Mans Destiny Unplugged was given to me by God in 2004. Since then, I have made a few attempts to fill the pages but did not get far. In 2013, God told me to fill the pages with the story of my life. I began to write, and as I did, everythingmany things which I had forgotten or never thought of came flooding my memory as if he was reminding me of what I needed to write. Inside, between the covers of this book, you will find a riveting, amazing encounter. Because it is the story of my life, it starts out a bit slow as I relive my childhood years, but please keep reading because a little way in, you will discover suspense, intrigue, and experiences that are so amazing that you will say, no, those cannot be true, but they are, and it is my story.
Part of the highly regarded Diagnostic Medical Sonography series, Diane M. Kawamura and Tanya D. Nolan’s Abdomen and Superficial Structures, 5th Edition, thoroughly covers the core content students need to master in today’s rigorous sonography programs. Careful, collaborative editing ensures consistency across all three titles in this series: The Vascular System, Abdomen and Superficial Structures, and Obstetrics and Gynecology, providing the right content at the right level for both students and instructors.
Antibiotics will soon no longer be able to cure common illnesses such as strep throat, sinusitis and middle ear infections as they have done for the last 60 years. Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed. The prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. Despite this fact, many children continue to receive antibiotics unnecessarily for the treatment of viral upper respiratory tract infections. Why do American physicians continue to prescribe inappropriately given the high social stakes of this action? The answer appears to lie in the fundamentally social nature of medical practice: physicians do not prescribe as the result of a clinical algorithm but prescribe in the context of a conversation with a parent and a child. Thus, physicians have a classic social dilemma which pits individual parents and children against a greater social good. This book examines parent-physician conversations in detail, showing how parents put pressure on doctors in largely covert ways, for instance in specific communication practices for explaining why they have brought their child to the doctor or answering a history-taking question. This book also shows how physicians yield to this seemingly subtle pressure evidencing that apparently small differences in wording have important consequences for diagnosis and treatment recommendations. Following parents use of these interactional practices, physicians are more likely to make concessions, alter their diagnosis or alter their treatment recommendation. This book also shows how small changes in the way physicians present their findings and recommendations can decrease parent pressure for antibiotics. This book carefully documents the important and observable link between micro social interaction and macro public health domains.
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