In the ancestral environment, a human female typically carried at least half a dozen babies to term. The fact that modern women are able to limit the number of children they bear has dramatic consequences for the incidence of uterine fibroids, as well as the clinical care of fibroids patients. Fibroids, Menstruation, Childbirth, and Evolution explores these connections, integrating a vast amount of medical knowledge about the uterus into one volume. During pregnancy, the mother's blood prepares for an enormous hemostatic event: the delivery of the placenta. That fetal organ is the vascular link between mother and offspring. At childbirth, one-tenth of mother's cardiac output flows through the placenta, feeding the growing child. When the placenta is sheared away from its attachment to the uterus, two hundred large uteroplacental arteries are ripped apart and bleed profusely into the uterine cavity. For many hours following delivery, uterine contractions slow blood flow within the uterus, allowing the high concentration of clotting factors built up in the mother's blood during pregnancy to solidify throughout the uterine circulation and stop blood loss. Then, hours later, the tide reverses, most of these uterine blood clots dissolve, and more normal blood flow returns to the uterus. This amazing process occurs with each pregnancy. During this process, the uterus is ischemic and hypoxic. Unlike brain and heart, which can only survive minutes of decreased blood flow, the uterus can withstand dramatically diminished blood flow for hours. In fact, it is natural for this to occur once every few years. Uterine ischemia and hypoxia are a natural part of every woman's genetic makeup. In 1995 a group of French physicians discovered that it was possible to emulate the physiology of childbirth by stopping blood flow to the uterus with small plastic particles. Initially, they injected these particles to diminish blood loss during subsequent fibroid surgery. However, they soon learned that the injection of these particles was therapeutic in and of itself for women with symptomatic fibroids. Unbeknownst to this French group, earlier, in 1964, an American physician surgically occluded the uterine arteries to treat women without fibroids who had excessive monthly menstrual blood loss. Subsequent physicians have occluded the uterine arteries in various ways to treat a third common disorder, adenomyosis. Finally, these clinical successes suggest that future episodes of endometriosis may be preventable in some women treated with uterine artery closure. Dr. Fred Burbank's comprehensive book provides insight into how physicians can use uterine artery closure techniques to more effectively treat uterine disorders. In addition, his book contains short courses on magnetic resonance imaging, hemodynamics, uterine artery embolization, and the hemostatic and hemolytic systems, making it possible for readers less familiar with these complex subjects to understand the text without referring to outside sources. About the Author Dr. Burbank is an epidemiologist, a psychiatrist, a diagnostic radiologist, a cardiovascular interventionalist, and an expert in women's health. He is also an inventor-entrepreneur. For recreation, he flies, swims, and reads. For more information, please visit his bio on www.saltcreekmedical.com.
Fred Rogers's gentle spirit and passion for children's television takes center stage in this collection of interviews spanning his nearly forty-year career Nearly twenty years after his death, Fred Rogers remains a source of comfort and fond memories for generations who grew up watching Mister Rogers' Neighborhood. Over the course of his career, Rogers revolutionized children's television and changed the way experts thought about the educational power of media. But perhaps his most lasting legacy was demonstrating the power of simply being nice to other people. In this collection of interviews, including his fiery (for him) 1969 senate testimony that saved PBS and his final interview with Diane Rehm, Rogers's gentle spirit and compassionate approach to life continues to be an inspiration. An introduction by David Bianculli provides brilliantly contextualizes the interviews and offers a contemporary reading of Rogers's storied career.
Experience a timeless collection of wisdom on love, friendship, respect, individuality, and honesty from the beloved PBS series Mister Rogers' Neighborhood. There are few personalities who evoke such universal feelings of warmth as Fred Rogers. An enduring presence in American homes for more than thirty years, his plainspoken wisdom continues to guide and comfort many. The World According to Mister Rogers distills the legacy and singular worldview of this beloved American figure. An inspiring collection of stories, anecdotes, and insights—with sections devoted to love, friendship, respect, individuality, and honesty—The World According to Mister Rogers reminds us that there is much more in life that unites us than divides us. Culled from Fred Rogers' speeches, program transcripts, books, letters, and interviews, along with some of his never-before-published writings, The World According to Mister Rogers is a testament to a man who served as a role model to millions—and continues to inspire us all with his legacy.
Fred Rogers's gentle spirit and passion for children's television takes center stage in this collection of interviews spanning his nearly forty-year career Nearly twenty years after his death, Fred Rogers remains a source of comfort and fond memories for generations who grew up watching Mister Rogers' Neighborhood. Over the course of his career, Rogers revolutionized children's television and changed the way experts thought about the educational power of media. But perhaps his most lasting legacy was demonstrating the power of simply being nice to other people. In this collection of interviews, including his fiery (for him) 1969 senate testimony that saved PBS and his final interview with Diane Rehm, Rogers's gentle spirit and compassionate approach to life continues to be an inspiration. An introduction by David Bianculli provides brilliantly contextualizes the interviews and offers a contemporary reading of Rogers's storied career.
A collection of short stories by award winning author Fred Savage. Also includes some poetry and an excerpt from all ten parts of the Throwaway Child Trilogy.
These stories cover the almost 50 years I was associated with N C State University, both as a student and later as faculty. A few relate to my early years growing up in Tryon, NC. There is an element of truth/fact in each. I have added a number written since leaving the University and moving to Windsor Point, a retirement village in Fuquay-Varina, NC. Many of these stories were inspired by my new friends there. Several are based on some innocent event or act which would provoke little or no interest if re-told precisely as they happened. To these I have "enhanced" the truth, somewhat, to make them more interesting. I hope you will forgive my boldness. A few are pure fabrication based on a story I had heard, or some idea on which I wanted to elaborate. You may be unable to distinguish the fabricated ones from the others.
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