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Your No Guilt Pregnancy Plan: A revolutionary guide to pregnancy, birth and the weeks that follow
by Rebecca Schiller** As seen on the Victoria Derbyshire show ** Providing you with everything you've ever wanted to know about pregnancy, this is the definitive guide from conception to the first few weeks' at home with your newborn*** 'I wish there'd been a book like this when I was pregnant. It almost makes me want to have another child. Almost' Bryony Gordon ***Your No Guilt Pregnancy Plan is a revolutionary new guide to pregnancy and childbirth that puts the power firmly in your hands. It won't tell you what fruit your baby resembles week-by-week, but it will cover the huge shifts happening in your relationships, body, work and emotional life right now, giving you practical tools, tips and real stories to help you make a plan that is uniquely yours yet flexible enough to accommodate whatever your pregnancy, birth and life throw at you.***Further Praise for Your No Guilt Pregnancy Plan***'The book has everything a pregnant woman needs ... I'm sure this will be the go-to book for women in years to come' - Helen Thorn host of the Scummy Mummies podcast'Rebecca is a living, breathing Wonder Woman heroine. In a sea of complicated, important and sometimes angry debate around childbirth, she is a mast to hold onto.' - Cherry Healey, presenter and author of Letters to My FannyI can't think of a panicky question I had thought of through either of my pregnancies (and I thought of them at a rate of five per second) that wouldn't have been answered by this book. I wish I had had it, in fact. A very empowering guide to becoming a mother.' - Robyn Wilder, The Pool
The Skincare Bible: Your No-Nonsense Guide to Great Skin
by Dr Anjali MahtoFor anyone who loves straight-talking, practical advice on skincare, this book is the perfect, beautiful gift._________________We all know that taking good care of our skin is the key to any effective health and beauty regime. But with so much conflicting information, the path to healthy skin can seem far from clear.Dr Anjali Mahto is one of the UK's leading consultant dermatologists. Equipped with years of expertise, she sets out to cut through the noise and distinguish the nuggets from the nonsense! Tackling common complaints such as acne, dryness, rosacea and aging, The Skincare Bible is your definitive companion to your body's biggest organ.Clear, concise and packed full of tips on the best products and routines, it will help you discover what works for you and find confidence in your own skin._________________'I now feel safe in the knowledge that I'm armed with the latest science-backed information about how to care for my skin' Chloe Brotheridge, author of The Anxiety Solution'A refreshing, fad-free guide to glowing skin. A must-read for anyone struggling with their skin health' Dr Megan Rossi, author of Eat Yourself Health
Conservatorship: Inside California’s System of Coercion and Care for Mental Illness
by Alex V. BarnardIs involuntary psychiatric treatment the solution to the intertwined crises of untreated mental illness, homelessness, and addiction? In recent years, politicians and advocates have sought to expand the use of conservatorships, a legal tool used to force someone deemed “gravely disabled,” or unable to meet their needs for food, clothing, or shelter as a result of mental illness, to take medication and be placed in a locked facility. At the same time, civil liberties and disability rights groups have seized on cases like that of Britney Spears to argue that conservatorships are inherently abusive.Conservatorship is an incisive and compelling portrait of the functioning—and failings—of California’s conservatorship system. Drawing on hundreds of interviews with professionals, policy makers, families, and conservatees, Alex V. Barnard takes readers to the streets where police encounter homeless people in crisis, the locked wards where people receiving treatment are confined, and the courtrooms where judges decide on conservatorship petitions. As he shows, California’s state government has abdicated authority over this system, leaving the question of who receives compassionate care and who faces coercion dependent on the financial incentives of for-profit facilities, the constraints of underresourced clinicians, and the desperate struggles of families to obtain treatment for their loved ones.This book offers a timely warning: reforms to expand conservatorship will lead to more coercion but little transformative care until government assumes accountability for ensuring the health and dignity of its most vulnerable citizens.
