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More Than Caring
by Josie MetcalfeIntensive care Lauren Scott has never found it easy to invest her feelings in relationships. Instead she's invested her care and attention in her nursing patients. Then handsome hospital administrator Marc Fletcher comes to her rescue. As Lauren becomes caught up in a case of mistaken identity, Marc becomes ever more protective--and attentive. Finally Lauren has found a man she can trust. But Marc has also been running away from relationships, and if they are to have a chance of a life together, Lauren must persuade Marc to accept some TLC in return.
More Than Hot: A Short History of Fever (Johns Hopkins Biographies of Disease)
by Christopher HamlinA conceptual and cultural history of fever, a universally experienced and sometimes feared symptom.Winner of the CHOICE Outstanding Academic Title of the Choice ACRLChristopher Hamlin’s magisterial work engages a common experience—fever—in all its varieties and meanings. Reviewing the representations of that condition from ancient times to the present, More Than Hot is a history of the world through the lens of fever. The book deals with the expression of fever, with the efforts of medical scientists to classify it, and with fever’s changing social, cultural, and political significance. Long before there were thermometers to measure it, people recognized fever as a dangerous, if transitory, state of being. It was the most familiar form of alienation from the normal self, a concern to communities and states as well as to patients, families, and healers. The earliest medical writers struggled for a conceptual vocabulary to explain fever. During the Enlightenment, the idea of fever became a means to acknowledge the biological experiences that united humans. A century later, in the age of imperialism, it would become a key element of conquest, both an important way of differentiating places and races, and of imposing global expectations of health. Ultimately the concept would split: "fevers" were dangerous and often exotic epidemic diseases, while "fever" remained a curious physiological state, certainly distressing but usually benign. By the end of the twentieth century, that divergence divided the world between a global South profoundly affected by fevers—chiefly malaria—and a North where fever, now merely a symptom, was so medically trivial as to be transformed into a familiar motif of popular culture.A senior historian of science and medicine, Hamlin shares stories from individuals—some eminent, many forgotten—who exemplify aspects of fever: reflections of the fevered, for whom fevers, and especially the vivid hallucinations of delirium, were sometimes transformative; of those who cared for them (nurses and, often, mothers); and of those who sought to explain deadly epidemic outbreaks. Significant also are the arguments of the reformers, for whom fever stood as a proxy for manifold forms of injustice. Broad in scope and sweep, Hamlin’s study is a reflection of how the meanings of diseases continue to shift, affecting not only the identities we create but often also our ability to survive.
More Than Medicine: Nurse Practitioners and the Problems They Solve for Patients, Health Care Organizations, and the State (The Culture and Politics of Health Care Work)
by LaTonya J. TrotterIn More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.
More Than You Can Handle: A Rare Disease, A Family in Crisis, and the Cutting-Edge Medicine That Cured the Incurable
by Miguel SanchoThe personally harrowing and medically enthralling story of a family's struggle to save a child from a deadly immune deficiency.A journey through the deepest valleys and highest peaks of parenting. When a two-month-old baby falls ill, his apparently ordinary symptoms turn out to signal a rare and lethal immune deficiency. For parents Miguel Sancho and Felicia Morton, the discovery that their son, Sebastian, has chronic granulomatous disease (CGD) upends their lives and leaves the family with few options, all of them terrifying. With Sebastian at constant risk of deadly infection, they spend the next six years in some degree of self-quarantine, with all its attendant anxieties and stressors, as they struggle to keep their son alive, their marriage intact, and themselves sane.The quest for a cure leads them into the alternate universe of the rare-disease community, and to the cutting edge of modern medicine, as their personal crises send them fumbling through various modalities of self-help, including faith, therapy, and meditation. With brutal honesty, Sancho describes how his struggles derail his career, put his marriage on life support, get his family evicted from a Ronald McDonald House, and ruin a Make-A-Wish trip.Sancho's riveting tale of the diagnosis and treatment of his son's illness takes us deep inside the workings of the immune system, and into the radically innovative treatment used to repair it. Ultimately Sebastian is saved with a stem cell transplant using discarded umbilical cord blood, a groundbreaking technique pioneered and practiced by the medical wizards at Duke University Hospital.Deeply researched and darkly humorous, this is a wrenching tale with a triumphant ending.
