A heartbreaking characterization of what can happen when one is diagnosed with a debilitating disease. Parkinson's disease is much more than a movement disorder. Symptoms from the disease or medications taken to live with Parkinson's produce an array of physiological and psychological conditions that affect you and your family. Even after the loss of marriage, family and his career, it doesn't keep the author from depicting the brighter side of life with his funny anecdotes in his continual battle with this illness. In the end, his story will leave you with the feeling of satisfaction and resolved joy.
A neurologist whose father suffers from Parkinson's provides a layreader-friendly explanation of the disease, its history, development, treatment and modern advances that may ultimately lead to a cure. Rosenbaum's professional view is as a clinical neurologist who regularly cares for patients with the progressive neurological deterioration caused by Parkinson's Disease. His personal experience with his father, a retired surgeon, further powers his quest to give patients, family members and caregivers what they need to know. Topics covered include challenges of correct diagnosis, variations in prognosis, investigations of causes including exciting progress in possible toxins and genetic factors that play a role, and different treatment options including natural remedies as well as new drugs for symptom treatment. Rosenbaum also explains research efforts to find a preventative drug, modern surgical options and hopes for stem cell or gene therapy. In this work, Rosenbaum blends historical and medical research with illustrations from the patients in his professional life, and from his dad on the homefront, to give us a clear and comprehensive understanding of Parkinson's. He also includes writing from and attention to well-known individuals affected by this disorder—among them actor Michael J. Fox.
Pharmaceutical use of cannabis is not new and history shows us how this miracle plant has been misinterpreted through an era of ignorance. Cannabis has been used for thousands of years and the credibility of marijuana as a therapy specifically for Parkinson's disease is somewhat new. Marijuana is a miracle plant that helps Parkinson's patients and benefits people suffering from many other illnesses. A prospective analysis from a Parkinson's patient.
A mini-book written with understanding on the practical challenges of living with Parkinson’s Disease written by one diagnosed with Young Onset PD. A diagnosis of Parkinson’s disease may fill us with grief and doubts. We fear what life will look like in the future, for ourselves and for those closest to us. This mini-book sensitively explains how the gospel message brings joy, help, and courage, and directs us to find our hope, not in therapies that may relieve or delay symptoms, or even in an eventual cure, but in the solid and lasting promises of our heavenly Father.
Master the basics of sleep medicine with this easy to read, award-winning text! Fundamentals of Sleep Medicine, 2nd Edition, by Drs. Richard B. Berry, Mary H. Wagner, and Scott M. Ryals, is an ideal resource for sleep medicine fellows and trainees, sleep technicians, and sleep medicine practitioners as a concise, clinically focused alternative to larger references. Beginning with core content, it then proceeds to information useful for everyday practice—all written in a clear, direct style designed for quick and easy access. - Features video content that demonstrates common sleep disorders. - Includes more than 350 updated multiple-choice questions and answers for self-assessment and board preparation. - New! Offers concise Key Points at the end of each chapter, expanding on information from Drs. Berry and Wagner's popular book Sleep Medicine Pearls to enhance your understanding. - Provides updated references to AASM scoring guidelines and diagnostic criteria for sleep disorders. - Illustrated with numerous diagrams, charts, and polysomnograms (sleep studies) to clarify complex concepts. - Any additional digital ancillary content may publish up to 6 weeks following the publication date.
This issue of Sleep Medicine Clinics, Guest Edited by Richard Castriotta, MD of the University of Texas, will focus on Sleep and Neurorehabilitation. Article topics will include TBI and Sleep, Circadian Rhythm Disorders, Insomnia, and Stroke and Sleep.
A heartbreaking characterization of what can happen when one is diagnosed with a debilitating disease. Parkinson's disease is much more than a movement disorder. Symptoms from the disease or medications taken to live with Parkinson's produce an array of physiological and psychological conditions that affect you and your family. Even after the loss of marriage, family and his career, it doesn't keep the author from depicting the brighter side of life with his funny anecdotes in his continual battle with this illness. In the end, his story will leave you with the feeling of satisfaction and resolved joy.
