Studies on humans have saved countless lives, but sometimes harm participants. Research ethics committees currently monitor scientists, but have been increasingly criticized for blocking important research. How these committees work, however, is largely unknown. This book uniquely illuminates this hidden world that ultimately affects us all.
In this volume, the psychiatrist Robert Klitzman explores how individuals confront the complex issues associated with genetic testing in their daily lives.
Psychiatrist and bioethicist Robert Klitzman here explores the need for spiritual guidance among patients and their families who are experiencing illness. They often struggle to make sense of their situation, and as they confront their mortality they will try to seek hope, purpose, and larger connections beyond the world of medicine. While physicians are frequently uncomfortable with these issues, often under sung hospital chaplains can and do fill this void. Klitzman uses interviews with patients, families, and chaplains to bring their stories to life; and more broadly he explores the ways in which hospitals and the health care system might address this neglect of a vital human need in times of crisis.
Kuru, like Mad Cow disease, is caused by a rare, infectious crystal protein that invades and colonizes human cells, destroying the nervous system of its victims. There is no known cure. It flourished in one of the remotest places on earth, Papua New Guinea, among the Fore, a people living in the Stone Age, who until recently practiced ritual cannibalism, consuming the brains of their forebears during funerary feasts. Robert Klitzman helped establish the links between these rituals and kuru. What he discovered has provided keys to understanding the mysterious Mad Cow Disease, which may become the world's next major epidemic. Robert Klitzman was 21 years old when he was invited by the Nobel prize-winning scientist Dr. Carleton Gajdusek, then at the National Institutes of Health, to conduct original research on kuru. Seizing the chance to travel to the other end of the world, Klitzman embarked on an adventure that would change his life.
A psychiatric resident's firsthand account reveals his struggles with the homeless, suicidal, and paranoid, and his frustrations with hospital politics and the limitations of an inexact science. Fresh from medical school, Robert Klitzman began his residency in psychiatry with excitement and a sense of mission. But he was not prepared for what he found inside the city psychiatric center where he was to spend three grueling years. In truth, as Dr. Klitzman's absorbing account of his apprenticeship reveals, he never ceased to be surprised—by his patients, by the senior psychiatrists' conflicting advice on how to help them, and by the unpredictable results of the therapies, both psychoanalytic and biologic, that he and his fellow residents practiced. Nights in the emergency room, professional controversy, the minefield of hospital politics, the stress of his own therapy--everything is here, in a passionate and illuminating analysis of a doctor's struggle against tremendous odds to banish his patients' demons.
A doctor recounts his year of medical internship and reveals the codes and rituals required for handling procedures and crises, and well as the devastating effects of encountering constant human suffering
In this volume, the psychiatrist Robert Klitzman explores how individuals confront the complex issues associated with genetic testing in their daily lives.
A psychiatric resident's firsthand account reveals his struggles with the homeless, suicidal, and paranoid, and his frustrations with hospital politics and the limitations of an inexact science. Fresh from medical school, Robert Klitzman began his residency in psychiatry with excitement and a sense of mission. But he was not prepared for what he found inside the city psychiatric center where he was to spend three grueling years. In truth, as Dr. Klitzman's absorbing account of his apprenticeship reveals, he never ceased to be surprised—by his patients, by the senior psychiatrists' conflicting advice on how to help them, and by the unpredictable results of the therapies, both psychoanalytic and biologic, that he and his fellow residents practiced. Nights in the emergency room, professional controversy, the minefield of hospital politics, the stress of his own therapy--everything is here, in a passionate and illuminating analysis of a doctor's struggle against tremendous odds to banish his patients' demons.
A litigator's guide to current business torts law, this book provides a concise review of - or introduction to - the important issues, general rules, and major exceptions to the rules in each of the major business torts subjects areas, along with practical guidance through the situations you are likely to encounter in assessing, preparing and presenting a case."--BOOK JACKET.
