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Ten Drugs: How Plants, Powders, And Pills Have Shaped The History Of Medicine
by Thomas HagerBehind every landmark drug is a story. It could be an oddball researcher’s genius insight, a catalyzing moment in geopolitical history, a new breakthrough technology, or an unexpected but welcome side effect discovered during clinical trials. Piece together these stories, as Thomas Hager does in this remarkable, century-spanning history, and you can trace the evolution of our culture and the practice of medicine. †‹Beginning with opium, the “joy plant,” which has been used for 10,000 years, Hager tells a captivating story of medicine. His subjects include the largely forgotten female pioneer who introduced smallpox inoculation to Britain, the infamous knockout drops, the first antibiotic, which saved countless lives, the first antipsychotic, which helped empty public mental hospitals, Viagra, statins, and the new frontier of monoclonal antibodies. This is a deep, wide-ranging, and wildly entertaining book.
Ten Drugs: How Plants, Powders, and Pills Have Shaped the History of Medicine
by Thomas Hager“The stories are skillfully told and entirely entertaining . . . An expert, mostly feel-good book about modern medicine” from the award-winning author (Kirkus Reviews, starred review).Behind every landmark drug is a story. It could be an oddball researcher’s genius insight, a catalyzing moment in geopolitical history, a new breakthrough technology, or an unexpected but welcome side effect discovered during clinical trials. Piece together these stories, as Thomas Hager does in this remarkable, century-spanning history, and you can trace the evolution of our culture and the practice of medicine. Beginning with opium, the “joy plant,” which has been used for 10,000 years, Hager tells a captivating story of medicine. His subjects include the largely forgotten female pioneer who introduced smallpox inoculation to Britain, the infamous knockout drops, the first antibiotic, which saved countless lives, the first antipsychotic, which helped empty public mental hospitals, Viagra, statins, and the new frontier of monoclonal antibodies. This is a deep, wide-ranging, and wildly entertaining book.“[An] absorbing new book.” —The New York Times Book Review“[A] well-written and engaging chronicle.” —The Wall Street Journal“Lucidly informative and compulsively readable.” —Publishers Weekly“Entertaining [and] insightful.” —Booklist“Well-written, well-researched and fascinating to read Ten Drugs provides an insightful look at how drugs have shaped modern medical practices. Towards the end of the book Hager writes that he ‘came away surprised by some of the things he had learned.’ I had the very same reaction.” —Penny Le Couteur, coauthor of Napoleon’s Buttons: How 17 Molecules Changed History
Ten Fingers for God: The Complete Biography of Dr. Paul Brand
by Dorothy C. WilsonTen Fingers for God describes the extraordinary servanthood--the life of Dr. Paul Brand, a medical doctor, whose life and work have been a blessing to countless thousands of leprosy victims on five continents. Through surgeries (over 3,000 in India alone), the pioneering research he has conducted and inspired, and his empathy for the poor and forsaken. Dr. Brand has achieved fame in the medical world. Dr. Brand's professional life has centered on perhaps the most problematic aspect of creation, the existence of pain. His conviction that the function of pain in the human body is a disguised blessing to the human race. He felt that "God designed the human body so that it is able to survive because of pain. As a surgeon, teacher, and environmentalist. Dr. Brand 'has chosen the middle way of balancing the material and the mystical, the prophetic and the pragmatic. His spirit of self-sacrifice and humility can best be distilled by his sureness that "it is a pity that a man has only one life to spend, one pair of feet, two hands, ten fingers! Paul Brand is an adventure loving, highly spiritual surgeon who discovers his life's calling is to improve the hands and feet of people with leprosy worldwide. He developed techniques for returning functionality to disfigured, numb hands and feet and goes on to establish centers where patients receive protective shoes and learn skills to become employable. Paul both teaches others in many countries to help in his mission and learns from other doctors, scientists and rehabilitation specialists. In his travels and impassioned, informative speeches he raises awareness of this disease which is only contagious for a brief time and inspires people to pool their resources to improve care for a population ending their generations old fate of being shunned, ostracized and forced to beg for their survival.
