In this eye-opening collection of essays, Dr. Geraldine K. Piorkowski shares what she learned working with people from different socioeconomic levels, races, sexual orientations, and walks of life. Besides reaffirming that all people are fundamentally the same, she discovered many psychological realities that run counter to popular culture. Among her insights is the observation that positive thinking does more harm than good at times, especially when it bypasses the normal processing of negative events and emotions. Another cultural misdirection is the overemphasis on romantic love as the be-all and end-all of existence, where unrealistic expectations lead to love's downfall. She also notes that unhealthy narcissism, which runs rampant in American culture, is quite different from the healthy variety that is the bedrock of self-love. These illuminating and provocative essays, titled 1) Positive Thinking Isn't All It's Cracked Up to Be, 2) When Is Madness Better than Sadness? 3) Romantic Love Is Mostly an Illusion, 4) Vulnerable People Are More Likable than Super-Confident Ones, 5) You Can't Make Anybody Do Anything, 6) Luck or Chance Has Been Badly Underrated, 7) A Smidgen of Narcissism Adds Joy and Spice to Life, and 8) Empathy and Healthy Religion Go Hand in Hand, all provide a new understanding of psychological health and well-being.
Countless experts offer us advice on how to create the "perfect relationship," fostering the unrealistic expectation that forming an intimate bond will be a painless experience. Unfortunately, few experts are willing to confront the powerful challenges and emotions inherent within close relationships today. In contrast to other intimacy books, Too Close for Comfort vividly describes the surprising dangers, damage to self-esteem, inadequacies, and immaturities that characterize the contemporary state of romantic intimacy. Too Close for Comfort compassionately explores the risks and misunderstandings that occur within many intimate relationships. Romantic partners tend to hurt each other not only by insensitivity and neglect, but also by criticism, abuse, and betrayal - most of which spring from insecurity. Dr. Piorkowski, a noted consulting psychologist and educator, focuses on the vulnerability both partners experience in intimacy due to the emergence of strong, unrealistic needs that are almost impossible to satisfy. The author contends that people avoid the perils of intimacy by donning one or more defensive "masks" - ranging from acting superior to mysterious, comical to withdrawn, self-sufficient to dependent - in an effort to protect themselves from emotional exposure. Presenting a fascinating range of clinical examples, she sensitively depicts the fears of intimacy that limit contact, namely psychological concerns about loss of control or autonomy, feelings of disappointment and abandonment, or of being attacked and made to feel guilty. Depicting women's reliance on verbal expression to achieve an emotional connection versus men's dependence on physical contact, Dr. Piorkowski brilliantly elucidates the complex barriers to intimacy, especially the chasms of misunderstanding created by vast sexual differences and attitudes. While this book is unique in its exposition of the dangers in intimacy, its message is not pessimistic.
Romantic love is often an elusive, fragile, and tenuous state, difficult to maintain across time. The rates of divorce, re-divorce, relationship violence, and abuse today attest to the face we are failing at romantic love. And for teen-aged and adult children of divorce, romantic love can be especially elusive. Because they have no roadmap for a satisfying, stable romatic relationship derived from their own parents, they are confused by what love is and tend to make poor partner choices. Borrowing heavily from popular culture for unrealistic standards regarding love, they become disillusioned when their all-too-ordinary lovers don't measure up. Especially vulnerable to the problems their parents had, they tend to overreact in a similar negative fashion and are all too ready to consider divorce when unhappiness strikes. In attempting to halt intergenerational transmission of divorce, Psychologist Piorkowski points to how we can recognize that American popular culture presents an overly-sexualized, explosive, and superficial version of love that can't last. With this book, adult children of divorce can begin to see how they have been affected by familial experiences, and develop a new, realistic map to find more fulfilling and enduring romantic relastionships. Piorkowski, in an extensive review of literature, also looks at cultural factors and how they impact romantic love and marriage. In contrast to American popular culture's shallow rendition of romantic love, many cultures elsewhere in the world emphasize compatibility, religion, and family allegiance. As a result, says the author, such marriages appear more stable than American unions built upon the shifting sands of emotion.