Texas Rules of Evidence Manual - Ninth Edition provides an updated comprehensive reference to Texas evidence for both civil and criminal cases. The book provides a rule-by-rule analysis of each Rule of Evidence. This sturdy hard-cover text is designed for heavy use in the courtroom. This text helps those who are bound to use the Texas Rules of Evidence, whether it is the bench or the bar or those studying evidence. While the text contains some academic discussions, the book is designed to explain what a particular Rule requires or prohibits, to indicate what the appellate courts have said about the Rules, and to offer some practical pointers on using the Rules. The book itself has been designed to make it as useful as possible to the harried judge, counsel, and student who must quickly find the "law." Following each Rule is an editorial commentary on the Rule explaining how the Rule works, what the Texas courts have said about the Rule, and how it compares with the Federal Rule, because Texas courts often review federal precedent where they find it helpful in applying a Texas Rule. When appropriate, practical pointers are also provided on how to use the Rule. Where the Rules apply in the same fashion for both civil and criminal cases, those points are discussed together. On the other hand, where they diverge, the authors have used separate headings for "Civil" and "Criminal" when that seems appropriate. One of the objectives of the Editorial Analysis in this text is to deal with the interrelationships of the various Rules. The authors have noted those areas where the Rules differ from pre-Rules case law or statutory provisions. Some of the Rules changed the prior Texas evidence law and, althoughmany of the Texas Rules agree with the Federal Rules, a number differ significantly.
Since the first "test tube baby" was born over 40 years ago, In Vitro Fertilization and other Assisted Reproductive Technologies (ARTs) have advanced in extraordinary ways, producing millions of babies. An estimated 20% of American couples use infertility services to help them conceive, and that number is growing. Such technologies permit thousands of people, including gay and lesbian couples and single parents, to have offspring. Couples can now transmit or avoid passing on certain genes to their children, including those for chronic disease and, probably sometime soon, height and eye color as well. Prospective parents routinely choose even the sex of their future child and whether or not to have twins. The possibilities of this rapidly developing technology are astounding-especially in the United States, where the procedures are practically unregulated and a large commercial market for buying and selling human eggs is swiftly growing. New gene-editing technology, known as CRISPR, allows for even more direct manipulation of embryos' genes. As these possibilities are increasingly realized, potential parents, doctors, and policy-makers face complex and critical questions about the use-or possible misuse-of ARTs. Designing Babies confronts these questions, examining the ethical, social, and policy concerns surrounding reproductive technology. Based on in-depth interviews with providers and patients, Robert Klitzman explores how individuals and couples are facing quandaries of whether, when, and how to use ARTs. He articulates the full range of these crucial issues, from the economic pressures patients face to the moral and social challenges they encounter as they make decisions which will profoundly shape the life of their offspring. In doing so, he reveals the broader social and biological implications of controlling genetics, ultimately arguing for closer regulation of procedures which affect the lives of generations to come and the future of our species as a whole.
Kuru, like Mad Cow disease, is caused by a rare, infectious crystal protein that invades and colonizes human cells, destroying the nervous system of its victims. There is no known cure. It flourished in one of the remotest places on earth, Papua New Guinea, among the Fore, a people living in the Stone Age, who until recently practiced ritual cannibalism, consuming the brains of their forebears during funerary feasts. Robert Klitzman helped establish the links between these rituals and kuru. What he discovered has provided keys to understanding the mysterious Mad Cow Disease, which may become the world's next major epidemic. Robert Klitzman was 21 years old when he was invited by the Nobel prize-winning scientist Dr. Carleton Gajdusek, then at the National Institutes of Health, to conduct original research on kuru. Seizing the chance to travel to the other end of the world, Klitzman embarked on an adventure that would change his life.