Ten Guineas on Love
by Claire ThorntonTo Charity Mayfield's shock, she discovered a year after her father's death that his debts could mean losing her home. Only by marriage could she touch her inheritance and save Hazelhurst. The one sensible candidate was Edward, newly come into the earldom, and the Mayfields' neighbor. Industrious and desperate, Charity wrote to propose marriage! But she'd made a mistake; the new earl was Jack Riversleigh and he wasn't at all disposed to help out — which led Charity rashly to bet him that she could find a husband within a month…. Dare she hope that her groom would be none other than the dashing Jack Riversleigh himself?
Ten Lessons in Public Health: Inspiration for Tomorrow's Leaders
by Alfred SommerA riveting personal tale of the rise of public health.There are occasions when a story told from a personal viewpoint can illuminate a profession. Alfred Sommer’s epidemiological memoir is such a book. Adventurous, illuminating, and thought provoking, Ten Lessons in Public Health is more than the story of one man’s work. It tells the tale of how epidemiology grew into global health. The book is organized around ten lessons Sommer learned as his career took him around the world, and within these lessons he explains how the modern era of public health research was born. Three themes emerge from Sommer's story: the duty to help your fellow human beings by traveling to places where there are problems; the knowledge that data-driven research is the key to improving public health; and the need to persevere with sensitivity and strength when science and cultural or sociological forces clash. Nothing in this compelling, sometimes controversial, history is glossed over, as the book’s goal is to explain when and why public health efforts triumph or fail. Readers will travel to Bangladesh, Iran, Indonesia, South America, and the Caribbean, where they will learn about spreading epidemics, the aftermath of storms, and vexing epidemiological problems. Sommer reveals the inner politics of world health decisions and how difficult it can be to garner support for new solutions. Triumph, tragedy, frustration, and elation await those who set off on careers in public health, and Ten Lessons in Public Health is destined to become a classic book that puts the field into perspective.
Ten Minutes for the Family: Systemic Interventions in Primary Care
by Eia Asen Dave Tomson Venetia Young Peter TomsonThe provision of suitable mental health care is one of the major tasks facing general practitioners and their teams. Family-oriented primary care has moved from doctor-controlled to patient-centred consultations, with a greater emphasis on collaboration. The systemic framework uniquely lends itself to this shift in emphasis, as it views the delivery of care in social rather than merely medical terms. There is now a strong evidence base for the efficacy of systemic approaches in managing many different types of mental health and relationship issues.This text is a practical guide for health professionals working in primary care who wish to improve their management of problem patients, problem families and problem situations. Step-by-step, it introduces both the theory and the practice of the family approach - from interviewing individual patients in routine consultations to conducting specific family crisis meetings. It includes many concrete suggestions for using simple family therapy techniques and encourages the clinician to think about cases constructively. Case histories and patient stories are used extensively to illustrate the techniques as well as boxed information to highlight key points.
Ten Steps to Building a Successful Veterinary Practice
by Wendy SneddonThis book is a down to earth, practical guide which provides ten simple steps for success for anyone responsible for recruiting a winning veterinary practice team: whether they are recruiting employees and building their team, or changing culture and creating a supportive environment where employees are engaged and motivated. It is ideal for small business owners who can't afford to employ any human resource support. Intensely practical, it delivers key facts for veterinary staff starting out in business. The book: · Details how you can attract, recruit and retain the right people for a winning team · Guides you on creating a well organised, supportive practice in which employees can flourish · Provides you with a basic introduction to building a strategy and improving your marketing campaigns · Covers the basics of sound financial planning and how to win clients and increase your revenues · Looks at how to manage common pitfalls With a wealth of practical templates and forms to use, this book adopts a straight-talking approach which will be welcomed by anyone starting their own veterinary practice.
Ten Ways Not to Commit Suicide: A Memoir
by Darryl McDaniels Darrell DawseyIn this surprising and moving memoir, the legendary rap star and cofounder of Run D.M.C. keeps it a hundred percent, speaking out about his battle with depression and overcoming suicidal thoughts—one of the most devastating yet little known health issues plaguing the black community today.As one third of the legendary rap group Run D.M.C., Darryl “DMC” McDaniels—aka Legendary MC, The Devastating Mic Controller, and the King of Rock—had it all: talent, money, fame, prestige. While hitting #1 on the Billboard charts was exhilarating, the group’s success soon became overwhelming. A creative guy who enjoyed being at home alone or with his family, DMC turned to alcohol to numb himself, a retreat that became an addiction. For years, he went through the motions. But in 1997, when intoxication could no longer keep the pain at bay, he plunged into severe depression and became suicidal. He wasn’t alone. During the same period, suicide became the number three leading cause of death among black people—a health crisis that continues to this day.In this riveting memoir, DMC speaks openly about his emotional and psychological struggles and the impact on his life, and addresses the many reasons that led him—and thousands of others—to consider suicide. Some of the factors include not being true to who you are, feelings of loneliness, isolation, and alienation, and a lack of understanding and support from friends and family when it’s needed most. He also provides essential information on resources for getting help. Revealing how even the most successful people can suffer from depression, DMC offers inspiration for everyone in pain—information and insight that he hopes can help save other lives.
