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Recurrent Pregnancy Loss
by Sumita Mehta Bindiya GuptaThis book covers the entire topic of recurrent miscarriage extensively. Chapters cover demographics to recent and future management options. A special section on the role of controversial strategies has also been included. Lastly, the book features dedicated chapters on evidence-based approaches, which include step-by-step algorithms for the reader’s convenience.
Recurrent Pregnancy Loss and Adverse Natal Outcomes
by Minakshi RohillaRecurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history. Key Features Explores the management of different clinical presentations of RPL Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy Includes clinical protocols with flowcharts Features tip boxes with learning points for easy reference
Recurrent Respiratory Papillomatosis
by Paolo CampisiThis volume provides a comprehensive review of recurrent respiratory papillomatosis and an up-to-date understanding of the etiology, pathophysiology, and management of these rare tumors caused by the human papillomavirus (HPV). The text covers the potential role of vaccines, its significant role in prevention and the controversy surrounding the use of them. Topics such as impact, quality of life, and patient advocacy are also covered and are vital to understanding the disease from the patient perspective. Recurrent Respiratory Papillomatosis will be an invaluable resource for practicing otolaryngologists, laryngologists, anesthesiologists, infectious disease specialists, and residents participating in the care of patients with this disease.
The Recursive Mind
by Michael C. CorballisThe Recursive Mind challenges the commonly held notion that language is what makes us uniquely human. In this compelling book, Michael Corballis argues that what distinguishes us in the animal kingdom is our capacity for recursion: the ability to embed our thoughts within other thoughts. "I think, therefore I am," is an example of recursive thought, because the thinker has inserted himself into his thought. Recursion enables us to conceive of our own minds and the minds of others. It also gives us the power of mental "time travel"--the ability to insert past experiences, or imagined future ones, into present consciousness. Drawing on neuroscience, psychology, animal behavior, anthropology, and archaeology, Corballis demonstrates how these recursive structures led to the emergence of language and speech, which ultimately enabled us to share our thoughts, plan with others, and reshape our environment to better reflect our creative imaginations. He shows how the recursive mind was critical to survival in the harsh conditions of the Pleistocene epoch, and how it evolved to foster social cohesion. He traces how language itself adapted to recursive thinking, first through manual gestures, then later, with the emergence of Homo sapiens, vocally. Toolmaking and manufacture arose, and the application of recursive principles to these activities in turn led to the complexities of human civilization, the extinction of fellow large-brained hominins like the Neandertals, and our species' supremacy over the physical world.Some images inside the book are unavailable due to digital copyright restrictions.
The Recursive Mind: The Origins of Human Language, Thought, and Civilization
by Michael C. CorballisThe Recursive Mind challenges the commonly held notion that language is what makes us uniquely human. In this compelling book, Michael Corballis argues that what distinguishes us in the animal kingdom is our capacity for recursion: the ability to embed our thoughts within other thoughts. "I think, therefore I am," is an example of recursive thought, because the thinker has inserted himself into his thought. Recursion enables us to conceive of our own minds and the minds of others. It also gives us the power of mental "time travel"--the ability to insert past experiences, or imagined future ones, into present consciousness.Drawing on neuroscience, psychology, animal behavior, anthropology, and archaeology, Corballis demonstrates how these recursive structures led to the emergence of language and speech, which ultimately enabled us to share our thoughts, plan with others, and reshape our environment to better reflect our creative imaginations. He shows how the recursive mind was critical to survival in the harsh conditions of the Pleistocene epoch, and how it evolved to foster social cohesion. He traces how language itself adapted to recursive thinking, first through manual gestures, then later, with the emergence of Homo sapiens, vocally. Toolmaking and manufacture arose, and the application of recursive principles to these activities in turn led to the complexities of human civilization, the extinction of fellow large-brained hominins like the Neandertals, and our species' supremacy over the physical world.
