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Alliances for Obesity Prevention
by Lynn Parker Standing Committee on Childhood Obesity Prevention Elena Ovaitt Institute of Medicine Stephen Olson Food and Nutrition Board Emily Ann MillerMany organizations are making focused efforts to prevent obesity. To achieve their goals, accelerate their progress, and sustain their success, the assistance of many other individuals and groups--not all of them with a singular focus on obesity prevention--will be essential. In October 2011 the Institute of Medicine held a workshop that provided an opportunity for obesity prevention groups to hear from and hold discussions with many of these potential allies in obesity prevention. They explored common ground for joint activities and mutual successes and lessons learned from efforts at aligning diverse groups with goals in common.
Allied Health: Practice Issues and Trends into the New Millennium
by Kevin Lyons Pedro J Lecca Peggy ValentineMake the most of your contribution to health care delivery! Allied Health: Practice Issues and Trends in the New Millennium is a comprehensive look at present and future concerns in the allied health care field. Leading experts in allied health practice and education address practice and policy issues that have developed as technology and a changing health care environment have created new and expanded roles for allied heath professionals. With the allied health field projected to add an estimated four million new jobs by 2005 in the United States alone, this book is an essential resource for maximizing the knowledge and skills necessary to deliver safe, efficient, effective, and equitable care. Allied Health: Practice Issues and Trends in the New Millennium presents an overview of the concerns facing the largest and most diverse pool of health workers in the United States as they provide disease detection, prevention, dietary, health promotion, rehabilitation and health management services at all levels of health care delivery. This unique book addresses critical issues that affect allied health practice, including managed health care, computer technology, drug information, and demographic trends in society, with an emphasis on implications for education. The book also includes appendices listing allied health organizations, accrediting agencies, and descriptions of federally recognized allied health professions. Allied Health: Practice Issues and Trends in the New Millennium presents information on: public policy research needs new directions for accreditation interprofessional collaborative alliances employment opportunities practice directions and much more! Allied health professionals play a critical role in health care delivery, comprising a significant portion of the health care work force with tremendous potential for addressing issues of health care cost, quality, and access within the health care system. Allied Health: Practice Issues and Trends in the New Millennium is an essential resource for the future of health care in the United States and a must read for allied health care educators and students, and health care policymakers.
The Allied Health Professions: A Sociological Perspective (Sociology of Health Professions)
by Susan Nancarrow Alan BorthwickThe allied health professions have gained legitimacy through the pursuit of research evidence and the standardisation of practice. Yet there remains very little analysis or understanding of these professions. Adopting theory from the sociology of health professions, this unique text explores the sociological, economic, political and philosophical pressures that have shaped the professions. Drawing on case studies and examples from occupations including optometrists, occupational therapists and physiotherapists to emerging vocations, including pedorthists and allied health assistants, this book offers an innovative comparison of allied health professions in Australia and Britain. By telling the story of their past, this original book prepares the allied health professions for a new and different future.
Allied Health Workforce and Services
by Steve Olson Board on Health Care Services Institute of MedicineThe demand for health care is growing as the nation ages and seeks to provide coverage for the millions of Americans who lack health insurance. At the same time, escalating costs have led to a variety of initiatives to make the delivery of health care more effective and efficient. The allied health workforce is critical to the success of these efforts. The IOM held a workshop May 9-10, 2011, to examine the current allied health care workforce and consider how it can contribute to improving health care access, quality, and effectiveness.
The Allocation of Health Care Resources: An Ethical Evaluation of the 'QALY' Approach (Medico-Legal Series)
by Peter Singer John McKie Jeff RichardsonThe competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.
