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Extreme Measures: Finding a Better Path to the End of Life
by Jessica Nutik ZitterAn ICU and Palliative Care specialist featured in the Oscar-nominated Netflix documentary Extremis offers a framework for a better way to exit life that will change our medical culture at the deepest levelIn medical school, no one teaches you how to let a patient die. Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care—to become an ICU physician—and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter’s journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient’s values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients’ pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully. Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human.
Ultrasonic Exposimetry
by Marvin C. Ziskin Peter A. LewinUltrasonic Exposimetry presents the fundamentals of ultrasonics and discusses the theoretical background of acoustic wave generation and reception. Measurements, instrumentation, and interpretation of measured data (including error analysis) are examined in detail.
Platelets, Haemostasis and Inflammation (Cardiac and Vascular Biology #5)
by Andreas Zirlik Christoph Bode Meinrad GawazThe book depicts the various roles of platelets in a variety of cardio-metabolic diseases. Traditional and non-traditional platelet functions are described in detail in atherosclerosis, metabolic syndrome, diabetes, myocardial infarction, and other vascular pathologies. Particular focus is put on platelets as a link between haemostasis and inflammation contributing to both. Last but not least the books links the most recent advances in basic sciences with promising novel therapeutic applications and first results of clinical trials. The book is written for biomedical scientists in the sub disciplines vascular biology, biochemistry and immunology; and it as well will be of interest and value for academic physicians like cardiologists, hematologists, general internists and vascular surgeons.
Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer
by Lorri ZippererPatient Safety: Perspectives on Evidence, Information and Knowledge Transfer provides background on the patient safety movement, systems safety, human error and other key philosophies that support change and innovation in the reduction of medical error. The book draws from multidisciplinary areas within the acute care environment to share models that support the proactive changes necessary to provide safe care delivery. The publication discusses how the tenets of safety (described in the beginning of the book) can be actively applied in the field to make evidence, information and knowledge (EIK) sharing processes reliable, effective and safe. This is a wide-ranging and important book that is designed to raise awareness of the latent risks for patient safety that are present in the EIK identification, acquisition and distribution processes, structures, and systems of many healthcare institutions across the world. The expert contributors offer systemic, evidence-based improvement processes, assessment concepts and innovative activities to identify these risks to minimize their potential to adversely impact care. These ideas are presented to create opportunities for the field to design and use strategies that enable meaningful implementation and management of EIK. Their thoughts will enable healthcare staff to see EIK as a tangible element contributing toward sustainable patient safety improvements.
Biology of Stem Cells and the Molecular Basis of the Stem State (Stem Cell Biology and Regenerative Medicine)
by Dov ZiporiBiology of Stem Cells and the Molecular Basis of the Stem State concentrates upon adult stem cells, particularly on mesenchymal cell populations, which is the author's area of expertise. The text offers the reader a detailed description of the emergence of stem cell research and the dogmas that were created during the first decades of analysis of stem cell properties, particularly those of hemopoietic stem cells. Biology of Stem Cells and the Molecular Basis of the Stem State also introduces the reader to the commonly accepted notions regarding stem cell biology, with an emphasis on an alternative view of stemness, i.e. the stem state. In keeping with the popularity of this topic, Biology of Stem Cells and the Molecular Basis of the Stem State addresses the major controversies and points of dispute, among researchers in the stem cell field. Overall, Biology of Stem Cells and the Molecular Basis of the Stem State presents a well-rounded dialogue about stem cells as it not only concentrates upon the biological elements of stem cell, but also addresses the controversy and hype currently enveloping this popular subject.
The Psycho-Biology Of Language: AN INTRODUCTION TO DYNAMIC PHILOLOGY (International Library Of Psychology Ser.)
by George Kingsley ZipfThis is Volume XXI in a series of twenty-one on the Cognitive Psychology. Orignally published in 1936, this is a study on the introduction to Dynamic Philology.
Advanced Medical Intuition: Six Underlying Causes Of Illness And Unique Healing Methods (Medical Intuition #2)
by Tina M. ZionAdvanced Medical Intuition is power packed with information. This book is the next step to take after reading Tina Zion's book, Become a Medical Intuitive: The Complete Developmental Course.
