- Table View
- List View
Risky Medicine: Our Quest to Cure Fear and Uncertainty
by Robert AronowitzWill ever-more sensitive screening tests for cancer lead to longer, better lives? Will anticipating and trying to prevent the future complications of chronic disease lead to better health? Not always, says Robert Aronowitz in Risky Medicine. In fact, it often is hurting us. Exploring the transformation of health care over the last several decades that has led doctors to become more attentive to treating risk than treating symptoms or curing disease, Aronowitz shows how many aspects of the health system and clinical practice are now aimed at risk reduction and risk control. He argues that this transformation has been driven in part by the pharmaceutical industry, which benefits by promoting its products to the larger percentage of the population at risk for a particular illness, rather than the smaller percentage who are actually affected by it. Meanwhile, for those suffering from chronic illness, the experience of risk and disease has been conflated by medical practitioners who focus on anticipatory treatment as much if not more than on relieving suffering caused by disease. Drawing on such controversial examples as HPV vaccines, cancer screening programs, and the cancer survivorship movement, Aronowitz argues that patients and their doctors have come to believe, perilously, that far too many medical interventions are worthwhile because they promise to control our fears and reduce uncertainty. Risky Medicine is a timely call for a skeptical response to medicine's obsession with risk, as well as for higher standards of evidence for risk-reducing interventions and a rebalancing of health care to restore an emphasis on the actual curing of and caring for people suffering from disease.
Risky Medicine: Our Quest to Cure Fear and Uncertainty
by Robert Aronowitz&“A thoughtful and compelling book that focuses attention on the extent to which risk avoidance characterizes modern medicine.&”—Rick Mathis, Health Affairs Will ever-more sensitive screening tests for cancer lead to longer, better lives? Will anticipating and trying to prevent the future complications of chronic disease lead to better health? Not always, says Robert Aronowitz in Risky Medicine. In fact, it often is hurting us. Exploring the transformation of health care over the last several decades that has led doctors to become more attentive to treating risk than treating symptoms or curing disease, Aronowitz shows how many aspects of the health system and clinical practice are now aimed at risk reduction and risk control. He argues that this transformation has been driven in part by the pharmaceutical industry, which benefits by promoting its products to the larger percentage of the population at risk for a particular illness, rather than the smaller percentage who are actually affected by it. Meanwhile, for those suffering from chronic illness, the experience of risk and disease has been conflated by medical practitioners who focus on anticipatory treatment as much if not more than on relieving suffering caused by disease. Drawing on such controversial examples as HPV vaccines, cancer screening programs, and the cancer survivorship movement, Aronowitz argues that patients and their doctors have come to believe, perilously, that far too many medical interventions are worthwhile because they promise to control our fears and reduce uncertainty. Risky Medicine is a timely call for a rebalancing of health care to restore an emphasis on the actual curing of and caring for people suffering from disease.
Risky Pleasures?: Club Cultures and Feminine Identities
by Fiona HuttonIn this book Fiona Hutton provides a fascinating insight into women's experiences of clubbing. Based on a rich ethnographic account of the Manchester club scene, Risky Pleasures? is set within the context of the theoretical literature on youth subcultures, female friendship, consumption, risk and the city. The work highlights both the producers of club scenes - promoters, DJs, dealers - and the consumers - women negotiating pleasure and risk in club spaces and in the city at night. It explores the range of club spaces, developing a typology of 'mainstream' and 'underground' clubs, and considers how different types of participants are attracted to different 'scenes'. It examines women's recreational drug-use within a club context and discusses issues of sexuality, tolerance and the importance of 'attitude' in terms of women's feelings of safety. Revealing the important role of different spaces and different atmospheres in how women participate in club scenes, Fiona Hutton argues that drug taking and sexual pleasure are always contextualized within the environments created in different spaces, and that the risk and danger negotiated by women clubbers are counterbalanced by fun and pleasure - and ultimately empowerment.
