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The Unwinding of the Miracle: A Memoir of Life, Death, and Everything That Comes After
by Julie Yip-WilliamsAs a young mother facing a terminal diagnosis, Julie Yip-Williams began to write her story, a story like no other. What began as the chronicle of an imminent and early death became something much more—a powerful exhortation to the living. <P><P> Julie Yip-Williams survived infancy was a miracle. Born blind in Vietnam, she narrowly escaped euthanasia at the hands of her grandmother, only to flee with her family the political upheaval of her country in the late 1970s. Loaded into a rickety boat with three hundred other refugees, Julie made it to Hong Kong and, ultimately, America, where a surgeon at UCLA gave her partial sight. <P><P> She would go on to become a Harvard-educated lawyer, with a husband, a family, and a life she had once assumed would be impossible. Then, at age thirty-seven, with two little girls at home, Julie was diagnosed with terminal metastatic colon cancer, and a different journey began. The Unwinding of the Miracle is the story of a vigorous life refracted through the prism of imminent death. <P><P>When she was first diagnosed, Julie Yip-Williams sought clarity and guidance through the experience and, finding none, began to write her way through it—a chronicle that grew beyond her imagining. Motherhood, marriage, the immigrant experience, ambition, love, wanderlust, tennis, fortune-tellers, grief, reincarnation, jealousy, comfort, pain, the marvel of the body in full rebellion—this book is as sprawling and majestic as the life it records. It is inspiring and instructive, delightful and shattering. It is a book of indelible moments, seared deep—an incomparable guide to living vividly by facing hard truths consciously. <P><P>With humor, bracing honesty, and the cleansing power of well-deployed anger, Julie Yip-Williams set the stage for her lasting legacy and one final miracle: the story of her life. <P><b>A New York Times Bestseller</b>
Unwrapped by the Duke
by Amy RuttanAn unexpected inheritance... When Geri Collins learns she's the daughter of a lord her world changes in an instant. Running from a relationship gone wrong, she seizes the opportunity to help her gravely ill father by running his Harley Street clinic. If only she didn't have to deal with the sensual temptation of her new partner-the notorious "Dark Duke"! Thomas Ashwood unnerves her with every burning look and suggestive word. And as Christmas approaches Geri finds herself contemplating the consequences of a kiss under the mistletoe...
Unwrapping Her Italian Doc: Unwrapping Her Italian Doc / Tempted By The Bridesmaid / Italian Doctor, No Strings Attached / Even Film Stars Still Shop (London's Most Desirable Docs #704)
by Carol MarinelliThe ultimate Christmas present! Louise Carter is a midwife on a mission-to have the best Christmas ever! It's been a difficult year, but stealing a kiss under the mistletoe from gorgeous Italian obstetrician Anton Rossi will make sure it ends on a high! Anton is all about control-but around Louise he feels totally powerless! All he wants to do is kiss her smart mouth senseless-with chemistry this hot, who needs mistletoe anyway? And he certainly won't be stopping with just one kiss...
Unwrapping the Neurosurgeon's Heart: The Doctors' Christmas Reunion / Unwrapping The Neurosurgeon's Heart (Harlequin Lp Medical Ser.)
by Charlotte HawkesAt the heart of a playboy……is the man of her dreams.ER doc Anouk Hart wishes she could ignore her traitorous body’s reaction to high-flying neurosurgeon Solomon Gunn. Yet beneath his playboy reputation, Anouk sees flashes of compassion, which are even more dangerous than his charm! Especially when the warmth of Sol’s Christmas spirit starts to make her long to unleash the real Solomon Gunn and keep him by her side forever!“What an interesting, fast-paced, surprising and entertaining read Ms. Hawkes takes readers on with this book where…the dialogue was riveting and…the chemistry between this couple was strong and tangible from the moment they meet….”—Harlequin Junkie on Christmas with Her Bodyguard“Overall, Ms. Hawkes has delivered a really good read in this book where I smiled a lot because of the growing relationship between the hero and heroine…the romance was well worth the wait because of the building sexual tension between the pair….”—Harlequin Junkie on A Surgeon for the Single Mom
Unyielding: Marathons Against Illegal Mandates
by Thomas L. RempferUnyielding tackles a recurring topic of national importance as a history lesson for future generations. Controversial illegal medical mandates impacted military populations for many decades, but it was not until the COVID-era that the American people witnessed similar overreach. Colonel Tom &“Buzz&” Rempfer&’s memoir retraces the anthrax vaccine history since it marked the first time the military was served with court rulings condemning premeditated illegal experimentation on our nation&’s troops. The advent of COVID mandates, imposed on the population in 2021, gave the American people a taste of the mistreatment previously reserved for our nation&’s warriors. Legal protections enacted by the Congress to guard against medical experimentation, meant to ensure safe, effective, and FDA-approved products, were instead adulterated to foist mandates on American society. According to the FBI, the motive for the anthrax letter lab leaks in 2001 was to &“rejuvenate&” the &“failing&” anthrax vaccine. Similarly, the suspected Wuhan lab leak two decades later resulted in a push for COVID injections. The pattern of fear-based bioincidents resulting from reckless biodefense enterprises, and lessons not learned with illegal mandates, paralyzed government and military leaders while wreaking havoc on the trust and health of our troops and the American people. Buzz&’s decades-long analysis of the breakdowns stands as a unique treatise on the failures of leaders to learn lessons from these enduring clashes and to correct the damage. Future generations will sort out the aftermath, but in the meantime, Colonel Rempfer&’s Unyielding effort attempts to ensure that the lessons are not lost.