Infectious Lesions of the Central Nervous System
by Vsevolod ZinserlingThis book discusses all aspects infectious CNS pathology, including different bacterial, viral, fungal, mycoplasma and protozoan pathogens, accompanied by illustrations that show macro- and histopathological changes. It also presents microbiological, epidemiological and clinical data, with a particular focus on meningitis and encephalitis of different bacterial and viral aetiologies, influenza, COVID-19 and other viral and bacterial generalized infections. Further, the book explores the importance of mixed infections, including those in the late stages of HIV infection, as well as pathological changes in different age groups including newborns. A special chapter is devoted to the probable role of biological pathogens in noninfectious brain pathology.
Infectious Pathology of the Respiratory Tract
by Vsevolod ZinserlingThis book discusses all aspects of pulmonary pathology, including different bacterial, viral, fungal, mycoplasma and protozoan pathogens, accompanied by illustrations that show macro- and histopathological changes. It also presents microbiological, epidemiological and clinical data, with a particular focus on pneumonias of different bacterial aetiologies, influenza, and other viral infections. Further, the book explores the importance of mixed infections, including those in the late stages of HIV infections and virus-bacterial pneumonias, as well as pathological changes in modern tuberculosis, lung granuloma, and respiratory tract inflammation in different age groups.
Optical Imaging of Cancer
by Kurt R. Zinn Eben RosenthalTo describe principles of optical imaging including chemistry and physics of fluorescence, limitations/advantages of optical imaging compared to metabolic and anatomic imaging. Describe hardware adapted for small animal imaging and for clinical applications: endoscopes and operative microscopes. Outline FDA approved and newer optical imaging probes. Include discussion of chemistry and linkage to other proteins. Review current techniques to image cancer and the development of techniques to specifically image cancer cells. Review use of exploiting differences in tissue autofluorescence to diagnose and treat cancer. Include agents such as 5-aminoleculinic acid. Review mechanisms that require proteolytic processing within the tumor to become active fluorophores. Review use of cancer selective proteins to localize probes to cancer cells: include toxins, antibodies, and minibodies. Introduction of plasmids, viruses or other genetic material may be used to express fluorescent agents in vivo. This chapter will review multiple vectors and delivery mechanisms of optical imaging cassettes.Preclinical investigations into the use of optical contrast agents for the detection of primary tumors in conventional and orthotopic models will be discussed. Preclinical investigations into the use of optical contrast agents for the detection of metastatic tumors in mouse models will be discussed. Use of targeted and non-specific optical contrast agents have been used for the detection of sentinel lymph node detection. These applications and how they differ from other applications will be discussed. Because of the unique difficulty of identifying tumor from normal tissue in brain tissue, a separate chapter would be needed. More clinical data is available for this cancer type than any other. Discussion of potential clinical applications for optical imaging and an assessment of the potential market.
Fluorescence Lifetime Imaging Ophthalmoscopy
by Martin Zinkernagel Chantal DysliThis book focuses on the emerging non-invasive imaging technique of Fluorescence Lifetime Imaging Ophthalmoscopy (FLIO). FLIO reveals unique information on retinal diseases, ranging from age-related macular degeneration and vascular diseases to hereditary retinal dystrophies. Fluorescence lifetimes enable the evaluation of disease progression before irreversible structural changes occur. The image acquisition is suitable for diagnostic purposes and follow-up examinations to investigate the natural course of disease, and to monitor the effects of possible therapies. This book fills the gap between available literature and gives state-of-the-art guidance on the principles of the FLIO technique, image acquisition, and data analysis. Written by a team of expert leaders within this field, this book will be relevant for scientists and clinicians with an interest in ophthalmoscopy.
Dog Health and Nutrition for Dummies
by M. Christine ZinkHelp your dog enjoy a longer and healthier life with the latest in conventional and alternative veterinary medicine.