Ritme- en geleidingsstoornissen
by Mark van den BoogaardDit boek helpt zorgprofessionals in de acute en intensieve zorg bij het interpreteren van hartritmes. Op een systematische manier wordt de theorie en praktijk van hartritme- en geleidingsstoornissen behandeld. Het boek richt zich op verpleegkundigen, verpleegkundig specialisten, physician assistants, arts- en co-assistenten. Ritme- en geleidingstoornissen begint met een hoofdstuk over de elektrofysiologie van het hart. Hier leest u over het ontstaan van ritme- en geleidingsstoornissen. Vervolgens leest u over de verschillende stoornissen. Hierbij is de theorie de basis. Deze wordt gevolgd door de oorzaken van de betreffende stoornis, de hemodynamische gevolgen, eventuele klachten van de patiënt en de therapie op basis van de laatste behandelinzichten. Daarnaast zijn alle stoornissen steeds voorzien van minimaal één voorbeeldritmestrook. Elk hoofdstuk heeft een samenvatting én de kenmerken van iedere ritme- geleidingsstoornis worden na elke paragraaf kort samengevat.In het laatste deel van deze geactualiseerde versie van dit boek staan 125 oefenritmestroken. Deze zijn op ware grootte afgebeeld en voorzien van een analyse. De meegeleverde ECG-liniaal is een handig hulpmiddel bij het analyseren van de oefenstroken.Mark van den Boogaard is een gespecialiseerd verpleegkundige met veel ervaring op de hartbewaking en intensive care. Ook heeft hij lange tijd lesgegeven in ritme- en geleidingsstoornissen op verschillende opleidingen. Momenteel werkt hij als senior onderzoeker op de intensive care van het Radboudumc in Nijmegen.
Ritme- & geleidingsstoornissen
by Mark van den BoogaardIn Ritme en geleidingstoornissen staan op een systematische manier de meest voorkomende, maar ook minder bekende hartritme en geleidingsstoornissen.In het eerste hoofdstuk over de elektrofysiologie van het hart wordt de basis gelegd voor de kennis die nodig is om meer inzicht te krijgen in het ontstaan en de mechanismen achter de ritme- en geleidingsstoornissen.Vervolgens worden de ritme- en geleidingsstoornissen besproken, steeds beginnend met belangrijke achtergrondinformatie gevolgd door de hemodynamische gevolgen en eventuele klachten van de patiënt. Daarna wordt de therapie besproken aan de hand van de laatste behandelingsinzichten. Alle behandelde stoornissen zijn voorzien van een en soms meer voorbeeldritmestroken. De kenmerken van iedere ritmestoornis wordt aan het einde van iedere paragraaf nog eens in een apart kader kort samengevat.Na alle theorie volgt aan het eind van het boek een hoofdstuk met veel oefenritmestroken die op ware grootte zijn afgebeeld. Iedere ritmestrook is voorzien van een analyse. In deze druk zijn 50 oefenstroken toegevoegd waarmee de totale hoeveelheid op 125 is gekomen. De vijfde druk is inhoudelijke niet gewijzigd ten opzichte van de vierde druk.Voor wie is dit boek geschikt? Voor eenieder die frequent te maken krijgt met het interpreteren van een hartritme, zoals:verpleegkundigen (werkzaam op intensive care, coronary care, medium care, hartfunctieafdeling, SEH, ambulance, anaesthesie);nurse practioners;physicians-assistents;arts-assistenten en co-assistenten;geïnteresseerden in hartritme en geleidingsstoornissen.
Ritual and Conflict: The Social Relations of Childbirth in Early Modern England (The History of Medicine in Context)
by Adrian WilsonThis book places childbirth in early-modern England within a wider network of social institutions and relationships. Starting with illegitimacy - the violation of the marital norm - it proceeds through marriage to the wider gender-order and so to the ’ceremony of childbirth’, the popular ritual through which women collectively controlled this, the pivotal event in their lives. Focussing on the seventeenth century, but ranging from the sixteenth to the eighteenth century, this study offers a new viewpoint on such themes as the patriarchal family, the significance of illegitimacy, and the structuring of gender-relations in the period.