The Curious History of the Heart: A Cultural and Scientific Journey
by Vincent M. FigueredoFor much of recorded history, people considered the heart to be the most important organ in the body. In cultures around the world, the heart—not the brain—was believed to be the location of intelligence, memory, emotion, and the soul. Over time, views on the purpose of the heart have transformed as people sought to understand the life forces it contains. Modern medicine and science dismissed what was once the king of the organs as a mere blood pump subservient to the brain, yet the heart remains a potent symbol of love and health and an important part of our cultural iconography.This book traces the evolution of our understanding of the heart from the dawn of civilization to the present. Vincent M. Figueredo—an accomplished cardiologist and expert on the history of the human heart—explores the role and significance of the heart in art, culture, religion, philosophy, and science across time and place. He examines how the heart really works, its many meanings in our emotional and daily lives, and what cutting-edge science is teaching us about this remarkable organ. Figueredo considers the science of heart disease, recent advancements in heart therapies, and what the future may hold. He highlights the emerging field of neurocardiology, which has found evidence of a “heart-brain connection” in mental and physical health, suggesting that ancient views hold more truth than moderns suspect.Ranging widely and deeply throughout human history, this book sheds new light on why the heart remains so central to our sense of self.
The Couch, the Clinic, and the Scanner: Stories from Three Revolutionary Eras of the Mind
by David HellersteinOver the past several decades, psychiatry has undergone radical changes. After its midcentury heyday, psychoanalysis gave way to a worldview guided by the Diagnostic and Statistical Manual, which precisely defined mental disorders and their treatments; more recently, this too has been displaced by a model inspired by neuroscience. Each of these three dominant models overturned the previous era’s assumptions, methods, treatment options, and goals. Each has its own definitions of health and disease, its own concepts of the mind. And each has offered clinicians and patients new possibilities as well as pitfalls.The Couch, the Clinic, and the Scanner is an insightful first-person account of psychiatry’s evolution. David Hellerstein—a psychiatrist who has practiced in New York City since the early 1980s, working with patients, doing research, and helping run clinics and hospitals—provides a window into how the profession has transformed. In vivid stories and essays, he explores the lived experience of psychiatric work and the daunting challenges of healing the mind amid ever-changing theoretical models. Recounting his intellectual, clinical, and personal adventures, Hellerstein finds unexpected poetry in hallways and waiting rooms; encounters with patients who are by turns baffling, frustrating, and inspiring; and the advances of science. Drawing on narrative-medicine approaches, The Couch, the Clinic, and the Scanner offers a perceptive and eloquent portrayal of the practice of psychiatry as it has struggled to define and redefine itself.
Ordering the Human: The Global Spread of Racial Science (Race, Inequality, and Health #15)
by Eram Alam, Dorothy Roberts, and Natalie ShibleyModern science and ideas of race have long been entangled, sharing notions of order, classification, and hierarchy. Ordering the Human presents cutting-edge interdisciplinary scholarship that examines the racialization of science in various global contexts, illuminating how racial logics have been deployed to classify, marginalize, and oppress.These wide-ranging essays—written by experts in genetics, forensics, public health, history, sociology, and anthropology—investigate the influence of racial concepts in scientific knowledge production across regions and eras. Chapters excavate the mechanisms by which racialized science serves projects of power and domination, and they explore different forms of resistance. Topics range from skull collecting by eighteenth-century German and Dutch scientists to the use of biology to reinforce notions of purity in present-day South Korea and Brazil. The authors investigate the colonial legacies of the pathologization of weight for the Maori people, the scientific presumption of coronary artery disease risk among South Asians, and the role of racial categories in COVID-19 statistics and responses, among many other cases. Tracing the pernicious consequences of the racialization of science, Ordering the Human shines a light on how the naturalization of racial categories continues to shape health and inequality today.
The Handbook of LGBTQIA-Inclusive Hospice and Palliative Care
by Kimberly D. AcquavivaHospice and palliative care professionals are experts at caring for individuals and families experiencing serious or life-limiting illnesses. Not everyone feels safe seeking out their expertise, however: LGBTQIA+ people may be deterred from seeking support because of barriers—both overt and subtle—that hospice and palliative care programs and professionals erect through their policies and practices. This book is an accessible, expert guide to incorporating LGBTQIA-inclusive practices into end-of-life care. It equips both new and experienced hospice and palliative care professionals with the knowledge they need to ensure that all people receive high-quality care.Kimberly D. Acquaviva surveys fundamental concepts and the latest clinical developments, integrating relatable anecdotes and poignant personal reflections. She discusses her own experience caring for her wife, Kathy, who was diagnosed with ovarian cancer in 2019. Unable to find a local hospice with an LGBTQIA-inclusive nondiscrimination statement, let alone one whose staff had been trained to provide nondiscriminatory care to LGBTQIA+ people, Kathy died at home six months later without hospice care.Acquaviva offers clear, actionable strategies for palliative care and hospice physicians, physician associates, advanced-practice registered nurses, registered nurses, social workers, counselors, chaplains, and others. She also emphasizes how incorporating LGBTQIA-inclusive practices can transform work with every person receiving care. Anchored in the evidence and written in plain language, this book is the definitive guide for hospice and palliative care professionals seeking to deliver exceptional care to all the patients and families they serve.