UP: Taking Ophthalmic Administrators and Their Management Teams to the Next Level of Skill, Performance and Career Satisfaction
by John B. Pinto Corinne WohlLike having an expert mentor in your pocket, UP is a powerful, practical workbook designed to take ophthalmic administrators and practice managers to the next level of their careers, offering practical tips, concrete advice, and a step-by-step guide for any hurdle they face. Authors Corinne Wohl and John Pinto are undisputed experts in the field, having decades of experience advising ophthalmic practices of all sizes and publishing numerous books and articles on the subject. In this book, Wohl and Pinto guide administrators toward best practices in coaching and developing their entire management team. UP is also a helpful tool for physician leaders (and leaders in training), who can only accomplish their board-level goals through effective lay managers.UP provides readers with: Practical tips on how to create a customized support and development program for each manager and administrator A step-by-step process for better problem solving Worksheets, insightful self-tests, and scorecards for immediate use as part of a linear career development program
Up from Clinical Epidemiology & EBM
by O. S. MiettinenThe author of this book can be described as the father of modern epidemiology. Here he exposes the untenability of the prevailing teachings about clinical epidemiology and EBM, and advances a vision of major improvements in clinical medicine.
Up the Down Escalator: Medicine, Motherhood, and Multiple Sclerosis
by Lisa DoggettA memoir of triumph in the face of a terrifying diagnosis, Up the Down Escalator recounts Dr. Lisa Doggett&’s startling shift from doctor to patient, as she learns to live with multiple sclerosis while running a clinic for uninsured patients in central Austin. Recounting before and after the discovery of her MS, she chronicles vexing symptoms while trying to be an attentive mother, wife, and a caring family doctor.Facing the prospect of a career-ending disability as she adjusts to life with multiple sclerosis, Dr. Lisa Doggett is forced to deal with a new level of uncertainty and vulnerability, and the everyday fear that something new will go wrong. Taking off her white coat—becoming a patient herself—she confronts unimaginable fears, copes with her limitations, and sidesteps her skepticism of alternative medicine to seek help from unlikely sources. Drawing on riveting patient stories, Doggett reveals the dark realities of the dysfunctional U.S. healthcare system, made all the more stark when she becomes the one seeking care. MS pushes Doggett—a perfectionist at heart—to soften her inner drill sergeant and embrace self-compassion. As a patient, she learns to advocate for herself to ensure on-time medication deliveries and satisfactory treatment plans; to navigate chronic dizziness, relapses, and parenting frustrations; and to push her physical limits as a runner to go farther than ever before. As the director of a health clinic for the uninsured, Doggett&’s MS inspires an even deeper empathy as she confronts challenging cases, prompting her to work harder on behalf of those in her care, many of whom struggle with illnesses more serious than her own. This hopeful and uplifting book will encourage those living with chronic disease, and those supporting them, to power forward with courage and grace. It will spark conversations to redefine perfect parenting and trigger uncomfortable discussions and outrage about the vicious inequalities of health care in the U.S. Most of all, it will inspire readers to embrace the gifts of an imperfect life and look for silver linings, despite life&’s detours that sabotage plans and take them off their expected paths.
Update für das Gedächtnis: Von der Kunst, Erinnerungen zu überschreiben
by Ruth MettenDieses Sachbuch möchte Ihnen eine neue Sicht auf Ihr Gedächtnis eröffnen. Viele wird es wahrscheinlich überraschen: Das Gedächtnis ist keineswegs in Stein gemeißelt, sondern formbar. Erinnerungsspuren sind zu verändern – und zwar nicht nur, indem wir vergessen oder gar dement werden. Unter bestimmten Bedingungen lassen sich Gedächtnisinhalte tatsächlich überschreiben. Dafür sprechen inzwischen zahlreiche Forschungsergebnisse. Die Möglichkeit eines solchen Gedächtnis-Updates kann sogar therapeutisch genutzt werden – mit verblüffenden Effekten. Geschrieben für … alle, die mehr darüber wissen wollen, wie ihr Gedächtnis funktioniert. Über die Autorin: Dr. med. Ruth Metten arbeitet als niedergelassene Ärztin für Psychiatrie und Psychotherapeutin in ihrer Praxis schwerpunktmäßig mit Psychodrama, Hypnose und einer Kombination aus beidem – dem Hypnodrama – und hält zum Thema dieses Buches gut verständliche und nützliche Vorträge und Seminare.