Rituals & Myths in Nursing: A Social History
by Claire LaurentThe rich history of British nursing comes to life in this lighthearted volume exploring the traditions and experiences of nurses across the 20th century. Nursing in the United Kingdom has been steeped in tradition since the Nurses Registration Act of 1919. Many of the customs and methods practiced today have been passed down through the generations. Rituals & Myths of Nursing collects amusing and poignant reminiscences of nursing through the 20th century to paint a picture of this unique profession from the first registration of SRN No 1, Ethel Gordon Fenwick, to the present day. Written with humor and a light touch, each chapter explores a theme with stories told by nurses from different eras. We have tales of alcohol prescribed to dilate blood vessels or simply for the feel-good factor. Enemas were less fun for everyone concerned, but highly common as they were given for almost all bowel conditions.
Rituals of Surgery
by Richard SelzerSelzer's first collection of stories weaves together the fantastic and grotesque with surgical precision. He brings to light the horrors of surgery while displaying overwhelming compassion for his characters, creating a provocative commentary on the human condition.
Rival Truths: Common Sense and Social Psychological Explanations in Health and Illness (International Series in Social Psychology)
by Lindsay St ClaireIt is common sense that our survival as individuals depends on the survival of our physical bodies. However, common sense has been medicalised. Terms such as 'road rage' and 'premenstrual syndrome' sound like medical problems and suggest that it is affected individuals, rather than experiences or circumstances that require treatment.Without denying their importance, Rival Truths challenges four basic common sense views of health and illness and offers rival social psychological explanations. The primacy of biological facts is challenged by looking at the effects of social psychological influences, such as those mediated by stress. The assumption that medical practices are scientific is challenged by evidence that they also reflect and recreate social constructions. The assumption that medical advances are the most effective way to combat disease is questioned as their success may rely on changes in beliefs or behaviour, and finally, critical analyses suggest that medical treatment can sometimes be to the disadvantage of patients.Lindsay St. Claire has helped to raise awareness that health problems might be caused by social arrangements, not biological dysfunction. Thus, social psychology might suggest new ways to enhance health status which do not depend on medical breakthroughs. This book will be of interest for health psychology students, medical students and anyone involved in caring professions.
Rivals in Practice
by Alison RobertsWhen a storm throws a rural New Zealand town into chaos, Dr. Jennifer Tremaine's professional prowess is put under pressure.Understaffed and overworked, she is relieved to see surgeon Andrew Stephenson step into the fray. She and Drew haven't seen each other since medical school, where they were in constant competition. But now things are different, as beneath the rivalry stirs a new sensation...
The River: A Journey to the Source of HIV and AIDS, First Edition
by Edward HooperThe book examines the possible source of HIV, analyzing a number of theories concerning its origins and investigating current scientific inquiries into HIV, AIDS, and the search for a cure.
The River Is in Us: Fighting Toxics in a Mohawk Community
by Elizabeth HooverWinner of the Labriola Center American Indian National Book Award 2017 Mohawk midwife Katsi Cook lives in Akwesasne, an indigenous community in upstate New York that is downwind and downstream from three Superfund sites. For years she witnessed elevated rates of miscarriages, birth defects, and cancer in her town, ultimately drawing connections between environmental contamination and these maladies. When she brought her findings to environmental health researchers, Cook sparked the United States&’ first large-scale community-based participatory research project.In The River Is in Us, author Elizabeth Hoover takes us deep into this remarkable community that has partnered with scientists and developed grassroots programs to fight the contamination of its lands and reclaim its health and culture. Through in-depth research into archives, newspapers, and public meetings, as well as numerous interviews with community members and scientists, Hoover shows the exact efforts taken by Akwesasne&’s massive research project and the grassroots efforts to preserve the Native culture and lands. She also documents how contaminants have altered tribal life, including changes to the Mohawk fishing culture and the rise of diabetes in Akwesasne.Featuring community members such as farmers, health-care providers, area leaders, and environmental specialists, while rigorously evaluating the efficacy of tribal efforts to preserve its culture and protect its health, The River Is in Us offers important lessons for improving environmental health research and health care, plus detailed insights into the struggles and methods of indigenous groups. This moving, uplifting book is an essential read for anyone interested in Native Americans, social justice, and the pollutants contaminating our food, water, and bodies.