Canine Sports Medicine and Rehabilitation
by Chris Zink Janet B. Van DykeCanine Sports Medicine and Rehabilitation, Second Edition offers a thoroughly revised and updated new edition of this gold standard reference for all aspects of sports medicine and rehabilitation, encompassing basic science and integrated veterinary and physical therapy approaches. Presents current, state-of-the-art information on sports medicine and rehabilitation in dogs Offers perspectives from an international list of expert authors Covers all topics related to veterinary care of the canine athlete and all active dogs Includes illustrations and photographs throughout to demonstrate key concepts Provides clinical cases that set the information in context
A Clinician's Guide to Sperm DNA and Chromatin Damage
by Armand Zini Ashok AgarwalThis comprehensive, up-to-date text, which brings together the key practical elements of the rapidly evolving field of sperm DNA and chromatin abnormalities, is divided thematically into five main sections. Part I discusses human sperm chromatin structure and nuclear architecture, while part II presents laboratory evaluation of sperm DNA damage, including SCSA, SCD, TUNEL and Comet assays, and cytochemical tests. Biological and clinical factors in the etiology of sperm DNA damage are discussed in part III, including oxidative stress, abortive apoptosis, cancer, and environmental and lifestyle factors. Part IV presents clinical studies on the utility of sperm DNA damage tests, both with natural and ART-assisted pregnancies, and debates the clinical utility of such tests. Finally, part V discusses current treatment options, such as antioxidant therapy, varicocelectomy, advanced sperm processing techniques and the use of testicular sperm. We are now beginning to better understand the unique organization of the sperm chromatin, as well as the nature and etiology of sperm DNA damage. Written and edited by worldwide experts in andrology, A Clinician's Guide to Sperm DNA and Chromatin Damage is an excellent resource for reproductive medicine and REI specialists, urologists, reproductive biologists and any professional working with the infertile male.
AARP Special Edition: for a Longer, Leaner, Healthier Life!: The fast, effective weight-loss plan to save you 10, 20, 30 pounds--or more!
by David Zinczenko Eat ThisLose 10, 20, 30 pounds or more, and put yourself back in control of your weight, your health, and your life! Don't diet, don't sacrifice, and don't waste money or time on expensive weight-loss foods. In fact, you can start dropping pounds today while eating all your favorite foods--from pizza and pasta to burgers, and even dessert. From the editors of the bestselling series Eat This, Not That! comes a unique diet program that strips away added sugars and melts fat--from your belly first. The trick: a series of simple swaps that will ensure you're eating the very best options from your favorite restaurants and grocery store brands. Discover how easy it is to indulge your way to a flat belly while protecting your brain and striking a blow against heart disease, diabetes, and more. Eat This, Not That! for a Longer, Leaner, Healthier Life is based on four easy-to-remember nutrition rules: * Use our simple guide to ensure you're always making the smartest, healthiest, leanest choice in any restaurant or grocery store. * Enjoy rich, creamy, healthy fats, so you never feel hungry or deprived, even while your metabolism is revving on high. * Reduce added sugars--without sacrificing flavor--with a series of simple tips that will help you enjoy your favorite desserts, without gaining an ounce! * Power up your day with 10 essential LONGER LIFE Superfoods for maximum health and rapid weight loss. Get ready to drop that extra weight faster than you've ever imagined--and enjoy every bite!
Eat This Not That! For Kids!
by David Zinczenko Matt GouldingIt's no secret that children are getting fatter: 17% of this country's youth are overweight or obese, and the number of diabetic children has nearly quadrupled in the past thirty years. Now, to help combat the problem, David Zinczenko, editor-in-chief of Men's Health, and co-author Matt Goulding have created Eat This, Not That! for Kids. This must-have guide for concerned parents offers detailed analysis and nutritional tips on thousands of the most popular food choices for kids. Covering the best and worst options available at the most popular restaurants in the country as well as the healthiest-and most harmful-foods in the supermarket aisles, if kids are eating it, this book is probably analyzing it. Other features include:-Restaurant Report Cards on the best chain restaurants for your kids-Drink This, Not That! for Kids-The 20 Worst Kids' Meals in America-10 Healthy" Foods that Aren't-The 8 Foods You Should Feed Your Kid Every Day"
Partial Truths: How Fractions Distort Our Thinking
by James C. ZimringA fast-food chain once tried to compete with McDonald’s quarter-pounder by introducing a third-pound hamburger—only for it to flop when consumers thought a third pound was less than a quarter pound because three is less than four. Separately, a rash of suicides by teenagers who played Dungeons and Dragons caused a panic in parents and the media. They thought D&D was causing teenage suicides—when in fact teenage D&D players died by suicide at a much lower rate than the national average. Errors of this type can be found from antiquity to the present, from the Peloponnesian War to the COVID-19 pandemic. How and why do we keep falling into these traps?James C. Zimring argues that many of the mistakes that the human mind consistently makes boil down to misperceiving fractions. We see slews of statistics that are essentially fractions, such as percentages, probabilities, frequencies, and rates, and we tend to misinterpret them. Sometimes bad actors manipulate us by cherry-picking data or distorting how information is presented; other times, sloppy communicators inadvertently mislead us. In many cases, we fool ourselves and have only our own minds to blame. Zimring also explores the counterintuitive reason that these flaws might benefit us, demonstrating that individual error can be highly advantageous to problem solving by groups. Blending key scientific research in cognitive psychology with accessible real-life examples, Partial Truths helps readers spot the fallacies lurking in everyday information, from politics to the criminal justice system, from religion to science, from business strategies to New Age culture.