Ten Years of Progress in GW/P Body Research
by Edward K. Chan Marvin J. FritzlerGW bodies are novel cytoplasmic foci that were discovered and named by Dr. Chan's group in 2002. These bodies are now known to be active cytoplasmic foci involved with the new gene regulation process mediated by microRNA that leads to translational repression and mRNA degradation. The detailed biological functions of these cytoplasmic structures are still being uncovered and the idea for this book is to provide the history of the discovery and the major work from different laboratories that has led to the characterization and elucidation of the structure and function of these new multiple subcellular structures.
Tenacity in Children: Nurturing the Seven Instincts for Lifetime Success
by Sam Goldstein Robert B. BrooksTenacity in Children examines how multiple generations of parents and caregivers raised children to become successful adults. Until relatively recent times in human history, there were no schools or organized institutions, nor were there parenting books. Rather, caregivers depended on the seven important instincts that evolved across tens of thousands of years in the human species. This volume highlights the ways in which these instincts are more important than ever in preparing children for tomorrow’s successes. Key areas of coverage include individual chapters devoted to examining each of the seven instincts – intuitive optimism, intrinsic motivation, compassionate empathy, simultaneous intelligence, genuine altruism, virtuous responsibility, and measured fairness – as well as practical strategies to guide children in acquiring and fine-tuning these essential human instincts.Tenacity in Children provides a solid foundation to prepare children for a resilient and happy future. It offers well-defined guideposts for adults committed to providing every child with the opportunity to access, strengthen, and employ these instincts as they negotiate childhood and passage into adult life. This book also serves as a rich resource for researchers, practitioners, and graduate students in mental health and public health disciplines as well as many interrelated fields as we all strive to promote the well-being of children. The collaboration of these two esteemed psychologists has been impacting on our field for decades. This new book continues that tradition.– Richard D. Lavoie, M.A., M.Ed.Author of It's So Much Work to Be Your Friend:Helping Children with Learning Disabilities Find Social Success Tenacity in Children is the perfect balance between concepts, knowledge, scientific discourse, practical ideas and touching stories that truly illustrate the principles shared in the book. This book should reach the hands of every person dedicated to working with children.– Encarni Gallardo, MBA, CBMExecutive Director, Children’s Service Society of Utah Written in an easy-to-read, narrative style, Drs. Goldstein and Brooks impart their innovative concept of Tenacity in Children along with its seven essential instincts by using heartwarming stories, personal and professional insights, research, and wisdom.– Joyce C. Mills, Ph.D.Co-author of Therapeutic Metaphors for Children and the Child Within Visit our website at www.tenacityinchildren.com
Tender: The Imperfect Art of Caring - 'profoundly important' Clover Stroud
by Penny Wincer'A beautiful and important book that is both deeply engaging and usefully practical. I loved it.' CATHY RENTZENBRINK'An insightful and well-timed book ... forces us to confront the stereotypes - and prejudices - we hold.' SUNDAY TIMES'profoundly important...full of wisdom and bright insights on what it really means to love someone, by a fearless and generous writer. ' CLOVER STROUD'A beautiful and timely reminder that each and every one of us has the ability to care, the capacity for empathy, and the potential to grow.' ANDY PUDDICOMBE, FOUNDER OF HEADSPACE'A wonderful book: compassionate, honest, carefully-reasoned and genuinely helpful... This will benefit many people.' KATHERINE MAY, author of WINTERING 'An invaluable tool for any invisible carers or anyone who wants to learn how to better support their loved ones... we ALL have many, many things to learn from Penny's beautiful, wise, charming, thoughtful words' SCARLETT CURTIS, Sunday Times bestselling author'Moving and beautifully written, nuanced and wise, alert to every paradox at the heart of love. A hugely important book not only for current or future carers, but anyone learning to accept that life tends to resist our control.' OLIVIA SUDJIC, author of EXPOSURE'Tender captures the powerful capacity of people to care for others, and all the heartbreaking and heartwarming complexity that this involves. Penny brings the crucial, yet often overlooked, role of caring into our collective consciousness and, in doing so, demonstrates what it means to be human.' -DR EMMA HEPBURN, author of A TOOLKIT FOR MODERN LIFE'Penny Wincer's TENDER manages to combine both unromanticised honesty about the realities of care with a genuine uplifting hopefulness... is a must-read.' RUTH WHIPPMAN, author of THE PURSUIT