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Men's Sexual Health and Fertility
by John P. Mulhall Wayland HsiaoIn the last decade, much of the clinical interest in the field of infertility has focused on advancing reproductive techniques and has often under-appreciated the role that male sexuality plays in reproductive problems. Male sexual function is an integral part of reproduction, and the treatment of sexual dysfunction is an important component for any couple seeking fertility. In some cases, treatment of sexual dysfunction may obviate the need for more invasive cures through advanced reproductive techniques. Thanks to recent clinical and scientific advances in male sexual medicine, the management of men's sexual dysfunction is often more effective and less invasive than how it was historically described. Men's Sexual Health and Fertility is the only resource that focuses on the interplay and interconnections between male sexual dysfunction and male factor infertility, gathering insightful data from a panel of experts in male sexual medicine for clinicians who treat couples with fertility issues due to male sexual dysfunction. Chapters discuss advances in the field of men's sexual medicine, including the latest treatment for erectile dysfunction, the most up-to-date understanding of the physiology and pathophysiology of ejaculation, and the growing body of evidence that low testosterone and male infertility are intimately related. As such, this book provides important information in order to be able to better understand the link between sexual dysfunction and infertility and, most importantly, to better treat male sexual dysfunction in the infertile couple.
Men, Gender Divisions and Welfare
by Jeanette Edwards Jeff Hearn Jennie PopayFirst published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.
Men, Women, Passion and Power: Gender Issues in Psychotherapy
by Marie MaguirePsychoanalytic theory has often found it difficult to come to terms with issues of power within gender relations. Both theory and clinical practice have tended to replicate the cultural idealization of men and the denigration of women, splitting masculinity and femininity between the sexes in a way which depletes both. In Men, Women, Passion and Power, Marie Maguire argues that it is only when psychoanalysis integrates the male and female in its theorizing that the possibility of a more balanced and fluid psychological relation between the sexes will emerge. Making detailed use of case material, she introduces the reader to the contemporary debates about sexuality and explores them with sensitivity from a feminist viewpoint. Looking at such topics as false memories of sexual abuse, perverse sexuality, homosexuality, pornography and bulimia, she shows how current thinking is trammelled by sexist, homophobic and culturally biased assumptions about gender identity and sexual orientation. She concludes that only when a feminist perspective has been truly integrated into theory will the psychoanalytic project realize its full radical potential. This edition first published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.
Mend the Living: WINNER OF THE WELLCOME BOOK PRIZE 2017
by Maylis de KerangalWinner of the Wellcome Book Prize 2017.Longlisted for the Man Booker International Prize 2016. Now a major French film, REPARER LES VIVANTS/HEAL THE LIVING, directed by Katell Quillevere and starring Emmanuelle Seigner.A twenty-four-hour whirlwind of death and life.In the depths of a winter's night, the heart of Simon Limbeau is resting, readying itself for the day to come. In a few hours' time, just before six, his alarm will go off and he will venture into the freezing dawn, drive down to the beach, and go surfing with his friends. A trip he has made a hundred times and yet, today, the heart of Simon Limbeau will encounter a very different course.But for now, the black-box of his body is free to leap, swell, melt and sink, just as it has throughout the years of Simon's young life.5.50 a.m.This is his heart.And here is its story.Translated from the French by Jessica Moore
Mendel's Dwarf
by Simon MawerIn this scientific novel, Dr Benedict Lambert works to unlock the secrets of heredity.
