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Threshold Decision-making in Clinical Medicine: With Practical Application to Hematology and Oncology (Cancer Treatment and Research #189)
by Benjamin Djulbegovic Iztok HozoThis book aims to provide threshold models to help physicians to make optimal diagnostic, therapeutic and predictive decisions. Readers will not only find theoretical information but also practical examples illustrating how these decisions should be made.Poor decision-making is considered a leading cause of death in contemporary medicine. Decisions, however, have to be made - at a given threshold of risk and unfortunately physicians are not trained on how to make decisions. This book provides help to all those who want to improve their decision-making for a better patient outcome. With its examples from hematology and oncology the book will not only benefit haematologists and oncologists but physicians from all disciplines, hence the threshold model is applicable to all fields in medicine. This book will be useful to experienced physicians as well as trainees alike.
Threshold: Emergency Responders On The U.S. - Mexico Border
by Ieva JusionyteEmergency responders on the US-Mexico border operate at the edges of two states. They rush patients to hospitals across country lines, tend to the broken bones of migrants who jump over the wall, and put out fires that know no national boundaries. Paramedics and firefighters on both sides of the border are tasked with saving lives and preventing disasters in the harsh terrain at the center of divisive national debates. <P><P> Ieva Jusionyte’s firsthand experience as an emergency responder provides the background for her gripping examination of the politics of injury and rescue in the militarized region surrounding the US-Mexico border. Operating in this area, firefighters and paramedics are torn between their mandate as frontline state actors and their responsibility as professional rescuers, between the limits of law and pull of ethics. From this vantage they witness what unfolds when territorial sovereignty, tactical infrastructure, and the natural environment collide. Jusionyte reveals the binational brotherhood that forms in this crucible to stand in the way of catastrophe. Through beautiful ethnography and a uniquely personal perspective, Threshold provides a new way to understand politicized issues ranging from border security and undocumented migration to public access to healthcare today.
Thrive
by Daniel Kahneman Richard Layard David M. ClarkMental illness is a leading cause of suffering in the modern world. In sheer numbers, it afflicts at least 20 percent of people in developed countries. It reduces life expectancy as much as smoking does, accounts for nearly half of all disability claims, is behind half of all worker sick days, and affects educational achievement and income. There are effective tools for alleviating mental illness, but most sufferers remain untreated or undertreated. What should be done to change this? In Thrive, Richard Layard and David Clark argue for fresh policy approaches to how we think about and deal with mental illness, and they explore effective solutions to its miseries and injustices. Layard and Clark show that modern psychological therapies are highly effective and could potentially turn around the lives of millions of people at little or no cost. This is because treating psychological problems generates huge savings on physical health care, as well as massive economic savings through more people working. So psychological therapies would effectively pay for themselves, generating potential savings for nations the world over. Layard and Clark describe how various successful psychological treatments have been developed and explain what works best for whom. They also discuss how mental illness can be prevented through better schools and a better society, and the urgency of doing so.Illustrating why we cannot afford to ignore the issue of mental illness, Thrive opens the door to new options and possibilities for one of the most serious problems facing us today.
Thrive Fitness
by Brendan BrazierFrom the author of "Thrive": a vegan-based performance-boosting fitness program for the busy beginner to the elite athlete
Thriving In The Wake Of Trauma: A Multicultural Guide
by Thema Bryant-DavisRace, ethnicity, sexual orientation, migration status, religion, and numerous other cultural factors play important roles in recovery from traumatic events. Survivors of abuse, dislocation, disease, racism and other forms of trauma, however, are often treated only as individuals rather than as people with diverse beliefs and cultural affiliations. Thema Bryant-Davis examines the cultural issues that health-care professionals need to consider in caring for trauma survivors. She gives specific examples drawn in part from her own work as a clinician, and she describes activities that can help trauma victims not only survive, but also thrive and grow.