OF HAPPINESSWe are all likely - at some point in our lives - to face the prospect of caring for another, whether it's a parent, child or partner. It is estimated that there are 7 million people in the UK caring for loved ones. And yet these are the unpaid, unsung people whose number is rising all the time. In Tender: the imperfect art of caring, Penny Wincer combines her own experiences as a carer with the experiences of others to offer real and transformative tools and insights for navigating a situation that many of us are either facing or will face at some time. Penny Wincer has twice been a carer: first to her mother, and now as a single parent to her autistic son. Tender shows how looking after oneself is a fundamental part of caring for another, and describes the qualities that we can look to cultivate in ourselves through what may otherwise feel to be an exhausting task. Weaving her lived experience with research into resilience, perfectionism and self-compassion, Penny combines the stories of other carers alongside those who receive support - offering an often surprising and hopeful perspective.Penny hosts a podcast Not Too Busy To Write.
Tender: The Imperfect Art of Caring - 'profoundly important' Clover Stroud
by Penny WincerA personal, positive and essential book for the many carers among us. 'A wonderful book: compassionate, honest, carefully-reasoned and genuinely helpful... This will benefit many people.' KATHERINE MAY, author of WINTERING 'An invaluable tool for any invisible carers or anyone who wants to learn how to better support their loved ones... we ALL have many, many things to learn from Penny's beautiful, wise, charming, thoughtful words' - SCARLETT CURTIS, Sunday Times bestselling author'An astonishing book about everyday experience. Moving and beautifully written, nuanced and wise, alert to every paradox at the heart of love. A hugely important book not only for current or future carers, but anyone learning to accept that life tends to resist our control.' - OLIVIA SUDJIC, author of EXPOSURE'Penny Wincer's TENDER manages to combine both unromanticised honesty about the realities of care with a genuine uplifting hopefulness... is a must-read.'- Ruth Whippman, author of THE PURSUIT OF HAPPINESS: WHY ARE WE DRIVING OURSELVES CRAZY AND HOW CAN WE STOP?We are all likely - at some point in our lives - to face the prospect of caring for another, whether it's a parent, child or partner. It is estimated that there are 7 million people in the UK caring for loved ones. And yet these are the unpaid, unsung people whose number is rising all the time. In Tender: the imperfect art of caring, Penny Wincer combines her own experiences as a carer with the experiences of others to offer real and transformative tools and insights for navigating a situation that many of us are either facing or will face at some time. Penny Wincer has twice been a carer: first to her mother, and now as a single parent to her autistic son. Tender shows how looking after oneself is a fundamental part of caring for another, and describes the qualities that we can look to cultivate in ourselves through what may otherwise feel to be an exhausting task. Weaving her lived experience with research into resilience, perfectionism and self-compassion, Penny combines the stories of other carers alongside those who receive support - offering an often surprising and hopeful perspective.
Tending Lives: Nurses on the Medical Front
by Echo HeronAs the healthcare debate rages on with the growth of the HMO industry, nurses quietly continue to provide the day-to-day grit and deeply-felt passion that hold the healing profession together. Within these remarkable women and men are poignant, outrageous stories drawn from the edge of life. But fear of career backlash and reprisals have made them reluctant to talk to outsiders about their experience. Now Echo Heron, New York Times bestselling author of Intensive Care, draws truths far stranger than fiction out of her colleagues--and allows the nurses to speak to us in their own words.Ranging from inspiring to tragic to outrageously funny, these narratives are real life medical dramas as experienced by nurses across the country--each practicing in a variety of specialties, including cardiac care, labor and delivery, burns, the ER--even a nurse who works in dolphin care.Tending Lives portrays a penitentiary nurse responsible for orchestrating a murderer's execution; a stroke victim who rose out of his depression when his nurses began telling him jokes; and, perhaps the most riveting testimony, the moment-by-moment memories of several nurses who served in the aftermath of the Oklahoma City bombing--gripping accounts that give us new perspectives on the horror and heroism of that nightmare day.Pediatric nurses, psychiatric nurses, home-care nurses, intensive care nurses--all with distinct voices and unique stories to tell. Filled with both tears and laughter, and charged with the issues that afflict nursing care today, Tending Lives is a gripping, moving, inspiring book, a fitting tribute to a noble profession.From the Hardcover edition.
