Thrombotic thrombocytopenic purpura (TTP) is a rare disorder of the blood coagulation system. In most cases, a lack of the ADAMTS13 enzyme leads to an accumulation of ultra-large von Willebrand factor molecules in the plasma which, in turn, initiate the formation of microscopic thromboses in small blood vessels. TTP is a medical emergency. Timely diagnosis and urgent and effective management are vital – mortality in those untreated is in the region of 90%. The understanding of TTP pathogenesis has increased markedly in recent decades. It is now known that TTP is acquired (immunemediated) or congenital, and that the most common type – the acquired form – predominantly affects women in their 40s. It is also clear that the prompt delivery of plasma exchange saves lives. 'Fast Facts: Thrombotic Thrombocytopenic Purpura' sets out, in a clear and accessible format, the steps to suspecting, diagnosing and treating this potentially devastating disease. These steps are complemented by clear descriptions of the disease mechanism and epidemiology. Differential diagnosis, which is of the utmost importance for this disease, is explored in detail. Table of Contents: · Disease overview · Clinical presentation · Differential diagnosis · Laboratory findings and diagnosis · Management
The given self is behind every fight for the right of each of us to be who we are and is the way to personal and spiritual liberation. The Given Self is about taking back what we've lost: our selves, our hearts, our humanity.
Much has been written about Leonard Bernstein, a musician of extraordinary talent who was legendary for his passionate love of life and many relationships. In this work, Mari Yoshihara reveals the deeply emotional connections Bernstein formed with two little-known Japanese individuals, which she narrates through their personal letters that have never been seen before. Dearest Lenny interweaves an intimate story of love and art with a history of Bernstein's transformation from an American icon to a world maestro during the second half of the twentieth century. The articulate, moving letters of Kazuko Amano--a woman who began writing fan letters to Bernstein in 1947 and became a close family friend--and Kunihiko Hashimoto--a young man who fell in love with the maestro in 1979 and later became his business representative--convey the meaning Bernstein and his music had at various stages of their lives. The letters also shed light on how Bernstein's compositions, recordings, and performances touched his audiences around the world. The book further traces the making of a global Bernstein amidst the shifting landscape of classical music that made this American celebrity turn increasingly to Europe and Japan. The dramatic change in Japan's place in the world and its relationship to the United States during the postwar decades shaped Bernstein's connection to the country. Ultimately, Dearest Lenny is a story of relationships--between the two individuals and Bernstein, the United States and the world, art and commerce, artists and the state, private and public, conventions and transgressions, dreams and realities--that were at the core of Bernstein's greatest achievements and challenges and that made him truly a maestro of the world. Dearest Lenny paints a poignant portrait of individuals connected across cultures, languages, age, and status through correspondence and music--and the world that shaped their relationships.
This interdisciplinary study of medieval English anchoritism from 1080-1450, explodes the myth of the anchorhold as solitary death-cell, reveals it instead as the site of potential intellectual exchange, and demonstrates an anchoritic spirituality in synch with the wider medieval world.
As exemplified by Madame Butterfly, East-West relations have often been expressed as the relations between the masculine, dominant West and the feminine, submissive East. Yet, this binary model does not account for the important role of white women in the construction of Orientalism. Mari Yoshihara's study examines a wide range of white women who were attracted to Japan and China in the late nineteenth and early twentieth century and shows how, through their engagement with Asia, these women found new forms of expression, power, and freedom that were often denied to them in other realms of their lives in America. She demonstrates how white women's attraction to Asia shaped and was shaped by a complex mix of exoticism for the foreign, admiration for the refined, desire for power and control, and love and compassion for the people of Asia. Through concrete historical narratives and careful textual analysis, she examines the ideological context for America's changing discourse about Asia and interrogates the power and appeal--as well as the problems and limitations--of American Orientalism for white women's explorations of their identities. Combining the analysis of race and gender in the United States and the study of U.S.-Asian relations, Yoshihara's work represents the transnational direction of scholarship in American Studies and U.S. history. In addition, this interdisciplinary work brings together diverse materials and approaches, including cultural history, material culture, visual arts, performance studies, and literary analysis. Embracing the East was the winner of the 2003 Hiroshi Shimizu Award of the Japanese Association for American Studies (best book in American Studies by a junior member of the association).