Thriving With Heart Disease
by Robin Cantor-Cooke Wayne M. Sotile"Not only can you survive with heart disease, you can actually thrive with it for many, many years. If you cope well and follow the advice I give you in this book, you can live as long as you would if you didn't have the illness. "-- from Chapter One, "Begin the Journey"In this landmark volume, Wayne M. Sotile, Ph. D. , breaks the story that every heart patient needs to know: In many cases, it's how you deal with the illness and not the condition of your heart that will determine how completely you recover, or if you recover at all. If you're one of the 61 million Americans diagnosed with heart illness -- whether you've had a heart attack, high blood pressure, angina, or surgery -- the program in this book can extend your life and might even save it. Many books have dealt with the physical aspects of cardiovascular illness, but Thriving with Heart Disease is the first to offer patients and their loved ones a program for coping with the emotional and psychological side effects that can ravage relationships and throw families into disarray. Dr. Sotile's extraordinary success with cardiac patients attests to his belief that living with heart disease is not a temporary adjustment but a journey you take one moment at a time toward the healthy life you were meant to live, surrounded by the people you love. Based on the experiences of thousands of patients at Wake Forest University's Cardiac Rehabilitation Program -- the nation's first mind-body center for living well with heart illness -- Dr. Sotile's program provides step-by-step instructions on how to establish a robust, new normal life for you and the people you care about, whether you're a parent with young children, a mature adult with grandchildren, or a single man or woman whose family is a devoted network of friends. Written with warmth and humor and filled with news of the latest research into the links between heart and brain, body and soul, Thriving with Heart Disease is the book that every heart patient needs to read. It's not a diet book, an exercise book, or a cookbook. It is the first self-help manual to guide heart patients and their loved ones through the psychological side effects they're likely to experience and onto the path to vibrant, new normal lives.
Thriving in Mental Health Nursing
by Laura DuncanComprehensive guide on what it means to be a mental health nurse, with up-to-date clinical perspectives and insightful case studies Thriving in Mental Health Nursing delivers a 360-degree view of what it means to be a mental health nurse and how to be a resilient, positive, and proactive professional in the field. This book teaches readers to consider their own skills, development needs, and wellbeing while providing an overview of the latest clinical research within the field and what it means for their clients. While most mental health nursing books focus on clinical skills and patient conditions, this book adopts a holistic approach to the profession by covering topics like managing personal trauma when providing trauma-focused care, understanding, avoiding, and overcoming burnout, and maintaining hope in a post-pandemic staffing crisis. In-depth discussion, vignettes, relevant case studies, and activity suggestions support learning and engagement for healthcare professionals at every step of their careers, from first embarking on a training course to being an experienced mental health nurse. Special attention is paid to diversity and inclusivity themes including micro-aggressions, allyship, and more. Other topics explored in Thriving in Mental Health Nursing include: Risk in the form of self-harm, suicide, violence, and aggression, with tips on how to take positive risks and manage risk safely when requiredEthical issues in the field, including key perspectives on detaining individuals under the Mental Health Act (1983)Guidelines for identifying and addressing conflict, whether it arises between team members or from clients, including best practices for de-escalation Thriving in Mental Health Nursing is an invaluable guide for all nurses in the field, from first-year nurses to the most experienced registered nurses, along with students seeking to understand the significant challenges and obstacles they may encounter.
Thriving in the Healthcare Market: Strategies from an Industry-Insider for Selling Your Product (HIMSS Book Series)
by Glenn E. PearsonInteresting, engaging and informative with good examples. As Chief Medical Officer of a biotech startup that has to sell into the C-suite, I will be buying copies for our entire sales team. Bob Lubitz, MD, MPH, FACHE, MACP Chief Medical Officer, 3Oe Scientific, Inc. At 18% of GDP, healthcare represents a hugely attractive market for suppliers and vendors. Any sector this enormous requires support from dozens of entities: legal services organizations, design and construction companies, pharmaceutical suppliers, utilities companies, information technology vendors, food services suppliers, consulting firms, medical equipment manufacturers, and many others. Although many of the standard business dynamics apply to healthcare, numerous quirks make this field unlike any other. Every company offering products to hospitals, physicians or any other healthcare organization will greatly benefit from understanding the industry’s "psychological climate." Just having a great product or service does not guarantee market success. The seller must know how to position its products and demonstrate genuine value. Industry outsiders selling to healthcare often get sidelined if they don’t know the sector’s unique communication protocols, clinical requirements, financial dynamics, and operating procedures. Even seasoned veterans sometimes stumble over an unexpected speedbump. This book identifies 84 pitfalls vendors often encounter and provides nearly 200 specific, immediate, and actionable recommendations for minimizing them or even avoiding them altogether. Although this advice will help anyone selling to healthcare organizations, it is especially relevant for companies introducing emerging, disruptive, and transformational technologies.