More Than a Health Crisis: Securitization and the US Response to the 20132016 Ebola Outbreak
by Jessica KirkHow the West African Ebola epidemic was transformed from an urgent and distant tragedy into an existential threat to American lives—establishing the dynamics that would later dominate the US response to epidemics such as COVID-19.In 2014 and 2015, the viral Ebola epidemic in West Africa inspired breathless US media coverage and became the subject of heated public debate over just how to understand the security issue that the outbreak presented. Was it a security concern because of the lives at risk in West Africa? Or because of its threat to regional and global stability? Or was it potentially a threat to the American people? In More Than a Health Crisis, Jessica Kirk reveals how these varied positions spoke to divisions within the American public, concerning how we think about and respond to uncertainty, competing expertise, and securitization.Kirk insightfully examines how experts in different fields offered conflicting assessments of the risks posed by Ebola, and then goes on to analyze how the US press undermined the authority of the public health experts who accurately predicted that the virus posed little danger to Americans. Reading the media coverage of the Ebola epidemic as a case study in the biopolitics of fear, Kirk considers how the US response reflected not only anxieties over globalization but also long-held narratives about the &“Dark Continent.&” Finally, Kirk shows how the US and global public response to the Ebola outbreak challenged traditional models of securitization and identifies patterns that have tragically recurred with subsequent epidemics such as COVID-19 and monkeypox.
More or Less Maddy: A Novel
by Lisa GenovaInstant #1 Bestseller The powerhouse New York Times bestselling author and Harvard-trained neuroscientist returns with a breathless, exhilarating, and heartbreaking novel about a young woman diagnosed with bipolar disorder and the ripple effects her mental health has on her family and her pursuit of a career in stand-up comedy.Maddy Banks is just like any other stressed-out freshman at NYU. Between heaps of homework, finals, and navigating life in the city, it&’s normal to be feeling the pressure. It doesn&’t help that she&’s always felt like the odd one out in her &“perfect&” Connecticut family: her blonde, toned, and tanned mother; her flawless, high-achieving, engaged sister, Emily; and her always popular, athletic, easygoing brother, Jack. Yet lately, Maddy&’s highs seem dizzyingly high, and the lows seem terrifyingly low. Suddenly, the things that used to make her happy are becoming harder and harder to grasp. When a spontaneous visit to a comedy club opens her eyes to a new hobby just as her mental health begins to spiral and an incident at a family Thanksgiving dinner leads to a terrifying breaking point—and to a new diagnosis—Maddy&’s life starts to look quite different. As she struggles to accept her bipolar disorder and attempts to navigate her burgeoning stand-up career, she&’ll have to figure out how to manage being both too much and not enough.
More than Medicine: The Broken Promise of American Health
by Robert M. KaplanAmerican science produces the best medical treatments in the world. Yet U.S. citizens lag behind in life expectancy and quality of life. Robert Kaplan marshals extensive data to make the case that U.S. health care priorities are sorely misplaced—invested in attacking disease, not in solving social problems that engender disease in the first place.
More with Less: Disasters in an Era of Diminishing Resources (International Humanitarian Affairs)
by Kevin M. CahillNatural and human-made disasters are increasing around the world. Hurricanes, typhoons, earthquakes, tsunamis, droughts, and resultant famine, floods, and armed conflicts are constant reminders of the frailty of our human race. Global warming may cause whole island states to be submerged as the oceans rise. In the past these acute and recurring crises have been met by the international community responding to UN andmedia appeals. The economic collapse of nations is now a reality; some of those most affected had been traditional, generous donors to disaster relief operations. It is unlikely—probably impossible—that they will beable to continue to contribute overseas when their own domestic needs are unmet.A recent New York Times front page report suggested that one of the few domestic issues to have bipartisan support was to cut the foreign aid budget. This book analyzes the global economic forecast and the UnitedNations pattern of philanthropy, provides a case study of how one nation with a tradition of giving will cope in the face of a marked reduction in flexible funds and then provides thoughtful chapters on new approachesto disaster preparedness and disaster response.