During a time of uncertainty over collective identity and social transformation, Quebec novels started getting sick – after 1940, the number of narratives about illness, disease, and sick characters intensified. For the last seventy years, generations of authors have turned to medically oriented stories to represent day to day life and political turmoil. In Curative Illnesses, Julie Robert investigates how the theme of sickness is woven into literature and gauges its effect on depictions of Quebec’s national identity. Challenging the legitimacy of illness as a metaphor for the nation, Robert contests interpretations of illness-related literature that have presented Quebec itself as ailing. Through re-examinations of Quebec novels, Curative Illnesses shatters the illusion of congruency between the nation and the body, countering assumptions about nationwide weakness and victimization. For Quebec in particular, these assumptions have greater implications, because the separatist movement, policies of interculturalism, and majority language rights revolve around protecting and defending Québécois society and its cultural values. Robert skilfully demonstrates a more nuanced view of illness through a series of analyses focusing on works of literature from some of Quebec’s most renowned novelists, including Gabrielle Roy, André Langevin, Denis Lord, Hubert Aquin, Jacques Godbout, Pierre Billon, and Anne Bernard. Using an interdisciplinary approach that engages with nationalism, postcolonial studies, literature, rhetoric, and the medical humanities, Curative Illnesses explores how moving beyond earlier diagnoses offers new insights into nationhood.
Succinct, authoritative, and affordable, Kaplan & Sadock’s Concise Textbook of Psychiatry, 5th Edition, provides must-know information in clinical psychiatry from the names you trust. From cover to cover, it contains the most relevant clinical material from the bestselling Kaplan and Sadock’s Synopsis of Psychiatry, 12th Edition, including the foundational chapters on assessment, the disorder specific chapters, and all of the treatment-specific chapters among other essential topics such as emergency psychiatry, ethics, and palliative/end-of-life care. New editors Robert Boland and Marcia L. Verduin, along with consulting editor Pedro Ruiz, have updated all content with a focus on reformatting and summarizing for faster access to key information.
Exercise is the act of increasing metabolic rate for the purpose of enhancing physical fitness. Exercise can be one of the most stressful physiological responses that the body undertakes. With exercise, there are increases in metabolic rate, heart rate, blood flow (hyperemia), respiration, and heat production. The increased metabolic requirement during exercise is well met by an increased blood flow (functional hyperemia) and oxygen supply to the exercising tissue, which is regulated by multiple local and systemic mechanisms. The local mechanisms (factors) are responsible for mediating the muscle homeostasis and vascular conductance to match the increased metabolic requirement, whereas the systemic mechanisms are responsible for the maintenance of blood pressure and global cardiovascular homeostasis, including the increase in and redistribution of cardiac output, which is mainly mediated by sympathetic activation. For instance, the substantial decreases in vascular resistance and resultant large increase in blood flow during exercise require higher blood pressure and more cardiac output, such that the metabolically active muscle can be perfused with adequate blood flow. This book will provide an overview of the cardiovascular responses to exercise under physiological conditions as well as some pathological circumstances.
Consuming and Producing Research in Communication Sciences and Disorders is an exciting new textbook designed for undergraduate research methods in communication sciences and disorders (CSD) programs. It is also appropriate for first-year graduate students taking research methods courses in speech-language pathology and audiology. The text guides students in attaining the competencies required to consume, produce, and disseminate research; and students will have the knowledge and skills that are necessary and sufficient to conduct research as is consistent with the duties of an academic professor. The text reviews what obligations an individual, professor or not, has before being permitted to do research. The emphasis is on clinically-oriented professionals who can perform the research associated with professors. Part I on Consuming Research in CSD includes academic-clinical integration of research, as well as information required for consumption of research such as research ethics, the scientific method, types of research, and how to critique a journal article and a diagnostic test. Part II on Producing Research in CSD helps guide the undergraduate student in producing a capstone project or senior thesis and the master’s student in producing a graduate thesis or research project. Part II also addresses mentoring, the Institutional Review Board, and conducting academic and clinical research. Part III addresses Disseminating Research in CSD, from the traditional (presenting and publishing academic and clinical research) to the non-traditional (marketing, social media, and new technologies). Key Features: *Each chapter begins with an Introduction and Learning Objectives to set the scene and prepare the student for what is covered. *Advanced Study Questions end each chapter and allow the student to review their skills. *Boxes throughout the text highlight key points and explore topics in more depth. Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.