Everyday Chemicals: Understanding the Risks
by Gerald A. LeBlancWhat is the likelihood that common chemicals such as bisphenol-A, which is found in plastic water bottles, are harming us? Should shoppers be concerned about pesticide residues on fruits and vegetables in the supermarket produce aisle? Are we risking adverse health effects when we use insect repellent that contains DEET or slather on sunscreen? Modern life requires us to navigate an endless sea of chemicals. How do we know whether we need to worry about them?This book is a layperson’s guide to understanding chemical risk. The toxicologist Gerald A. LeBlanc offers a nontechnical overview of the key factors in evaluating whether exposure to chemicals in our daily lives could be harmful. He leads readers through the basic concepts of risk assessment using real-world examples. LeBlanc emphasizes that chemical hazard depends on the level of exposure and provides practical strategies for sensible decision making. The book features a series of accessible case studies describing how we all can reach rational conclusions about the danger of typical chemical exposures we experience every day.Giving nonexpert readers the tools to understand chemical risks, this book shows how critical thinking and science literacy can help us live with less fear and anxiety and make reasonable choices when confronted with potential hazards.
The Suicidal Person: A New Look at a Human Phenomenon
by Konrad MichelKonrad Michel, a leading psychiatrist and acclaimed expert, draws on decades of experience to offer necessary new ways of understanding—and preventing—suicide. After one of his first patients died by suicide, Michel devoted himself to researching self-harm. Writing vividly and personally, he recounts more than forty years of working with and learning from suicidal patients.Michel shows that suicide is not just a consequence of mental illness but an action related to a person’s life story. Drawing on hundreds of interviews with suicidal patients, he argues that suicide and suicide attempts occur when someone experiences extreme emotional pain that severely impairs the ability to think and act rationally. Based on this understanding, Michel and his colleagues developed a person-centered approach to treatment that overcomes the limitations of the traditional medical model. Through a brief therapy, patients find a personally meaningful narrative understanding of their suicidal thoughts and impulses. People at risk can learn to recognize their vulnerabilities in order to manage potentially life-threatening situations and keep themselves safe. Michel emphasizes the importance of communication: medical professionals need to connect with patients as individuals to identify specific warning signs.Both compassionate and rigorous, this book provides vital insight into suicide prevention and shows how changing attitudes will help save lives. It includes practical advice for people at risk, with special emphasis on young people, as well as for relatives and health professionals.
Programmable Planet: The Synthetic Biology Revolution
by Ted AntonA new science is reengineering the fabric of life. Synthetic biology offers bold new ways of manufacturing medicines, clothing, foods, fragrances, and fuels, often using microbe fermentation, much like brewing beer. The technology can help confront climate change, break down industrial pollutants, and fight novel viruses. Today, researchers are manipulating life forms and automating evolution to create vegetarian “meat,” renewable construction materials, and cancer treatments. In the process, they are changing our concept of what life science can achieve. Is this a new industrial and information revolution—or dangerous tinkering that could unleash unintended consequences?Programmable Planet is a grand tour through the world of synthetic biology, telling the stories of the colorful visionaries whose ideas are shaping discoveries. Ted Anton explores the field from its beginning in fighting malaria in Africa to the COVID vaccines and beyond. Covering medical and agricultural triumphs and blunders, he examines successes in energy production, plant gene editing, and chemical manufacturing, as well as the most controversial attempts at human gene enhancement. This book reports from the front lines of research, showing policy makers’ struggle to stay abreast of the technologies they aim to regulate. Even-handed, lively, and informative, Programmable Planet gives a glimpse of the promise and problems of a new biology-based industry.
