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A Return to Healing: Flexner, Osler, and How American Medicine Went Astray
by Andy Lazris Alan RothDrawing from their extensive experience in primary care and backed by decades of academic research, primary care physicians Andy Lazris, MD, and Alan Roth, DO, unravel the complexities of the modern health care system in A Return to Healing. Through a wealth of patient stories and meticulous research, they dig into the roots of American health care challenges and seek its cure. Utilizing poignant patient narratives and rigorous analysis, Lazris and Roth expose the flaws in our modern approach to health care. The book dissects the current philosophy of medical care, addressing foundational issues in health care infrastructure, the pitfalls of screening, the dishonesty of the pharmaceutical industry, and a lack of common sense among health care providers. By exploring common diseases and medical scenarios, demonstrating how doctors arrive at their conclusions, and focusing on the perverse incentives and outdated training that drive doctors to rely on protocols and numerical-based care, Lazris and Roth demonstrate what is wrong with the system and reveal how to fix it. Advocating for patient empowerment, the book offers a road map for reform that is accessible to patients and policymakers alike. This solution-oriented approach aims to dismantle barriers to patient-centred care and foster informed decision-making. In this compelling critique and call to action, A Return to Healing provides a clear path towards a more equitable and effective health care system.
A Return, a Reunion, a Wedding
by Annie O'NeilA second chance with her GP…Dare she follow her heart this time?Jayne had been so happy! Engaged to gorgeous Sam Crenshaw, planning an idyllic life together as GPs in Whitticombe’s close-knit community. Until the day her twin sister died, compelling Jayne to leave the man she loved to fulfill her sister’s dreams. Now a pediatric cardiologist, Jayne’s hit crisis point—and coming home to heal reminds her that her own dream is still life with Sam!“Overall, Ms. O’Neil has delivered an interesting and engaging read in this book…I loved that they achieved their happy ever after; the chemistry was strong and only got stronger the more time these two spent together; the romance was delightful and had me hoping for the best for this pair….”— Harlequin Junkie on The Doctor’s Marriage for a Month“Equally entertaining and touchingly poignant, Tempted by Her Single Dad Boss was a romance that had me breezing through the pages and cheering on the characters right from the start.”— Harlequin Junkie
A Reunion, a Wedding, a Family
by Amy RuttanReunited—With the single dadCandice Lavoie is stunned when handsome paramedic and single dad Jimmy Liu walks into her office. Ten years ago, he left her brokenhearted when he joined the army. Now he’s back and she’s his boss! As old feelings resurface, Candice and Jimmy share one stunningly passionate kiss. But can Jimmy ever let go of his past enough for them to find a future—together as a family?From Harlequin Medical: Life and love in the world of modern medicine.
A Review Of The Dose Reconstruction Program Of The Defense Threat Reduction Agency
by Committee to Review the Dose Reconstruction Program of the Defense Threat Reduction AgencyIn response to concerns about military personnel and civilian exposure to radiation from the US atmospheric nuclear weapons testing program of 1945-62, Congress charged an independent committee to review the Dose Reconstruction Program. This report details the testing program and the committee's review process, and offers recommendations for improving dose reconstruction and the overall veterans compensation program. Appendices include documents reviewed, names of hearing experts, names of veterans whose files were reviewed, analyses of participant exposure, and a glossary. The cover photo shows soldiers watching an atomic bomb detonation in 1951 in Nevada. Annotation ©2004 Book News, Inc. , Portland, OR (booknews. com)
A Review of Biomaterials and Their Applications in Drug Delivery (SpringerBriefs in Applied Sciences and Technology)
by Andreas Öchsner Hamid Reza Rezaie Mohammadhossein Esnaashary Abolfazl Aref ArjmandThis book reviews drug delivery systems as mechanisms to introduce therapeutic agents into the body to help or improve tissue function, and examines different drug delivery systems applied in various organs. To date, polymeric systems, ceramic particles or composites have been used in different applications such as injectable, coatings of implants, scaffolds, or implantable devices. Such systems should be able to retain the therapeutic agent and release it in uniform amounts at a specific time.