Blood substitutes are solutions designed for use in patients who need blood transfusions, but for whom whole blood is not available, or is not safe. This interest has intensified in the wake of the AIDS and hepatitis C epidemics. Blood Substitutes describes the rationale, current approaches, clinical efficacy, and design issues for all blood substitutes now in clinical trials. The many summary diagrams and tables help make the book accessible to readers such as surgeons and blood bankers, who have less technical expertise than the biochemists and hematologists who are designing and testing blood substitutes.* Includes chapters necessary to the understanding of blood substitutes, including history, toxicity, physiology, and clinical applications* Presents detailed descriptions of the various products that have been developed and have advanced to clinical trials, and some that are in earlier states of development
The Intervention Mapping bible, updated with new theory, trends, and cases Planning Health Promotion Programs is the "bible" of the field, guiding students and practitioners through the planning process from a highly practical perspective. Using an original framework called Intervention Mapping, this book presents a series of steps, tasks, and processes that help you develop effective health promotion and education programs using a variety of approaches. As no single model can accurately predict all health behavior or environmental changes, this book shows you how to choose useful theories and integrate constructs from multiple theories to describe health problems and develop appropriate promotion and education solutions. This new fourth edition has been streamlined for efficiency, with information on the latest theories and trends in public health, including competency-based training and inter-professional education. New examples and case studies show you these concepts in action, and the companion website provides lecture slides, additional case studies, and a test bank to bring this book directly into the classroom. Health education and health promotion is a central function of many public health roles, and new models, theories, and planning approaches are always emerging. This book guides you through the planning process using the latest developments in the field, and a practical approach that serves across discipline boundaries. Merge multiple theories into a single health education solution Learn the methods and processes of intervention planning Gain a practical understanding of multiple planning approaches Get up to date on the latest theories, trends, and developments in the field Both academic and practice settings need a realistic planning handbook based on system, not prescription. Planning Health Promotion Programs is the essential guide to the process, equipping you with the knowledge and skills to develop solutions without a one-size-fits-all approach.
Since becoming president, George W. Bush has walked away from the Kyoto Protocol, pushed for oil drilling in the Arctic National Wildlife Refuge, undermined protections for endangered species and wilderness, and retreated from his campaign pledge to regulate carbon dioxide. But the president’s agenda reaches deeper than these well-known policies. In Bush Versus the Environment, Robert Devine shows how the White House is quietly undermining the entire system of environmental safeguards that has developed over the past thirty years. The administration's tactics include: -Encouraging lawsuits against the federal government that challenge existing environmental laws, and then feebly defending the cases in court. -Ignoring science that doesn’t support the president's goals, and pressuring government scientists to produce the results the administration wants. -Using fuzzy math to overestimate the costs and underestimate the benefits of regulations that protect human health and the environment, which can lead to the elimination of much-needed rules. These are just a few of the administration’s strategies, which are being pursued beneath the radar of a public that overwhelmingly supports environmental protections. Bush Versus the Environment is a compelling and important look at one of the most important issues facing America today, one that will have consequences that last long after Bush has left office.
The political and policy implications of recent developments in neuroscience, including new techniques in imaging and neurogenetics. New findings in neuroscience have given us unprecedented knowledge about the workings of the brain. Innovative research--much of it based on neuroimaging results--suggests not only treatments for neural disorders but also the possibility of increasingly precise and effective ways to predict, modify, and control behavior. In this book, Robert Blank examines the complex ethical and policy issues raised by our new capabilities of intervention in the brain. After surveying current knowledge about the brain and describing a wide range of experimental and clinical interventions--from behavior-modifying drugs to neural implants to virtual reality--Blank discusses the political and philosophical implications of these scientific advances. If human individuality is simply a product of a network of manipulable nerve cell connections, and if aggressive behavior is a treatable biochemical condition, what happens to our conceptions of individual responsibility, autonomy, and free will? In light of new neuroscientific possibilities, Blank considers such topics as informed consent, addiction, criminal justice, racism, commercial and military applications of neuroscience research, new ways to define death, and political ideology and partisanship. Our political and social institutions have not kept pace with the rapid advances in neuroscience. This book shows why the political issues surrounding the application of this new research should be debated before interventions in the brain become routine.