Allogeneic Stem Cell Transplantation: Clinical Research And Practice (Contemporary Hematology)
by Mary J. Laughlin Hillard M. LazarusSince the original publication of Allogeneic Stem Cell Transplantation: Clinical Research and Practice, Allogeneic hematopoietic stem cell transplantation (HSC) has undergone several fast-paced changes. In this second edition, the editors have focused on topics relevant to evolving knowledge in the field in order to better guide clinicians in decision-making and management of their patients, as well as help lead laboratory investigators in new directions emanating from clinical observations. Some of the most respected clinicians and scientists in this discipline have responded to the recent advances in the field by providing state-of-the-art discussions addressing these topics in the second edition. The text covers the scope of human genomic variation, the methods of HLA typing and interpretation of high-resolution HLA results. Comprehensive and up-to-date, Allogeneic Stem Cell Transplantation: Clinical Research and Practice, Second Edition offers concise advice on today's best clinical practice and will be of significant benefit to all clinicians and researchers in allogeneic HSC transplantation.
Allosteric Enzymes
by Guy HerveThis book compiles detailed information concerning a dozen of the best known allosteric enzymes, and so allows the comparison of their regulatory mechanisms and the confrontation of these mechanisms with the theoretical models. Stimulating and unexpected ideas emerge from these comparisons and emphasize the importance of developing various methods of investigation such as crystallography, X-ray solution scattering, and the study of fast movements in proteins and site-directed mutagenesis. This book is addressed to students and researchers interested in structure-function relationship in proteins, enzymology and metabolic regulation. It is also a basis for teaching.
Allosteric Receptor Modulation in Drug Targeting
by Norman G. BoweryOffering a wide array of illustrations and tables in every chapter, this book extensively covers the principles of allosterism in reference to drug action and progresses to a detailed examination of individual ionotropic and G-protein coupled receptor systems-helping those new to the subject understand the importance of allosterism and providing th
Almost Addicted: Is My (or My Loved One's) Drug Use a Problem?
by Eric Metcalf J. Wesley BoydAlmost Addicted will help you assess your or your loved one's drug use and evaluate its impact on relationships, work, and personal well-being.Do you think your pot smoking is hindering your relationships? Does it feel as if you're just a tad too dependent on the pills your doctor prescribed for pain? Almost Addicted will help you assess your or your loved one's drug use and evaluate its impact on relationships, work, and personal well-being.Most people who abuse illegal drugs don't fit the image of the dysfunctional, hustling addict who can't fit into normal society. Between the estimated 10 percent of the population who are true addicts and those who don't use drugs at all falls a group of regular drug users who oftentimes don't realize how much their use is affecting their daily lives.According to J. Wesley Boyd, MD, of Harvard Medical School, and Eric Metcalf, MPH, these people are almost addicted. Whether their drug of choice is legal or illegal, an upper or a hallucinogen, an almost addicts' drug use is negatively impacting their quality of life--but falls short of meeting the diagnostic criteria for substance abuse or dependence.For the first time, Boyd and Metcalf describe what it is to be almost addicted and provide almost addicts and their loved ones with the knowledge and guidance to address and evaluate their condition. In this book, readers will find the tools toidentify and assess their patterns of drug use;evaluate its impact on relationships, work, and personal well-being;develop strategies and goals for abstaining from or cutting back on drugs;measure the results of applying these strategies; andmake informed decisions about next steps, including getting professional help if needed.
Almost Family: A Novel
by Ann BancroftLiz Millanova has stage four cancer, a grown daughter who doesn&’t speak to her, and obsessive memories of a relationship that tore apart her marriage. She thinks of herself as someone who&’d rather die than sit through a support group, but now that she actually is going to die, she figures she might as well give it a go.Mercy&’s Thriving Survivors is a hospital-sponsored group held in a presumably less depressing location: a Nordstrom&’s employee training lounge. There, Liz hits it off with two other patients, and the three unlikely friends decide to ditch the group and meet on their own. They call themselves the Oakland Mets, and their goal is to enjoy life while they can. Together, Dave, a gay Vietnam vet, Rhonda, a devout, nice woman who&’s hiding a family secret and finds peace in a gospel choir, and snarky Liz plan outings to hear jazz, enjoy nature, and tour Alcatraz. In the odd intimacy they form, Liz learns to open up and get close, acknowledge and let go of the dysfunction in her marriage, and repair her relationship with her daughter. They joined forces to have a good time—but what they wind up doing is helping one another come to grips with terminal cancer and resolve the unfinished business in their lives.