Current Vascular Surgery addresses contemporary topics and controversies in vascular and endovascular surgery, providing a comprehensive overview of the field’s recent evolution. The volume is the result of the 40th Annual Vascular Symposium sponsored by the Division of Vascular Surgery, Feinberg School of Medicine, Northwestern University. The symposium was held in Chicago on December 10–14, 2015. The symposium was held at the InterContinental Hotel on Chicago's Magnificent Mile. The symposium brought together over 50 national experts to address timely topics and controversies in vascular and endovascular surgery. As has been the tradition, presentations cover the full spectrum of vascular surgery including changes in management of extracranial cerebrovascular disease, new treatment options for lower extremity arterial occlusive disease, hemodialysis, improvements in techniques for complex venous disease, and developments in aortic stent graft repair in the chest and abdomen. Each chapter in this volume is based on a presentation, but the book chapters provide deeper, more detailed information than is possible in a symposium presentation.
With all new illustrations, color photographs, revised species accounts, updated maps, and a sturdy flexible binding, this new edition of the authoritative guide to bats in Texas will serve as the field guide and all-around reference of choice for amateur naturalists as well as mammalogists, wildlife biologists, and professional conservationists. Texas is home to all four families of bats that occur in the United States, including thirty-three species of these important yet increasingly threatened mammals. Although five species, each represented by a single specimen, may be regarded as vagrants, no other state has a bat fauna more diverse, from the state’s most common species, the Brazilian free-tailed bat, to the rare hairy-legged vampire. The introductory chapter of this new edition of Bats of Texas surveys bats in general—their appearance, distribution, classification, evolution, biology, and life history—and discusses public health and bat conservation. An updated account for each species follows, with pictures by an outstanding nature photographer, distribution maps, and a thorough bibliography. Bats of Texas also features revised and illustrated dichotomous keys accompanied by gracefully detailed line drawings to aid in identification. A list of specimens examined is located at batsoftexas.com.
Weighted Numerical Score: 100 - 5 Stars! This is a systematic guide to cardiovascular genetics and genomics from basic concepts to clinical application. It organizes a large volume of information from an active area of research, which holds promise for future discovery. --Doody's Reviews Cardiovascular Genetics and Genomics in Clinical Practice presents clinical cases to illuminate basic concepts of cardiovascular genetics and genomics as practitioners encounter them in day-to-day practice. The unique use of real-world case discussions facilitates the memorization and understanding of basic principles, which can be more readily applied to actual cases. Cardiovascular Genetics and Genomics in Clinical Practice features a step-by-step learning process that begins with an easy-to-understand "primer" of basic scientific concepts regarding cardiovascular genetics and genomics followed by state-of-the-art research and applications for treatment of cardiovascular disorders. Expert clinicians and researchers describe illustrative cases for each topic along with detailed discussions of current scientific understanding and its application in current disease management and treatment. Summaries, key teaching points, and illustrations are highlighted to facilitate quick recall and review. The book will be useful for cardiovascular clinicians in training, board preparation, or as a review for those already in clinical practice. Cardiovascular Genetics and Genomics in Clinical Practice features: Clinical case scenarios to illuminate the basic concepts of cardiovascular genetics and genomics as they are used in daily practice Explanation of fundamental concepts as a foundation for more in-depth understanding Detailed discussions of current scientific knowledge and clinical management The expertise of renowned clinician-scientists in the field Real practical insight for practice
Rutherford's Vascular Surgery - the most acclaimed comprehensive reference in its field - presents definitive, state-of-the-art guidance on every aspect of vascular health care, equipping you to make the best clinical decisions and optimize outcomes. Extensively revised by many new, international authors - led by Drs. Jack Cronenwett and K. Wayne Johnston - and now published in association with the Society for Vascular Surgery, this 7th Edition provides the authoritative answers that surgeons, interventionalists, and vascular medicine specialists need to provide effective care for vascular surgery patients. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you’re using or where you’re located. Get answers you can depend on. Now published in association with the Society for Vascular Surgery, Rutherford's delivers the world’s most trusted information on all major areas of vascular health care, written by international experts, with up-to-date bibliographies and annotated recommended references. Overcome any clinical challenge with in-depth sections on Fundamental Considerations, Patient Evaluation, Atherosclerotic Risk Factors, Perioperative Care, Bleeding and Clotting, Complications, Venous Disease, Lymphedema, Arteriovenous Anomalies, Hemodialysis Access, Miscellaneous Technique, Grafts and Devices, Cerebrovascular Disease, Lower Extremity Arterial Disease, Upper Extremity Arterial Disease, Arterial Aneurysms, Renal and Mesenteric Disease, and Trauma and Acute Limb Ischemia. Choose the best management option for each patient with discussions of operative, endovascular, and non-operative approaches for vascular conditions. Access the complete contents of Rutherford's Vascular Surgery online at www.expertconsult.com - with monthly updates from the Journal of Vascular Surgery and the European Journal of Vascular and Endovascular Surgery, plus videos of procedures, an image library, review questions, and more. Master the latest developments, techniques, and approaches with thorough updates on endovascular applications, vascular access, imaging, non-operative management, and much more. View clinical and physical findings and operative techniques more vividly with a new full-color layout and more full-color images.