Thriving with Kidney Disease: A Practical Guide to Taking Care of Your Kidneys and Yourself (A Johns Hopkins Press Health Book)
by Walter A. HuntA complete guide to caring for your kidneys and maximizing your health.Kidney disease occurs when your kidneys are damaged and no longer function as well as they should. In the past, it was fatal, but thanks to new treatments, including dialysis and transplantation, people can live long and healthy lives. This book provides everything you need to know to help you cope with your kidney disease and maximize your health. Walter A. Hunt, a medical researcher who had kidney disease and received a kidney transplant, walks you through what science says about how you can take care of your kidneys, including what foods to avoid and what treatment options may be best for you. Also included are recommendations to help you sleep and feel better along with overall health advice. In this latest edition, Hunt adds new sections on emerging subjects, including• coping skills for caregivers• kidney disease in children• environmental causes of chronic kidney failure• conservative care for those who wish to decline treatment• related conditions like gout, depression, and sleep disturbances• diet after transplantation• how best to work with your care team• insurance issues• potential new treatmentsA useful guide for the healthcare professionals who work with individuals with kidney problems.
Thrombin
by Nikos E. Tsopanoglou Michael E. MaragoudakisIn addition to its central role in blood coagulation, it has become increasingly apparent that thrombin and thrombin receptors are involved in many other physiological processes and can contribute to a variety of disease states such as tumor progression and metastasis, inflammation, neurological disorders and cardiovascular complications. This book is a collection of reviews of up-to-date information on the above topics by leaders in these fields. This book will be of value to researchers and academic professionals both in basic and clinical science who are interested in the fields of biochemistry, biophysics, cell biology, pharmacology, cancer, inflammation, angiogenesis, cardiovascular system and neuronal system. These areas of research are prime target areas for drug development by many pharmaceutical and biotechnology companies.
Thromboembolism in Orthopedic Surgery
by Juan LlauThis book reviews the main topics in thromboprophylaxis around orthopedic surgery, from a general scope of the problems with the disease highlighting them in orthopedics to the new specific protocols involving, for example, new oral anticoagulants. The prevalence of the venous thromboembolism in each procedure (from "easy" to "hard" surgeries, with different rates of related thrombosis) and the risk factors to bear in mind in each one (related and non-related with the orthopedic procedure) are also revised. A chapter focus on the diagnosis and treatment of venous thromboembolism, which is commonly "forgotten" in many books addressed to orthopedic surgeons and anaesthesiologists. The methods for thromboprophylaxis have three specific chapters: the most common drugs used and recommended when pharmacological prophylaxis is needed, new drugs which are arising day by day and which management will be of main importance in a close near future, and mechanical methods, recommended both as additional when possible and for sole indications when the risk of bleeding could move us to minimize the real risk of thrombosis. Anaesthetic implications for thromboprophylaxis and, also, main implications of the application of antithrombotic protocols in the anaesthetic practice are covered by another chapter. In our opinion it was very important to divide the orthopedic procedures according to their own thrombotic risk, so having their own protocols for thromboprophylaxis: high risk, day surgery procedures and "special" surgical procedures are included in three different chapters, from three different authors with complementary views. Finally, in a last chapter, we review the problems involving the perioperatory management of antiaggregated and anticoagulated patients, with a special part in hip fracture surgery.
Thrombolysis in Pulmonary Embolism
by Carlos Jerjes-SánchezThis book provides an up-to-date review of the use of thrombolytic therapy in the treatment of acute pulmonary embolism. It discusses the mechanisms of thrombosis; pharmacokinetics and pharmacodynamics of the most commonly used fibrinolytics; evidence-based results from multicenter control trials in which thrombolytic treatment was administered; criteria by which pulmonary embolism patients requiring thrombolysis are identified; and the use of thrombolytic therapy in special situations such as in in-transit thrombus and pregnancy. Focusing on peripheral intravenous thrombolysis, which can performed safely and effectively in emergency departments, hospital wards, and intensive critical care units in tertiary and community hospitals, Thrombolysis in Pulmonary Embolism is a valuable resource for cardiologists, pulmonologists, and internists.