Alone and Invisible No More
by Allan TeelWithin the next two decades, tens of millions of Americans will reach the age where they will need either significant support to stay in their own homes or a cost-effective residential alternative. The current state of elder care in America is appalling, expensive, and unsustainable. It underserves the majority of elderly Americans and bankrupts all but the richest few while virtually ignoring this population's complex physical and mental needs. At a time when we should be celebrating the achievements and wisdom of the oldest citizens, we instead find ways to overmedicate and isolate them in dehumanizing nursing-home facilities. And space for more residents within this system is running out. There must be a better way!In Alone and Invisible No More, physician Dr. Allan S. Teel, MD, describes a philosophy and a course of action that have turned aging in place into a viable alternative for dozens of elderly residents in Damariscotta, Maine. Teel lays out a course of action to expand his approach to the millions of Americans approaching retirement age and how these techniques can be used to avert the financial and personal disaster approaching nationwide. He discusses the resources-both technological and professional-needed to guide this transition and the community support that will be critical to its success. Taking this "Maine Approach" to the rest of the country could create a climate where Americans welcome rather than fear the approach of their golden years.
Alopecia Areata: A Clinician's Guide
by Pooya Khan Mohammad BeigiOffering the reader a comprehensive look at the material regarding alopecia areata, this book is divided into several sections: One section encompasses the detailed overview of alopecia areata including its epidemiology, etiology, signs, symptoms, diagnosis, differential diagnosis and treatment options; another section provides information and content about different comorbidities in patients with alopecia areata; the third section contains case studies of patients diagnosed with alopecia areata, including their signs, symptoms, lab tests, clinical management, and treatment; and the last section covers research studies on this disease. Complete with full color photographs of patients before, during, and after the disease to accompany the various sections, Alopeacia Areata -- A Clinician's Guide is written for dermatologists as well as internists dealing with the comorbid conditions that often accompany alopecia areata.
The Alopecias: Diagnosis and Treatments
by Pierre Bouhanna Eric BouhannaThe Alopecias: Diagnosis and Treatments provides a practical answer to most diagnostic and therapeutic matters related to the different types of alopecia physicians may encounter in daily practice. It also presents a clear classification of all the types of alopecia.Among the topics covered are diffuse alopecia, traumatic alopecia, the male patient
Alpha-1 Antitrypsin: Methods and Protocols (Methods in Molecular Biology #2750)
by Cynthia L. BristowThis volume provides a collection of protocols that will allow researchers to further explore the multiple, fascinating activities of Alpha-1 Antitrypsin (AAT) isoforms in innate immunity, and gene therapy. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and cutting-edge, Alpha-1 Antitrypsin: Methods and Protocols aims to ensure successful results in the further study of this vital field.
Alpha-1 Antitrypsin: Role in Health and Disease (Respiratory Medicine)
by Adam Wanner Robert A. SandhausThis book offers a comprehensive overview of alpha-1 antitrypsin deficiency, an inherited condition that leads to lung disease in adults and liver disease in adults and children and is associated with chronic obstructive lung disease in adults. While it is a rare condition, the mechanisms underlying the clinical manifestations of this deficiency have been largely clarified. Treatment, however, is available only for the lung disease that arises from the condition, thus necessitating continued research into new and alternative therapeutic solutions. The book discusses the biology of alpha-1 antitrypsin, protein misfolding and polymerization, and diagnosis and treatment of alpha-1 antitrypsin deficiency and its associated diseases. It concludes with a discussion of rare disorders linked to alpha-1 antitrypsin deficiency and the role of healthcare organizations in the treatment of these diseases. Written for pulmonary clinicians and scientists, Alpha-1 Antitrypsin: Role in Health and Disease is a valuable resource that sheds light on this rare disease.