Whether you are in the lab or the office, stay current in the ever-evolving field of electrophysiology with Catheter Ablation of Cardiac Arrhythmias. Organized by type of arrhythmia, this simple yet comprehensive medical reference book provides detailed information on anatomy, diagnoses, mapping/ablation, and troubleshooting. The book also extensively covers the updated, basic concepts of transcatheter energy applications and currently available mapping/imaging tools for ablation. Improve accuracy with assistance from advanced catheter mapping and navigation systems, and the use of intracardiac echocardiography to assist accurate diagnosis and ablation. Stay current on timely topics like contemporary cardiac mapping and imaging techniques, atrial tachycardia and flutter, atrial fibrillation, atrioventricular nodal reentrant tachycardia, tachycardias related to accessory atrioventricular connections, and ventricular tachycardia, transseptal catheterization, ablation for pediatric patients, and patient safety and complications. Get the most comprehensive and detailed coverage of arrhythmias and ablation technologies, highlighted by a systematic approach to troubleshooting specific problems encountered in the laboratory - complete with solutions. Find the critical answers you need quickly and easily thanks to a consistent, highly user-friendly chapter format. Master each approach with exceptional visual guidance from tables, illustrations, and high-quality figures. Stay up to date with enhanced and expanded chapters, as well as several hundred new figures, web-based videos, and updated references. Explore recent developments in the areas of atrial fibrillation and ventricular tachycardias. Learn from experts in the field with nearly half of the chapters composed by new authors. Improve content knowledge in relation to anatomy with new chapters focusing on hemodynamic support during VT ablation, rotor mapping in atrial fibrillation, and hybrid procedures. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
This book provides comprehensive coverage of the major aspects in designing, implementing, and deploying wireless sensor networks by discussing present research on WSNs and their applications in various disciplines. It familiarizes readers with the current state of WSNs and how such networks can be improved to achieve effectiveness and efficiency. It starts with a detailed introduction of wireless sensor networks and their applications and proceeds with layered architecture of WSNs. It also addresses prominent issues such as mobility, heterogeneity, fault-tolerance, intermittent connectivity, and cross layer optimization along with a number of existing solutions to stimulate future research.
Biobased Surfactants: Synthesis, Properties, and Applications, Second Edition, covers biosurfactant synthesis and applications and demonstrates how to reduce manufacturing and purification costs, impurities, and by-products. Fully updated, this book covers surfactants in biomedical applications, detergents, personal care, food, pharmaceuticals, cosmetics, and nanotechnology. It reflects on the latest developments in biobased surfactant science and provides case scenarios to guide readers in efficient and effective biobased surfactant application, along with strategies for research into new applications. This book is written from a biorefinery-based perspective by an international team of experts and acts as a key text for researchers and practitioners involved in the synthesis, utilization, and development of biobased surfactants. - Describes new and emerging biobased surfactants and their synthesis and development - Showcases an interdisciplinary approach to the topic, featuring applications to chemistry, biotechnology, biomedicine, and other areas - Presents the entire lifecycle of biobased surfactants in detail
This issue of Cardiology Clinics is devoted to cardiac intensive care, which involves the treatment and care of patients with critical cardiac illness. Expert authors review mechanical complications of acute MI, cardiogenic shock, acute decompensated heart failure, management of arrhythmias, use of newer antiplatelet and anticoagulant agents, and more. Keep up to date with the latest information on managing these life-threatening conditions.