Meine Frau hat Krebs: Wie gehen wir als Paar mit der Erkrankung um
by Tanja Zimmermann Jochen ErnstDieser Ratgeber richtet sich an Paare, bei denen die Frau an Krebs erkrankt ist, und er bietet besonders den PartnerInnen Unterstützung zur Bewältigung der aufkommenden Belastungen und Herausforderungen. Eine Krebsdiagnose hat Auswirkungen auf nahezu alle Lebensbereiche: auf die Partnerschaft, den Alltag, auf das berufliche und soziale Umfeld. Die Krankheit kann aber auch die Sicht auf das Leben und den Tod nachhaltig verändern und mit teilweise schmerzlichen Erfahrungen verbunden sein. Einfühlsam und konkret sprechen die erfahrenen Autoren alle wesentlichen Punkte an. Das Buch ist praxisbezogen und die Kapitel werden durch viele Beispielen und Übungen ergänzt. Rat, Informationen und Hilfe für Betroffene und Angehörige!
Pediatric Liver Tumors
by Arthur Zimmermann Dietrich Von Schweinitz Giorgio Perilongo Marcio MalogolowkinThe field of liver tumors in children has seen tremendous therapeutic advances over recent years. This has been achieved through a much better understanding of the biology of disease, improved diagnostic procedures, refined methods of pretreatment tumor staging, the implementation of highly efficient chemotherapy and surgery, detailed monitoring of toxicity, and careful follow-up strategies. International controlled trials have played a key role in these advances, and many leading figures in the trials are among the editors and authors of this book. Their principal goal in Hepatic Tumors in Children is to provide the reader with a complete update on this complex and rapidly evolving field. All aspects of an impressive success story are covered, disclosing how the outcome of a previously devastating disease has been so dramatically improved. This book will prove essential reading for all who are involved in the care of children with liver tumors.
Biology and Management of Unusual Plasma Cell Dyscrasias
by Todd M. Zimmerman Shaji K. KumarThis unique book focuses on the non-myeloma plasma cell dyscrasias. A key resource for this group of diseases, the book features the latest in emerging knowledge and therapeutic developments, including novel therapies. Each disease-specific chapter discusses biology, disease course, and appropriate therapeutic interventions, covering plasma cell leukemia, plasmacytoma, POEMS Syndrome and Castleman's Disease, Waldenström macroglobulinemia, immunoglobin deposition disease, and cryoglobulinemic syndromes, among others. The only book dedicated to this intriguing family of diseases, Biology and Management of Unusual Plasma Cell Dyscrasias will be a long-lasting reference for clinicians and scientists alike.
Pearls and Pitfalls in Cardiovascular Imaging
by Zimmerman, Stefan L. and Fishman, Elliot K. Stefan L. Zimmerman Elliot K. FishmanCardiovascular imagers are faced with the challenge of interpreting cases that include artifacts, unusual findings, or anatomic variants on an almost daily basis. These studies can result in confusion and may lead to misdiagnosis even for the most experienced imager. This book provides an approachable reference for practising cardiovascular imagers to aid with both commonly and uncommonly encountered entities that can result in inappropriate patient management. Through the focused use of case examples, this book reviews 100 conditions that can be seen in clinical practice, including pseudotumors, artifacts, anatomic variants, mimics, and unusual diagnoses. Each highly illustrated case follows a standard format, allowing readers to learn from real-life examples and provides an accessible and rapid source of reference for the improved interpretation of cardiovascular imaging and enhanced patient care. This text will be invaluable to radiologists, cardiologists, and trainees.