The Brain and Pain: Breakthroughs in Neuroscience
by Richard AmbronPain is an inevitable part of existence, but severe debilitating or chronic pain is a pathological condition that diminishes the quality of life. The Brain and Pain explores the present and future of pain management, providing a comprehensive understanding based on the latest discoveries from many branches of neuroscience.Richard Ambron—the former director of a neuroscience lab that conducted leading research in this field—explains the science of how and why we feel pain. He describes how the nervous system and brain process information that leads to the experience of pain, detailing the cellular and molecular functions that are responsible for the initial perceptions of an injury. He discusses how pharmacological agents such as opiates affect the duration and intensity of pain. Ambron examines new evidence showing that discrete circuits in the brain modulate the experience of pain in response to a placebo, fear, anxiety, belief, or other circumstances, as well as how pain can be relieved by activating these circuits using mindfulness training and other nonpharmacological treatments. The book also evaluates the prospects of procedures such as deep brain stimulation and optogenetics.Current and thorough, The Brain and Pain will be invaluable for a range of people seeking to understand their options for treatment as well as students in neuroscience and medicine.
The First Resort: The History of Social Psychiatry in the United States
by Matthew SmithSocial psychiatry was a mid-twentieth-century approach to mental health that stressed the prevention of mental illness rather than its treatment. Its proponents developed environmental explanations of mental health, arguing that socioeconomic problems such as poverty, inequality, and social isolation were the underlying causes of mental illness. The influence of social psychiatry contributed to the closure of psychiatric hospitals and the emergence of community mental health care during the 1960s. By the 1980s, however, social psychiatry was in decline, having lost ground to biological psychiatry and its emphasis on genetics, neurology, and psychopharmacology.The First Resort is a history of the rise and fall of social psychiatry that also explores the lessons this largely forgotten movement has to offer today. Matthew Smith examines four ambitious projects that investigated the relationship between socioeconomic factors and mental illness in Chicago, New Haven, New York City, and Nova Scotia. He contends that social psychiatry waned not because of flaws in its preventive approach to mental health but rather because the economic and political crises of the 1970s and the shift to the right during the 1980s foreclosed the social changes required to create a more mentally healthy society. Smith also argues that social psychiatry provides timely insights about how progressive social policies, such as a universal basic income, can help stem rising rates of mental illness in the present day.
The Analyst: A Daughter's Memoir
by Alice WexlerMilton Wexler was among the most unconventional, compelling, and sometimes controversial figures of the golden age of psychoanalysis in America. From Teachers College at Columbia University to the Menninger Foundation in Topeka to the galleries and gilded hills of Hollywood, he traversed the country and the century, pursuing interests ranging from the treatment of schizophrenia to group therapy with artists to advocacy for research on Huntington’s disease. At a time when psychologists and psychoanalysts tended to promote adjustment to society, Wexler increasingly championed creativity and struggle.The Analyst is an intimate and searching portrait of Milton Wexler, written by his daughter, an acclaimed historian. Alice Wexler illuminates her father’s intense private life and explores how his life and work reveal the broader reaches of Freudian ideas in the United States. She draws on decades of Milton Wexler’s unpublished family and professional correspondence and manuscripts as well as her own interviews, diaries, and memories. Through the lens of Milton Wexler’s friendships, the book offers glimpses into the lives of cultural icons such as Lillian Hellman, Eppie Lederer (Ann Landers), and Frank Gehry. The Analyst is at once a striking account of the arc of an iconoclast’s life, a daughter’s moving meditation on her complex father, and a new window onto on the wider landscape of psychoanalysis and science in the twentieth century.
Medical Storyworlds: Health, Illness, and Bodies in Russian and European Literature at the Turn of the Twentieth Century
by Elena FrattoThough often seen as scientific or objective, medicine has a fundamentally narrative aspect. Much like how an author constructs meaning around fictional events, a doctor or patient narrates the course of an illness and treatment. In what ways have literary and medical storytelling intersected with and shaped each other?In Medical Storyworlds, Elena Fratto examines the relationship between literature and medicine at the turn of the twentieth century—a period when novelists were experimenting with narrative form and the modern medical establishment was taking shape. She traces how Russian writers such as Dostoevsky, Tolstoy, and Bulgakov responded to contemporary medical and public health prescriptions, placing them in dialogue with French and Italian authors including Romains and Svevo and such texts as treatises by Paul Broca and Cesare Lombroso. In nuanced readings of these works, Fratto reveals how authors and characters question the rhetoric and authority of medicine and public health in telling stories of mortality, illness, and well-being. In so doing, she argues, they provide alternative ways of thinking about the limits and possibilities of human agency and free will. Bridging the medical humanities, European literary studies, and Slavic studies, Medical Storyworlds shows how narrative theory and canonical literary texts offer a new lens on today’s debates in medical ethics and bioethics.