Red Alert
by Jessica AndersenPROTECTING HER BECAME HIS JOB...AND HIS OBSESSIONDr. Meg Corning detested the way Erik Falco stormed the halls of Boston General Hospital as if he owned the place. The fallen-cop-turned-ruthless-businessman was throwing his weight around in his bid to gain control of her breakthrough medical technology. But putting this sexy stranger in his place seemed impossible once he swooped to the rescue during a series of mysterious “accidents.” Before long, the explosive heat between them set off a chain reaction of pleasure and pain that nearly immobilized her. After Falco made a heart-stopping move to keep her safe, the data-obsessed doc knew it was time to analyze his true motives-and her own traitorous desires. Could they forge a bond of trust in time to outsmart a cold-blooded killer?
Red Blood Cell Aggregation
by Oguz Baskurt Björn Neu Herbert J. MeiselmanRed blood cells in humans-and most other mammals-have a tendency to form aggregates with a characteristic face-to-face morphology, similar to a stack of coins. Known as rouleaux, these aggregates are a normally occurring phenomenon and have a major impact on blood rheology. What is the underlying mechanism that produces this pattern? Does this real
Red Blood Cell Substitutes: Basic Principles and Clinical Applications: Basic Principles and Clinical Applications
by John R. Wilson Sarah SharplesPresents an up-to-date treatment of research strategies, clinical and commercial developments, and regulatory and economic issues pertaining to the formulation of effective and safe red blood cell substitutes. The text examines regulatory and socioeconomic aspects of blood substitute products, and global tranfusion practices from the perspective of
The Red Market: On the Trail of the World's Organ Brokers, Bone Thieves, Blood Farmers, and Child Traffickers
by Scott Carney“An unforgettable nonfiction thriller, expertly reported….A tremendously revealing and twisted ride, where life and death are now mere cold cash commodities.”—Michael Largo, author of Final ExitsAward-winning investigative journalist and contributing Wired editor Scott Carney leads readers on a breathtaking journey through the macabre underworld of the global body bazaar, where organs, bones, and even live people are bought and sold on The Red Market. As gripping as CSI and as eye-opening as Mary Roach’s Stiff, Carney’s The Red Market sheds a blazing new light on the disturbing, billion-dollar business of trading in human body parts, bodies, and child trafficking, raising issues and exposing corruptions almost too bizarre and shocking to imagine.
Red Meat Science and Production: Volume 1. The Consumer and Extrinsic Meat Character
by Joseph William Holloway Jianping WuThis book comprehensively describes the biological underpinnings of red meat production, discussing the current state of the science in the context of the provision of red meat products perceived by consumers to offer a quality eating experience. Covering advances in the science of red meat production, it focuses on production system elements that affect product quality. The chapters explore the latest developments in the determination of consumer preferences, and interpret of these preferences in terms of quality characteristics of red meat, investigating the science-based orchestration of red meat production to achieve product consistency. The book highlights topics such as consumer preferences, the biological and production system elements affecting red meat safety, and the intrinsic (appearance, aroma, and sensory quality) and extrinsic (humane animal and environmentally friendly production) characteristics of red meat. For each characteristic, it discusses the underlying biological and biochemical processes and examines means of altering production systems to impact consumer eating experiences. The book also features a perspective on creating holistic integrated systems for producing red meats to meet consumers’ expectations around the globe. Written by leading authorities in the area of global red meat production systems, it is a comprehensive resource for consumer-oriented red meat producers.
Red Meat Science and Production: Volume 2. Intrinsic Meat Character
by Joseph William Holloway Jianping WuThis book comprehensively describes the biological underpinnings of red meat production, discussing the current state of the science in the context of the provision of red meat products perceived by consumers to offer a quality eating experience. Covering advances in the science of red meat production, it focuses on production system elements that affect product quality. The chapters explore the latest developments in the determination of consumer preferences, and interpret of these preferences in terms of quality characteristics of red meat, investigating the science-based orchestration of red meat production to achieve product consistency. The book highlights topics such as consumer preferences, the biological and production system elements affecting red meat safety, and the intrinsic (appearance, aroma, and sensory quality) and extrinsic (humane animal and environmentally friendly production) characteristics of red meat. For each characteristic, it discusses the underlying biological and biochemical processes and examines means of altering production systems to impact consumer eating experiences. The book also features a perspective on creating holistic integrated systems for producing red meats to meet consumers’ expectations around the globe. Written by leading authorities in the area of global red meat production systems, it is a comprehensive resource for consumer-oriented red meat producers.