Mendelian Randomization: Methods for Causal Inference Using Genetic Variants (Chapman & Hall/CRC Interdisciplinary Statistics)
by Stephen Burgess Simon G. ThompsonMendelian Randomization: Methods For Causal Inference Using Genetic Variants provides thorough coverage of the methods and practical elements of Mendelian randomization analysis. It brings together diverse aspects of Mendelian randomization from the fields of epidemiology, statistics, genetics, and bioinformatics. Through multiple examples, the first part of the book introduces the reader to the concept of Mendelian randomization, showing how to perform simple Mendelian randomization investigations and interpret the results. The second part of the book addresses specific methodological issues relevant to the practice of Mendelian randomization, including robust methods, weak instruments, multivariable methods, and power calculations. The authors present the theoretical aspects of these issues in an easy-to-understand way by using non-technical language. The last part of the book examines the potential for Mendelian randomization in the future, exploring both methodological and applied developments. Features Offers first-hand, in-depth guidance on Mendelian randomization from leaders in the field Makes the diverse aspects of Mendelian randomization understandable to newcomers Illustrates technical details using data from applied analyses Discusses possible future directions for research involving Mendelian randomization Software code is provided in the relevant chapters and is also available at the supplementary website This book gives epidemiologists, statisticians, geneticists, and bioinformaticians the foundation to understand how to use genetic variants as instrumental variables in observational data. New in Second Edition: The second edition of the book has been substantially re-written to reduce the amount of technical content, and emphasize practical consequences of theoretical issues. Extensive material on the use of two-sample Mendelian randomization and publicly-available summarized data has been added. The book now includes several real-world examples that show how Mendelian randomization can be used to address questions of disease aetiology, target validation, and drug development
Mending the ER Doc's Heart
by Susan CarlisleIn the latest Harlequin Medical Romance novel by Susan Carlisle, an unexpected second chance is in the cards for a single dad! Unexpected second chance……for the single dad! ER doctor and widower Chad is focused solely on his job and his little boy. But when the newest nurse at Atlanta Children&’s Hospital, Izzy, walks into his emergency room, Chad&’s firm defenses are tested! Because behind her dazzling smile he recognizes a similar wariness in her eyes. But when Chad sees how she can make his little boy light up like never before, he can&’t ignore how she may be the missing piece to their puzzle…From Harlequin Medical: Life and love in the world of modern medicine.Atlanta Children's Hospital Book 1: Reunited with the Children's Doc
Mending the Mind: The Art And Science Of Treating Clinical Depression
by Oliver KammSadness is an inevitable part of life, but for most people it will usually alternate or coexist with happy times. Clinical depression, on the other hand, is a mental disorder that causes torment and anguish. It has no moments of relief. It unhinges us from everything we thought we knew about the world and makes us strangers to those we love. It is the predominant mental-health problem worldwide, affecting more than 250 million people. More than a fifth of the population of the UK report symptoms of depression or anxiety. Yet how much do we really know of the condition and of ways to treat it?
Mending the Single Dad's Heart: Tempted By The Hot Highland Doc / Mending The Single Dad's Heart (Harlequin Lp Medical Ser. #Vol. 1028)
by Susanne HamptonSometimes temporary……leads to forever!Dr. Jessica Ayers had the perfect life—until her boyfriend betrayed her. Vowing never to get close to anyone again, she decides being a locum doc suits her just fine! Until she meets dynamic, dashing Dr. Harrison Wainwright… But divorcé Harrison only has room in his life for his son. He’s clearly as wary of love as she is, yet could this guarded single dad be everything Jessica didn’t know she needed?“Just a truly lovely story that leaves you with the wonderful feeling, as you hope they can get past some of their emotions and give in to the sparks that are between them. Loved this romance...”— Goodreads on The Doctor’s Cinderella“Ms. Hampton really knows how to draw you in…A sweet lovely moving story that has the sigh quality.”— Goodreads on White Christmas for the Single Mum
Meningiomas: Comprehensive Strategies for Management
by Jennifer Moliterno Antonio OmuroThis book provides a comprehensive overview of the multidisciplinary management of meningiomas, followed by evaluation and management considerations along a spectrum of benign to more malignant behavior. It outlines the management of presumed Grade 1 tumors and how to identify features of tumors radiographically and clinically that may support a benign course rather than aggressive and vice versa. Following a stepwise progression from simple to complex, chapters introduce and tackle more aggressive meningiomas and tumor recurrence (of all Grades), with paradigms for evaluation and treatment. Tumor biology and genomics are fundamental and largely focused in the book. More recent findings which have directed personalized medicine and clinical trials are also addressed. Meningiomas: Comprehensive Strategies for Management addresses all aspects of the evaluation and care of patients with all WHO grades of meningiomas. It is highly informative and provides clarity for a wide audience of neurosurgeons, reconstructive surgeons, oncologists, neurologists, radiation oncologists, pathologists, radiologists, residents and students who treat these patients and those who are training for a career in managing patients with these potentially challenging tumors.