A Review of the Department of Defense's Program for Breast Cancer Research
by Committee to Review the Department of Defense's Breast Cancer Research ProgramAccording to current statistical data, one in eight women will be diagnosed with breast cancer. The five-year survival rate for breast cancer patients has improved in recent years, but the overall mortality rates have changed little. In 1993 Congress allocated $210 million for breast cancer research as part of the Department of Defense budget. An Institute of Medicine (IOM) committee was convened at that time to advise the U.S. Army Medical Research and Development Command on strategies for managing a breast cancer research program. This book evaluates the program's management and achievements to date. Although it is too early to evaluate the program in terms of breakthrough results and new insights produced by the funded projects or investigators, this book documents the process used to select research proposals for funding and analyzes the portfolio of funded projects in terms of their responsiveness to the recommendations and fundamental questions articulated in the 1993 IOM report.
A Review of the Draft Report of the NCI-CDC Working Group to Revise the 1985 Radioepidemiological Tables
by National Research CouncilThe review is an impressive document and covers many technical issues in a commendable fashion. ...for those who are involved in radiation risk assessment or compensation, the subcommittee report makes interesting reading and succinctly deals with a number of technical issues. ...I recommend this NAS report to all those who have an interest in this field and want to be further informed about the current problems taxing some of the world's top minds in this area.--Journal of Radiological Protection, June 2001
A Review of the HHS Family Planning Program: Mission, Management, and Measurement of Results
by Institute of Medicine of the National AcademiesA Review of the HHS Family Planning Program provides a broad evaluation of the Title X family planning program since its establishment in 1970. The program successfully provides family planning services to its target audience of low-income individuals, but there is room for improvement. While the program's core goals are apparent, a secondary set of changing priorities has emerged without a clear, evidence-based strategic process. Also, funding for the program has increased in actual dollars, but has not kept pace with inflation or increased costs. Several aspects of the program's structure could be improved to increase the ability of Title X to meet the needs of its target population. At the same time, the extent to which the program meets those needs cannot be assessed without a greater capacity for long-term data collection. A Review of the HHS Family Planning Program recommends several specific steps to enhance the management and improve the quality of the program, as well as to demonstrate its direct contribution to important end results, such as reducing rates of unintended pregnancy, cervical cancer, and infertility. The book will guide the Office of Family Planning toward improving the effectiveness of the program. Other parties who will find the research and recommendations valuable include programs receiving Title X funding from the Office of Family Planning, policy makers, researchers, and professional organizations.
A Review of the NIOSH Roadmap for Research on Asbestos Fibers and Other Elongate Mineral Particles
by Institute of Medicine National Research Council of the National AcademiesAlthough asbestos is no longer mined in the United States, prior and ongoing exposures to asbestos continue to contribute to respiratory diseases, including mesothelioma, lung cancer, and asbestosis. To examine ongoing issues and concerns in this field, the National Institute for Occupational Safety and Health (NIOSH) drafted a research roadmap, Asbestos Fibers and Other Elongated Mineral Particles: State of the Science and Roadmap for Research, that provides an overview of the state of the science and a plan for future research in areas including toxicology, mineralogy, epidemiology, and exposure assessment. The focus of the proposed research is on clarifying the relationship between human health effects and the physical and chemical characteristics of a wide range of elongate mineral particles. In 2008, NIOSH asked the Institute of Medicine and the National Research Council to form a committee to provide a review of the scientific and technical quality of the January 2009 draft NIOSH Roadmap document. The present volume provides the committee's assessment of the Roadmap and recommendations for strengthening its utility for NIOSH, other federal agencies, the private sector, and other stakeholders.
A Review of the U.S. Workplace Wellness Market
by Soeren Mattke Christopher Schnyer Kristin Van BusumThis paper describes the current state of workplace wellness programs in the United States, including typical program components; assesses current uptake among U.S. employers; reviews the evidence for program impact; and evaluates the current use and the impact of incentives to promote employee engagement.