Thrombolytic Therapy for Acute Stroke
by Patrick D. LydenThrombolytic therapy is finally starting to reach patients in a variety of settings all over the world. Formerly in the domain of sub-specialists, thrombolytic therapy now rests in the realm of Emergency Medicine, Intensive Care, Vascular, and Neuro hospital Medicine physicians. Increasingly, non-neurologists use thrombolytic therapy This is a significant advancement since the 2nd edition to Thrombolytic Therapy for Acute Stroke published, creating a significant need for a 3rd edition. Thrombolytic Therapy for Acute Stroke, 3rd edition will be a practical and thorough reference to all those caring for acute stroke patients Extensively updated from previous editions, new data and cases will provide guidance to this most effective stroke treatment. This text will be of great interest to physicians, residents and advanced practice nurses who treat acute stroke patients.
Thrombosis and Cancer
by Gilles Lugassy Anna Falanga Ajay K Kakkar BSc PhD FRCS Frederick R RicklesIt is common knowledge that thromboembolic disease is often the earliest manifestation and almost the most frequent complication of cancer. Recent studies have investigated the mechanisms by which cancer causes thrombosis and have emphasized the importance of the coagulation system in angiogenesis and tumor metastasis. Thrombosis and Cancer offers
Thrombosis and Embolism: from Research to Clinical Practice
by Md. Shahidul IslamThis unique publication explores diverse themes relating to thrombosis and embolism, from basic research at cell and molecular level to the actual care, prevention, and treatment of diverse categories of patients suffering from such diseases. Chapters cover a variety of topics including thrombosis and embolism in surgical patients, cancer patients, pregnant women and children and adolescents, as well as treatment of the conditions by traditional anticoagulants, novel oral anticoagulants, thrombolytic therapy, endovascular treatment and embolectomy. Readers may explore cutting edge research, recommendations from major societies, contemporary guidelines, areas of controversy and directions for ongoing and future research. The book features comprehensive information ranging from molecular mechanisms of diseases to the clinical features, diagnosis, and therapeutic regimens for treating a variety of clinical conditions. It has a broad appeal to scientists and research students as well as busy clinicians engaged in patient care, who will all find something important and useful amongst these carefully selected chapters.
Thrombosis and Hemostasis in Cancer (Cancer Treatment and Research #179)
by Gerald SoffIn this book, leaders in the field explore our current understanding of thrombosis and hemostasis in cancer and address key questions on the subject. Among the topics discussed are the mechanisms that cancers use to activate the coagulation system, and those by means of which an activated coagulation system can lead to more aggressive cancer growth. Clinical chapters examine the role of thrombosis prophylaxis and treatment, central line-associated thrombosis, and cancer-associated hemorrhage. Subsequent chapters deal with the management of chemotherapy-induced thrombocytopenia, anticoagulation in the presence of brain metastases, and other unique challenges in the interaction of thrombosis and hemostasis in cancer. It has been 150 years since Armand Trousseau first described the well-known association between cancer and an increased risk of thrombosis, which may be considered the first paraneoplastic syndrome ever identified. More recently, numerous studies have indicated that activation of the coagulation system by cancer not only increases the likelihood of thrombosis, but is also associated with a more aggressive cancer phenotype. By familiarizing readers with the latest developments in this complex and challenging field, the book offers a valuable resource for scientists and clinicians alike.