This book begins with the physical and biological characterization of the four North American deserts and a description of the primary adaptations of plants to environmental stress. In the following chapters the authors present case studies of key species representing dominant growth forms of the North American deserts, and provide an up-to-date and comprehensive review of the major patterns of adaptations in desert plants. One chapter is devoted to several important exotic plants that have invaded North American deserts. The book ends with a synthesis of the adaptations and resource requirements of North American desert plants. Further, it addresses how desert plants may respond to global climate change.
An echocardiogram uses sound waves to produce images of the heart. This common test allows a doctor to see the heart beating and pumping blood, and subsequently identify heart disease. This book is a complete guide to performing and interpreting an echocardiogram. 56 chapters describe both basic and advanced techniques for diagnosing different heart disorders. The second edition has been fully revised to provide clinicians with the latest developments and techniques in the field. Seven new chapters have been added to this edition covering echocardiography and artificial intelligence, hypertension, arrhythmogenic right ventricular dysplasia, Kawasaki disease, cardio-oncology, diabetes mellitus, and foetal echo. Dedicated chapters emphasise the role of echo in surgical procedures, and explore its use with electrophysiology – in patients with pacemakers and those undergoing cardiac resynchronisation therapy. The book is highly illustrated with many 2D and 3D echo images helping explain the descriptive text for each topic. The previous edition (9789352700929) published in 2017.
For over 60 years, residents and practicing pathologists have turned to Rosai and Ackerman's Surgical Pathology for definitive guidance on every aspect of the field, delivered in a readable, easy-to-digest, and engaging manner. In the 11th Edition, a dynamic new author team ensures that this classic text retains its signature anecdotal style, while revising the content to bring you fully up to date. Widely used for board exam preparation, as well as for everyday reference in practice, this leading resource equips you to effectively and efficiently diagnose the complete range of neoplastic and non-neoplastic entities. - Provides comprehensive coverage of the clinical presentation, gross and microscopic features, ultrastructural and immunohistochemical findings, prognosis, and therapy for virtually every pathologic lesion. - Presents content now grouped in sections corresponding to organs and systems, making disease entities easier to locate. - Includes state-of-the-art coverage of the latest disease classifications, molecular biology and pathology, immunohistochemistry, genetics, prognostic/predictive markers, and more – all highlighted by more than 3,000 full-color illustrations of commonly seen pathologies. - Showcases the knowledge and expertise of an innovative new author team: prolific author John R. Goldblum, MD (GI pathology, soft tissue tumors); Laura Lamps, MD (hepatobiliary, endocrine tumors, infectious disease); Jesse McKenney, MD (GU/GYN, soft tissue tumors); and Jeff Myers, MD (pulmonary, pleural, mediastinum); accompanied by a select list of subspecialty contributors. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.
Now in its 4th edition, Kirklin/Barratt-Boyes Cardiac Surgery remains your indispensable source for definitive, state-of-the-art answers on every aspect of adult and pediatric cardiac surgery. This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures-including the latest alternate and minimally invasive surgical techniques-and presents the up-to-date clinical evidence you need to make effective management decisions. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, definitive text in the field! Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve disease; cardiac rhythm disturbances; heart failure and transplantation; disease of the thoracic aorta; tetralogy of Fallot; anesthesia; and postoperative care. Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! Make the most well-informed decisions and achieve optimal outcomes by exploring each condition's natural history; diagnostic criteria; indications for surgery; operative techniques; and follow-up care. Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at expertconsult.com. Visually grasp and better understand critical information with the aid of a new, full-color design that includes an abundance of detailed charts and graphs. Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at www.expertconsult.com.