Meningiomas: From Pathology to Clinics
by Francesco Maiuri Marialaura Del Basso De CaroThis book aims to explore the correlation between pathology and molecular biology with the clinical and diagnostic features, management, and outcome of meningiomas. With its unique structure consisting of 6 parts and 22 chapters, it provides a comprehensive analysis of this topic. Each chapter delves into the pathological features, emphasizing their clinical implications, making this book distinct from others in its field. Several topics discussed in this book are not found in other texts. These include the hormone-related clinical factors, the clinical impact of the 2021 WHO Classification of tumors of the CNS, the clinical and prognostic role of hormone-receptor expression, the pattern of dural invasion, the brain-tumor interface and brain invasion, and the radiomics. Part I serves as an introduction, focusing on the most recent research on the origin and growth of meningiomas. Part II explores the various aspects and the correlation of meningioma occurrence within the general population. Part III centers around the clinical impact of macroscopic, histological, and biomolecular features of meningiomas. Part IV is dedicated to imaging diagnosis, including a chapter on radiomics, a novel and sophisticated imaging technique not covered in other texts. Part V examines the impact of pathology on the management of meningiomas, encompassing modern radiotherapeutic and biomolecular targeted therapies. Finally, Part VI delves into meningioma recurrence, with a unique chapter on the topography of recurrences, a topic not extensively discussed in other books. The primary audience for this book includes neurooncologists, neurosurgeons, radiotherapists, neuroradiologists, pathologists with a focus on molecular biology, as well as neurologists and geneticists. It serves as a valuable resource for professionals in these fields, providing in-depth insights into the correlation between pathology, molecular biology, and the clinical aspects of meningiomas.
Meningitis
by Myron Christodoulides David Irani Erich Schmutzhard Uwe Koedel Wim Ang Guy Thwaite Ronny Beer Roy Weller Kelly Doran Xavier Nassif Sarah Curtis Marcelo Gottshalk Kwang Kim Douglas Drevets K Neilsen Mathieu Coureuil Diego Cadavid Darryl HillExamining meningitis mainly from a bacterial perspective, but also including an overview of viral, fungal and chronic meningitis, this book describes the anatomy of the meninges and clinical signs and symptoms of this disease. Individual organisms that cause meningitis worldwide are dealt with in specific chapters, describing in detail how these pathogens interact with the human host at both a molecular and cellular level. The book provides a thorough understanding of bacterial virulence factors, adhesion and invasion mechanisms, the nature of known host cell receptors and the host cell response.
Meningitis and Encephalitis: Management and Prevention Challenges
by Rodrigo HasbunMeningitis and Encephalitis are associated with high rates of mortality and neurological sequelae. The differential diagnosis includes a wide spectrum of infectious and non-infectious etiologies, some requiring urgent therapy for survival. The current management challenges in patients with meningitis and encephalitis include a low sensitivity of meningeal signs, overutilization of unnecessary screening cranial imaging, delays in diagnosis of urgent treatable causes, a large proportion of unknown etiologies, low sensitivity of current microbiological techniques especially in the setting of previous antibiotic therapy, underutilization of available molecular diagnostic tests, and empiric antibiotic therapy and hospitalization for viral meningitis cases. Even though there are published guidelines, compliance with them is not optimal and physicians do not follow standardized algorithms in their empirical approach. As meningitis and encephalitis is associated with high rates of adverse clinical outcomes, prevention, when feasible is of upmost importance. Adherence to protocols to prevent health-care associated meningitis and ventriculitis are effective but compliance with them is not uniformly performed.This book seeks to improve outcomes for meningitis and encephalitis cases handled by physicians who may or may not be thoroughly trained for these challenges. The text introduces the current guidelines but also discusses the gaps that leave clinicians struggling to implement the most appropriate approaches for these particular neurological infections. Each chapter delivers the tools necessary to identify and adhere to the most appropriate diagnostic technique, management protocols, and prevention approach for each situation. All chapters conclude with discourse on future directions in research and quality improvement. Written by experts in infectious diseases, the book covers topics that are the most devastating, including healthcare-acquired infections, autoimmune encephalitis, and infections as they present in HIV patients.Meningitis and Encephalitis is a well-rounded resource for all medical professionals encountering these neurological syndromes, including infectious disease specialists, neurologists, primary care physicians, and immunologists.