More-than-Human Aging: Animals, Robots, and Care in Later Life (Global Perspectives on Aging)
by Andrew Whitehouse Cristina DouglasWhat does later life look like when it is lived in the companionship of other species? Similarly, how do other species age (or not) with humans, and what sort of (a)symmetries, if any, are brought to light around how we understand and think about aging? So far, aging has been investigated in the social sciences in purely human terms. This is the first collection of original work that considers aging as taking place in relation to other species. This volume aims to start a conversation about aging by taking its more-than-human participants seriously—that is, not only as a support for or context of human aging but also, more symmetrically, as agents and subjects in the process of aging. The contributors draw upon richly descriptive ethnographic accounts, including moments of connection between seniors and dogs in a long-term care facility, human care for aging laboratory animals, and robotic companionship in later life. The ethnographies in this volume not only enrich our understanding of more-than-human companionship during the human aging process but also challenge and urge us to rethink what it means to live later in life in ecologically entangled social and moral worlds.
More-than-One Health: Humans, Animals, and the Environment Post-COVID (Routledge Studies in Environment and Health)
by Irus BravermanThis edited volume examines the complex entanglements of human, animal, and environmental health. It assembles leading scholars from the humanities, social sciences, natural sciences, and medicine to explore existing One Health approaches and to envision a mode of health that is both more-than-human and also more sensitive to, and explicit about, colonial and neocolonial legacies—urging the decolonization of One Health. While acknowledging the importance of One Health, the volume at the same time critically examines its roots, highlighting the structural biases and power dynamics still at play in this global health regime. The volume is distinctive in its geographic breadth. It travels from Inuit sled dogs in the Arctic to rock hyraxes in Jerusalem, from black-faced spoonbills in Taiwan to street dogs in India, from spittle-bugs on Mallorca’s almond trees to jellyfish management at sea, and from rabies in sub-Saharan Africa to massive culling practices in South Korea. Together, the contributors call for One Health to move toward a more transparent, plural, and just perception of health that takes seriously the role of more-than-humans and of nonscientific knowledges, pointing to ways in which One Health can—and should—be decolonized. This volume will appeal to researchers and practitioners in the medical humanities, posthumanities, environmental humanities, science and technology studies, animal studies, multispecies ethnography, anthrozoology, and critical public health.
More: Population, Nature and What Women Want
by Robert EngelmanIn the capital of Ghana, a teenager nicknamed "Condom Sister" trolls the streets to educate other young people about contraception. Her work and her own aspirations point to a remarkable shift not only in the West African nation, where just a few decades ago women had nearly seven children on average, but around the globe. While world population continues to grow, family size keeps dropping in countries as diverse as Switzerland and South Africa. The phenomenon has some lamenting the imminent extinction of humanity, while others warn that our numbers will soon outgrow the planet's resources. Robert Engelman offers a decidedly different vision--one that celebrates womens' widespread desire for smaller families. Mothers aren't seeking more children, he argues, but more for their children. If they're able to realize their intentions, we just might suffer less climate change, hunger, and disease, not to mention sky-high housing costs and infuriating traffic jams. In More, Engelman shows that this three-way dance between population, womens' autonomy, and the natural world is as old as humanity itself. He traces pivotal developments in our history that set population--and society--on its current trajectory, from hominids' first steps on two feet to the persecution of 'witches' in Europe to the creation of modern contraception. Both personal and sweeping, More explores how population growth has shaped modern civilization --and humanity as we know it. The result is a mind-stretching exploration of parenthood, sex, and culture through the ages. Yet for all its fascinating historical detail, More is primarily about the choices we face today. Whether society supports women to have children when and only when they choose to will not only shape their lives, but the world all our children will inherit.
Morgan & Mikhail's Clinical Anesthesiology Fifth Edition
by John F. Butterworth David C. Mackey John D. WasnickCurrent, concise, and engagingly written, Morgan & Mikhail’s Clinical Anesthesiology, Fifth Edition is a true essential for all anesthesia students and practitioners. This trusted classic delivers comprehensive coverage of the field’s must-know basic science and clinical topics in a clear, easy-to-understand presentation. Indispensable for coursework, exam review, and as a clinical refresher, this trusted text has been extensively updated to reflect the latest research and developments.
