Lyme disease is the most common tick-borne illness in the United States, with more than 300,000 cases diagnosed each year. However, doctors are deeply divided on how to diagnose and treat it, giving rise to the controversy known as the “Lyme Wars.” Firmly entrenched camps have emerged, causing physicians, patient communities, and insurance providers to be pitted against one another in a struggle to define Lyme disease and its clinical challenges. Health care providers may not be aware of its diverse manifestations or the limitations of diagnostic tests. Meanwhile, patients have felt dismissed by their doctors and confused by the conflicting opinions and dubious self-help information found online. In this authoritative book, the Columbia University Medical Center physicians Brian A. Fallon and Jennifer Sotsky explain that, despite the vexing “Lyme Wars,” there is cause for both doctors and patients to be optimistic. The past decade’s advances in precision medicine and biotechnology are reshaping our understanding of Lyme disease and accelerating the discovery of new tools to diagnose and treat it, such that the great divide previously separating medical communities is now being bridged. Drawing on both extensive clinical experience and cutting-edge research, Fallon, Sotsky, and their colleagues present these paradigm-shifting breakthroughs in language accessible to both sides. They clearly explain the immunologic, infectious, and neurologic basis of chronic symptoms, the cognitive and psychological impact of the disease, as well as current and emerging diagnostic tests, treatments, and prevention strategies. Written for the educated patient and health care provider seeking to learn more, Conquering Lyme Disease gives an up-to-the-minute overview of the science that is transforming the way we address this complex illness. It argues forcefully that the expanding plague of Lyme and other tick-borne diseases can be confronted successfully and may soon even be reversed.
Developments in microbial-enhanced oil recovery (MEOR) have made huge advancements over the last few years. A new programmatic approach to MEOR is organic oil recovery (OOR), the management of the microbial ecology to facilitate the release of oil from the reservoir. Using this breakthrough process, which does not require microbes to be injected, over 180 applications have been conducted between 2007 and 2011 in producing oil and water-injection wells in the United States and Canada. This chapter reviews the OOR process, a summary of results and two case studies in detail.
Treasure State stars Gary Cooper and Myrna Loy found unparalleled success during the Golden Age of Hollywood. For more than a century, Montana has supplied a rich vein of entertainment and personality--from daredevils to dancers and even mimes. Born in Miles City in 1895, comedian Gilbert "Pee Wee" Holmes played sidekick to such stars as Tom Mix. One-time Butte resident Julian Eltinge went on to become America's first famous female impersonator. There was Taylor Gordon, whose golden voice propelled the son of a slave from White Sulphur Springs to Harlem Renaissance fame. From the little-known Robyn Adair to the ever-popular Michelle Williams, author Brian D'Ambrosio marks Big Sky Country's long-standing connections with America's performing arts.
It's March in Ireland - the flat season is about the start and Irish Times racing correspondent, Brian O'Connor has decided to boldly go where no racing correspondent has gone before. He puts his money where is mouth is and attempts to turn Euro 5,000 into Euro 50,000. But can he actually do it ... In Add A Zero, we join him on his quest as we're taken through the highs and the lows of the world of Irish racing, where we meet with leading personalities, trainers and jockeys such as Aidan O'Brien, Dermot Weld, Michael Kinane, John Magnier and many others. From drunken dinner parties to famous racecourses like the Curragh and Galway, the tips keep on coming - with mixed results! - in a book for racing buffs and novices alike. As the season progress so does the book, but will Brian show that there's no such thing as a poor bookie? Or will his horse romp home? A betting man might ask 'what are the odds?
Charlotte Brontë found in her illnesses, real and imagined, an escape from familial and social duties, and the perfect conditions for writing. The German jurist Daniel Paul Schreber believed his body was being colonized and transformed at the hands of God and doctors alike. Andy Warhol was terrified by disease and by the idea of disease. Glenn Gould claimed a friendly pat on his shoulder had destroyed his ability to play piano. And we all know someone who has trawled the Internet in solitude, seeking to pinpoint the source of his or her fantastical symptoms. The Hypochondriacs is a book about fear and hope, illness and imagination, despair and creativity. It explores, in the stories of nine individuals, the relationship between mind and body as it is mediated by the experience, or simply the terror, of being ill. And, in an intimate investigation of those lives, it shows how the mind can make a prison of the body by distorting our sense of ourselves as physical beings. Through witty, entertaining, and often moving examinations of the lives of these eminent hypochondriacs—James Boswell, Charlotte Brontë, Charles Darwin, Florence Nightingale, Alice James, Daniel Paul Schreber, Marcel Proust, Glenn Gould, and Andy Warhol—Brian Dillon brilliantly unravels the tortuous connections between real and imagined illness, irrational fear and rational concern, the mind's aches and the body's ideas.