A Review on Recent Echocardiographic Software: Advancing the Field through the Emerging Science
by Mersedeh Karvandi Saeed RanjbarThis book provides simplified, easy-to-understand descriptions of the echocardiographic software used in conjunction with different echocardiography machines, such as those from Toshiba, Philips, GE, and Siemens, and explains how these sophisticated systems can best be used to exploit fully their ability to deliver more precise diagnoses and assist in treatment choice and follow-up. A variety of applications are covered, with presentation of algorithms and highlighting of tips and tricks. The emphasis is on the most recent advances in software and emerging benefits. In addition to its clinical relevance, the book highlights relevant links between cardiology and the basic sciences and should assist in promoting future novel research that will further advance the field. It will be of value for cardiologists, other interested clinicians, those pursuing fellowships in echocardiography, and sonographers; it will also be highly relevant for biomedical engineers, biomathematicians, computer scientists, and researchers in medical physics.
A Revised Consent Model for the Transplantation of Face and Upper Limbs: Covenant Consent (International Library of Ethics, Law, and the New Medicine #73)
by James L. BenedictThis book supports the emerging field of vascularized composite allotransplantation (VCA) for face and upper-limb transplants by providing a revised, ethically appropriate consent model which takes into account what is actually required of facial and upper extremity transplant recipients. In place of consent as permission-giving, waiver, or autonomous authorization (the standard approaches), this book imagines consent as an ongoing mutual commitment, i. e. as covenant consent. The covenant consent model highlights the need for a durable personal relationship between the patient/subject and the care provider/researcher. Such a relationship is crucial given the recovery period of 5 years or more for VCA recipients. The case for covenant consent is made by first examining the field of vascularized composite allotransplantation, the history and present understandings of consent in health care, and the history and use of the covenant concept from its origins through its applications to health care ethics today. This book explains how standard approaches to consent are inadequate in light of the particular features of facial and upper limb transplantation. In contrast, use of the covenant concept creates a consent model that is more appropriate ethically for these very complex surgeries and long-term recoveries.
A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration
by National Research Council of the National AcademiesWith the responsibility to ensure the safety of food, drugs, and other products, the U.S. Food and Drug Administration (FDA) faces decisions that may have public-health consequences every day. Often the decisions must be made quickly and on the basis of incomplete information. FDA recognized that collecting and evaluating information on the risks posed by the regulated products in a systematic manner would aid in its decision-making process. Consequently, FDA and the Department of Health and Human Services (DHHS) asked the National Research Council (NRC) to develop a conceptual model that could evaluate products or product categories that FDA regulates and provide information on the potential health consequences associated with them. A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration describes the proposed risk-characterization framework that can be used to evaluate, compare, and communicate the public-health consequences of decisions concerning a wide variety of products. The framework presented in this report is intended to complement other risk-based approaches that are in use and under development at FDA, not replace them. It provides a common language for describing potential public-health consequences of decisions, is designed to have wide applicability among all FDA centers, and draws extensively on the well-vetted risk literature to define the relevant health dimensions for decision-making at the FDA. The report illustrates the use of that framework with several case studies, and provides conclusions and recommendations.
A Roadmap to Successful Scientific Publishing: The Dos, the Don’ts and the Must-Knows
by Sarah CuschieriIn the age of "publish or perish," this book provides everything one needs to know about conducting research and successfully publishing it in a scientific journal. The reader learns about the complete process of scientific publishing: from selecting the most appropriate research design, to obtaining permissions and funding, to resourcefully presenting the research results in a poster and oral presentation. Additionally, the practical tips provided here help the reader formulate a compelling scientific article and choose the most suitable journal (subscription vs. the various open access modalities) for their publication.This book also addresses "invisible aspects" of scholarly publishing that are nonetheless important and that everyone should know and understand: avoiding predatory journals, understanding the editor's perspective, and becoming familiar with the various research metrics (from author to journal) that can all determine success or failure of a publication. Written in an informal style in which the author shares personal perspectives and experiences, the book is easily accessible to the reader. The book offers early career scientists in biomedicine and medicine a unique perspective on publishing research articles and how this process can enhance the authors' "scientific value" within the scientific ecosystem as well as their personal CVs.