River of Time: My Descent into Depression and How I Emerged with Hope
by Marcia Wilkie Naomi JuddNaomi Judd's life as a country music superstar has been nonstop success. But offstage, she has battled incredible adversity. Struggling through a childhood of harsh family secrets, the death of a young sibling, and absent emotional support, Naomi found herself reluctantly married and an expectant mother at age seventeen. Four years later, she was a single mom of two, who survived being beaten and raped, and was abandoned without any financial support and nowhere to turn in Hollywood, CA. Naomi has always been a survivor: She put herself through nursing school to support her young daughters, then took a courageous chance by moving to Nashville to pursue their fantastic dream of careers in country music. Her leap of faith paid off, and Naomi and her daughter Wynonna became The Judds, soon ranking with country music's biggest stars, selling more than 20 million records and winning six Grammys. At the height of the singing duo's popularity, Naomi was given three years to live after being diagnosed with the previously incurable Hepatitis C. Miraculously, she overcame that too and was pronounced completely cured five years later. But Naomi was still to face her most desperate fight yet. After finishing a tour with Wynonna in 2011, she began a three-year battle with Severe Treatment Resistant Depression and anxiety. She suffered through frustrating and dangerous roller-coaster effects with antidepressants and other drugs, often terrifying therapies and, at her absolute lowest points, thoughts of suicide. But Naomi persevered once again. RIVER OF TIME is her poignant message of hope to anyone whose life has been scarred by trauma.
Riverblindness in Africa: Taming the Lion's Stare
by Bruce BentonThe remarkable story of how a large public-private partnership worked to control and defeat riverblindness—a scourge which had devastated rural communities and impeded socioeconomic development throughout much of Sub-Saharan Africa for generations.Riverblindness (onchocerciasis)—a pervasive neglected disease, transmitted by the blackfly, that causes horrific itching, disfigurement, and loss of vision—is also known as "lion's stare" in reference to the fixed, lifeless glare of the eyes blinded by the disease. The disease has destroyed countless lives for generations, particularly in Africa. Its effects are so devastating that the areas where it is most common (large expanses of land around rivers where the fly breeds) end up abandoned as villages move farther and farther away to more arid environments in order to escape the fly-biting, and hence the disease. The disease devastates communities from multiple angles: a large portion of each stricken community's population is disabled, often permanently blind in the prime of life, placing a burden on the rest, and communities' efforts to escape infection force them to move to areas where farming is less productive.To defeat riverblindness would not only release these communities from the heavy toll of the disease, but would also open more fertile areas in Africa to be inhabited, thus alleviating extreme poverty. These were the goals of the World Bank, led by then-president Robert McNamara, when launching a partnership to combat riverblindness more than forty-five years ago. In this book, Bruce Benton tells the remarkable story of that partnership's success. An authoritative account of the launch and scale-up of the effort, the book covers the transformation of the fight from a top-down high-tech operation to a grassroots drug treatment program covering all of endemic Africa. How, Benton asks, did the effort become such a unique partnership of UN agencies, donors, NGOs, a major pharmaceutical company, universities, African governments, and the stricken communities themselves? Highlighting the importance of disease control in alleviating absolute poverty and promoting development, Benton examines the key developments, individuals, and notable qualities of the partnership in realizing success. He also extracts lessons from this particular story for addressing future challenges through partnership. Drawing on Benton's twenty years of experience managing the riverblindness program for the World Bank, along with extensive research and interviews with 100+ players in the program, Riverblindness in Africa is the first and only book of its kind. The story of the battle has an epic scale, both in terms of geography and the vast number of people and organizations involved. It provides a template for a broad range of global health efforts and is an excellent example of evolving, increasingly effective approaches to disease control and elimination.
Riverview Hospital for Children and Youth: A Culture of Promise (The Driftless Connecticut Series)
by Richard J. WisemanA personal history of the groundbreaking children's mental health facility
Riverview Hospital Staff Manuals
by Richard J. WisemanThree staff manuals and handbooks from the formative years of the Riverview Hospital for Children and Youth, a groundbreaking psychiatric hospital in Middletown, Connecticut. Includes the ABCD Program, BLEU Handbook, and Sunburst Handbook. These archival materials provide detail that illuminates the treatment philosophy and methods employed by the hospital staff during the hospital's formative years.This ebook is being published as a companion to Riverview Hospital for Children and Youth: A Culture of Promise, by Richard J. Wiseman.