Provide optimal anesthetic care to your young patients with A Practice of Anesthesia in Infants and Children, 5th Edition, by Drs. Charles J. Cote, Jerrold Lerman, and Brian J. Anderson. 110 experts representing 10 different countries on 6 continents bring you complete coverage of the safe, effective administration of general and regional anesthesia to infants and children - covering standard techniques as well as the very latest advances. Find authoritative answers on everything from preoperative evaluation through neonatal emergencies to the PACU. Get a free laminated pocket reference guide inside the book! Quickly review underlying scientific concepts and benefit from expert information on preoperative assessment and anesthesia management, postoperative care, emergencies, and special procedures. Stay on the cutting edge of management of emergence agitation, sleep-disordered breathing and postoperative vomiting; the use of new devices such as cuffed endotracheal tubes and new airway devices; and much more. Familiarize yourself with the full range of available new drugs, including those used for premedication and emergence from anesthesia. Benefit from numerous new figures and tables that facilitate easier retention of the material; new insights from neonatologists and neonatal pharmacologists; quick summaries of each chapter; and more than 1,000 illustrations that clarify key concepts. Access the entire text online, fully searchable, at www.expertconsult.com, plus an extensive video library covering simulation, pediatric airway management, burn injuries, ultra-sound guided regional anesthesia, and much more; and new online-only sections, tables and figures.
As Brian C. Wilson describes them in this highly readable and entertaining book, Yankees—defined by their shared culture and sense of identity—had a number of distinctive traits and sought to impose their ideas across the state of Michigan. After the ethnic label of "Yankee" fell out of use, the offspring of Yankees appropriated the term "Midwesterner." So fused did the identities of Yankee and Midwesterner become that understanding the larger story of America's Midwestern regional identity begins with the Yankees in Michigan.
A focused, illustrated history and analysis of perhaps the most complete air power victory in modern times, NATO's war against Serbian forces over Kosovo. On the night of March 24, 1999, NATO forces began military action to stop Serbia's campaign of repression during the Kosovo War. Initially planned to be a 72-hour operation, it took 78 days of sustained air warfare for Operation Allied Force to cause Slobodan Milosevic to withdraw his forces. Despite such setbacks as the loss of an F-117 stealth fighter and the bombing of the Chinese embassy in Belgrade, Allied Force ended with perhaps the most complete airpower victory of modern times. However, there is a dearth of written histories on NATO's air war over Kosovo. In this book Dr Brian D. Laslie, one of the leading scholars of modern air power operations, offers a complete history of the campaign, based on a wide range of primary and secondary sources. Although predominantly a USAF effort, the campaign also featured multinational contributions as well as significant naval aviation. Using spectacular original battlescenes, maps and 3D diagrams, Dr Laslie examines the aircraft, weapons and doctrine used, the Serbian air defenses, how the Allied forces planned and launched their air campaign, and how NATO had to rapidly adapt its initial plans to achieve success.