Morgue: A Life in Death
by Ron Franscell Vincent Di MaioIn this clear-eyed, gritty, and enthralling narrative, Dr. Vincent Di Maio and veteran crime writer Ron Franscell guide us behind the morgue doors to tell a fascinating life story through the cases that have made DiMaio famous--from the exhumation of assassin Lee Harvey Oswald to the complex issues in the shooting of Florida teenager Trayvon Martin. Beginning with his street-smart Italian origins in Brooklyn, the book spans 40 years of work and more than 9,000 autopsies, and Di Maio's eventual rise into the pantheon of forensic scientists. One of the country's most methodical and intuitive criminal pathologists will dissect himself, maintaining a nearly continuous flow of suspenseful stories, revealing anecdotes, and enough macabre insider details to rivet the most fervent crime fans.
Moriello's Small Animal Dermatology Volume 1, Fundamental Cases and Concepts: Self-Assessment Color Review, Second Edition (Veterinary Self-Assessment Color Review Series)
by Darren BergerKaren Moriello's seminal book has been completely updated in an effort to create a true two-volume set highlighting fundamental and advanced concepts. This revised fundamental edition includes all new cases and nearly 300 new images. The guide uses a case-based format to deliver a general overview of dermatology of the dog and cat, providing a reference that mirrors the way veterinarians will encounter different scenarios at random in real-life practice. It uses self-assessment problems to review the most common skin diseases encountered every day, plus some more obscure diseases that a veterinarian will face.
Morir sin miedo y sin dolor: Una guía para acompañar al paciente terminal
by Hector Echeverri TobonUn libro para que el acompañante del paciente terminal encuentre esperanza, consuelo y una guía para acercarse a la muerte desde otra perspectiva. <P><P>Cuando un ser humano es declarado como un "paciente terminal" sufre un enorme impacto emocional y se desatan en él toda suerte de procesos físicos, psicológicos y psíquicos. Por ello, requiere comprensión, honestidad, compañía y atención sin límites de sus familiares y seres queridos, pero ellos también se hallan bajo el profundo efecto de esta noticia. <P><P>Es un momento difícil para todos en el que, sin importar las buenas intenciones, se suelen cometer graves errores que lesionan la unidad familiar, le generan al paciente un malestar innecesario y convierten la despedida más importante de su vida en un momento de angustia y dolor. <P><P> El doctor Héctor Echeverri Tobón, después de haber acompañado en sus últimos días a más de doscientos pacientes terminales, comparte en este libro sus enseñanzas y aprendizajes, un cúmulo de conocimientos en los que se vislumbra una ruta para acompañar al buen morir y para entender la muerte desde una perspectiva más natural.
Morphine and Metastasis
by Marie-Odile ParatThis book would combine chapters written by the most qualified authors around the world whose research encompasses the effect of morphine or other opioids on tumor growth and metastasis. This includes clinicians involved in trials determining which type of post surgical pain management can minimize the risk of recurrence or metastasis, researchers working on animal models and studying the effect of morphine on tumors, and most importantly the mechanism for this effect, and lastly cell biologists. There is currently a lot of research going on trying to reconcile the pro- and anti-cancer aspects of opioids actions.
Morphodynamic Imaging in Achalasia
by Giovanni FontanellaThis book embarks on a journey never taken before, approaching the imaging of the disease of achalasia with new pathophysiological assumptions in mind, coming from the Chicago Classification of Manometric diagnosis. Using state-of-the-art, modern x-ray technology, the authors have developed a schematic and simple approach to detection, diagnosis, and patient stadiation and prognostic stratification, for radiologists, clinicians, and students. Key Features: 1. Serves as a useful guide to structured and comprehensive reporting of barium swallows, both in achalasia and other oesophageal motility disorders. 2. Allows radiologists, both specialists, and trainees, to comprehensively understand achalasia from anatomic, pathophysiologic, therapeutic points of view, allowing for exact comprehension, detection, and reporting of the radiologic hallmarks of the disease. 3. Empowers readers to diagnose and define the exact achalasia subtype in each patient, due to the specifically developed FBF score.