Since its first edition over 60 years ago, Rockwood and Green’s Fractures in Adults has been the go-to reference for treating a wide range of fractures in adult patients. The landmark, two-volume tenth edition continues this tradition with two new international editors, a refreshed mix of contributors, and revised content throughout, bringing you fully up to date with today’s techniques and technologies for treating fractures in orthopaedics. Drs. Paul Tornetta III, William M. Ricci, Robert F. Ostrum, Michael D. McKee, Benjamin J. Ollivere, and Victor A. de Ridder lead a team of experts who ensure that the most up-to-date information is presented in a comprehensive yet easy to digest manner.
eBook content that offers a clear and comprehensive introduction to CRISPR and related topics. Entries include foundational concepts, key scientific figures and historical themes, ethical issues , and advances in the science.
Microbes play a highly significant role in our daily lives as agents of infectious disease and are a major public health concern. The third edition of The Microbial Challenge: A Public Health Perspective addresses this topic and has been extensively revised and updated with the latest data in a fast-paced field. It focuses on human-microbe interactions and considers bacterial, viral, prion, protozoan, fungal and helminthic (worm) diseases. A chapter on beneficial aspects of microbes makes it clear that not all microbes are disease producers and that microbes are necessary for the sustenance of life on Earth. The response of the immune system, concepts of epidemiology, and measures of control from the individual to the international level to thwart potentially life-threatening epidemics are described. Sections on fungi and fungal diseases are new. The third edition includes new and contemporary information on vaccinations, antibiotic resistant microbes, practical disinfection information, virotherapy and emerging diseases. New boxes throughout the text feature items of human interest such as big and bizarre viruses, probiotics, rats, and synthetic biology. Ancillary instructor and student resources have been updated and expanded including the end of the chapter Self Evaluations. New and Key Features of the Third Edition: -New end-of-chapter questions included in every chapter. -A wealth of new feature boxes add a real-world perspective to the topics at hand. -New data on virotherapy and prions as infectious agents -New and updated statistics and data tables included throughout the text -Includes the latest on emerging and reemerging infectious diseases as major health problems
An exploration of medical discoveries-from the ancient Greeks to the present "Always help, or at least do no harm." Following this simple yet revolutionary idea, Hippocrates laid the foundation for modern medicine over two millennia ago. From the Hippocratic Oath to the human genome, from Pasteur's germ theory to the worldwide eradication of smallpox, Medical Firsts brings to life 2,500 years of medical advances and discoveries. Organized chronologically, the book describes each milestone in a vivid capsule history, making it a fascinating and wonderfully readable resource for anyone interested in medicine's past progress and future promise. Robert E. Adler, PhD (Santa Rosa, CA) has worked as a psychologist and science journalist. He writes about a wide variety of scientific and medical topics for New Scientist, Nature, and other publications and is the author of Science Firsts (0-471-40174-9).
A Trimester Schedule that Works is a guidebook for secondary educators who want to maximize teaching and learning opportunities in their schools. The book begins with research that supports a trimester schedule and then begins to help readers understand the change efforts and challenges associated with the redesign of the school day. Several planning tools are included to lead readers through the steps necessary to build the capacity for change and a culture of collaboration. The benefits of the improved schedule are then quickly divulged by the authors - increased time for core content classes, a bonus period for intervention and acceleration activities, opportunities for dual college/vocational education credit, to name a few. Several case studies illustrate how middle and high schools have transformed traditional settings into thriving, high-performing schools, with collaborative teachers and engaged students.