Rizzoli & Isles: A Novel (Rizzoli & Isles #13)
by Tess GerritsenRizzoli & Isles are back! From New York Times bestselling author Tess Gerritsen, this &“shocking and fast-paced&” (Karin Slaughter) thriller has Jane and Maura investigating a brutal murder with dire implications, and this time, with Jane&’s intrepid mother, Angela, looking into a mystery of her own.&“Absolutely first rate—readers will be thrilled and delighted by this new Rizzoli & Isles outing!&”—Shari Lapena, New York Times bestselling author of The Couple Next DoorMothers know best . . . But who will listen?Boston homicide detective Jane Rizzoli and medical examiner Maura Isles are newly plagued by what seems like a completely senseless murder. Sofia Suarez, a widow and nurse who was universally liked by her neighbors, lies bludgeoned to death in her own home. But anything can happen behind closed doors, and Sofia seemed to have plenty of secrets in her last days, making covert phone calls to traceless burner phones. When Jane finally makes a connection between Sofia and the victim of a hit-and-run from months earlier, the case only grows more blurry. What exactly was Sofia involved in? One thing is clear: The killer will do anything it takes to keep their secret safe. Meanwhile, Angela Rizzoli hasn&’t had a decent night&’s sleep in all the years since her daughter became a homicide detective. Maybe the apple didn&’t fall too far from the tree: Nothing in Angela&’s neighborhood gets by her—not the gossip about a runaway teenager down the block and definitely not the strange neighbors who have just moved in across the street. Angela&’s sure there&’s no such thing as coincidence in her sleepy suburb. If only Jane would listen—instead she writes off Angela&’s concerns as the result of an overactive imagination. But Angela&’s convinced there&’s a real wolf in her vicinity, and her cries might now fall on deaf ears. With so much happening on the Sofia case, Jane and Maura already struggle to see the forest for the trees, but will they lose sight of something sinister happening much closer to home?
The Rizzoli & Isles Series 9-Book Bundle
by Tess GerritsenTess Gerritsen has thrilled countless readers with her acclaimed novels of suspense featuring Boston detective Jane Rizzoli and medical examiner Maura Isles. TNT struck ratings gold with Rizzoli & Isles, a series based on Gerritsen's New York Times bestsellers. And now the first nine Rizzoli & Isles novels are together in one convenient eBook bundle. "Suspense doesn't get smarter than this. Not just recommended but mandatory."--Lee Child, on The Silent Girl This bundle includes the following titles: THE SURGEON THE APPRENTICE THE SINNER BODY DOUBLE VANISH THE MEPHISTO CLUB THE KEEPSAKE ICE COLD THE SILENT GIRL And don't miss the thrilling excerpt of Tess Gerritsen's new Rizzoli & Isles novel, Last to Die. "[Gerritsen] has an imagination that allows her to conjure up depths of human behavior so dark and frightening that she makes Edgar Allan Poe and H. P. Lovecraft seem like goody-two-shoes."--Chicago Tribune
RN Adult Medical Surgical Nursing (Edition 10.0)
by Assessment Technologies InstituteThis specialized review module book from ATI contains comprehensive nursing content and critical thinking and application exercises. It is organized into units covering the foundations of nursing care (Unit 1), body systems and physiological processes (Unit 2 to 13), and perioperative care (Unit 14).
RN Maternal Newborn Nursing: Review Module Edition 10. 0
by Assessment Technologies InstituteExaminations Study guide for Maternal Newborn Nursing
RNA
by Henrik NielsenRecent insight into the transcripts generated from the mammalian genome (i.e. the transcriptome) has revealed that transcription is a far more complex phenomenon than previously thought. In RNA: Methods and Protocols, expert researchers provide the procedures and methods used to describe the structure of messenger RNAs and non-coding RNAs that are transcribed by RNA polymerase II as the immediate gene products in mammalian cells. Focused on the structure of the RNA products of "gene X" and the mapping of proteins associated with these RNAs, the volume presents appropriate information for non-specialists in RNA biology. Written in the highly successful Methods in Molecular BiologyTM series format, many chapters contain introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and key tips on troubleshooting and avoiding known pitfalls. Comprehensive and practical, RNA: Methods and Protocols views the transcriptional landscape with an appreciation for the role that proteins play in the processing and interpretation of genetic information in an attempt to further our crucial knowledge of the many products and sophisticated regulatory networks that result from it.