Alpha-1 Antitrypsin Deficiency: Methods and Protocols (Methods in Molecular Biology #1639)
by Florie Borel Christian MuellerThis volume provides protocols that expand on the latest alpha-1-antitrypsin (AAT) research. The chapters in this book are divided in to three sections: Part I is dedicated to patient-oriented research; part II discusses animal models; and Part III focuses on in vitro studies. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Cutting-edge and authoritative, Alpha-1 Antitrypsin Deficiency: Methods and Protocols is a valuable resource for researchers, students, and clinican-scientists interested in AAT deficiency, as well as anyone working in the fields of pulmonology and hepatology.
Alpha 1 - Antitrypsin Deficiency: Biology-Pathogenesis-Clinical Manifestations-Therapy (Lung Biology in Health and Disease)
by Ronald G. CrystalProviding a broad overview of basic and clinical aspects of alpha 1-antitrypsin (a 1AT) deficiency, this up-to-date reference discusses the complex pathobiological processes underlying the pathogenesis of a1AT deficiency, describes the a1AT gene and its promoter, and details specific therapies to prevent the major clinical manifestations of the dis
Alpha Docs
by Daniel Muñoz James M. DaleIn the tradition of Scott Turow's One L and Atul Gawande's Better comes a real-time, real-life chronicle from an impassioned young doctor on the front lines of high-stakes cardiology. It takes drive, persistence, and plenty of stamina to practice cardiology at the highest level. The competition for training fellowship spots is intense. Hundreds of applicants from all over the world compete to be accepted into the Cardiovascular Disease Training Fellowship at Johns Hopkins. Only nine are chosen each year. This is the story of one of those fellows. In Alpha Docs, Daniel Muñoz, M.D., recounts his transformation from wide-eyed young medical student to caring, empathetic professional--providing a rare inside look into the day-to-day operations of one of the world's most prestigious medical institutions. The training is arduous and often unforgiving, as Muñoz and his colleagues are schooled by a staff of brilliant and demanding physicians. How they learn the art and science of untangling cardiac mysteries, how they live up to the standards of an iconic institution, how they survive the pressures and relentlessly push themselves to reach the top ranks of American medicine, supplies the beating heart of this gripping narrative. Readers accompany Muñoz as he interacts with his mentors, diagnoses and treats patients, counsels worried family members, and struggles to stay awake for days and nights on end. Lives are saved--and sometimes lost. But the rewards are immediate and the incentives powerful. As Muñoz confides after helping to rescue one man from the throes of a heart attack: "I knew where I wanted to be: not watching but doing, on the side of the glass where I can help shape a patient's fate. I would be a cardiologist." A unique yet universal story about striving to be the best in a high-risk, high-impact field, Alpha Docs provides fresh perspective on the state of America's healthcare system as it captures all the fulfillment and frustrations of life as a doctor in the twenty-first century.From the Hardcover edition.
An Alphabet of Good Health in a Sick World
by Mary Budinger Martha M. GroutWant to feel better? Been to a dozen doctors and still have no answer? Look no further. Discover why illness is really your friend. Realize that illness is your body's cry for help, your best effort at telling yourself that something is very wrong. Looking at your body as the enemy and treating it with brute force is the conventional way to treat. But, if you are open to it, there is another way. Healthy food and healthy environments beget health for the body, no matter what the genetics suggest. We call this paradigm "Green Medicine". Treat the whole body, not just the part that is currently screaming. And recognize that illness occurs for reasons that may have global implications.