Meningitis: Cellular and Molecular Basis (Advances in Molecular and Cellular Microbiology #26)
by David Irani Erich Schmutzhard Uwe Koedel Wim Ang Guy Thwaite Ronny Beer Roy Weller Kelly Doran Xavier Nassif Sarah Curtis Marcelo Gottshalk Kwang Kim Douglas Drevets K Neilsen Mathieu Coureuil Diego Cadavid Darryl HillExamining meningitis mainly from a bacterial perspective, but also including an overview of viral, fungal and chronic meningitis, this book describes the anatomy of the meninges and clinical signs and symptoms of this disease. Individual organisms that cause meningitis worldwide are dealt with in specific chapters, describing in detail how these pathogens interact with the human host at both a molecular and cellular level. The book provides a thorough understanding of bacterial virulence factors, adhesion and invasion mechanisms, the nature of known host cell receptors and the host cell response.
Meningococcal Disease
by Andrew J. Pollard Martin C.J. MaidenAndrew Pollard and Martin Maiden bring together a panel of leading authorities to produce a comprehensive, interdisciplinary survey of recent advances and knowledge about meneigococcal disease. The review and methods-based chapters collected here provide essential information for diagnosis in the clinical microbiology laboratory, isolate characterization, clinical management, and control of meningococcal disease. They also examine the immunopathological mechanisms occurring in the acutely ill, host-pathogen interactions, and the possible components of meningococcus responsible for virulence. Meningococcal Disease: Methods and Protocols integrates the basic science, clinical, and epidemiological aspects of this terrible infectious disease to promote the deeper understanding needed to identify novel targets for therapeutic interventions and vaccines.
Meningococcal Vaccines
by Andrew J. Pollard Martin C.J. MaidenAndrew Pollard and Martin Maiden have assembled an impressive collection of the latest molecular and cellular techniques for the development, evaluation, and implementation of vaccines to be used against this dreaded disease. The contributors-leading scientists, clinicians, and public health physicians-describe in detail the many approaches to vaccine design, as well as the assessment of immune response to vaccine candidates and novel vaccine formulations. Timely and comprehensive, Meningococcal Vaccines: Methods and Protocols provides the scientist, public health physician, epidemiologist, clinical microbiologist, and clinician with the essential tools to lay bare the secrets of the meningococcus, and to develop, evaluate, and implement successful new meningococcal vaccines.
Meniscal Injuries
by John D. Kelly IvThoroughly discussing the varied elements of meniscal damage and repair, Meniscal Injuries: Management and Surgical Techniques includes the insights and expertise of over 20 leading surgeons and researchers on topics ranging from meniscal anatomy, physical examination, innovative resection and repair techniques, gene therapy, and tissue regeneration. This treatise offers wisdom aimed at assessing true surgical candidates, exploring the intricacies of meniscal composition and function, an overview of meniscal scaffolds and replacements, and patient examination pearls. Also discussed in depth is cutting edge research concerning meniscal repair enhancement, nanofiber technology as a means of meniscal replacement, and biologic agents directed toward chondral protection. All the science presented will direct the sports medicine practitioner to state-of-the-art treatment aimed at knee preservation. Meniscal repair and regeneration is a rapidly evolving science - early attempts at meniscal restoration or repair resulted in short-term gains which often sacrificed long-term joint integrity. Now, the practitioner is afforded numerous means of retaining or restoring meniscal tissue. Breakthroughs in scaffold and allograft replacement, as featured herein, offer the promise of articular cartilage preservation like never before. In addition, tissue regeneration and gene therapy techniques, featured throughout, offer a glimpse into emerging technologies aimed at preserving or replacing meniscal tissue in previously considered "hopeless" cases. As such, Meniscal Injuries will be an indispensible resource to orthopedic surgeons and sports medicine practitioners interested in providing the absolute most contemporary and evidence-based care to their patients.
Meniscal Transplantation
by Joan Carles Monllau René Verdonk João Espregueira MendesMeniscal transplantation has become an attractive option in selected patients with incapacitating knee pain. This book discusses all aspects of meniscal transplantation, covering the use of both allografts and meniscal substitutes, including collagen and polyurethane implants. Acknowledged experts in the field review the basic science, explain indications, and describe surgical techniques and the results achieved to date. All the material is up to date, with information on new implants, new techniques, and new surgical approaches. Future trends in the treatment of meniscal lesions are also discussed as we move towards the application of regenerative strategies to restore meniscus function.