Now in its 4th edition, Kirklin/Barratt-Boyes Cardiac Surgery remains your indispensable source for definitive, state-of-the-art answers on every aspect of adult and pediatric cardiac surgery. This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures—including the latest alternate and minimally invasive surgical techniques—and presents the up-to-date clinical evidence you need to make effective management decisions. - Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, definitive text in the field! - Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve disease; cardiac rhythm disturbances; heart failure and transplantation; disease of the thoracic aorta; tetralogy of Fallot; anesthesia; and postoperative care. - Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! - Make the most well-informed decisions and achieve optimal outcomes by exploring each condition's natural history; diagnostic criteria; indications for surgery; operative techniques; and follow-up care. - Reference information quickly thanks to a new, streamlined format. - Visually grasp and better understand critical information with the aid of a new, full-color design that includes an abundance of detailed charts and graphs. - Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! - Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at www.expertconsult.com.
A complete guide to every aspect of interventional nephrology—an essential text for students, residents, fellows, and clinicians This timely resource examines all relevant aspects of interventional nephrology, from the history of nephrology to the principles governing the latest vascular access techniques. Heavily illustrated with full-color procedural drawings and featuring an easy-to-follow design, the book includes contributions from many leading authorities in the field whose insights combine to form an unprecedented, clinically rigorous survey of interventional nephrology. Interventional Nephrology opens with an instructive look at the origins of hemodialysis access; an overview of the history of interventional nephrology in the U.S. and abroad; and clinically relevant coverage of vascular access outcomes. The high-yield coverage continues with a probing assessment of ethics, public policy, and practice guidelines, illuminating such pivotal topics as industry partnerships and conflicts of interest. The principles that support interventional nephrology techniques are also extensively reviewed, encompassing everything from vascular mapping to peritoneal dialysis catheter removal, while the following section delves into the key surgical aspects of vascular access. Finally, the book provides useful perspectives on how political and policy affairs impact current practice. FEATURES Illustrated with precise full-color drawings and radiographs that highlight both normal and vascular anatomy and clarify the management of vascular access problems Streamlined design and helpful pedagogy, including chapter-opening learning objectives, numerous tables, and concept-clarifying figures Complete overview of the core principles underlying interventional nephrology practice and techniques, covering vascular mapping, monitoring and surveillance of arteriovenous access, venous angioplasty, tunneled catheters, renal ultrasonography, and much more Discussion of vascular access in special populations and the role of pharmacologic agents in preserving vascular access provides evidence-based insights that are pertinent to the everyday practice of interventional nephrology In-depth emphasis on the surgical aspects of vascular access reviews sites, types, and creation of arteriovenous fistulae; secondary arteriovenous fistula; and surgical options for vascular anomalies Forward-thinking coverage of basic and translational science considers future directions in vascular access science; flow dynamics, maturity, and access failure; neointimal hyperplasia; pharmacologic prevention of access dysfunction; and device innovation
Countless experts offer us advice on how to create the "perfect relationship," fostering the unrealistic expectation that forming an intimate bond will be a painless experience. Unfortunately, few experts are willing to confront the powerful challenges and emotions inherent within close relationships today. In contrast to other intimacy books, Too Close for Comfort vividly describes the surprising dangers, damage to self-esteem, inadequacies, and immaturities that characterize the contemporary state of romantic intimacy. Too Close for Comfort compassionately explores the risks and misunderstandings that occur within many intimate relationships. Romantic partners tend to hurt each other not only by insensitivity and neglect, but also by criticism, abuse, and betrayal - most of which spring from insecurity. Dr. Piorkowski, a noted consulting psychologist and educator, focuses on the vulnerability both partners experience in intimacy due to the emergence of strong, unrealistic needs that are almost impossible to satisfy. The author contends that people avoid the perils of intimacy by donning one or more defensive "masks" - ranging from acting superior to mysterious, comical to withdrawn, self-sufficient to dependent - in an effort to protect themselves from emotional exposure. Presenting a fascinating range of clinical examples, she sensitively depicts the fears of intimacy that limit contact, namely psychological concerns about loss of control or autonomy, feelings of disappointment and abandonment, or of being attacked and made to feel guilty. Depicting women's reliance on verbal expression to achieve an emotional connection versus men's dependence on physical contact, Dr. Piorkowski brilliantly elucidates the complex barriers to intimacy, especially the chasms of misunderstanding created by vast sexual differences and attitudes. While this book is unique in its exposition of the dangers in intimacy, its message is not pessimistic.
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