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Preface EMS in the third millennium involves a great deal more than simply transporting a patient to the hospital. The modern paramedic has tremendous responsibilities, both on the scene and in the community. In Volume 5,Special Considerations/ Operations of Paramedic Care: Principles & Practice,we have detailed important specialized information required of paramedics in the modern EMS system. In addition to a detailed discussion of special patients, we have provided crucial information on scene safety and operations as well as assessment-based patient management. This text has been designed to serve as both an initial course textbook as well as a reference source for the practicing paramedic. In this final volume ofParamedic Care: Principles & Practice,we have addressed the last three divisions of the1998 U.S. DOT EMT-Paramedic National Standard Curriculum.These include: Special Considerations—This section presents the essential information on special patient populations encountered in prehospital care including neonates, children, the elderly, the challenged, as well as chronically-ill patients. Assessment-Based Management—The 1998 EMT Paramedic curriculum was developed based upon the concept of assessment-based management. This division serves to tie together the various divisions of the curriculum previously presented (i.e., medical, trauma, and special patients) so that the paramedic can provide the necessary care based upon assessment findings. Operations—Modern EMS is very comprehensive. The paramedic must have detailed knowledge of hazardous material scenes, rescue scenes, multiple casualty incidents, disasters, and other emergencies. This division provides essential information about these important aspects of prehospital care. EMS is unique among the allied health professions. The modern paramedic, although functioning under the license and direction of the system medical director, is forced to make most patient care decisions in the field independently. Because of this, the modern paramedic must have a thorough knowledge of essential anatomy, physiology, and pathophysiology of the common emergencies encountered. Based on this knowledge, the paramedic must complete a detailed, yet focused patient assessment and determine the appropriate treatment plan. Although help is never more than a phone call or radio call away, the paramedic functions fairly autonomously in a dangerous environment that is constantly changing. Chapters in this volume correspond to theU.S. DOT 1998 EMT-Paramedic: National Standard Curriculum.The following are short descriptions of each chapter: Chapter 1 "Neonatology"introduces the paramedic student to the specialized world of neonatology. The neonate is a child less than one month of age. These patients have very different problems and their treatment must be modified to accommodate their size and anatomy. This chapter presents a detailed discussion of neonatology with a special emphasis on neonatal resuscitation in the field setting. Chapter 2 "Pediatrics"presents a detailed discussion of pediatric emergencies. Children are not "small adults." They have special needs and must be approached and treated in a fashion different from adults. This chapter provides an overview of the common, and uncommon, pediatric emergencies encountered in prehospital care with a special emphasis on recognition and treatment. Specialized pediatric assessment techniques and emergency procedures are presented in detail. Chapter 3 "Geriatric Emergencies"is a detailed presentation of emergencies involving the elderly. The elderly are the fastest growing aspect of our society. A significant number of EMS calls involve elderly patients. This chapter reviews the anatomy and physiology of aging. The chapter then presents a detailed discussion of the assessment and treatment of emergencies commonly seen in the elderly. Chapter 4 "Abuse and Assault"presents a timely discussion of the needs of the abuse or assault victim. This chapter provides important information that will aid the paramedic in detecting abusive or dangerous situations. EMS personnel are often the first, and occasionally the only, personnel to encounter the abuse or assault victim. Because of this, it is essential that abusive situations be recognized early and the appropriate personnel notified. Chapter 5 "The Challenged Patient"addresses patients with special needs. A medical emergency can be an extremely frightful event for the patient who is sensory or mentally challenged. Because of this, paramedics should be aware of strategies that reduce stress for patients with special challenges. Chapter 6 "Acute Interventions for the Chronic-Care Patient"offers an important discussion of the role of EMS personnel in treating home-care patients and patients with chronic medical conditions. With declining hospital revenues, more and more patients are being cared for at home—either by family members or home care personnel. Paramedics are often summoned when a home care patient deteriorates or otherwise suffers a medical or trauma emergency. It is essential that prehospital personnel have a fundamental understanding of home health care as well as a basic knowledge of the medical devices and technology routinely used in home care. This