Menopause Confidential: A Doctor Reveals the Secrets to Thriving Through Midlife
by Tara AllmenAn authoritative guide to understanding and navigating the hormonal changes and health issues women experience in midlife and beyond, from one of the leading medical experts in the field.The physical changes that occur after women turn forty are unavoidable—and can be unnerving. Menopause affects every aspect of life—from sex and sleep to mood and mental clarity to weight and body temperature. While there are a number of resources available, many are confusing and contradictory. Now, Manhattan gynecologist Dr. Tara Allmen, an experienced, nationally board-certified menopause practitioner and the recipient of the 2015 Doctor’s Choice National Award for Obstetrics & Gynecology, shares her knowledge to help women be their happiest and healthiest, and turn this challenging time into an exciting one.Written in her effervescent yet assured voice, Menopause Confidential provides simple strategies and cutting-edge information on:hormonal changes and the symptoms of perimenopause and menopause;the health risks associated with midlife—from cutting through the conflicting opinions and advice about health screenings (Do I really need a colonoscopy? How often should I get a mammogram?) to common medical conditions, such as osteoporosis;various remedies, both allopathic and natural, to combat symptoms and empower women to make the best choices for their individual needs;practical tips and resources for mitigating the effects of menopause. Fifty-one-year-old Dr. Allmen knows firsthand what women are going through, and shares stories of her own personal travails and solutions. Women can’t turn back the clock, but they can take control of their health and flourish in midlife. Menopause Confidential encourages them to be informed, be proactive, and be their greatest selves.
Menopause Matters: Your Guide to a Long and Healthy Life (A Johns Hopkins Press Health Book)
by Julia Schlam EdelmanMenopause Matters is a complete guide for improving a woman's physical and mental health from age 35 and on. Gynecologist and menopause specialist Dr. Julia Schlam Edelman has helped thousands of women feel better and enjoy healthier lives. Scientifically sound and clinically tested, Dr. Edelman's advice is a welcome alternative to the often misleading, conflicting, and confusing sound bites in media reports on women's health issues. Menopause Matters covers the full spectrum of topics of vital interest to perimenopausal and postmenopausal women: hot flashes, vaginal dryness, memory loss, mood changes, depression, hormone replacement therapy, sleep, diet, exercise, healthy sex, and contraception. In a class by itself when it comes to menopause books, Menopause Matters:• promotes informed collaboration between women and their doctors,• advises women to improve their health based on findings in respected research studies,• provides clear explanations of physiology and anatomy, and• relates stories from real women who have experienced all stages of menopause.Dr. Edelman includes prevention strategies for lowering the risks of heart disease, osteoporosis, and cancer. And her practical hints about how to take supplements and medication for maximum benefit are invaluable. Menopause Matters empowers women to be active partners with their physicians during midlife and beyond. No woman will read the book without experiencing at least one big wake-up call about how to live a happier, healthier life.
Menopause the Healthy, Happy Way: Nutrition for Change and Growth
by Maria Tránsito LópezYes, you can feel fantastic during menopause! Feel great just by following a few simple lifestyle rules. Eating, exercising, and sleeping well are keys to healthy living at any age, but these and other concerns are even more important during menopause. This guide will set you on the path to wellness and happiness as you embark on this journey.We have been led to believe that menopause is a kind of disorder, but it is not. It is just a new period in the life of every woman—a time when your body and personal life are changing. Hormonal imbalances experienced during menopause can lead to certain difficulties and inconveniences, but you can still live life to the fullest and find your own joy. In this book, you’ll find the guidelines for adapting to this new stage and discovering its many wonders. Among other things, you’ll learn all about:Relieving hot flashesSleeping wellAddressing emotions and mood swingsEnjoying a full sex lifeKeeping skin and bones in good healthNutrition for your changing bodyMaintaining a happy, healthy heartHelpful information and advice on physical changes, eating right, and staying fit make this book a must-read for women who are entering menopause and ready to embrace a new chapter in life.