Tendinopathy: From Basic Science to Clinical Management
by Kentaro Onishi Michael Fredericson Jason L. DragooThis comprehensive office guide will provide up-to-date diagnostic and management information for various tendinopathies seen in the clinic. Opening chapters discuss the basic science of tendons: physiology, pathophysiology and biomechanics, including mechano-transduction. Subsequent chapters focus anatomically on both the upper and lower extremities, from the rotator cuff to the wrist and hand, and from the groin and gluteus down to the foot and ankle. Each of these chapters follows a concise, easy-to-use format, consisting of an introduction followed by clinical presentation, physical examination, imaging and radiographic grading, and treatment strategies both surgical and non-surgical, including indications for surgical referral. The concluding chapters present emerging mechanical, orthobiologic and chemical in-office procedures as well as emerging operative techniques. Practical and user-friendly, Tendinopathy will be an excellent resource for sports medicine specialists, orthopedic surgeons, physical therapy and rehabilitation specialists, and any other clinicians treating these common athletic injuries.
Tendon and Ligament Injuries of the Foot and Ankle: An Evidence-Based Approach
by Jarrett D. Cain MaCalus V. HoganInjuries of the foot and ankle can be debilitating and lead to chronic instabilities that can impede the daily activities of patients. As a result, it requires a solid understanding of foot and ankle anatomy and pathology in order to diagnosis these types of injuries and establish a clear treatment regimen for the patient to be functional and prevent long-term complications. For the foot and ankle specialist, the understanding of the injury patterns and treatment algorithms continues to evolve with the addition of new information on non-surgical and surgical techniques that are continuing to be introduced to the medical community. However, it is important to determine how the latest developments and treatment advances are disseminated through an evidence-based approach, to allow for proper evaluation of their usefulness as well as how to properly initiate and perform these treatments during patient care. To that end, this book provides a comprehensive overview of the diagnosis and management of muscle, tendon and ligament injuries of the foot and ankle. Opening with a review of diagnostic and imaging procedures, focused, concise chapters then describe the current evaluation and management strategies for a wide variety of soft tissue conditions, including turf toe, Lisfranc injuries, acute and chronic later ankle injuries, subtalar joint injuries, peroneal tendon injuries, and Achilles tendon injuries, among others. Each chapter brings together and reviews the latest literature on the topic, offering evidence-based guidelines for foot and ankle specialists, orthopedic surgeons and podiatrists as well as residents, fellows and all staff involved in the treatment of these injuries and conditions.
Tenía que sobrevivir (I Had to Survive Spanish Edition)
by Dr Roberto Canessa Pablo VierciNow available in Spanish. On October 12, 1972, a Uruguayan Air Force plane carrying members of the "Old Christians" rugby team--and many of their friends and family members--crashed into the Andes Mountains. I Had to Survive offers a gripping and heartrending recollection of the harrowing brink-of-death experience that propelled survivor Roberto Canessa to become one of the world's leading pediatric cardiologists.As he tended to his wounded teammates amidst the devastating carnage of the wreck, rugby player Roberto Canessa, a second-year medical student at the time, realized that no one on earth was luckier: he was alive--and for that, he should be eternally grateful. As the starving group struggled beyond the limits of what seemed possible, Canessa played a key role in safeguarding his fellow survivors, eventually trekking with a companion across the hostile mountain range for help. This fine line between life and death became the catalyst for the rest of his life. This uplifting tale of hope and determination, solidarity and ingenuity gives vivid insight into a world famous story. Canessa also draws a unique and fascinating parallel between his work as a doctor performing arduous heart surgeries on infants and unborn babies and the difficult life-changing decisions he was forced to make in the Andes. With grace and humanity, Canessa prompts us to ask ourselves: what do you do when all the odds are stacked against you?