A Primer in Biological Data Analysis and Visualization Using R
by Gregg HartvigsenR is the most widely used open-source statistical and programming environment for the analysis and visualization of biological data. Drawing on Gregg Hartvigsen’s extensive experience teaching biostatistics and modeling biological systems, this text is an engaging, practical, and lab-oriented introduction to R for students in the life sciences.Underscoring the importance of R and RStudio in organizing, computing, and visualizing biological statistics and data, Hartvigsen guides readers through the processes of correctly entering and analyzing data and using R to visualize data using histograms, boxplots, barplots, scatterplots, and other common graph types. He covers testing data for normality, defining and identifying outliers, and working with non-normally distributed data. Students are introduced to common one- and two-sample tests as well as one- and two-way analysis of variance (ANOVA), correlation, and linear and nonlinear regression analyses. This volume also includes a section on advanced procedures and a chapter outlining algorithms and the art of programming using R.This second edition has been revised to be current with the versions of R software released since the book’s original publication. It features updated terminology, sources, and examples throughout.
Partial Truths: How Fractions Distort Our Thinking
by James C. ZimringA fast-food chain once tried to compete with McDonald’s quarter-pounder by introducing a third-pound hamburger—only for it to flop when consumers thought a third pound was less than a quarter pound because three is less than four. Separately, a rash of suicides by teenagers who played Dungeons and Dragons caused a panic in parents and the media. They thought D&D was causing teenage suicides—when in fact teenage D&D players died by suicide at a much lower rate than the national average. Errors of this type can be found from antiquity to the present, from the Peloponnesian War to the COVID-19 pandemic. How and why do we keep falling into these traps?James C. Zimring argues that many of the mistakes that the human mind consistently makes boil down to misperceiving fractions. We see slews of statistics that are essentially fractions, such as percentages, probabilities, frequencies, and rates, and we tend to misinterpret them. Sometimes bad actors manipulate us by cherry-picking data or distorting how information is presented; other times, sloppy communicators inadvertently mislead us. In many cases, we fool ourselves and have only our own minds to blame. Zimring also explores the counterintuitive reason that these flaws might benefit us, demonstrating that individual error can be highly advantageous to problem solving by groups. Blending key scientific research in cognitive psychology with accessible real-life examples, Partial Truths helps readers spot the fallacies lurking in everyday information, from politics to the criminal justice system, from religion to science, from business strategies to New Age culture.
Nursing the Spirit: Care, Public Life, and the Dignity of Vulnerable Strangers
by Don GrantIllness and death have always raised profound spiritual concerns. However, today most people experience suffering and treatment in hospitals and other impersonal, bureaucratic facilities whose employees are expected to follow scientific, rationalized norms of behavior. How do professional caregivers—the nurses and other workers who tend to patients—navigate between science and spirituality?Don Grant investigates the subtle ways that nurses at an academic medical center incorporate spirituality into their care work. Based on extensive fieldwork and an in-depth survey on spirituality, this book finds that many nurses see themselves as responsible for not only patients’ physical health but also their spiritual well-being. They believe they are able to reconcile science and spirituality through storytelling and claim that they can provide more spiritual care than chaplains. However, nurses rarely talk about religion among themselves because they are concerned that their colleagues are uncomfortable discussing spirituality. Nevertheless, by seeking to honor patients’ ultimate worth as human beings, many nurses are able to instantiate spiritual values of care.Grant interweaves his experiences as a hospital volunteer chaplain and a living liver-transplant donor with empirical analyses of nurses’ spiritual work. Developing a new understanding of the social significance of religion, Nursing the Spirit recasts the intersection of science and spirituality by centering the perspectives of the people who provide care.
Political Exercise: Active Living, Public Policy, and the Built Environment
by Lawrence D. BrownThe public health benefits of giving city dwellers increased opportunities to lead physically active lifestyles are well known to urban planners, public health scholars, and government officials. Moreover, increases in “active living,” such as walking and cycling, help the environment, support local businesses, and reduce traffic congestion, among other advantages. But despite wide agreement that active living is both achievable and valuable, best practices are not easy to implement.In Political Exercise, Lawrence D. Brown presents five case studies of cities that have promoted active living with varying success through a range of approaches. He shows how and why the transformation of a call for public intervention into projects, programs, and policies is inescapably political. Brown argues that in order to implement policies that support active living, their proponents must give communities a sense of ownership of recommended changes in the built environment, filter the public health agenda through a range of public and private organizations, and secure committed political champions. At the intersection of public health and urban planning, Political Exercise offers a framework for scholars, policy makers, and reformers to more productively address both the rationales behind active living and the political strategies that spur change.