Covering everything from preoperative evaluation to neonatal emergencies to the PACU, A Practice of Anesthesia in Infants and Children, 6th Edition, features state-of-the-art advice on the safe, effective administration of general and regional anesthesia to young patients. It reviews underlying scientific information, addresses preoperative assessment and anesthesia management in detail, and provides guidelines for postoperative care, emergencies, and special procedures. Comprehensive in scope and thoroughly up to date, this 6th Edition delivers unsurpassed coverage of every key aspect of pediatric anesthesia. - Includes a laminated pocket reference guide inside with essential, practical information. - Features key references at the end of each chapter that provide a quick summary for review. - Presents must-know information on standards, techniques, and the latest advances in pediatric anesthesia from global experts. - Provides access to a video library of 70 pediatric anesthesia procedures – 35 are new! Videos include demonstrations on managing the difficult pediatric airway, cardiac assist devices in action, new positioning devices, management of burn injuries, and many demonstrations of ultra-sound guided regional anesthesia blocks and techniques. - Features extensive revisions of all chapters with many new contributors, and numerous new figures and tables throughout. - Introduces new drugs such as those used to premedicate children and facilitate emergence from anesthesia, plus an up-to-date discussion of the drug approval process and detailed information on opioid safety for children with obstructive sleep. - Includes new chapters on pharmacogenomic implications of drugs in children and the anesthetic implications when caring for children with cancer. - Offers up-to-date information on the management of emergence agitation, sleep-disordered breathing, neonatal and pediatric emergencies, and the obese child and bariatric surgery. - The Essentials chapters, with extensive input from pediatrician experts, provide the latest information concerning hematology, pulmonology, oncology, hepatology, nephrology, and neurology. - Contains significant updates on perioperative fluid management, pharmacology, intravenous anesthesia and target controlled infusions, cystic fibrosis, new interventional devices for children with congenital heart defects, cardiopulmonary resuscitation, simulation in pediatric anesthesia, and much more. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
The Wiley Concise Guides to Mental Health: Bipolar Disorder uses clear, highly accessible language to comprehensively guide the reader through the entire spectrum of bipolar and related disorders. This concise, informative reference provides a complete overview of the history of the field, diagnosis, treatment, research, emerging trends, and other critical information about bipolar disorder. Both pharmacologic and non-pharmacologic interventions are thoroughly covered. Like all the books in the Wiley Concise Guides to Mental Health Series, Bipolar Disorder features a compact, easy-to-use format that includes: Vignettes and case illustrations A practical approach that emphasizes real-life treatment over theory Resources for specific readers such as clinicians, students, or patients Early chapters in Bipolar Disorder lay out the descriptive and diagnostic issues for classic bipolar I disorder, the more subtle "soft" bipolar disorders, and other disorders, such as hyperactivity and borderline personality, that are often misdiagnosed as bipolar. The text then covers the medical, psychiatric, and substance abuse disorders that can accompany bipolar disorders, and offers practical tips for non-medically trained therapists on how to spot these disorders. Finally, pharmacological, psychosocial, and additional treatments and interventions are covered. This straightforward resource is admirably suited for a wide variety of readers, including students and practicing mental health professionals, as well as individuals and others directly and indirectly affected by bipolar disorder.
The recent retirement of Mick Kinane, doyen of flat racing jockeys whose swansong was his 2009 Classic victories on the great Sea the Stars, reminded us once again how many of the greatest jockeys in racing, over jumps as well as on the flat, hail from Ireland. Brian O’Connor is the experienced racing correspondent of the Irish Times, and his survey of the twelve finest jockeys currently riding in Ireland (six on the flat, six National Hunt) was acclaimed in hardback by both the racing press and the Irish media. He interviewed most of the featured jockeys specially for the book, and provides a truly intimate insight into what has made them great race riders, and what inspires their continuing hunger to succeed at the very top. The full list of jockeys covered is: On the Flat: Michael Kinane, John Murtagh, Jamie Spencer, Kieren Fallon, Pat Smullen and Kevin Manning. Over Jumps: Ruby Walsh, Barry Geraghty, Tony McCoy, Paul Carberry, Timmy Murphy and Nina Carberry.
Lyme disease is the most common tick-borne illness in the United States, with more than 300,000 cases diagnosed each year. However, doctors are deeply divided on how to diagnose and treat it, giving rise to the controversy known as the “Lyme Wars.” Firmly entrenched camps have emerged, causing physicians, patient communities, and insurance providers to be pitted against one another in a struggle to define Lyme disease and its clinical challenges. Health care providers may not be aware of its diverse manifestations or the limitations of diagnostic tests. Meanwhile, patients have felt dismissed by their doctors and confused by the conflicting opinions and dubious self-help information found online. In this authoritative book, the Columbia University Medical Center physicians Brian A. Fallon and Jennifer Sotsky explain that, despite the vexing “Lyme Wars,” there is cause for both doctors and patients to be optimistic. The past decade’s advances in precision medicine and biotechnology are reshaping our understanding of Lyme disease and accelerating the discovery of new tools to diagnose and treat it, such that the great divide previously separating medical communities is now being bridged. Drawing on both extensive clinical experience and cutting-edge research, Fallon, Sotsky, and their colleagues present these paradigm-shifting breakthroughs in language accessible to both sides. They clearly explain the immunologic, infectious, and neurologic basis of chronic symptoms, the cognitive and psychological impact of the disease, as well as current and emerging diagnostic tests, treatments, and prevention strategies. Written for the educated patient and health care provider seeking to learn more, Conquering Lyme Disease gives an up-to-the-minute overview of the science that is transforming the way we address this complex illness. It argues forcefully that the expanding plague of Lyme and other tick-borne diseases can be confronted successfully and may soon even be reversed.
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