Red Mist (Kay Scarpetta #19)
by Patricia CornwellThe nineteenth book in the Kay Scarpetta series, from No. 1 bestselling author Patricia Cornwell.'America's most chilling writer of crime fiction' The TimesKay Scarpetta has arranged to meet an inmate at the high-security Georgia Prison for Women. The prisoner is a convicted sex offender and the mother of a vicious and diabolically brilliant killer.Against advice, Scarpetta is determined to hear this woman out - she believes she may hold some answers to the murder of her former deputy. But soon she finds connections to a string of grisly killings.As she learns more, Scarpetta is compelled to conclude that this is only the beginning of a terrifying terrain of conspiracy on an international scale. And she is the only one who can stop it . . .The next book in the Scarpetta series is The Bone Bed. And the brand-new instalment, Identity Unknown, is available now!DISCOVER THE SERIES THAT SHAPED THE WORLD OF CRIME FICTION'One of the best crime writers writing today' Guardian 'Devilishly clever' Sunday Times 'The top gun in this field' Daily Telegraph 'Forget the pretenders. Cornwell reigns' Mirror 'The Agatha Christie of the DNA age' Express
Redacción del escrito médico para medicina basada en evidencias
by José Osvel Hinojosa PérezAunque mucho podría dilucidarse sobre la necesidad de capacitar al profesional de la medicina en redacción científica, la importancia puede reducirse en esencia a señalar que un trabajo científico, por importante o espectacular que sea, no termina hasta que sus resultados se publican. <P><P>El objetivo central de la ciencia es generar conocimiento, pero ese conocimiento no tiene ningún significado si no es difundido. Redacción del escrito médico para medicina basada en evidencias responde a una necesidad de gran importancia en un mundo donde los descubrimientos y las nuevas tecnologías se amplían y renuevan día a día, y cuyos resultados, como bien señala Robert A. Day, sólo se muestran hasta que son publicados. El Dr. José Osvel Hinojosa Pérez responde a esa necesidad de difundir el conocimiento y entrega a sus colegas algo mucho más que un manual para redactar un escrito médico. <P><P>Su trabajo se basa en una preceptiva yuna normatividad que a lo largo del tiempo se ha ido desarrollando. La medicina basada en evidencias, ese continuo reflexionar con base en la teoría y la experiencia encuentra en esta publicación un vehículo apropiado donde el método científico y la metodología de la enseñanza caminan de la mano. Un texto que todo médico, estudiante de medicina, profesional de las ciencias de la salud o cualquier persona relacionada con la publicación de escritos médicos, debe tener en su biblioteca.
Redefining Aging: A Caregiver's Guide to Living Your Best Life
by Ann Kaiser StearnsMyth-busting insights that will empower family members to cope with the challenges and blessings of caregiving while aging successfully themselves.Caring for an elderly family member can be overwhelming. But fulfilling life experiences are still possible for both caregivers and their loved ones, despite the stress and fatigue of caregiving.In this comprehensive book, best-selling author Ann Kaiser Stearns explores the practical and personal challenges of both caregiving and successful aging. She couples findings from the latest research with powerful insights and problem-solving tips to help caregivers achieve the best life possible for those they care for—and for themselves as they age. Topics include• Improving the quality of life for the one giving and the one receiving care• Distinguishing normal aging from early warning signs • Understanding caregiver sadness, resentment, guilt, and grief• Using strategies and skills to minimize an impaired elder's distress and emotional outbursts and the caregiver's own anxieties about growing old• Finding resources to aid in the care of the loved one and protect the caregiver from stress overload • Moving forward after the death of a loved one to have a meaningful life of one's own • Overcoming ageist stereotypes and deciding what kind of "old person" one will be• Making life easier for those who someday will care for usRedefining Aging will help readers think differently about caregiving and their own aging.