TennCare, One State's Experiment with Medicaid Expansion
by Christina BennettA history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to ObamacareIn 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents.
TennCare, One State's Experiment with Medicaid Expansion
by Christina Juris BennettA history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to Obamacare. In 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents.
Tennis Elbow
by Jennifer Moriatis WolfBringing together the current knowledge and evidence about the causes and management of tennis elbow, or lateral epicondylitis, the diagnosis and various treatment options for this common sports injury are presented in detail. Generally attributed to overexertion or repetitive motion of the elbow joint, tennis elbow causes pain, tenderness and stiffness in the elbow and wrist even in non-athletic, day-to-day activities, such as lifting and pulling. Beginning with its etiology, subsequent chapters explore both conservative and surgical treatments, from physical therapy, joint injections and acupuncture to arthroscopy, open surgery and denervation. Outcomes, rehabilitation and return to play are also discussed, as are techniques and indications for handling complications and revision surgery. Ideal for orthopedic surgeons and sports medicine practitioners, Tennis Elbow: Clinical Management is a practical reference for any clinician treating athletes or active patients.
Tennis Medicine: A Complete Guide To Evaluation, Treatment, And Rehabilitation
by Giovanni Di Giacomo Todd S. Ellenbecker W. Ben KiblerThis book will serve as a key resource for all clinicians working in orthopedics, sports medicine, and rehabilitation for the sport of tennis. It provides clinically useful information on evaluation and treatment of the tennis player, covering the entire body and both general medical and orthopedic musculoskeletal topics. Individual sections focus on tennis-related injuries to the shoulder, the elbow, wrist, and hand, the lower extremities, and the core/spine, explaining treatment and rehabilitation approaches in detail. Furthermore, sufficient sport science information is presented to provide the clinical reader with extensive knowledge of tennis biomechanics and the physiological aspects of training and rehabilitation. Medical issues in tennis players, such as nutrition and hydration, are also discussed, and a closing section focuses on other key topics, including movement dysfunction, periodization, core training, and strength and conditioning specifics. The expansive list of worldwide contributors and experts coupled with the comprehensive and far-reaching chapter provision make this the highest-level tennis medicine book ever published.
The Tennis Partner: A Doctor's Story of Friendship and Loss
by Abraham VergheseWhen Abraham Verghese, a physician whose marriage is unraveling, relocates to El Paso, Texas, he hopes to make a fresh start as a staff member at the county hospital. There he meets David Smith, a medical student recovering from drug addition, and the two men begin a tennis ritual that allows them to shed their inhibitions and find security in the sport they love and with each other. This friendship between doctor and intern grows increasingly rich and complex, more intimate than two men usually allow. And just when it seems nothing more can go wrong, the dark beast from David's past emerges once again. As David spirals out of control, almost everything Verghese has come to trust and believe in is threatened. Compassionate and moving, The Tennis Partner is a unforgettable, illuminating story of how men live, and how they survive.
The Tennis Partner: A Doctor's Story of Friendship and Loss
by Abraham VergheseAn unforgettable, illuminating story of how men live and how they survive, from Abraham Verghese, the acclaimed New York Times bestselling author of Cutting for Stone and The Covenant of Water, an Oprah's Book Club Pick.“Heartbreaking. . . . Indelible and haunting, [The Tennis Partner] is an elegy to friendship found, and an ode to a good friend lost.”—The Boston GlobeWhen Abraham Verghese, a physician whose marriage is unraveling, relocates to El Paso, Texas, he hopes to make a fresh start as a staff member at the county hospital. There he meets David Smith, a medical student recovering from drug addiction, and the two men begin a tennis ritual that allows them to shed their inhibitions and find security in the sport they love and with each other. This friendship between doctor and intern grows increasingly rich and complex, more intimate than two men usually allow. Just when it seems nothing can go wrong, the dark beast from David’s past emerges once again—and almost everything Verghese has come to trust and believe in is threatened as David spirals out of control.