After more than 75 years, Nelson Textbook of Pediatrics remains your indispensable source for definitive, state-of-the-art answers on every aspect of pediatric care. Embracing the new advances in science as well as the time-honored art of pediatric practice, this classic reference provides the essential information that practitioners and other care providers involved in pediatric health care throughout the world need to understand to effectively address the enormous range of biologic, psychologic, and social problems that our children and youth may face. Brand-new chapters and comprehensive revisions throughout ensure that you have the most recent information on diagnosis and treatment of pediatric diseases based on the latest recommendations and methodologies. Form a definitive diagnosis and create the best treatment plans possible using evidence-based medicine and astute clinical experiences from leading international authors—many new to this edition. A NEW layout provides superior portability and exceptional ease of use. Gain a more complete perspective. Along with a broader emphasis on imaging and molecular diagnoses and updated references, the new edition includes an increased focus on international issues to ensure relevance in pediatrics practice throughout the world. Effectively apply the latest techniques and approaches with complete updates throughout 35 new chapters, including: Innovations in Addressing Child Health and Survival in Low Income Settings; Developmental Domains and Theories of Cognition; The Reggio Emilia Educational Approach Catatonia ; Refeeding Syndrome; Altitude-associated Illness; Genetic Approaches to Rare and Undiagnosed Diseases; Healthcare−Associated Infections; Intrapartum and Peripartum Infections; Bath salts and other drugs of abuse; Small Fiber Polyneuropathy; Microbiome; Kingella kingae; Mitochondrial Neurogastrointestinal Encephalomyopathy; Nonalcoholic Fatty Liver Disease; Plagiocephaly; CNS Vasculitis; Anterior Cruciate Ligament Rupture; and Sports-Related Traumatic Brain Injury. Recognize, diagnose, and manage genetic and acquired conditions more effectively. A new Rehabilitation section with 10 new chapters, including: Evaluation of the Child for Rehabilitative Services; Severe Traumatic Brain Injury; Spinal Cord Injury and Autonomic Crisis Management; Spasticity; Birth Brachial Plexus Palsy; Traumatic and Sports-Related Injuries; Meningomyelocele; Health and Wellness for Children with Disabilities. Manage the transition to adult healthcare for children with chronic diseases through discussions of the overall health needs of patients with congenital heart defects, diabetes, and cystic fibrosis. Understand the principles of therapy and which drugs and dosages to prescribe for every disease.
Expand your skills in the rapidly growing field of laser dentistry! Principles and Practice of Laser Dentistry uses a concise, evidence-based approach in describing protocols and procedures. Dr. Robert A. Convissar, a renowned lecturer on this subject, has assembled a diverse panel of international contributors; he’s also one of the first general dentists to use lasers in his practice. The book covers the history of lasers in dentistry and laser research, plus the use of lasers in periodontics, periodontal surgery, oral pathology, implantology, fixed and removable prosthetics, cosmetic procedures, endodontics, operative dentistry, pediatrics, orthodontics, and oral and maxillofacial surgery. Full-color images show the latest laser technology, surgical techniques, and key steps in patient treatment. Full-color photos and illustrations demonstrate surgical techniques and key teaching points. A Laser Fundamentals chapter describes the physics of lasers and the wavelengths that can produce better outcomes. Introducing Lasers into the Dental Practice chapter provides guidelines on investing in laser technology and in marketing this new procedure. Clinical Tip and Caution boxes include advice and alerts that can only be offered by a seasoned practitioner of 27 years.
After more than 75 years, Nelson Textbook of Pediatrics remains your indispensable source for definitive, state-of-the-art answers on every aspect of pediatric care. Embracing the new advances in science as well as the time-honored art of pediatric practice, this classic reference provides the essential information that practitioners and other care providers involved in pediatric health care throughout the world need to understand to effectively address the enormous range of biologic, psychologic, and social problems that our children and youth may face. Brand-new chapters and comprehensive revisions throughout ensure that you have the most recent information on diagnosis and treatment of pediatric diseases based on the latest recommendations and methodologies. "The coverage of such a wide range of subjects relating to child health makes this textbook still the gold standard and companion for all pediatricians across the world." Reviewed by Neel Kamal, Sept 2015 "All in all, this is an excellent and detailed paediatric review textbook which represents excellent value for money..truly a textbook for the global community" Reviewed by glycosmedia.com, Sept 2015 Form a definitive diagnosis and create the best treatment plans possible using evidence-based medicine and astute clinical experiences from leading international authors-many new to this edition. A NEW two-volume layout provides superior portability and exceptional ease of use. Gain a more complete perspective. Along with a broader emphasis on imaging and molecular diagnoses and updated references, the new edition includes an increased focus on international issues to ensure relevance in pediatrics practice throughout the world. Effectively apply the latest techniques and approaches with complete updates throughout 35 new chapters, including: Innovations in Addressing Child Health and Survival in Low Income Settings; Developmental Domains and Theories of Cognition; The Reggio Emilia Educational Approach Catatonia ; Refeeding Syndrome; Altitude-associated Illness; Genetic Approaches to Rare and Undiagnosed Diseases; Healthcare?Associated Infections; Intrapartum and Peripartum Infections; Bath salts and other drugs of abuse; Small Fiber Polyneuropathy; Microbiome; Kingella kingae; Mitochondrial Neurogastrointestinal Encephalomyopathy; Nonalcoholic Fatty Liver Disease; Plagiocephaly; CNS Vasculitis; Anterior Cruciate Ligament Rupture; and Sports-Related Traumatic Brain Injury. Recognize, diagnose, and manage genetic and acquired conditions more effectively. A new Rehabilitation section with 10 new chapters, including: Evaluation of the Child for Rehabilitative Services; Severe Traumatic Brain Injury; Spinal Cord Injury and Autonomic Crisis Management; Spasticity; Birth Brachial Plexus Palsy; Traumatic and Sports-Related Injuries; Meningomyelocele; Health and Wellness for Children with Disabilities. Manage the transition to adult healthcare for children with chronic diseases through discussions of the overall health needs of patients with congenital heart defects, diabetes, and cystic fibrosis. Understand the principles of therapy and which drugs and dosages to prescribe for every disease. Expert Consult 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.