A love that leads to treason ... 1435, England. Eleanor Cobham has married into the highest ranks of the aristocracy – she is now the Duchess of Gloucester. She and her husband, the Duke Humphrey, set up a court of their own to rival the royal court in London, surrounding themselves with fascinating and influential people. But Eleanor craves the one thing she lacks: a son and heir, and with him a possible route to the throne of England. Desperate, Eleanor turns to the one person she believes can help her: Margery Jourdemayne, the infamous Witch of Eye. Such help comes at a high price ...
The Anthropology of Health and Healing provides the first holistic approach to the study of medical anthropology. Over the past two decades, medical anthropology has been the most rapidly growing subfield in anthropology, and a number of medical anthropology texts have been published, focusing primarily on public policy and health care delivery systems. Yet while anthropologists have researched topics related to medical anthropology for more than one hundred years, here Mari Womack thoroughly surveys this richly diverse field and provides an integrated approach that links together the biological, psychological, social, communicative, epidemiological, philosophical, historical, and developmental factors that shape health and healing. Book jacket.
Miss Morissa is a dramatic, moving novel of a young pioneering woman doctor on the brawling Nebraska frontier of the 1870s. Fleeing the East and a heartbreaking past, Morissa Kirk finds the North Platte River Valley rife with rumors of gold strikes. Fortune hunters, desperadoes, horse thieves, murderers make up the frontier society, while Indians roam the plains refusing to surrender their land to the gold-hungry white men. Near lawless Clarke Bridge she sets up her practice, treating white and Indian alike, receiving horses (if anything) in return for her services. Then, even as fame spreads of her skill, and acceptance slowly grows, Morissa becomes embroiled in the life-and-death struggle between the cattlemen and the homesteaders, a struggle as destructive as it was inevitable. In the telling of Morissa's story, Mari Sandoz has caught the whole turmoil of the changing frontier in the days of Custer, Calamity Jane, and Buffalo Bill Cody.
Mari C. Jones's book is the first to examine developments in contemporary Welsh with reference to both language death and standardization. She bases her study on extensive fieldwork in two sociolinguistically contrasting communities She also examines agents of revitalization, such as immersion schools and the media, and the effect they are having on Welsh. She explores and discusses the position of Breton and Cornish by way of comparison.
For twenty years, God has been leading, guiding, and preparing author Mari D. Martin to walk alongside her husband, Chris, through a throat cancer diagnosis, the treatment of that cancer, the recovery from the side effects of the treatments, and then through rehabilitation to return to what will be his new normal. In Come Home Alive, Mari shares the oftentimes tender story of their six-part plan to come home alive. She narrates how the couple used their twenty-four years as Kolbe Certified consultants to practice what they taught, consulted, and coached others regarding self-awareness, strengths identification, communication needs, role alignment, and the environment each person needs to thrive. For Chris to thrive again, he needed to heal; and for him to heal, he needed to be in an environment that allowed him to thrive. Come Home Alive tells how Mari’s role as caregiver was to stay true to herself, while also being the hands and feet to recognize, minimize, and complete the tasks and requirements Chris naturally resisted. Their plan, rooted in faith, and hope, started with daily time together in prayer and belief in the healing power of God. It ended with a practice of thankfulness and expecting a miracle. What they did together in the middle is one you can do, too—through greater awareness of each other’s strengths, how to work together, and be a team with the knowledge and wisdom to come home alive.