RNA-Based Cancer Therapeutics: Techniques, Applications and Challenges in Prognosis
by Narendra Kumar Sharma Tikam Chand Dakal Pawan Kumar Maurya Gulshan WadhwaBy consistently dedicating efforts to multi-omic and other high-throughput technologies, it is expected that RNA therapies will have a vital role in future personalized medicine approaches for cancer therapy. Within this framework, analyzing the genetic sequence of a patient's tumor would allow for the detection of crucial driver mutations or changes that cause resistance to drugs. These mutations may then be targeted with RNA therapies that are particularly designed to treat those particular variations. Recent clinical trials have shown that RNA-based therapies hold great potential for treating several illnesses. However, further investigations are required to improve the delivery materials and understand the RNA alterations linked to these groundbreaking drugs, in order to facilitate their integration into clinical practice. Ideally, these therapeutic substances would be specifically administered to the tumor cells of interest using a targeted delivery agent. In this hypothetical situation, the choice of medications for cancer patients would differ depending on the precise abnormalities detected in each person, potentially including inhibitors that target circuits known to cause resistance to treatments. However, doing a more thorough assessment of the challenges and potential benefits discussed in each chapter would enhance the capacity to critically analyze this rapidly evolving field of therapies. This book largely examines the latest developments and clinical studies related to RNA-based medications, while also examining the challenges and future possibilities linked with them. This method shows potential for greatly improving the prognosis of cancer patients.
RNA-Chromatin Interactions: Methods and Protocols (Methods in Molecular Biology #2161)
by Ulf Andersson Vang ØromThis volume focuses on RNAs interacting with chromatin and their function. Chapters guide readers through transcription, splicing, non-coding RNA function and manipulation of gene expression. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls.Authoritative and cutting-edge, RNA-Chromatin Interactions: Methods and Protocols aims to be a starting-point to expand researchers experimental approaches towards the numerous outstanding questions in this new and expanding field.
RNA/DNA and Cancer
by Joseph G. SinkovicsIn this book, the author Joseph G. Sinkovics liberally shares his views on the cancer cell which he has been observing in vivo and in vitro, over a life time. Readers will learn how, as an inherent faculty of the RNA/DNA complex, the primordial cell survival pathways are endogenously reactivated in an amplified or constitutive manner in the multicellular host, and are either masquerading as self-elements or as placentas, to which the multicellular host is evolutionarily trained to extend full support. The host obliges. The author explains that there is no such evidence that "malignantly transformed" human cells survive in nature. However, when cared for in the laboratory, these cells live and replicate as immortalized cultures. These cells retain their vitality upon storage in liquid nitrogen. One can only imagine an astrophysical environment in which such cells could survive; perhaps, first their seemingly humble exosomes would populate that environment. Immortal cell populations so created may survive as individuals, or may even re-organize themselves into multicellular colonies, as representatives of life for the duration of the Universe. This thought-provoking book is the work of a disciplined investigator and clinician with an impeccable reputation, and he enters a territory that very few if any before him have approached from the same angles. It will appeal to researchers with an interest in cell survival pathways and those researching cancer cells.
RNA-Protein Interaction Protocols
by Ren-Jang LinDue to the vital biological importance of RNA and proteins functioning together within a cell, a protocol volume describing experimental procedures to study their interactions should find a home in many laboratories. RNA-Protein Interaction Protocols, Second Edition updates, complements, and expands upon the popular first edition by providing a collection of cutting-edge techniques developed or refined in the past few years along with tried-and-true methods. The expert contributors explore the isolation and characterization of RNA-protein complexes, the analysis and measurement of RNA-protein interaction, and related novel techniques and strategies. Written in the highly successful Methods in Molecular BiologyTM series format, the chapters include brief introductions to the material, lists of necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and a Notes section which highlights tips on troubleshooting and avoiding known pitfalls. Comprehensive and up-to-date, RNA-Protein Interaction Protocols, Second Edition is an ideal guide for researchers continuing the study of this all-important biological partnership.