chapter details the paramedic's role in assessing, treating, and managing the home care patient. Chapter 7 "Assessment-Based Management"ties together the patient care material presented in this text. Paramedics are unique in that they function in an unstructured environment. They must often make field diagnoses and act upon these. This chapter details how to integrate the information learned from a comprehensive patient assessment and use that in formulating an appropriate treatment plan. This aspect of paramedic care is one of the fundamental differences between paramedicine and other allied health personnel. The paramedics of the 21st century are expected to not only have good patient care skills, they are also expected to have good field diagnostic skills. These skills are based upon the concept of assessment-based management. Chapter 8 "Ambulance Operations"serves to present, and in some cases review, the special world of EMS and ambulance operations. Patient care begins long before the call is received. The paramedic is responsible for keeping the ambulance and medical equipment in a constant state of readiness. In addition, the paramedic must understand the various EMS system operations so that he or she may interact accordingly. Chapter 9 "Medical Incident Command"provides a detailed discussion of the Incident Command System. The Incident Command System is a system for managing resources at the emergency scene, particularly at scenes involving multiple ambulances and multiple agencies. Paramedics must intimately understand the workings of the Incident Command System and apply them in daily operations. Chapter 10 "Rescue Awareness and Operations"presents a comprehensive discussion of rescue operations. The level of EMS involvement with rescue operations varies significantly. In many EMS systems, paramedics are responsible for rescue operations. In others, paramedics are primarily responsible for patient care while rescue operations are carried out by specially trained and equipped rescue teams. Regardless, the modern paramedic must have a thorough understanding of rescue operations with an emphasis on scene safety. Chapter 11 "Hazardous Materials Incidents"gives an overview of hazardous materials operations. More and more emergency scenes involve hazardous materials. Although most hazardous material scenes are handled by specialized "hazmat" teams, paramedics are responsible for patient care. The hazardous material scene can be extremely dangerous. Because of this, the modern paramedic must have a fundamental understanding of various hazardous materials and hazmat operations. Chapter 12 "Crime Scene Awareness"details the importance of protecting the crime scene. EMS personnel are often the first to arrive at a crime scene. Although their principle responsibility is patient care, they should take great effort to avoid disturbing important aspects of the crime scene. This chapter provides an overview of crime scene operations so that EMS personnel will recognize and protect essential elements of the crime scene. Chapter 13 "Rural EMS"provides an overview of the special needs of rural EMS. Although not a part of the 1998 U.S. DOT curriculum, this chapter has been added to enhance awareness of the challenges, such as distance, faced by rural EMS personnel and the creative problem-solving used to provide high-quality care to the nearly 53 million Americans who live in rural areas. This volume,Special Considerations/Operations,describes important information that the modern paramedic needs in order to function effectively on the emergency scene. This information should prove beneficial both in initial paramedic education programs as well as in future refresher programs.
Written to be equally useful for all engineering disciplines, this book is organized around the concept of control systems theory as it has been developed in the frequency and time domains. It provides coverage of classical control employing root locus design, frequency and response design using Bode and Nyquist plots. It also covers modern control methods based on state variable models including pole placement design techniques with full-state feedback controllers and full-state observers.The book covers several important topics including robust control systems and system sensitivity, state variable models, controllability and observability, computer control systems, internal model control, robust PID controllers, and computer-aided design and analysis.For all types of engineers who are interested in a solid introduction to control systems.
Originally published in 1973, Black Players was the first book to do a thorough examination of the urban pimp culture. Social anthropologists Richard and Christina Milner were allowed access to the secretive and controversial world of pimps and prostitutes. Black Player guides the reader through every aspect of this unfamiliar world, allowing the Players to describe themselves, and the rules of the game in their own words. The Milners interviewed many of the top pimps in the Bay area and other parts of the country during the late 60's/early 70's. There is even a rare interview with legendary pimp-turned-author Iceberg Slim in this book. Out of this experience, has come one of the most fascinating journeys into a secret culture ever written.