A Salamander's Tale: My Story of Regeneration?Surviving 30 Years with Prostate Cancer
by Paul SteinbergStaring in the face of prostate cancer at age thirty-five and metastatic disease and proposed surgical castration at age forty, Paul Steinberg was forced to take two simultaneous journeys. The first was to transition from doctor to patient and surrender his physical health to a medical establishment he knew from firsthand knowledge would be using approaches that would be outdated within a few years. The second was a spiritual journey. His search for a higher meaning in his life sent him as far as walking over hot coals with Tony Robbins. Using the salamander as his role model, Steinberg, a college-health and sports psychiatrist, takes a look at the evolution of the regenerative capabilities of cold-blooded vertebrates like the salamander and at what we as humans have lost and gained in our warm-bloodedness. How do human beings regenerate? How do we redeem ourselves when our capacity for regeneration is limited? How did the prostate evolve, and how does prostate cancer develop? With wit and humor, Steinberg tackles lust and sex, and ultimately time and death and the gods. Having lived longer than virtually anyone else with metastatic prostate cancer, he uses his knowledge as a doctor and experience as a patient to provide a story of endurance and perseverance, weaving a tale of grace, regeneration, and redemption--just not the kind of regeneration and redemption that he or anyone else would expect.
A Scientific Approach to Improving Animal Research in Biomedicine: Giving Animals a Chance
by Bradley K. WeinerThis book examines animal research conducted with the goal of medical translation to humans. It is written by Dr. Bradley Weiner, a surgeon who is active at a high level clinically and in biomedical research. After documenting that the vast majority of biomedical animal research fails to result in benefits to humans via translation, the book examines the sources of such failure; including the failure to justify the use of animals, the failure to properly apply scientific methods, the failure to perform the research properly in the lab, the failure to consider the possibility of translation a priori, and systematic sources of failure built into the biomedical research enterprise. The book then explores options to improve the situation, for the benefit of both the animals and humans.
A Scientific Approach to Scientific Writing
by John Blackwell Jan MartinThis guide provides a framework, starting from simple statements, for writing papers for submission to peer-reviewed journals. It also describes how to address referees' comments, approaches for composing other types of scientific communications, and key linguistic aspects of scientific writing.
A Scientific Revolution: Ten Men and Women Who Reinvented American Medicine
by Dr. Ralph H. Hruban William LinderA prismatic examination of the evolution of medicine, from a trade to a science, through the exemplary lives of ten men and women. Johns Hopkins University, one of the preeminent medical schools in the nation today, has played a unique role in the history of medicine. When it first opened its doors in 1893, medicine was a rough-and-ready trade. It would soon evolve into a rigorous science. It was nothing short of a revolution. This transition might seem inevitable from our vantage point today. In recent years, medical science has mapped the human genome, deployed robotic tools to perform delicate surgeries, and developed effective vaccines against a host of deadly pathogens. But this transformation could not have happened without the game-changing vision, talent, and dedication of a small cadre of individuals who were willing to commit body and soul to the advancement of medical science, education, and treatment. A Scientific Revolution recounts the stories of John Shaw Billings, Max Brödel, Mary Elizabeth Garrett, William Halsted, Jesse Lazear, Dorothy Reed Mendenhall, William Osler, Helen Taussig, Vivien Thomas, and William Welch. This chorus of lives tells a compelling tale not just of their individual struggles, but how personal and societal issues went hand-in-hand with the advancement of medicine.
A Scoping Review of Clinical Studies About the Therapeutic Benefits of Medical Cannabis
by Gabriel BennettThe book delves into the rapidly evolving field of medical cannabis and its potential therapeutic applications. The importance of this topic cannot be overstated, as medical cannabis has emerged as a promising alternative or adjunctive therapy for numerous medical conditions. With the shifting legal landscape and increasing public interest, it is crucial for healthcare professionals, researchers, policymakers, and patients to have access to a comprehensive and up-to-date resource. This book aims to provide a concise and insightful resource that consolidates the findings from a wide range of clinical studies, enabling readers to gain a comprehensive understanding of the current state of knowledge in this field.