Tensegrity Systems: Basic Concepts, Mechanical Metamaterials, Biotensegrity (CISM International Centre for Mechanical Sciences #2)
by Fernando Fraternali Julian J. RimoliThis book illustrates the unique mechanical behaviors of tensegrity systems and their applications in mechanical metamaterials, space structures, and biomechanical models. It demonstrates that by controlling the mechanical response of tensegrity structures through internal and external prestress, it is possible to adjust the speed of mechanical waves within these systems, creating tunable bandgap structures. Furthermore, the geometrically nonlinear response exhibited by several tensegrity systems allows for the support of either compression or rarefaction solitary wave dynamics. These behaviors can be effectively utilized to design novel devices capable of focusing mechanical waves in narrow regions of space, as well as innovative impact protection systems. After an introduction to the basic concepts and calculation methods for tensegrity systems and their minimal-mass design, the chapters explore the metamaterial behaviors of tensegrity systems associated with bandgap and solitary wave dynamics; present a mechanical model of flexible tensegrities, illustrating how harnessing the buckling of bars in such systems can result in structures with exceptional energy absorption capabilities, suitable for applications such as planetary landers or lattice metamaterials; and discuss the extreme mechanical behaviors achievable in tensegrity-inspired lattice structures exhibiting both soft and stiff deformation modes. The last chapters address the multifaceted field of biotensegrity, and provide an overview of current rapid prototyping techniques for tensegrity systems, along with a discussion of open questions and research opportunities in the field.
Tensions and Barriers in Improving Maternity Care: The Story of a Birth Centre (Radcliffe Ser.)
by Ruth Deery Deborah Hughes Mavis KirkhamWe have written this book because the story it tells warrants a wide audience. We see the purpose of this book as informing discussion and decision-making around reconfigurations of maternity care, so that planning, communication, management and recruitment can be improved and shared vision articulated and understood.A" Throughout the world, women-centred care is gaining prominence in providing maternity care. Many birth centres open each year to meet this need - but at the same time, many close or are shelved. So why should the turnover in organisations that deliver such a vital service to women be so high, thwarting many midwives from practising as they would wish? This carefully researched and passionate book tells the story of a birth centre that did fail, and the painful but valuable lessons it presents for others. Many of the issues and behaviours illustrated - lack of leadership, support, vision and plain-dealing, and tensions between bureaucracy and women-centred care - will find resonance in maternity services and midwifery experiences in the UK and throughout the world. Tensions and Barriers in Improving Maternity Care is a vital and challenging resource for all midwives, managers and policy makers and shapers with an interest in maternity and women-centred care. "A remarkably detailed analysis of the politics of a birth centre trapped in a medicalised system that threatened and rapidly destroyed it. It is a vivid example of how autonomous midwifery is undermined by an organisational structure in which management focuses exclusively on one model of care." - From the Foreword by Sheila Kitzinger 'I would recommend this powerful book to all supervisors of midwives as it provides profound insights into the impact of loss and grief upon the midwives who are often left feeling isolated and vulnerable when dealing with difficult circumstances.' - Nessa McHugh, lecturer in midwifery at Edinburgh Napier University, and leader of the Preparation and Practice of Supervisors of Midwives programme.
The Tenth Nerve: A Brain Surgeon's Stories of the Patients Who Changed Him
by Dr. Chris HoneyRiveting and dramatic, The Tenth Nerve offers a rare window into the world of a pre-eminent neurosurgeon and the seven exceptional patients that made him a better person.&“The scalpel can only go so deep, and technical skill can only take one so far.&” In this absorbing narrative, Dr. Chris Honey, an accomplished neurosurgeon at Vancouver General Hospital, weaves his personal journey together with case studies that reflect the thrill of scientific discovery and the limitations of medicine. Operating on a terminally ill child amid an Ebola outbreak in Liberia, he questions his preconceptions about what it means to "win" against a disease. Reflecting on his own path into neurosurgery, he brings to life a relatively new, high stakes field of medicine—one that historically demanded emotional detachment and often attracts extreme personalities. With a compassionate eye, he traces the courage and determination of several patients suffering from mysterious, unrecognized illnesses, two of whom led Dr. Honey and his team to discover an entirely new disease and its cure. In clear, engaging prose, he invites us into the operating room to witness this extraordinary discovery—involving the tenth cranial nerve—alongside him. And, outside the OR, an unusual friendship with a former patient alters his perspective on clinical detachment, and what "quality of life" really means. Combining a humane perspective, lively anecdotes, and a deep curiosity about the uncharted territories of the human brain, The Tenth Nerve is a richly fascinating memoir that will fill you with wonder.