The Alphabet of the Human Heart: The A to Zen of Life
by Matthew Johnstone James KerrA handbook for the happy, and a bible for the broken-hearted, The Alphabet of the Human Heart is an enchanting and enriching journey through the upside and the downside of what it means to be human - our hopes and our fears, our strength and our weakness, our highs and our lows.The Alphabet of the Human Heart is a book of literally two halves. Firstly there is upside A-Z, which is full of the happy and hopeful aspects of our lives, such as A is for Adventure, through G is for Gratitude, S is for Smile to Zen is the Place to Be. The other downside half examines the negative parts of our character lives and how we can overcome them to lead more positive and fulfilling lives. From A is for Anger, through H is for Hate, T is for Temptation to once again end on Zen is the Place to be. Matthew and James have been friends for over 30 years and they've experienced both sides of life - the upside and the downside - and they've turned their experience of life - and of friendship - into a book that combines words and pictures to tell a bigger story.Praise for I Had a Black Dog:'I Had a Black Dog says with wit, insight, economy and complete understanding what other books take 300 pages to say. Brilliant and indispensable.' - Stephen Fry'Finally, a book about depression that isn't a prescriptive self-help manual. Johnston's deftly expresses how lonely and isolating depression can be for sufferers. Poignant and humorous in equal measure.' Sunday TimesPraise for Living with a Black Dog:'Moving and thoughtfully written ... a must-have' Daily Mirror'Comprehensive and very helpful ... brilliant' Guardian Weekend
Alpin- und Höhenmedizin
by Marc Moritz Berger Franz Berghold Hermann Brugger Martin Burtscher Rainald Fischer Peter Paal Wolfgang Schobersberger Günther SumannNamhafte Alpin- und Höhenmedizinexperten aus dem deutschen Sprachraum und darüber hinaus geben mit diesem Fachbuch einen umfassenden Überblick über die Sport- und Unfallmedizin im Gebirge sowie zur Höhenmedizin. Das Buch deckt dabei alle Inhalte zum „International Diploma in Mountain Medicine“ (DIMM) des Weltverbandes der alpinen Vereine (UIAA), der Internationalen Kommission für Alpine Rettung (ICAR) und der Internationalen Gesellschaft für Bergmedizin (ISMM) ab und wird von der Österreichischen Gesellschaft für Alpin- und Höhenmedizin (ÖGAHM), sowie der Deutschen Gesellschaft für Berg- und Expeditionsmedizin (BExMed) empfohlen. Die dritte Auflage wurde ausführlich aktualisiert: Neu dazugekommen sind Kapitel zur Pulsoxymetrie in der Höhe, zu neurologischen und psychiatrischen Notfällen im Gebirge, zum alpinen Polytrauma und zum Hängesyndrom. Zahlreiche andere Kapitel wurden aktualisiert und eingehend überarbeitet. Das Buch wendet sich an Alpinärzte, Sportmediziner, Reisemediziner, Ärzte in der alpinen Rettung und alle an der Alpin- und Höhenmedizin interessierten Ärzte und Berufsgruppen.
Alpin- und Höhenmedizin
by Franz Berghold Hermann Brugger Martin Burtscher Wolfgang Domej Bruno Durrer Rainald Fischer Peter Paal Wolfgang Schaffert Wolfgang Schobersberger Günther SumannNamhafte Alpinexperten aus dem deutschen Sprachraum (Schweiz, Deutschland, #65533;sterreich, S#65533;dtirol) geben mit diesem Buch einen umfassenden #65533;berblick #65533;ber die Sport- und Unfallmedizin im Gebirge sowie zur H#65533;henmedizin. Unter anderem beleuchten sie Themen wie Training, Ern#65533;hrung, Steigtaktik, Kinder, Schwangere und chronisch Kranke am Berg. Die moderne Rettung aus Bergnot wird ebenso behandelt, wie der Aufstieg in die gro#65533;en und extremen Hochgebirge bis hin zum Gipfel des Mount Everest. Das Fachbuch wendet sich an Sportmediziner, Notfallmediziner, Ersthelfer und andere #65533;rzte und Interessierte - die eines gemeinsam haben: die Liebe zur Welt der Berge.