Mind Thief: The Story of Alzheimer's
by Han YuAlzheimer’s disease, a haunting and harrowing ailment, is one of the world’s most common causes of death. Alzheimer’s lingers for years, with patients’ outward appearance unaffected while their cognitive functions fade away. Patients lose the ability to work and live independently, to remember and recognize. There is still no proven way to treat Alzheimer’s because its causes remain unknown.Mind Thief is a comprehensive and engaging history of Alzheimer’s that demystifies efforts to understand the disease. Beginning with the discovery of “presenile dementia” in the early twentieth century, Han Yu examines over a century of research and controversy. She presents the leading hypotheses for what causes Alzheimer’s; discusses each hypothesis’s tangled origins, merits, and gaps; and details their successes and failures. Yu synthesizes a vast amount of medical literature, historical studies, and media interviews, telling the gripping stories of researchers’ struggles while situating science in its historical, social, and cultural contexts. Her chronicling of the trajectory of Alzheimer’s research deftly balances rich scientific detail with attention to the wider implications. In narrating the attempts to find a treatment, Yu also offers a critical account of research and drug development and a consideration of the philosophy of aging. Wide-ranging and accessible, Mind Thief is an important book for all readers interested in the challenge of Alzheimer’s.
The Carriers: What the Fragile X Gene Reveals About Family, Heredity, and Scientific Discovery
by Anne SkomorowskyA tiny mutation on the X chromosome can shape a family’s history. Passed down from a “carrier” parent to a child, fragile X syndrome is the most common inherited cause of intellectual disability and autism. Beyond that—and a rarity among genetic disorders—some fragile X carriers not only transmit the mutation but also experience related conditions themselves. In such cases, carriers can have tremors, infertility, and psychiatric disorders that complicate raising children with fragile X syndrome—and all too often, they suffer in silence.The Carriers investigates this common but still little-known genetic condition and its life-altering consequences. Anne Skomorowsky reveals how this disorder afflicts families across generations, telling the stories of the mothers and grandparents of fragile X patients and considering how genes interact with family dynamics. She interweaves the personal narratives and family histories of the people affected by fragile X disorders with clear and accessible explanations of the science behind them. Skomorowsky unpacks the latest research on the fragile X mutation and explores the history of its discovery. She highlights the roles of women as carriers, caregivers, and researchers who have made astonishing scientific breakthroughs over the last three decades.The Carriers is an essential book for fragile X families, including those just learning they are carriers, and for all readers interested in the complexities of heredity, the ethical dilemmas of genetic medicine, and the relationship between genes and personality.
An Ungovernable Foe: Science and Policy Innovation in the U.S. National Cancer Institute
by Natalie B. AvilesIn American politics, medical innovation is often considered the domain of the private sector. Yet some of the most significant scientific and health breakthroughs of the past century have emerged from government research institutes. The U.S. National Cancer Institute (NCI) is tasked with both understanding and eradicating cancer—and its researchers have developed a surprising expertise in virus research and vaccine development.An Ungovernable Foe examines seventy years of federally funded scientific breakthroughs in the laboratories of the NCI to shed new light on how bureaucratic organizations nurture innovation. Natalie B. Aviles analyzes research and policy efforts around the search for a viral cause of leukemia in the 1960s, the discovery of HIV and the development of AIDS drugs in the 1980s, and the invention of the HPV vaccine in the 1990s. She argues that the NCI transformed generations of researchers into innovative public servants who have learned to balance their scientific and bureaucratic missions. These “scientist-bureaucrats” are simultaneously committed to conducting cutting-edge research and stewarding the nation’s investment in cancer research, and as a result they have developed an unparalleled expertise. Aviles demonstrates how the interplay of science, politics, and administration shaped the NCI into a mission-oriented agency that enabled significant breakthroughs in cancer research—and in the process, she shows how organizational cultures indelibly stamp scientific work.
