Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.From the Hardcover edition.

    This is the book for you because it will help you hit the ground running once you get your license. It is written by an actual, active Realtor. Mario Jannatpour is with RE/MAX Alliance in Louisville, Colorado and what he writes about is based on his experience of what it takes to be successful today as a Realtor. Mario has been a Realtor since 2002. Reader Review: Are you green in real estate or a veteran? Do you know what buyers and sellers are looking for when they are looking at you? What qualities differenciate you from your competition? Mario has helped pin point what today's buyers and sellers are looking for in their real estate agent giving relavent information as well as insight on how you should handle different situations. We all know that honesty is the best policy yet the profession of representation is riddled with pot holes where one can stray. This book will help any new agent or seasoned agent gain a true north when dealing with clients. Mario's first book, Must See Inside, was a great introduction to the real estate business and with this book, The Honest Real Estate Agent, Mario dives deeper on how to "be" a real estate agent which means doing the right thing, always! I sincerely recommend this book for anyone who is getting into the business and wants to get a firm handle of how to "be" great at your job. Addy Saeed, RE/MAX Active Realty (Toronto, Canada)

    This includes further education, adult and community learning, work-based learning, the forces and offender learning and skills. It is easy to read with plenty of practical activities and examples throughout and the content is fully linked to the Teacher Training Standards. Please note: This book has since been updated to reflect the new title of the qualification: The Award in Education and Training.The qualification unit content contained in the appendices has since changed, and some legislation mentioned in the book has been updated.

    You're not stuck with the brain you're born with. Here are just a few of neuropsychiatrist Dr. Daniel Amen's surprising--and effective--"brain prescriptions" that can help heal your brain and change your life:To Quell Anxiety and Panic: ¸  Use simple breathing techniques to immediately calm inner turmoilTo Fight Depression: ¸  Learn how to kill ANTs (automatic negative thoughts)To Curb Anger: ¸  Follow the Amen anti-anger diet and learn the nutrients that calm rageTo Conquer Impulsiveness and Learn to Focus: ¸  Develop total focus with the "One-Page Miracle"To Stop Obsessive Worrying: ¸  Follow the "get unstuck" writing exercise and learn other problem-solving exercises

    

    Most of us measure our time by clocks and calendars. Live A Thousand Years reveals the power of measuring your time and your success by moments and experiences.

    It’s an inside look into the day-to-day challenges facing not only the patient, but also the caregivers. For many years, her father exhibited signs of dementia, eventually becoming too significant to ignore. Everything culminated during an incident one night, after which her father was taken away, never to return to his home again. The disease changed him every day until he was a stranger. Then, it stole his life. Through the initial days at home to hospital stays, living in a memory care unit, rehab stints and eventually hospice care, this book reveals many of the struggles encountered while facing Alzheimer’s in a world not quite ready for it. It is based on actual events depicted exactly as they happened while travelling the heartbreaking and harrowing road through this horrific illness. Its purpose is to give guidance and insight to others caring for loved ones with this terrible affliction, whether it is in providing helpful information, feelings of support or simply words of encouragement. Most importantly, the hope is that it will make the road for others an easier one to travel. May the many tears in this journey be the fortitude that helps others deal with the adversity from this overwhelming disease.

    Elefteriades, one of Men’s Health magazine’s ten best doctors in America, shares moving patient stories and lessons about the human heart. The human heart is a paradox, incredibly strong yet surprisingly fragile. And while stories that reveal its symbolic characteristics abound, there are far fewer that laud its physical capabilities, which are perhaps even more profound. Dr. Elefteriades, one of the most respected cardiac surgeons in America, has treated more than 10,000 patients in his distinguished career. Now, for the first time, he shares fascinating stories of his most memorable patients and cases—patients who have challenged him technically and moved him emotionally, patients who have enriched his life and expanded his horizons while he cared for their hearts. By detailing heart conditions and cardiac reparative procedures with specific yet accessible medical narratives, Dr. Elefteriades encapsulates the beauty, complexity, and majesty of the human heart. But there is far more to this organ—and these stories—than a collection of veins, arteries, and valves. These are stories of courage, miracles, and the bravery of patients (some famous and others not) and their families when facing nearly insurmountable challenges, offering a thought-provoking, informative, and at times heart-wrenching study of the resilience of both the human body and spirit.

    Learn how to interpret questions and how to plan, structure and write your assignment or report. This free course, Essay and report writing skills, is designed to help you develop the skills you need to write effectively for academic purposes.

    On the hunt for a new job? This book will show you exactly how to ace your next interview. Learn what to say, how to act, what to wear, and how to prepare for common interview questions. Discover the questions you should ask your would-be employers, and how to present your strengths and weaknesses in the best possible light. Furthermore, learn eight ways you can immediately improve your body language - and understand how to make sure it doesn't sabotage you during your next interview. Steven Fies is a business consultant who advises human resources departments on hiring the right people. He is also a certified professional behaviors and motivators analyst with TTI Success Insights, a recognized leader in workplace performance research. Job Interview Tips For Winners is his concise, no-nonsense guide to acing your next interview and landing the job. If you're in the market for a new job and want a clear strategy for sharpening your interviewing skills, Job Interview Tips For Winners is for you. Simple and to the point, it will teach you the most critical interviewing skills in no time.

    This book is gripping tale for anyone who has been or loves someone who has been recruited into a network marketing business. This well documented book has been utilized by government authorities in both India and the UK to take action against Amway's deceptive business scheme which knowingly has created losses for the majority of all induced to invest.

    Sundar Pichai’s appointment was hardly an unexpected one. Pichai is a man known as much for his veritable Midas touch with every product he has developed or led for Google – Chrome, Chrome OS and Android, to name just a few – as for his superlative people skills and open-minded approach to innovation. Yet, the company’s decision to restructure its product lines and appoint Pichai as the head of a leaner, more focused Google, has raised inevitable questions: • What does Pichai’s role augur for the future of the tech giant? • Will Google consolidate its position for existing products or will they focus on creating new ones? • And will Pichai transform the organization that Schmidt, Page and Brin created and led, or confirm the belief of a minority of naysayers that he is not yet ready for this daunting role? Pichai: The Future of Google provides answers to these questions while throwing light on Sundar Pichai’s childhood and education; his entry into the tech world and quick rise up the ranks in Google; and his key contributions as a leader and tech-guru to Google’s most successful properties. Timely and insightful, this book offers a rare glimpse into the fascinating ecosystem of a path-breaking company and shows us what it takes to be a dynamic leader in the 21st century.

    Mark Plaster takes readers beyond the ambulance bay doors into the stranger-than-fiction world of the Emergency Department. By turns heart-warming and gut-wrenching, "Night Shift" chronicles the ebb and flow of human life, in all of its unvarnished glory, as it passes through the doors of the ED.

    He told me it was normal. I wanted to believe him. Emma’s grandad was kind and loving, so when she was 11 and he started abusing her, she didn't understand what was happening. He convinced her that what he did to her was normal, and that their relationship was special – but then manipulated her into having sex with another man. Over the next seven years, Emma’s grandad sold her to over two hundred men, and forced her to keep the shameful secret. This is her true story of survival.

    Each case includes an extended discussion, definition of terms, clinical pearls, and USMLE format review questions. This interactive learning system helps you understand essential concepts instead of memorizing facts.