Morphofunctional Aspects of Tumor Microcirculation
by Domenico RibattiBlood vessels of tumors display many structural and functional abnormalities. Their unusual leakiness, potential for rapid growth and remodeling, and expression of distinctive surface molecules mediate the dissemination of tumor cells in the bloodstream and maintain the tumor microenvironment. Like normal blood vessels, they consist of endothelial cells, mural cells and their enveloping basement membrane. Common features, irrespective of their origin, size and growth pattern, are absent hierarchy, formation of large-caliber sinusoidal vessels, markedly heterogeneous density, increased permeability, decreased and abnormal pericyte-endothelial cell adhesion, irregular basement membrane structure, and the incorporation of bone-marrow-derived endothelial progenitor cells in the microvasculature. A number of specific tumor endothelial markers have been identified, as well as chromosomal abnormalities. These markers may be used to deliver drugs specifically and selectively to the tumor microvasculature.
Morphofunctional and Neurochemical Aspects of the Mammalian Carotid Body (Advances in Anatomy, Embryology and Cell Biology #237)
by Nikolai E. Lazarov Dimitrinka Y. AtanasovaThis new volume of the book series Advances in Anatomy, Embryology and Cell Biology provides a complete and exhaustive overview of the morphofunctional organization of the mammalian carotid body, a polymodal chemosensory organ responsible for the maintenance of blood gas homeostasis. The authors review the state of the art of the neurochemical anatomy of carotid body´s cell populations with a special reference to their structural and neurochemical plasticity. The essential role of this organ in the generation, progression and maintenance of cardiorespiratory and metabolic diseases in humans and other mammals is presented. Finally, the book summarizes current knowledge on the stem cell niche in the mammalian carotid body and discusses its contribution to replacement cell therapy and other potential applications in translational research. This book represents an essential reading for physiologists, anatomists, cell, and developmental biologists, as well as physicians, veterinarians, and biomedical researchers.
Morphogenesis and Individuation
by Alessandro Sarti Federico Montanari Francesco GalofaroThis contributed volume aims to reconsider the concept of individuation, clarifying its articulation with respect to contemporary problems in perceptual, neural, developmental, semiotic and social morphogenesis. The authors approach the ontogenetical issue by taking into account the morphogenetic process, involving the concept of individuation proposed by Gilbert Simondon and Gilles Deleuze. The target audience primarily comprises experts in the field but the book may also be beneficial for graduate students. The challenge of the genesis and constitution of "units" has always been at the center of philosophical and scientific research. This ontogenetical issue is common to every discipline but it is articulated in different ways: in phenomenology of perception the constitution of perceptual units is at the base of gestalt field theories, in theoretical neuroscience synchronized neural assemblies are considered as correlates of conscious processes, in developmental embryogenesis the constitution of organs is the principle outcome of morphodynamic evolution while in social morphogenesis the constitution of coherent units is common to segmentary, gerarchic and functional differentiation.
Morphogenesis and Pathogenicity in Fungi
by José Pérez Martín Antonio Di PietroInfectious fungal diseases continue to take their toll in terms of human suffering and enormous economic losses. Invasive infections by opportunistic fungal pathogens are a major cause of morbidity and mortality in immuno-compromised individuals. At the same time, plant pathogenic fungi have devastating effects on crop production and human health. New strategies for antifungal control are required to meet the challenges posed by these agents, and such approaches can only be developed through the identification of novel biochemical and molecular targets. However, in contrast to bacterial pathogens, fungi display a wealth of "lifestyles" and modes of infection. This diversity makes it extremely difficult to identify individual, evolutionarily conserved virulence determinants and represents a major stumbling block in the search for common antifungal targets. In order to activate the infection programme, all fungal pathogens must undergo appropriate developmental transitions that involve cellular differentiation and the introduction of a new morphogenetic programme. How growth, cell cycle progression and morphogenesis are co-ordinately regulated during development has been an active area of research in fungal model systems such as budding and fission yeast. By contrast, we have only limited knowledge of how these developmental processes shape fungal pathogenicity, or of the role of the cell cycle and morphogenesis regulators as true virulence factors. This book combines state-of-the-art expertise from diverse pathogen model systems to update our current understanding of the regulation of fungal morphogenesis as a key determinant of pathogenicity in fungi.