A Season of Grief
by Bill ValentineThis unique book celebrates a long-term, interracial relationship and details the everyday struggles of a surviving partner trying to carry on in a radically changed world.A Season of Grief chronicles the author's emotional descent after the violent death of his partner of 21 years. Bill Valentine's journal of fear, anger, denial, and loneliness captures the glimmers of hope, moments of serendipity, and mysterious coincidences that emerged from his full-time devotion to grief following the death of Joe Lopes. Lopes died along with 264 others when American Airlines Flight 587 crashed in November 2001 in route to the Dominican Republic. It was the second deadliest accident in U.S. aviation history. He is a word always on my lips as I try to work him into a conversation. He is a memory that I strive to keep alive. So yes, in this sense, he is not gone. But in reality, he is. He is gone as my lover. He is gone as my life partner. He is gone as my soul mate, the only person to whom I periodically bared my soul. He is gone as my best friend, the only person to whom I ever attached that label. So pardon me while I still hang on to the notion that he is not here with me. Pardon me while I cling stubbornly to the insistence that he is gone.Valentine's candid and thoughtful account of his heartbreaking efforts to make sense of his partner's death-and survive in a world without him-is by turns, funny, frightening, sobering, and surprising. In the nine months following the tragedy of Flight 587, Valentine finds every waking moment of his life affected by his partner's absence-from mundane household chores to major life decisions. A Season of Grief is a story told in darkness and light, of hurt and healing, love and loneliness, but mostly, of a man who learns to live with his partner's absence through the persistent, surprising evidence of his presence. Our job on earth is to live with uncertainty, ambiguity, and hope. We are given a limited tool set but one, in my opinion, that's sufficient for the job. Sufficient to allow us to be engaged in life-to love, grieve, work, play, celebrate, and despair. We have a remarkable ability to rebound and grow. We have been granted the capacity for wonder and laughter-especially at ourselves. These last two gifts were bestowed generously on Joe and he, in turn, taught me how vital they are.Making a strong case for gay marriage, A Season of Grief chronicles Valentine's struggles to be recognized as a surviving spouse, including a historic lawsuit with Lambda Legal Defense and Education fund against the New York State Workers Compensation Board. Valentine and Lopes took every conceivable step to formalize their relationship, including New York City Domestic Partnership, but the Workers Compensation Board and a New York State appeals court refused to recognize Valentine as a legal surviving spouse.Grief doesn't come with a set of instructions. But A Season of Grief can help guide you through the lonely journey that follows the death of a loved one. Valentine's memoir is a testament to the healing power of reality and the enduring nature of love.
A Second Act: What Nearly Dying Teaches Us About Really Living
by Dr Matt MorganI&’ve worked as a doctor for over twenty years, caring for patients who are in the thick fog between life and death. I&’ve met hundreds of people who have died, were resuscitated and lived. I&’ve long thought that these are the people that we should be listening to, not influencers or business gurus. They know what really matters. Dr Matt Morgan has met hundreds of people who&’ve come back from the dead. Their hearts stopped, their bodies unresponsive, rescued from the brink of death by the modern intensive care techniques he specialises in. People like Ed, who was walking through a park when there was a bang, a bright light and then nothing. Ed had been hit by a bolt of lightning – 300 million volts, enough to power a city for a day, coursed through his body, short-circuiting his heart. Ed was given life-saving CPR and he survived. He lives a little differently now, every day knowing the thin margins that separate life and death. In A Second Act, Morgan introduces us to patients who&’ve experienced hypothermia, overdoses, heart attacks and transplants to see how their lives have been transformed by the second chance they&’ve been given. He shares the lessons they&’ve learned, along with his own realisations about life and how to make the most of it. Life shouldn&’t be wasted on the living.