Sex in the Brain: How Seizures, Strokes, Dementia, Tumors, and Trauma Can Change Your Sex Life
by Amee BairdWhat controls our sex lives? Our brains. Yet there is surprisingly little research into how our brains influence one of the most fundamental of all human behaviors. And there is even less understanding of what can happen to the sexuality of a person who suffers a brain injury or illness such as a stroke, Parkinson’s disease, or dementia.In Sex in the Brain, clinical neuropsychologist Amee Baird explores fascinating case studies of dramatic changes in sexual behavior and explains what these exceptional stories have to say about human sexuality. She illuminates the extraordinary insights into how the brain works that injury or disease can divulge. Each chapter includes striking personal accounts, many from individuals Baird has met in her clinical practice, of unexpected shifts in sexuality. Until now these fascinating, frightening, and funny stories have been hidden in medical journals or untold outside of the clinical setting. This revealing and sometimes heartbreaking book unfolds a better understanding of the links between brain function and our sexual selves.
The Woman Who Couldn't Wake Up: Hypersomnia and the Science of Sleepiness
by Quinn EastmanSleep was taking over Anna’s life. Despite multiple alarm clocks and powerful stimulants, the young Atlanta lawyer could sleep for thirty or even fifty hours at a stretch. She stopped working and began losing weight because she couldn’t stay awake long enough to eat. Anna’s doctors didn't know how to help her until they tried an oddball drug, connected with a hunch that something produced by her body was putting her to sleep.The Woman Who Couldn’t Wake Up tells Anna’s story—and the broader story of her diagnosis, idiopathic hypersomnia (IH), a shadowy sibling of narcolepsy that has emerged as a focus of sleep research and patient advocacy. Quinn Eastman explores the science around sleepiness, recounting how researchers have been searching for more than a century for the substances that tip the brain into slumber. He argues that investigation of IH could unlock new understandings of how sleep is regulated and controlled. Eastman foregrounds the experiences of people with IH, relating how publicity around Anna’s successful treatment helped others form a community. He shows how a group of patients who felt neglected or dismissed united to steer research toward their little-known disorder.Sharing emerging science and powerful stories, this book testifies to the significance of underrecognized diseases and sheds new light on how our brains function, day and night. It is essential reading for anyone interested in sleep and sleep disorders, including those affected by or seeking to treat them.
Perilous Medicine: The Struggle to Protect Health Care from the Violence of War
by Leonard RubensteinPervasive violence against hospitals, patients, doctors, and other health workers has become a horrifically common feature of modern war. These relentless attacks destroy lives and the capacity of health systems to tend to those in need. Inaction to stop this violence undermines long-standing values and laws designed to ensure that sick and wounded people receive care.Leonard Rubenstein—a human rights lawyer who has investigated atrocities against health workers around the world—offers a gripping and powerful account of the dangers health workers face during conflict and the legal, political, and moral struggle to protect them. In a dozen case studies, he shares the stories of people who have been attacked while seeking to serve patients under dire circumstances including health workers hiding from soldiers in the forests of eastern Myanmar as they seek to serve oppressed ethnic communities, surgeons in Syria operating as their hospitals are bombed, and Afghan hospital staff attacked by the Taliban as well as government and foreign forces. Rubenstein reveals how political and military leaders evade their legal obligations to protect health care in war, punish doctors and nurses for adhering to their responsibilities to provide care to all in need, and fail to hold perpetrators to account.Bringing together extensive research, firsthand experience, and compelling personal stories, Perilous Medicine also offers a path forward, detailing the lessons the international community needs to learn to protect people already suffering in war and those on the front lines of health care in conflict-ridden places around the world.
From Whispers to Shouts: The Ways We Talk About Cancer
by Elaine SchattnerIt’s hard today to remember how recently cancer was a silent killer, a dreaded disease about which people rarely spoke in public. In hospitals and doctors’ offices, conversations about malignancy were hushed and hope was limited. In this deeply researched book, Elaine Schattner reveals a sea change—from before 1900 to the present day—in how ordinary people talk about cancer.From Whispers to Shouts examines public perception of cancer through stories in newspapers and magazines, social media, and popular culture. It probes the evolving relationship between journalists and medical specialists and illuminates the role of women and charities that distributed medical information. Schattner traces the origins of patient advocacy and activism from the 1920s onward, highlighting how, while doctors have lost control of messages about cancer, survivors have gained visibility and voice.The book’s final section lays out provocative questions facing the cancer community today—including distrust of oncologists, concerns over financial burdens, and disparities in cancer treatments and care. Schattner considers how patients and their loved ones struggle to make decisions amid conflicting information and opinions. She explores the ramifications of so much openness, good and bad, and asks: Has awareness backfired? Instead, Schattner contends, we need greater understanding of cancer’s treatability.