Menopause, Me and You: The Sound of Women Pausing (Haworth Innovations In Feminist Studies)
by Ellen Cole Esther D Rothblum Ann M VodaMenopause, Me and You will help you put menopause in proper perspective--as a normal and natural developmental process in the lives of women, not as a disorder or state that causes disease. This informative book gives you self-monitoring tools for collecting information and monitoring changes in your body during menopause. These tools will also help you understand the dynamics of the change process. A guideline as to how to best use this information when interacting with care providers--especially those who view menopause as a disorder to be treated--is also included.Menopause, Me and You is filled with information-gathering tools, scientific facts, and stories from the true “experts” on menopause--the women themselves who have experienced or are experiencing menopause. In chapter after chapter, you’ll gain valuable information for viewing menopause from a woman-centered perspective. Specifically, the book includes: detailed information on conception and fertilization, reconceptualizing these events from a woman-centered, feminist perspective a description and reconceptualization of the menstrual cycle and menstruation, providing the knowledge base--the physiological, endrocrinological, and biochemical mechanisms that regulate the menstrual cycle and menstruation--to understand menopause as the closure of menstrual life and not the end of life a journey into the steroid hormone target cell--shows, at a scientific level, that women were genetically programmed to end the production of reproductive hormones a description and clarification of some of the terms used to describe menopause common menopausal changes and diseases attributed to being estrogen-deficient tools for gathering information, for “discovering knowledge,” about yourself--a menstrual calendar card, hot flash body diagrams, a basal body temperature record, a body composition record, a menstrual bleeding scale, and factors to consider when choosing a care providerThe women who share their experiences in Menopause, Me and You represent women at various stages of menopause. They describe for you what they are feeling as well as what it means to be a mid-life woman at the closure of reproductive life; they celebrate the end of menstruation but curse the changes--including mood swings, hot flashes, and vaginal/bleeding changes--they are experiencing. These changes are normal and expected, however, and need to be understood in that context. They are not symptoms of disease or an excuse for care providers to instantly prescribe hormones or drugs. With the information in Menopause, Me and You, women nearing or experiencing menopause, health care providers, such as nurses, health educators, and physicians, and counselors will better understand how women view this transition and come to accept it as another normal, necessary, and beautiful process in the lives of women.
Menopause, Postmenopause and Ageing
by Margaret Rees Louis Keith Tony ManderWomen live longer than men and one-third of the female population in Western societies is aged over 50. Postmenopausal health problems arising not only from ageing, but also from oestrogen deficiency, are therefore 'hot topics' for medical professionals.The third in a series published on behalf of the British Menopause Society, this book is authored by an international team of specialists who work in women's health during and postmenopause, and discusses how specific postmenopausal health problems are thought to arise and what are today's most promising treatment options.The book is split into three sections:Section 1: Determinants of diseaseCovers osteoporosis, cardiovascular disease, diabetes, dementia, breast, gynaecological and bowel cancers.Section 2: Common conditionsCovers the pathology, effects of ageing and oestrogen levels, symptoms, impact on women's lives, who and how to investigate, drug and non-drug therapies in the following conditions: dementia, myocardial infarction, stroke, osteoporosis, arthritis, incontinence.Section 3: Care of an ageing populationCaring at home, providing residential care.Menopause, postemenopause and Ageing provides a concise, easy-to-read guide for the multidisciplinary team involved in the management of health problems after the menopause. This book will be a valued resource for gynaecologists, general physicians, geriatricians, oncologists, cardiologists and orthopaedic surgeons, general practitioners, nurse specialists, medical students and all of those involved in providing healthcare to the menopausal woman.
Menopause: A Comprehensive Approach
by Antonio CanoThis book provides an evidence-based approach to the universal experience of menopause. Its structured format clearly separates the biological basis from the clinical impact and quality of life, while also examining menopause within the context of healthy aging. Accordingly, the book addresses issues related to innovations in menopausal hormone therapy and other therapies, together with relevant factors such as lifestyle, frailty, sarcopenia and new ICT technologies. Written by respected experts in the field, the book offers valuable guidance for gynecologists and professionals dedicated to women's health care and quality of life during aging, while sharing insightful insights for non-professionals.
Menopause: A Self-Help Guide to Feeling Better (50 Things Ser.)
by Wendy GreenAre you going through the menopause? Are you confused by conflicting advice about HRT and unsure which natural alternatives are effective? Wendy Green explains common physical and psychological symptoms and offers a holistic approach to help you deal with them, including simple lifestyle and dietary changes and DIY natural therapies.