Redefining Aging: A Caregiver's Guide to Living Your Best Life
by Ann Kaiser StearnsThe bestselling author of Living Through Personal Crisis delivers &“a comprehensive guide to the challenges of elder care for family members&” (Jesse F. Ballenger, coeditor of Treating Dementia). Caring for an elderly family member can be overwhelming. But fulfilling life experiences are still possible for both caregivers and their loved ones, despite the stress and fatigue of caregiving. In this comprehensive book, bestselling author Ann Kaiser Stearns explores the practical and personal challenges of both caregiving and successful aging. She couples findings from the latest research with powerful insights and problem-solving tips to help caregivers achieve the best life possible for those they care for—and for themselves as they age. Topics include: Improving the quality of life for the one giving and the one receiving careDistinguishing normal aging from early warning signsUnderstanding caregiver sadness, resentment, guilt, and griefUsing strategies and skills to minimize an impaired elder&’s distress and emotional outbursts and the caregiver&’s own anxieties about growing oldFinding resources to aid in the care of the loved one and protect the caregiver from stress overloadMoving forward after the death of a loved one to have a meaningful life of one&’s ownOvercoming ageist stereotypes and deciding what kind of &“old person&” one will beMaking life easier for those who someday will care for usRedefining Aging will help readers think differently about caregiving and their own aging.&“Ann Kaiser Stearns offers a wide-ranging and thoughtful discussion of lessons learned about the joys and challenges of caregiving for a chronically ill loved one.&” —Peter V. Rabins, MD, MPH, coauthor of The 36-Hour Day
Redefining Innovation: Embracing the 80-80 Rule to Ignite Growth in the Biopharmaceutical Industry
by Ruchin Kansal Jeff HuthMost people marvel at the level of innovation demonstrated by the biopharmaceutical industry in bringing new products to the market – especially in the past 20 years. However, there is a crisis looming in the industry that should be a concern to all of us who take for granted the constant pace at which new treatments, and increasingly cures, have emerged from the laboratories of current sector incumbents. In the book, we examine the evolution of the biopharmaceutical industry to understand how it became what we term a "unicorn industry" with a unique, US-centered business model that has led to multiple blockbuster products (aka, unicorns) year after year. We explore how past success has created perceived barriers to innovation diversification beyond the chemical or biological-based biopharmaceutical product, and highlight the warning signs of the industry’s decline. We define a potential pathway for transforming the industry’s business model by broadening the definition, sources, and enablers of innovation beyond the traditional biopharmaceutical product. We introduce and advocate for the 80-80 Rule - "Being 80% confident that you will only be 80% right the first time should feel normal." The 80-80 Rule is a theme that emphasizes speed and willingness to embrace uncertainty and overcome internal barriers to change. It sets the standard for redefining innovation as a platform to reignite growth of the biopharmaceutical industry.
Redesigning Continuing Education in the Health Professions
by Institute of Medicine of the National AcademiesToday in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels. To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation's approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency. Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.
Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches - Workshop Summary
by Institute of Medicine of the National AcademiesRecent scientific and technological advances have accelerated our understanding of the causes of disease development and progression,and resulted in innovative treatments and therapies. Ongoing work to elucidate the effects of individual genetic variation on patient outcomes suggests the rapid pace of discovery in the biomedical sciences will only accelerate. However,these advances belie an important and increasing shortfall between the expansion in therapy and treatment options and knowledge about how these interventions might be applied appropriately to individual patients. The impressive gains made in Americans' health over the past decades provide only a preview of what might be possible when data on treatment effects and patient outcomes are systematically captured and used to evaluate their effectiveness. Needed for progress are advances as dramatic as those experienced in biomedicine in our approach to assessing clinical effectiveness. In the emerging era of tailored treatments and rapidly evolving practice,ensuring the translation of scientific discovery into improved health outcomes requires a new approach to clinical evaluation. A paradigm that supports a continual learning process about what works best for individual patients will not only take advantage of the rigor of trials,but also incorporate other methods that might bring insights relevant to clinical care and endeavor to match the right method to the question at hand. The Institute of Medicine Roundtable on Value & Science-Driven Health Care's vision for a learning healthcare system,in which evidence is applied and generated as a natural course of care,is premised on the development of a research capacity that is structured to provide timely and accurate evidence relevant to the clinical decisions faced by patients and providers. As part of the Roundtable's Learning Healthcare System series of workshops,clinical researchers,academics,and policy makers gathered for the workshop Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches. Participants explored cutting-edge research designs and methods and discussed strategies for development of a research paradigm to better accommodate the diverse array of emerging data resources,study designs,tools,and techniques. Presentations and discussions are summarized in this volume.
Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches - Workshop Summary
by Leighanne Olsen J. Michael Mcginnis Roundtable On Value Science-Driven Health Care Institute of MedicineRecent scientific and technological advances have accelerated our understanding of the causes of disease development and progression,and resulted in innovative treatments and therapies. Ongoing work to elucidate the effects of individual genetic variation on patient outcomes suggests the rapid pace of discovery in the biomedical sciences will only accelerate. However,these advances belie an important and increasing shortfall between the expansion in therapy and treatment options and knowledge about how these interventions might be applied appropriately to individual patients. The impressive gains made in Americans' health over the past decades provide only a preview of what might be possible when data on treatment effects and patient outcomes are systematically captured and used to evaluate their effectiveness. Needed for progress are advances as dramatic as those experienced in biomedicine in our approach to assessing clinical effectiveness. In the emerging era of tailored treatments and rapidly evolving practice,ensuring the translation of scientific discovery into improved health outcomes requires a new approach to clinical evaluation. A paradigm that supports a continual learning process about what works best for individual patients will not only take advantage of the rigor of trials,but also incorporate other methods that might bring insights relevant to clinical care and endeavor to match the right method to the question at hand. The Institute of Medicine Roundtable on Value & Science-Driven Health Care's vision for a learning healthcare system,in which evidence is applied and generated as a natural course of care,is premised on the development of a research capacity that is structured to provide timely and accurate evidence relevant to the clinical decisions faced by patients and providers. As part of the Roundtable's Learning Healthcare System series of workshops,clinical researchers,academics,and policy makers gathered for the workshop Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches. Participants explored cutting-edge research designs and methods and discussed strategies for development of a research paradigm to better accommodate the diverse array of emerging data resources,study designs,tools,and techniques. Presentations and discussions are summarized in this volume.
Redesigning the Nursing and Human Resource Partnership: A Model for the New Normal Era
by Yupin Aungsuroch Joko Gunawan Mary L. FisherThis book focuses on the partnership between nursing and human resource management in hospital administration. In doing so, it addresses the barriers and challenges in the process of competence-based recruitment and selection, training and development, rewards and benefits, performance appraisal, career planning and development, and succession planning of nurses in the hospitals, specifically to face the new normal era. There is no doubt that the demand for nurses has been great during the COVID-19 pandemic. Nurses have become the heroes in the battle of the virus, and their hard work should be appreciated. Yet, burnout, stress, and depression among nurses have become the main issues during the pandemic. Some nurses leave their jobs and profession due to an excessive and stressful workload. This crisis puts a new focus on human resource management in hospital administration to retain their nurses, and also improve the quality of care. In addition to addressing the points above, the book also offers recommendations to resolve the barriers and challenges of competence-based human resource management by emphasizing the partnership between nursing and human recourses to influence nurse practice and human resource policy positively.