A Secondhand Life: An unpredictable serial killer thriller (The Killer Thriller Series #1)
by Pamela CraneA string of murdered girls. An innocent man behind bars. A serial killer still on the hunt.In a freak collision when she was twelve, Mia Germaine faced death and the loss of her father. A heart transplant from a young murder victim saved her life, but not without a price. Twenty years later, chilling nightmares about an unresolved homicide begin to plague Mia. Compelled by these lost memories, she forms a complicated connection to the victim—the girl killed the night of Mia’s accident—due to a scientific phenomenon called “organ memory.”Now suffocating beneath the weight of avenging a dead girl and catching a serial killer on the loose dubbed the “Triangle Terror,” Mia must dodge her own demons while unimaginable truths torment her—along with a killer set on making her his next victim.As Mia tries to determine if her dreams are clues or disturbing phantasms, a killer lures her further into danger’s path, costing her the only person who can save her.Loosely based on a true story, USA Today bestselling author Pamela Crane delivers a dark thriller about the monsters that hide in plain sight. Fans of Karin Slaughter and Lisa Gardner will relish the knife-sharp prose, empowering characters, and mind-blowing twist ending.
A Secret About a Secret: A novel
by Peter SpiegelmanA hypnotic literary mystery thriller about a murder at a secluded research facility and the secrets that it exposes. • "Cyber thievery, lust, corporate espionage, and a host of deleterious secrets comprise the chords of this sweeping, riveting symphony. A bold and original thriller by a masterful storyteller.&” —Elizabeth Brundage, author of The Vanishing PointLooming high above the cliffside along a remote coastline, Ondstrand House is the headquarters of the shadowy biotech firm Ondstrand Biologic. When the body of the organization&’s most gifted young scientist, Allegra Stans, is discovered in a walk-in refrigerator—her neck has been broken—Agent Myles is called in to investigate. Myles works for Standard Division, the most feared element of a vast state security apparatus, and he&’s been dispatched to the brooding manor, a massive stone campus that once housed a notorious boarding school, to do what Standard Division agents do best—complete the task at hand.As his investigation proceeds, Myles discovers that &“gifted scientist&” is only one thread in the complicated fabric of Allegra&’s life. There are darker strands as well—of ambition, manipulation, and bitter grievance—all woven into a pattern of secrets, each presenting a reasonable motive for murder. It appears everyone has something to hide, including Allegra&’s colleagues, lovers, and former lovers—even the very halls of Ondstrand House itself.Questions continue to pile up: What interest does Standard Division, an organization best known for intelligence gathering and clandestine international operations, have in this seemingly straightforward case? Could the killing have anything to do with the sprawling estate&’s sordid past? And what, exactly, is this research facility researching? Before long, another murder is discovered, and Myles finds himself an increasingly unwelcome presence in an ever more hostile landscape with few allies and fewer answers.
A Secret Colton Baby: Snowstorm Confessions A Secret Colton Baby The Agent's Surrender Cody Walker's Woman (The Coltons: Return to Wyoming #1)
by Karen WhiddonA new addition to Wyoming's most scandalous family Is Theo Colton the father of a baby dropped at his doorstep by a dying socialite? Even more shocked than the sexy bronc-riding champ is his beautiful cook, Ellie Parker. Just as she becomes the baby's nanny, she discovers a terrifying stalker has followed her to Dead River. What's worse-as a mysterious virus quarantines the town, danger goes viral, too. But to Theo and Ellie, the biggest dangers are their sizzling attraction and profound new feelings. Can Ellie tame the cowboy who wants nothing more than a wild ride with women? Or must she deny her heart to save his life?
A Secret Shared...
by Marion LennoxIs a secret halved...?High-flying oncologist professor Jack Kincaid isn't convinced by the treatment offered at Dolphin Bay Healing Resort. But if there's the slightest possibility that dolphins can help his little nephew Harry, he needs to give it a chance! Especially when he recognizes beautiful therapist Dr. Kate Martin-the woman he once knew as Cathy!Jack can't help but be intrigued, and he's just as attracted to her as he always was. And when Kate reveals to him the devastating secret that she will do anything to escape, not only does she share her burden, but she starts to open up Jack's locked-away heart, too....