Alpin- und Höhenmedizin
by Franz Berghold Hermann Brugger Martin Burtscher Wolfgang Domej Bruno Durrer Rainald Fischer Peter Paal Wolfgang Schaffert Wolfgang Schobersberger Günther SumannNamhafte Alpin- und Höhenmedizinexperten aus dem deutschen Sprachraum und darüber hinaus geben mit diesem Fachbuch einen umfassenden Überblick über die Sport- und Unfallmedizin im Gebirge sowie zur Höhenmedizin. Das Buch deckt dabei alle Inhalte zum „International Diploma in Mountain Medicine“ des Weltbergsportverbandes (UIAA) und der Internationalen Kommission für Alpine Rettung (ICAR) ab und wird von der Österreichischen Gesellschaft für Alpin- und Höhenmedizin (ÖGAHM) und der Deutschen Gesellschaft für Berg- und Expeditionsmedizin (BExMed) empfohlen. Die zweite Auflage wurde ausführlich aktualisiert: Neu dazugekommen sind Kapitel zur Analgesie, Höhentraining im Leistungssport, Unfallprävention im Bergsport sowie ein Beitrag, der den Wissenstransfer von der Höhenmedizin zur Intensivmedizin beleuchtet. Zahlreiche andere Kapitel wurden aktualisiert und eingehend überarbeitet. Die Abbildungen sind nun in Farbe dargestellt. Das Buch wendet sich an Notärzte der Bergrettung, Sportmediziner, Reisemediziner und alle am Alpinsport und Höhenmedizin interessierten Ärzte.
Alpine Skiing Injuries: Prevention and Management (Sports and Traumatology)
by Herbert Schoenhuber Andrea Panzeri Simone PorcelliThis book provides detailed information on the different forms of injury that are associated with training for and participation in Alpine skiing, covering risk factors and epidemiology, incidence, injury patterns, and, above all, preventive strategies and current management approaches. Conditions addressed in individual chapters include concussion, traumatic dislocations due to high-energy trauma or inappropriate movements, overuse injuries resulting from dry-land training or skiing on snow, the fractures typically associated with present-day Alpine skiing accidents, and musculoskeletal disorders. The importance of a sound understanding of biomechanics and physiological systems for the design of suitable training protocols and trauma prevention is clearly explained, and in-depth information and guidance are provided on training and testing for elite skiers and return to sporting activity following injury. Among the other topics addressed in individual chapters are the relationship of changes in skiing equipment over recent decades to particular types of injury and the potential consequences of exposure to hypobaric hypoxia and other stressors at high altitude. The book will be of great value to all medical professionals who work with or care for Alpine skiers, as well as for trainers and the skiers themselves.
Already Toast: Caregiving and Burnout in America
by Kate WashingtonThe story of one woman's struggle to care for her seriously ill husband--and a revealing look at the role unpaid family caregivers play in a society that fails to provide them with structural support.Already Toast shows how all-consuming caregiving can be, how difficult it is to find support, and how the social and literary narratives that have long locked women into providing emotional labor also keep them in unpaid caregiving roles. When Kate Washington and her husband, Brad, learned that he had cancer, they were a young couple: professionals with ascending careers, parents to two small children. Brad's diagnosis stripped those identities away: he became a patient and she his caregiver.Brad's cancer quickly turned aggressive, necessitating a stem-cell transplant that triggered a massive infection, robbing him of his eyesight and nearly of his life. Kate acted as his full-time aide to keep him alive, coordinating his treatments, making doctors' appointments, calling insurance companies, filling dozens of prescriptions, cleaning commodes, administering IV drugs. She became so burned out that, when she took an online quiz on caregiver self-care, her result cheerily declared: "You're already toast!" Through it all she felt profoundly alone, but, as she later learned, she was in fact one of millions: an invisible army of family caregivers working every day in America, their unpaid labor keeping our troubled healthcare system afloat. Because our culture both romanticizes and erases the realities of care work, few caregivers have shared their stories publicly. As the baby-boom generation ages, the number of family caregivers will continue to grow. Readable, relatable, timely, and often raw, Already Toast--with its clear call for paying and supporting family caregivers--is a crucial intervention in that conversation, bringing together personal experience with deep research to give voice to those tasked with the overlooked, vital work of caring for the seriously ill.