In Pursuit of Composite Beauty is a study of the life and thought of Yanagi Soetsu (1889-1961), known primarily as the founder of Japan's mingei (folk crafts) movement. Mr. Yanagi was a thinker who believed that world peace could not be achieved by 'painting the world in one single color.' Before and during World War II, when Japan was invading Asia and enforcing its cultural assimilation policy in its colonies and occupied territories, Yanagi aspired to realize a world in which multiple races and cultures could coexist. His pacifist thought rests on the idea of 'composite beauty, ' an ideal of creating a world in which heterogeneous entities can accept their differences and learn from each other. Tracing Yanagi's intellectual development, this insightful and comprehensive book presents a positive reevaluation of the contemporary significance of his thought from the viewpoint of international relations, shedding light on the ways to achieve interdependence and mutual respect
Brimming with heat and heart, the Compass saga is a NYT bestselling contemporary western series from authors Jayne Rylon and Mari Carr that will leave you laughing, crying, and wishing for an ice cold drink delivered by a cowboy of your own. Cowboy Love is a four-book collection of stories from the Compass saga, which spans twelve books, three series, and two generations of spicy cowboys and cowgirls. They’re fiercely loyal, committed to the people they love—both their future spouses and their sprawling family. Read how each Compass generation’s stories began! This collection is a great way to hop into the Compass Ranch and get to know the family and witness their unconditional and sometimes unconventional Cowboy Love! Cowboy Love contains: ★Northern Exposure (Compass Brothers, Book 1) – All roads lead home when that’s where you’ve left your heart. Silas has exiled himself to Alaska to avoid ruining a relationship between two of the people he respects most. When he’s injured and forced to return to Compass Ranch, he finds they have the power to heal more than broken bones. Maybe even his frozen heart. ★Southern Comfort (Compass Brothers, Book 2) – Caught between desire and a promise… Seth has known for years he was falling for his boss’s daughter, Jody. Problem is Jody’s too young, too feisty, and too damned independent for his dominating ways. When she graduates from college and returns home with a diploma and a fiancé, Seth figures to hell with the difficulties. He’s in love with her and he’s not gonna rest until he’s captured her heart. Lucky for Seth…and Jody, he has plenty of rope. ★Winter’s Thaw (Compass Girls, Book 1) – Sometimes life doesn’t go according to plan. Sometimes it’s better. Daniel and Sienna are both back in town after being injured. Daniel by a bull, and Sienna by an ex. When their lust for each other turns to genuine emotion, can Daniel convince Sienna to consider a new path, one that will lead her directly to his arms…forever? ★Heaven on Earth (Compass Boys, Book 1) – Austin bailed on college to drive a cattle truck for his family’s ranch. When he picks up some unexpected cargo in the form of a gorgeous if battered stowaway, he’s in trouble. The same reckless streak that convinced him to abandon his education is urging him to keep Hayden close and safe, maybe even teach her how to love again after the disastrous relationship she’s fleeing. If only her past doesn’t catch up with them at exactly the wrong moment…
Mari Sandoz came out of the Sandhills of Nebraska to write at least three enduring books: Old Jules, Cheyenne Autumn, and Crazy Horse, the Strange Man of the Oglalas. She was a tireless researcher, a true storyteller, an artist passionately dedicated to a place little known and a people largely misunderstood. Blasted by some critics, revered by others for her vivid detail and depth of feeling, Sandoz has achieved a secure place in American literature. Her letters, edited by Helen Winter Stauffer, reveal extraordinary courage and zest for life. Included here are letters written by Sandoz over nearly forty years?from 1928, the year of her father's death and a critical one for her creative development, to 1966, the year of her own death. They allow memorable flimpses of the professional and private person: her struggles to learn her craft in spite of an unsupportive family and hard-won formal education, her experiences in gathering material, her relationships with editors and publishers, her work with fledgling writers, and her commitment to art and to various social concerns.