Retirement Migration from the U.S. to Latin American Colonial Cities (International Perspectives on Aging #27)
by Sheryl Zimmerman Philip D. Sloane Johanna SilbersackThis book provides a comprehensive overview of a growing phenomenon in migration: retired Americans moving to Latin America. Through in-depth profiles of two of the most popular destinations – Cuenca, Ecuador and San Miguel de Allende, Mexico, the book provides a unique commentary on the social forces shaping this new diaspora and its impact on the settings to which retirees relocate. Sections of the book address the lives and activities of retirees themselves; their impact on real estate, business development, and gentrification within historic cities; the availability and access to medical and long-term care services; and the role of governmental policies in attracting immigrant retirees and shaping their societal impact. Concluding sections provide guidance for potential retirees and for cities and countries interested in attracting these new immigrants while minimizing adverse impact on local culture and quality of life. Carefully researched and extensively illustrated with photographs, maps, figures, and tables, the book serves as an important new resource for scientists and policy makers, as well as for baby boomers who have retired abroad or are considering doing so.
Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly
by Sheryl ZimmermanWith the number of elderly persons needing long-term care expected to double to 14 million over the next two decades, assisted living has become the popular choice for housing or care. Assisted living represents a promising model of long-term care that blurs the sharp distinction between nursing homes and community-based care and reduces the gap between receiving long-term care in one's own home and in an "institution." Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly examines the evolving field of residential care and focuses on national issues of regulation, reimbursement, and staffing. The book is based on a four-state study of assisted living facilities and describes the facilities, the persons residing in them and their needs, and how the services vary by facility. Because one-third to two-thirds of residents in assisted living facilities have cognitive impairment, special attention is devoted to dementia care. The book also focuses on how today's long-term health care environment evolved, and it examines the future direction and implications of assisted living.Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly brings together a group of nationally recognized experts to help define the types of residential care that should be encouraged and sets guidelines for selecting an appropriate type of facility.
The Doula Guide to Birth
by Rachel Zimmerman Ananda LoweHere is your guide to the fastest-growing trend in childbirth—a tradition as old as motherhood itself. Doulas,or professional labor assistants, have led thousands of expectant women through the birthing process in a way that’s safe and meaningful, and that creates the birth and postbirth experience all mothers long for. What exactly dodoulas do? How to find one that suitsyou. What are the “trade secrets” only doulas know but every woman should be aware of (even if youdon’thave a doula)? InThe Doula Guide to Birth,senior-level doula Ananda Lowe and award-winning health reporter Rachel Zimmerman have written a most comprehensive book that draws on the wisdom of these skilled experts, whose experience with doctors, midwives, nurses, and hospitals makes them invaluable advocates before, during, and after birth. * Labor techniques anyone can use * Pain medication: do you, don’t you—and when? * What dads and loved ones need and can do best * When should youreallygo to the hospital in labor? * How to prepare for unexpected medical procedures, including cesareans and epidural * Postpartum—what it’s really like * A clip-out chart of labor techniques, birth plan worksheets, and much more Combining science, wit, warmth, and support, as well as the inspirational stories of dozens of mothers and their partners, you’ll find the “doula viewpoint” on every major pregnancy and delivery issue, making this one of the most important childbirth books you’ll ever read and recommend.
Interview Guide for Evaluating DSM-5 Psychiatric Disorders and the Mental Status Examination
by Mark Zimmerman<p>This book provides questions for evaluating psychiatric disorders. DSM-5 lists the disorders and their criteria, but it does not guide the beginner in inquiry for them. Students and clinicians in training are relatively unfamiliar with psychiatric diagnoses, and they cannot possibly remember all of the disorders and their corresponding diagnostic criteria within a short period of study. Moreover, it is often not obvious what questions to ask to determine the symptom's presence. How do you inquire for thought withdrawal, delusions of reference, panic attacks, obsessions, identity disturbance, mood instability, etc? Even more basic, how do you begin the interview? <p>The Interview Guide consists of questions for the most common DSM-5 diagnoses including the personality disorders. This book is not a standardized interview, to be started on page x and followed until page xx. Rather it is a quick reference to be used in the context of a clinical interview. If a patient complains of depression, the interviewer can turn to the section on major depression and assess the relevant symptoms. If there is a suggestion of excessive drug or alcohol use, the interviewer can refer to the long list of questions for diagnosing a drug or alcohol use disorder.</p>