Morphogenesis and the Crisis of Normativity
by Margaret S. ArcherThis volume explores the development and consequences of morphogenesis on normative regulation. It starts out by describing the great normative transformations from morphostasis, as the precondition of a harmonious relationship between legal validity and normative consensus in society, to morphogenesis, which tends to strongly undermine existing laws, norms, rules, rights and obligations because of the new variety it introduces. Next, it studies the decline of normative consensus resulting from the changes in the social contexts that made previous forms of normativity, based upon 'habits, 'habitus' and 'routine action', unhelpfully misleading because they no longer constituted relevant guidelines to action. It shows how this led to the 'Reflexive Imperative' with subjects having to work out their own purposeful actions in relation to their objective social circumstances and their personal concerns, if they were to be active rather than passive agents. Finally, the book analyses what makes for chance in normativity, and what will underwrite future social regulation. It discusses whether it is possible to establish a new corpus of laws, norms and rules, given that intense morphogenesis denies the durability of any new stable context.
Morphogenesis of Spatial Networks
by Marc BarthelemyThis book develops a morphodynamical approach of urban networks with a particular emphasis on infrastructure networks such as streets, roads and transportation networks (subway, train). The authors present the mathematical tools needed to characterize these structures and how they evolve in time. The book discusses the most important empirical results and stylized facts, and will present the most important modeling approaches. The target audience primarily comprises research experts in the field, but the book may also be beneficial for graduate students.
Morphological Aspects of Inner Ear Disease
by Yasuya NomuraThis book approaches inner ear diseases from a perspective that is as multifaceted as the diseases themselves. Common among these disorders are sudden deafness, Ménière's disease, and perilymphatic fistula. With an awareness of the generally insufficient understanding of the causes and etiologies of these and other inner ear diseases, the author helps to fill those gaps in knowledge. Several factors have impeded a clearer understanding of inner ear diseases, chiefly the small size of the organ and its location in the hard temporal bone and, consequently, the inadequate resolution of CT and MRI images for pathophysiological analysis. This book provides morphological information about the inner ear, elucidating its fluids and blood vessels to help familiarize the reader with the complicated inner ear structures. Important information about how the inner ear responds to various stimuli is also given for a better understanding of the characteristics of the organ. Included are chapters describing specific diseases and animal models of the diseases. Examples and illustrations are presented for surgical applications. For instance, patients with intractable vertigo of inner-ear origin require surgical treatment and the application of a laser to the vestibular labyrinth, described in detail. With its generous use of color photographs, this book is an excellent reference text for all doctors and trainees in the field of otolaryngology.
Morphological and Cellular Aspects of Tail and Limb Regeneration in Lizards
by Lorenzo AlibardiThe present review deals with the analysis of the cytological processess occurring during tissue regeneration in the tail and limb of lizards. These reptiles are considered as a model to understand the process of tissue regeneration in all amniotes. The review begins with some evolutive considerations on the origin of tail regeneration in comparison to the failure of limb regeneration, a unique case among amniotes. The formation of the tail in the embryo and the possible accumulation of stem cells in autotomous planes of the tail are discussed. The histological and ultrastructural processess occuring during blastema formation and tail regeneration and during limb cicatrization are presented. The comparison stresses the scarse to absent inflammatory reaction present in the tail vs the massive inflammatory response in the limb leading to scarring. In fact the experimental induction of a strong inflammation in the tail also leads to scarring. The importance of the nervous system in stimulating tail regeneration in lizards is emphasized. The presence of growth factors and extracellular matrix proteins during wound healing of the tail and limb is introduced. The review concludes stressing the importance of the lizard model of tissue regeneration for medical studies and applications.