five years later, on her third attempt, Susan has finally retired from that iconic hospital and is enjoying a more leisurely pace of life. Hope, despair, laughter, and tears, Susan's stories move the reader through the incredible stories that she was faced with on an every day basis.

    But this remark seems perhaps even more relevant to our present world where so many seek publicity at any cost. Wilde's well-turned phrases and spontaneous insults still cause much amusement and admiration. Most of us miss the opportunities for bon mots, finding them long after the moments have passed, but Wilde seems never to have been short of suitable words - flattering, witty and on occasions savagely cruel. Many of the quotes in this book are taken from Wilde's plays, novels and essays which were also packed with witticisms amounting to an outrageous philosophy. Wilde's extravagance and unconventional behaviour earned him loyal friends but also bitter enemies and in 1895 after a series of unfortunate events and court cases he was gaoled for two years with hard labour for indecent behaviour. Though from prison came a few last brilliant works, Wilde was never to recover his health or standing in society. He died in Paris bankrupt, broken and alone. He is buried at Cimetiere du Pere Lachaise - one of Paris's finest cemeteries - where today many pilgrims from all parts of the world come to pay their respects and leave tokens in recognition of his genius.

    Confusing messages from health authorities and ineffective treatments have left many people desperate for reliable solutions. An enormous alternative industry is filling the void, selling products that are often of questionable safety and totally unknown effectiveness.In Clean, doctor and journalist James Hamblin explores how we got here, examining the science and culture of how we care for our skin today. He talks to dermatologists, microbiologists, allergists, immunologists, aestheticians, bar-soap enthusiasts, venture capitalists, Amish people, theologians, and straight-up scam artists, trying to figure out what it really means to be clean. He even experiments with giving up showers entirely, and discovers that he is not alone.Along the way he realizes that most of our standards of cleanliness are less related to health than most people think. A major part of the picture has been missing: a little-known ecosystem known as the skin microbiome--the trillions of microbes that live on our skin and in our pores. These microbes are not dangerous; they're more like an outer layer of skin that no one knew we had, and they influence everything from acne, eczema, and dry skin to how we smell. The new goal of skin care will be to cultivate a healthy biome--and to embrace the meaning of "clean" in the natural sense. This can mean doing much less, saving time, money, energy, water, and plastic bottles in the process.Lucid, accessible, and deeply researched, Clean explores the ongoing, radical change in the way we think about our skin, introducing readers to the emerging science that will be at the forefront of health and wellness conversations in coming years.

    Is salt really bad for you? Is fish good for you? What about coffee, red meat, or saturated fats? Can pregnant women rely on their doctor’s advice about what to eat? Does gluten-free food carry any health benefits at all? Do doctors know anything about nutrition?In twenty short, myth-busting chapters, Tim Spector reveals why almost everything we’ve been told about food is wrong. He reveals the scandalous lack of good scientific evidence for many medical and government food recommendations, and how the food industry holds sway over these policies. These are urgent issues that matter not just for our health as individuals but for the future of the planet.Spoon-Fed forces us to question every diet plan, government recommendation, miracle cure or food label we encounter, and encourages us to rethink our whole relationship with food.

    It is uniquely designed to help students master pharmacology both in class and in preparing for the NCLEX(R) examination. It will also benefit practicing nurses who'd like a refresher and memory device on pharmacology. Using a wide variety of learning aids, humor, illustrations, and mnemonics, it covers topics including administration, antibiotics, antivirals, anticoagulants, cardiac drugs, CNS drugs, diuretics, endocrine drugs, GI drugs, musculoskeletal drugs, OB drugs, pain, psychiatric drugs, and pulmonary drugs.Features 91 full-color illustrated mnemonics on individual drug topics and key drugs.Offers durability and portability with spiral-bound format and removable cards on sturdy stock.Perforated cards may be used as is, in spiral-bound notebook or removed for use as individual flash cards, which allows the reader flexibility when studying.Topics are listed alphabetically for quick reference.Offers easy referral, with tabs and color cover guide using a different color for each topic.Concise What You Need to Know drug monographs on the back of each image include quick information on drug action, use, contraindications/precautions, side effects, and nursing implications.

    Here is his legacy to us: the universal values he pinpoints become the watchwords for our appreciation of Calvino himself.What should be cherished in literature? Calvino devotes one lecture, or memo to the reader, to each of five indispensable qualities: lightness, quickness, exactitude, visibility, and multiplicity. A sixth lecture, on consistency, was never committed to paper, and we are left only to ponder the possibilities. With this book, he gives us the most eloquent defense of literature written in the twentieth century as a fitting gift for the next millennium.

    It is written to impart a sense of intellectual history of biochemistry, an understanding of the tools and approaches used to solve biochemical puzzles, and a hint of the excitement that accompanies new discoveries. This edition has been thoroughly updated to reflect the most recent advances in biochemistry, particularly in the areas of genomics and structural biology. A new chapter focuses on cytoskeletal and motor proteins, currently one of the most active areas of research in biochemistry.

     This book covers:   * how to do your own prenatal care * common discomforts in pregnancy * herbal and homeopathy uses * supplies you need for your birth * labor stages and how to manage them * birth affirmations * avoiding issues and complications   * what to do for emergencies * postpartum care for mom and baby * how to register you baby with the state * unassisted birth stories This book is packed with photographs!! A MUST HAVE, especially in places that have little to no access to quality medical care/hospitals near the birthing mother. Reviews:  "I find this book to be an invaluable resource manual for everything you need to know to have a healthy, safe, unassisted home birth! I love the sections on herbs and homeopathics, and that every needful topic was included and written in a clear and easy to understand manner. I'll definitely reference this book during my next freebirth. It's like having a midwife on your bookshelf! "A valuable resource to prepare for your freebirth" “This book shows you how to freebirth. Giving you the information you need to control your birth and have peace with that decision.” “This is the book every pregnant woman, whether she decides to birth unassisted or not, should have in her library. It is extremely informative, yet inspiring and empowering.”  ~Julia, Labor Assistant “Home Birth On Your Own Terms is a great first stop on your journey to having an unassisted birth. If only every birthing person could know this option, and assess for themselves if this is a safe, viable option for them. Home Birth On Your Own Terms provides confidence through first-hand accounts of births AND the appropriate precautions for people to make the best choices for their birth. For anyone considering their birth options, this is an eye opener to see beyond the systemically prescribed birthing process. This book gives another perspective on what is absolutely possible, empowering, safe and healthy births.” ~ Vera Kevic, Doula “A wealth of information in one place.” "With the ever climbing epidemic of birth violence inflicted by medical professionals and the constraints birth attendants now have upon them, it’s no surprise that parents are taking a stand and birthing the way they so desire."