Welcome to the 21st Edition of Nelson Textbook of Pediatrics – the reference of choice among pediatricians, pediatric residents, and others involved in the care of young patients. This fully revised edition continues to provide the breadth and depth of knowledge you expect from Nelson, while also keeping you up to date with new advances in the science and art of pediatric practice. Authoritative and reader-friendly, it delivers the information you need in a concise, easy-to-use format for everyday reference and study. From rapidly changing diagnostic and treatment protocols to new technologies to the wide range of biologic, psychologic, and social problems faced by children today, this comprehensive reference keeps you on the cutting edge of the very best in pediatric care. - Includes more than 70 new chapters, including Postural Orthostatic Tachycardia Syndrome (POTS), Rare and Undiagnosed Diseases, Approach to Mitochondrial Disorders, Electronic Nicotine Delivery Systems, Zika, update on Ebola, Epigenetics, Autoimmune Encephalitis, Global Health, Racism, Media Violence, Strategies for Health Behavior Change, Positive Parenting, and many more. - Features hundreds of new figures and tables throughout for visual clarity and quick reference. - Offers new and expanded information on CRISPR gene editing; LGBT health care; gun violence; vaccinations; immune treatment with CAR-T cells; new technology in imaging and genomics; new protocols in cancer, genetics, immunology, and pulmonary medicine; and much more. - Provides fresh perspectives from four new associate editors: Nathan J. Blum of The Children's Hospital of Philadelphia; Karen Wilson of Mt. Sinai School of Medicine in New York; Samir S. Shah of Cincinnati Children's Hospital Medical Center; and Robert C. Tasker of Boston Children's Hospital. - Remains your indispensable source for definitive, evidence-based answers on every aspect of pediatric care.
Let a "who's who" of foot and ankle surgeons take your skills to the next level! Drs. Coughlin, Saltzman, and Anderson bring you state-of-the-art, comprehensive coverage of the full range of foot and ankle disorders. Expect the best from this revised "classic" work refreshed for a new generation in one robust multimedia resource. - Achieve the best possible outcomes with authoritative answers on every major aspect of the treatment and management of foot and ankle disorders and diseases! With content covering biomechanics, examination, diagnosis, non-operative and operative treatment, and post-operative management, you have all the guidance you need to offer optimal care to your patients. - Refine your mastery with state-of-the-art coverage of the very latest topics in foot and ankle surgery, including ankle reconstruction and total ankle arthroplasty; external/internal fixation; management of the complex foot deformities; nerve disorders; arthroscopic techniques; the new standardized post-operative protocols for all surgical techniques; and more. - Achieve the best possible outcomes with authoritative answers on every major aspect of the treatment and management of foot and ankle disorders and diseases! With content covering biomechanics, examination, diagnosis, non-operative and operative treatment, and post-operative management, you have all the guidance you need to offer optimal care to your patients. - Access the complete contents online at Expert Consult, plus more than 120 videos demonstrating key surgical techniques, regular online updates, and more.