An all-inclusive overview of cardiology in a trusted landmark reference A Doody's Core Title ESSENTIAL PURCHASE! 5 STAR DOODY'S REVIEW! "This well-organized textbook begins with a thoughtful discussion of cardiology's past and future. It presents readers with the foundations of cardiovascular medicine and the basics of cardiovascular evaluation. These initial chapters provide an excellent overview of topics in general cardiology from guidelines to newer diagnostic modalities such as MRI, CT, and PET. Subsequently, the book is organized to provide readers with a focused approach to other areas of cardiology from heart failure to electrophysiology and interventional cardiology." This is a very useful reference that compiles a vast amount of information on the diagnosis and management of cardiovascular diseases in one book. It continues to be one of best overall references in this field. -- Doody's Review Service Developed by a team of internationally renowned editors and authors, Hurst's The Heart is synonymous with the most comprehensive and current perspectives on treating the full range of heart problems. Inside, you'll get an incisive look at all the global advances in the diagnosis and management of cardiovascular disease, including the translation of basic science research into clinical applications. And integrated throughout are the latest treatment protocols, ACC/AHA and ESC treatment guidelines, as well as quick-reference tables and algorithms. NEW to this Edition: Stunning full-color illustrations Information from the COURAGE trial, covering the use and misuse of drug eluting stents Vital coverage of advances in the treatment of pulmonary hypertension and new information on hypertrophic cardiomyopathy Expert-authored chapters on coronary blood flow, stunning, and hibernation; race and ethnicity in cardiovascular disease; and cardiovascular physiology Up-to-date information on the diagnosis and management of heart failure Latest guidelines for the management of atrial fibrillation New advances in curative catheter ablation of arrhythmias Increased number of international contributors Expanded chapters on epidemiology, diagnosis, and treatment of hypertension
The trusted landmark cardiology resource—thoroughly updated to reflect the latest clinical perspectives Includes DVD with image bank A Doody's Core Title ESSENTIAL PURCHASE for 2011! 5 STAR DOODY'S REVIEW! "This is an outstanding choice for those who strive for a firm foundation in cardiovascular medicine, as well as an up-to-date and user-friendly source that addresses every discipline in the field. The updates and enhancements to this edition have made the book easier to use."--Doody's Review Service Through thirteen editions, Hurst’s the Heart has always represented the cornerstone of current scholarship in the discipline. Cardiologists, cardiology fellows, and internists from across the globe have relied on its unmatched authority, breadth of coverage, and clinical relevance to help optimize patient outcomes. The thirteenth edition of Hurst’s the Heart continues this standard-setting tradition with 19 new chapters and 59 new authors, each of whom are internationally recognized as experts in their respective content areas. Featuring an enhanced, reader-friendly design, the new edition covers need-to-know clinical advances, as well as issues that are becoming increasingly vital to cardiologists worldwide. As in previous editions, you will find the most complete overview of cardiology topics available—plus a timely new focus on evidence-based medicine, health outcomes, and health quality. New Features 1548 full-color illustrations and 578 tables Companion DVD with image bank includes key figures and tables from the text The Cardiovascular Disease: Past, Present, and Future section includes a new chapter on assessing and improving quality of care in cardiovascular medicine The section on the scientific foundations of cardiovascular medicine has been thoroughly revised 2 new chapters in the section on the evaluation of the patient detail the process of effective diagnostic decision making based on technology, clinical trials, and practice guidelines A new chapter in the section on heart failure details cardiac transplantation The sections on primary heart disease include new chapters on topics such as preventive strategies for coronary artery disease and updated pharmacologic strategies for acute coronary syndromes The section on cardiopulmonary disease features new chapters on chronic cor pulmonale and sleep disorder breathing and its relationship to cardiovascular disease The section on valvular heart disease has four of the six chapter completely rewritten by new authors who are authorities in the field The final six sections feature new chapters on the environment and heart disease, surgical treatment of carotid and peripheral vascular disease and cost effective strategies in cardiology
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