Thrombosis and Thromboembolism
by Samuel Z. Goldhaber Paul M. RidkerWritten and edited by world-renowned leaders in the field!Presents new directions for the prevention and treatment of arterial and venous cardiovascular thrombotic and thromboembolic diseases.Updates contemporary thinking regarding low-molecular-weight-heparins (LMWH), platelet receptor antagonists, and direct thrombin inhibitors to
Thrombus and Stroke
by Ajay K. Wakhloo Matthew J. Gounis Baruch B. Lieber Italo Linfante Robert A. MericleProviding a clear foundation as to what a clot is, how it forms, and the most recent approaches to treatment, Thrombus and Stroke is an all-inclusive resource covering:The fundamental science of clot formation and the pharmacokinetics of thrombolysis The clinical impact of thrombus as it pertains to stroke and the most recent clinical and minimally
Through A Vet’s Eyes: How we can all choose a better life for animals
by Dr Sean Wensley FRCVSOne of the Financial Times' Best Summer Books of 2022 A vet's eye-opening polemic about our relationship with animals; how we treat them, what it feels like from their perspective, how we get it wrong and what we can do to fix it.Dr Sean Wensley is an award-winning vet and lifelong naturalist who has contributed to animal welfare and conservation projects all over the world. His debut book is about how we can choose a better life for animals, from the chickens we eat to the pets we keep.As our societies become more urbanised, we are further removed from the reality of where and how our food is produced. Reported surveys have suggested that 1 in 4 UK adults don't know that bacon comes from pigs. On the opposite end of the spectrum, the humanisation of our pets is a risk to their welfare; with over 60% of UK dogs being overweight or obese, we are effectively killing them with kindness. Through A Vet's Eyes seeks to redress this imbalance so that we see all animals as thinking, feeling beings not dissimilar to ourselves. As he takes us through the years in which he trained to become a vet, and set against a backdrop of inspiring natural spectacles, Dr Wensley shares his first-hand experience of how animals are treated and used for our benefit. He interrogates the different levels of welfare afforded to them and reveals how we the general consumer can reduce our animal welfare footprint through the choices we make every day.(P) Octopus Publishing Group 2022
Through My Eyes: My Four Week Experience in Post-earthquake Haiti
by Debbie SalernoImagine that in eight short minutes your entire world comes crashing down upon you, literally. What would you do if you lost your home, your livelihood, your family, and your entire support network?
Through My Eyes: The Story of a Surgeon Who Took On the Medical World
by Charles D. Kelman"This book may ruffle feathers and bruise egos, but its fascinating tale adds a human quality to medical research." Dr. Frank Field Through My Eyes reads like a true adventure story. From the day his high school principal told him he wasn't college material and ought to go to trade school, Charles Kelman has upset conventional wisdom - with stunning success. As a pioneering ophthalmologist, Dr. Kelman bucked the whole medical establishment in his search for a less risky, less intrusive, and more effective method of cataract removal. Today, thanks to his persistence and smarts, thousands of people can see again. The "Rocky" of medicine, Dr. Kelman recounts his early struggles to achieve a breakthrough in surgical procedure-a battle Dr. Kelman had to wage in the face of intense skepticism from his colleagues. Through My Eyes tells the stories of the many famous people whose sight Dr. Kelman ultimately managed to save, including actress Hedy Lamarr, Senator Bob Packwood, jazz musician Lionel Hampton, singer Jan Peerce, and hundreds of others. But Charles Kelman also has a burgeoning second career- as a singer, saxophonist, and comedian. To his friends and fans he's known as "Dr. Jazz." And when he's not performing cataract surgery, he's performing at Carnegie Hall in New York, Caesar's Palace in Las Vegas, the Atlantis in Atlantic City, or on the "Tonight Show" with Johnny Carson. He has appeared on the stage with such performers as Glen Campbell, the Spinners, and Lionel Hampton. Through My Eyes shows how single-minded persistence and determination pay off. While this autobiography is bound to stir controversy in the medical world, Dr. Charles Kelman's story combines scientific savvy with personal style-showing how one adventurous man, all by himself, can make good, and make a difference. Charles D. Kelman, M.D., is a practicing ophthalmologist in New York City and the author of Cataracts: What You Must Know About Them. He is a clinical professor of Ophthalmology at New York Medical College. In addition to his regular medical duties, he is currently conducting research into macular degeneration of the retina, and-in his show business career-he is writing a musical for Broadway. Dr. Kelman lives in New York City.