REDIRECTING INNOVATION IN U.S. HEALTH CARE: Options to Decrease Spending and Increase Value
by Steven Garber Susan M. Gates Emmett B. Keeler Mary E. Vaiana Andrew W. Mulcahy Christopher Lau Arthur L. KellermannNew medical technologies are a leading driver of U. S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases.
Rediscovering the Other America: The Continuing Crisis of Poverty and Inequality in the United States
by Elizabeth Segal Keith KiltyLearn why it is imperative to bring a progressive focus back to social welfare policy! This vital book explores recent research on poverty and inequality, identifies strategies for ensuring adequate services, and challenges many of the inaccurate beliefs that were used to justify welfare reform legislation in 1996. You'll find up-to-date information on various marginalized groups and their social problems, including lack of health coverage for women with mental health, substance abuse, and domestic violence problems. In addition, you'll find data on the health coverage situation for the poor, for Appalachians, and for women in general. Finally, Rediscovering the Other America: The Continuing Crisis of Poverty and Inequality in the United States suggests strategies for changing public perceptions about the nature of poverty and the poor. From the editors: "In 1962, Michael Harrington published The Other America, which documented how deeply entrenched poverty and inequality were in one of the wealthiest countries in the world. Four decades later, we find it necessary once again to rediscover this profound social condition. The purpose of this book is to awaken policymakers and the public to this situation once again, in order to affect the nature of public policies dealing with these issues." Rediscovering the Other America: The Continuing Crisis of Poverty and Inequality in the United States covers a wide range of issues, some similar to what Harrington described in 1962 and some reflecting recent social, political, and economic developments. Specifically, the book addresses: providing health care coverage for the poor why poverty persisted during the economic boom of the Clinton presidency politicians' views and beliefs regarding poverty, welfare, and welfare recipients the impact of the 1996 welfare reform legislation on the nonprofit sector economic differences between women and men poverty in Appalachia the impact of welfare reform on those who receive public assistance
Redo Cardiac Surgery in Adults
by Lars G. Svensson Hartzell V. Schaff V. R. MachirajuRedo cardiac surgeries are challenging cases with a myriad of influential factors, ranging from the patient's pathology to the whimsy of the previous surgeon. Redo Cardiac Surgery in Adults, 2nd Edition clearly outlines practical approaches, surgical techniques, and management of associated conditions such as perioperative stroke and acute kidney function. It covers the spectrum of redo cardiac operations, including coronary artery bypass, mitral valve repair, reoperation for prosthetic mitral valve endocarditis, aortic arch reoperation, descending and thoracoabdominal aortic reoperation, and reoperations following endovascular aortic repair. All redo cardiac surgeries present a complex array of challenges beyond what the original procedure demands. This book, written by an outstanding group of prominent physicians, will give the reader the knowledge and tools to approach these cases with confidence.
Redox Biology in Plasma Medicine (Oxidative Stress and Disease)
by Thomas Von Woedtke Sander BekeschusPlasma medicine uses non-equilibrium plasmas generated under atmospheric-pressure conditions. Therapeutical plasmas can stimulate tissue regeneration or inactivate cancer cells. This book reviews the interrelation between plasma chemistry and biochemistry complemented by discussion of the ways plasmas inactivate various pathogens. Focus is on the plasma effects on mammalian cells, subsequent consequences for cell-biological processes, and plasma applicability specific medical therapies. Contributions illustrate the ways cold atmospheric-pressure plasma can be used as a controllable source of redox-active species and as a useful tool for research in redox biology.Key Features Summarizes plasma chemistry, biochemistry, and microbiology Documents the ways plasmas interact with lipids, membranes, and cells Reviews therapeutic uses of plasmas in medicine Focuses on uses of plasmas as cancer treatment
Redox-Genome Interactions in Health and Disease (Oxidative Stress and Disease #Vol. 10)
by Jürgen Fuchs Maurizio PoddaAt the nexus of advances in molecular genetics and findings in redox biology, this volume elaborates on the dynamics governing cellular redox states and aggregates the body of evidence linking oxidative stress and redox modulation with a host of monogenetic and polygenetic diseases.