DIV This first volume of the Critical Documents of 20th-Century Latin American and Latino Art series published by the International Center for the Arts of the Americas at the Museum of Fine Arts, Houston, presents 168 crucial texts written by influential artists, critics, curators, journalists, and intellectuals whose writings shed light on questions relating to what it means to be "Latin American" and/or "Latino." Reinforced within a critical framework, the documents address converging issues, including: the construct of "Latin-ness" itself; the persistent longing for a continental identity; notions of Pan–Latin Americanism; the emergence of collections and exhibitions devoted specifically to "Latin American” or "Latino" art; and multicultural critiques of Latin American and Latino essentialism. The selected documents, many of which have never before been published in English, span from the late fifteenth century to the present day. They encompass key protagonists of this comprehensive history as well as unfamiliar figures, revealing previously unknown facets of the questions and issues at play. The book series complements the thousands of seminal documents now available through the ICAA Documents of 20th-Century Latin American and Latino Art digital archive, http://icaadocs.mfah.org. Together they establish a much-needed intellectual foundation for the exhibition, collection, and interpretation of art produced in Latin America and among Latino populations in the United States. /div
For fans of Margot Lee Shetterley and Liza Mundy comes an inspiring feminist tale of a woman who dedicated her entire life to the New York Police Department, upending the patriarchy and the status quo for women working in public service. Corsets, Crime, and the Woman to Change Modern Policing Forever Mary "Mae" Foley was a force to be reckoned with. On one hip she held her makeup compact, on the other, her NYPD badge. When women were fighting for the vote, Mae was fighting crime in the heart of New York City – taking down rapists, boot-leggers, Nazis, and serial killers. One of the first women to be sworn into the police force, Mae not only fought crime in the city that never sleeps, but also did something much bigger – challenged the patriarchal systems that continually tried to shut her and other women down. The result of her efforts? A long career that helped over 2,000 women join her auxiliary police force, the 'Masher Squad.' Mae Foley is proof that women can do anything men can do, all while wearing corsets and the perfect shade of rouge. From renowned author, speaker, and retired U.S. Army Major General Mari K. Eder comes the exciting and superbly researched story of a trailblazer who courageously dedicated her life to public service.
In African Theology as Liberating Wisdom; Celebrating Life and Harmony in the Evangelical Lutheran Church in Botswana, Mari-Anna Pöntinen analyses contextual interpretations of the Christian faith in this particular church. These interpretations are based on the special wisdom tradition which embraces monistic ontology, communal ethics in botho, and the indigenous belief in God as the Source of Life, and the Root of everything that exists. The constructing theological principle in the ELCB is the downward-orientated and descending God in Christ which interprets the ‘Lutheran spirit’ in a liberating and empowering sense. It deals with the cultural mythos which brings Christ down into people’s existence, unlike Western connotations which are considered to hinder seeing Christ and to prevent existential self-awareness.
The economics profession is belatedly confronting glaring gender inequality. Women are systematically underrepresented throughout the discipline, and those who do embark on careers in economics find themselves undermined in any number of ways. Women in the field report pervasive biases and barriers that hinder full and equal participation—and these obstacles take an even greater toll on women of color. How did economics become such a boys’ club, and what lessons does this history hold for attempts to achieve greater equality? Gender and the Dismal Science is a groundbreaking account of the role of women during the formative years of American economics, from the late nineteenth century into the postwar period. Blending rich historical detail with extensive empirical data, Ann Mari May examines the structural and institutional factors that excluded women, from graduate education to academic publishing to university hiring practices. Drawing on material from the archives of the American Economic Association along with novel data sets, she details the vicissitudes of women in economics, including their success in writing monographs and placing journal articles, their limitations in obtaining academic positions, their marginalization in professional associations, and other hurdles that the professionalization of the discipline placed in their path. May emphasizes the formation of a hierarchical culture of status seeking that stymied women’s participation and shaped what counts as knowledge in the field to the advantage of men. Revealing the historical roots of the homogeneity of economics, this book sheds new light on why biases against women persist today.
In this book, the authors, all legal scholars from the tradition of critical race theory start from the experience of injury from racist hate speech and develop a theory of the first amendment that recognizes such injuries. In their critique of "first amendment orthodoxy", the authors argue that only a history of racism can explain why defamation, invasion of privacy and fraud are exempt from free-speech guarantees but racist verbal assault is not.
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