Through The Kaleidoscope: Viewing The Contributions Of The Behavioral And Social Sciences To Health
by National Research Council Staff Institute of Medicine Staff Lisa F. Berkman Summary of the Institute of Medicine Symposium on Contributions of the Behavioral Social Sciences to Health StaffA report on Viewing The Contributions Of The Behavioral And Social Sciences To Health
Through the Glass Wall: A Therapist's Lifelong Journey to Reach the Children of Autism
by Howard ButenA remarkable testament of hope and love, these pages recount Howard Buten's lifelong journey working with autistic children. For three decades his pioneering, often controversial approaches have enabled him to gain access to their strange and solitary universe--a universe he shares in a book that is unlike any you've ever read. From his first unforgettable encounter with a wild, clawing human hurricane in the form of a little boy named Adam S., clinical psychologist Howard Buten has sought ways into the seemingly closed world of the autistic child. Whether he's done this by letting himself be pummeled, scratched, and bitten, or by imitating the child's behaviors, or by feeling himself into what the child must be feeling, he has often been rewarded. With extraordinary insight and in ways that are powerfully moving, he brings to life as never before the innermost selves of these children.Among those you'll meet in the clinic he founded in Paris are Lise, whose seemingly random movements are as expressive as a dancer's; Florian, who can instantly tell you on which day of the week your birthday falls for any year, past or future; Martin, whose nonstop speech echoes the angry voices he has heard all around him, but who is impervious to the emotions they contain; and Hakim, a child so lost and so violent, no other institution will take him.Writing with a scientist's clarity and a humanist's heart, Buten conveys the reality of autism with passion, ruthlessness, humor, wisdom--and love. This is a book both heartbreaking and hopeful, and when he succeeds in breaching the invisible wall of aloneness that seems to separate the autistic from the rest of us, we cheer.From the Hardcover edition.
Through the Seasons: Activities for Memory-Challenged Adults and Their Caregivers (A Johns Hopkins Press Health Book)
by Cynthia R. Green Joan BeloffA collection of easy-to-follow activities, organized by seasons of the year, to help family members and caregivers engage with memory-challenged adults.Dementia and related disorders impact the lives of those affected in countless ways, making it difficult to remain independent at work, at home, and in the wider world. But recent studies have shown that structured activities can make a significant, positive difference by stimulating mental engagement while improving interactions between caregivers and memory-challenged adults.Fun and easy to use, this large-format, full-color picture book is divided into themes representing the four seasons. Each section describes several multisensory experiences—such as walking on the beach, making ice cream, or planting flowers—along with related topics for discussion and activities to elicit memories and encourage new positive associations. The topics and activities incorporate all five senses to facilitate connections and conversations.The book adopts a compassionate, person-centered approach and is designed so that two people can easily look together while sitting side by side. This latest edition, which has been thoroughly revised, • takes a multicultural approach• includes all-new images, as well as 14 completely new highlighted activities • integrates modern wellness concepts• features a new introduction and an updated resource section• offers guidance about activity planning and optimizing interactions between care partners and the individual with dementiaHelping you and your loved one make cherished new memories, Through the Seasons is an indispensable solution to the question of what to do together to maintain well-being and connection.
Throwaway Players
by Gay CulverhouseThe NFL insists players know they're playing a dangerous game, but players never see the deteriorated mental capacities of their former heroes. Throwaway Players is former Tampa Bay Buccaneers president Gay Culverhouse's story of the broken bodies and lost souls of the men who have left the locker room and what remains after the cheering subsides. Focused on making money rather than the well-being of their players, this is the dark side of football the NFL doesn't want fans to see.Additionally, high schools, colleges, and independent sports organizations have little oversight when choosing player's equipment. This breeds a new generation of kids suffering from multiple concussions and damaged lives. Throwaway Players offers guidance to parents navigating the world of competitive sports as well as advocacy and resources for athletes often left in the dark about appropriate procedures for treating injuries, especially head traumas. Throwaway Players is essential reading for any parent, athlete, and sports fan.Gay Culverhouse testified before Congress on football head injuries and successfully changed the policy of including an independent neurologist on the sidelines of every NFL game. Gay's work with former players has appeared in The New York Times, Sarasota Herald Tribune, St. Petersburg Times, The Tampa Tribune, Time magazine, and many more. She has appeared on several radio shows, including PBS and ESPN, and is featured in three documentaries that are in post-production (with CNN, ESPN, and an independent filmmaker). In November 2009 Gay formed The Gay Culverhouse Players' Outreach Program, Inc., a nonprofit organization to further the work nationally for retired players.