Covering the full range of diagnosis and treatment for valvular heart disease, this award-winning reference provides the information you need for safe and effective practice. Part of the Brauwald's family of heart disease references, Valvular Heart Disease, 5th Edition, brings you fully up to date with the latest procedures, imaging modalities, basic science, diagnostic criteria, and treatment guidelines in this fast-changing area. Internationally renowned authors Dr. Catherine M. Otto and Dr. Robert O. Bonow help you apply today's best, evidence-based medical and surgical approaches in your daily practice. - Covers current topics such as transcatheter aortic valve replacement (TAVR), timing of intervention for mitral regurgitation, imaging guidance of transcatheter valve procedures, management of prosthetic valve, advanced imaging of the aortic and mitral valves, management of valve disease in pregnant women, and advances in diagnosis and treatment of endocarditis. - Contains new chapters on the imaging approach before TAVR, transcatheter valve-in-valve implantation for prosthetic valve stenosis, and management of pulmonic valve disease. - Provides summaries of ACC, AHA, and ESC guidelines for guidance on best practices. - Includes all the latest imaging modalities for a full understanding of tools needed for the most accurate physiologic understanding and accurate diagnoses. - Offers access to 80 videos that help you visualize heart valve anatomy and dysfunction, as well as important techniques and procedures. - Features an extensive number of new and updated illustrations of anatomy and physiology, methodology, flow charts, and clinical examples—750 high-quality images in all. - Reorganizes chapters to closely link imaging and interventional approaches for aortic and mitral valve disease. - Emphasizes evidence-based approaches with outcome data and relevant references. - 2014 BMA Medical Book Awards 1st Prize Award Winner in Cardiology category.
Rely on Rosen's Emergency Medicine for the latest answers on every facet of emergency medicine practice. For decades, this medical reference book has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority - to help you put the latest and best knowledge to work for your patients in the ER. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Practice confidently with easily actionable, dependable guidance on the entire breadth of emergency medicine topics. Get expert guidance on how to approach specific clinical presentations in the ER. The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department. Effectively apply the newest emergency medicine techniques and approaches, including evidence-based therapies for shock; high-cost imaging; evaluation and resuscitation of the trauma patient; cardiovascular emergencies; evaluation and risk stratification for transient ischemic attack (TIA) patients; and much more. Locate the answers you need quickly thanks to a user-friendly, full-color design, complete with more illustrations than ever before. Access the complete contents on the go from your laptop or mobile device at Expert Consult, fully searchable, with links to PubMed.
The safety, effectiveness, and utility of medical nanorobotic devices will critically depend upon their biocompatibility with human organs, tissues, cells, and biochemical systems. In this Volume, we broaden the definition of nanomedical biocompatibility to include all of the mechanical, physiological, immunological, cytological, and biochemical re
Internationally renowned cardiologists Drs. Catherine M. Otto and Robert O. Bonow help you to apply all of the latest scientific knowledge and clinical strategies with Valvular Heart Disease, a companion to Braunwald’s Heart Disease. This indispensable resource for your everyday practice provides all of the knowledge you need to give your patients the most accurate diagnoses, the best possible heart disease treatment options, and the expert care they deserve. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Apply today's best medical and surgical approaches with comprehensive, expert guidance on today's full range of clinical heart disease treatments. Provide appropriate care to pediatric and pregnant patients with focused chapters on the unique needs of these special populations. Update your knowledge of these increasingly common heart diseases with brand-new chapters covering 3-dimensional anatomy of the aortic and mitral valves; clinical and genetic risk factors for calcific valve disease; risk assessment for aortic and mitral valve surgery; image-guided transcatheter valve procedures; optimal timing of valve interventions; state-of-the-art valve surgery; and much more. Apply the most current standards of practice with summaries of the ACC/AHA and new ESC valvular heart disease guidelines in each chapter. Vividly visualize heart valve anatomy and dysfunction, as well as important techniques and procedures, thanks to a multitude of detailed illustrations, full-color images, and online video content. Search the full text and access all the images online at Expert Consult.
For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill. The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.
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