Update in Cosmetic Dermatology
by Antonella Tosti Doris HexselThis well-illustrated guide provides concise descriptions of the most frequently encountered cosmetic skin conditions and essential information on commonly employed treatment procedures. The book opens with a description of skin evaluation systems and then documents etiology, pathogenesis, diagnosis, and treatment for various conditions, including cellulite, acne, hirsutism, and striae distensae. The second part of the book provides step-by-step guidelines on a range of cosmetic procedures, such as botulinum toxin injection, cryosurgery, electrosurgery, and injection lipolysis. The advice provided will be invaluable for all physicians who intend to incorporate these procedures into their practices. The book will also be of interest to established specialists in cosmetic dermatology wishing to update their knowledge and to all general dermatologists and plastic surgeons required to answer the numerous questions posed by patients seeking to maintain or improve the quality of their skin.
Update in Pediatrics
by Shalea BeckwithPediatrics is an evolving field of medicine and with many new advancements in knowledge, scientific research, and technology in recent years. This concise and comprehensive 2nd Edition of the textbook "Update in Pediatrics" provides an update and overview of the latest advances and current literature in Pediatrics, assisting health professionals to review cutting-edge information in the different subspecialties in Pediatrics. This book is structured into chapters based on the various subspecialties in Pediatrics, and includes chapters ranging from traditional disciplines such as Infectious Disease and Cardiology, to more current disciplines such as Adolescent Medicine and Child Maltreatment. The team of authors is made up of experienced and expert clinicians and researchers in their respective fields. The target audience for this book includes any practitioner who cares for children, including pediatricians, family doctors, nurses and nurse practitioners, allied health professionals, residents, medical students, and health researchers providing an indispensable resource for the busy clinician and learner who wishes to stay up-to-date with the latest advances and knowledge in the field.
Update in Pediatrics
by Shalea PiteauThis concise and comprehensive volume updates health professionals on recent advances in the field of pediatrics. It includes chapters in every subspecialty of pediatrics, such as critical care, development emergency medicine and genetics. Ranging from traditional disciplines such as infectious disease and cardiology to more current disciplines such as adolescent medicine, metabolics and genetics this is an indispensable guide for the busy clinician who wishes to stay up-to date with latest advances in the field.Through the use of summaries and bullet points, the book conciselly describes the latest recommendations and guidelines in pediatrics and provides a good overview of the available technology for each subspecialty.The team of authors is made up of experienced clinicians and researchers in their respective fields. This book appeals to pediatricians, family doctors, nurses and nurse practitioners, allied health professionals, and health researchers.
Update of Non-Pharmacological Therapy for Heart Failure
by Koichiro Kinugawa Teruhiko ImamuraThis book offers essential guidance on the diagnosis, management and treatment of heart failure using the latest Ventricular Assist Devices and approaches such as Cardiac Resynchronization Therapy, Implantable Cardioverter Defibrillator, Non-invasive Positive Pressure Ventilation, Intra-Aortic Balloon Pumping, Extra Corporeal Membrane Oxygenation and so on. It provides practical guidelines on the monitoring using those devices, as well as techniques and treatment strategies, and features two dedicated chapters on heart transplants and regenerative therapy. The main content is complemented by a wealth of full-color figures and diagrams to clearly demonstrate the operative techniques and tools discussed. Given its scope, Update on Non-pharmacological Therapy for Heart Failure offers a valuable resource, not only for cardiologists and cardiac surgeons, but also for clinical residents and medical students.
Updated Evidence and Policy Developments on Reducing Gun Violence in America
by Daniel W. Webster Jon S. VernickThis digital update to Reducing Gun Violence in America presents new evidence and developments in the effort to address the staggering toll of gun violence in the United States.In 2013—in the wake of the tragic shooting at Sandy Hook Elementary School—Johns Hopkins University Press published Reducing Gun Violence in America, a collection of essays written by the world’s leading experts on gun violence. Updated Evidence and Policy Developments on Reducing Gun Violence in America follows up on the state of American gun violence by analyzing new data, research, and policy developments one year after Sandy Hook. Over the course of ten substantive chapter addendums, contributors bring readers up-to-date on such varied topics as mental illness, domestic violence, background checks, illegal gun sales, and personalized guns. They describe the recent policy measures that have been enacted and suggest additional approaches that may help stem the violence. An essential companion to Reducing Gun Violence in America, the reliable, empirical research and legal analysis in this e-book will help lawmakers, opinion leaders, and concerned citizens identify policy changes to address gun violence, which takes an average of more than 80 lives every day in the United States.
Updates in Intensive Care of OBGY Patients
by Nissar Shaikh Firdos Ummunnisa Umm E AmaraThis book presents the updated management of acute and critically ill obstetric and gynecological patients. It describes patients' care with pregnancy-induced medical disorders, comorbidities, and gynecological (OBGY) conditions requiring acute and intensive care support therapy. This book will guide early diagnosis and speedy management of life-threatening conditions. Chapters provide a comprehensive and systemic approach in an easy-to-understand format. Along with diseases and comorbidities of pregnancy, acute illness and its management caused by in vitro fertilization (IVF) are focused on, and a dedicated chapter about COVID-19 infection in obstetric patients is provided.Updates in Intensive Care of OBGY Patients will support intensivists, obstetricians, gynecologists, acute care physicians, and surgeons. Residents, fellows, specialists, and other junior medical staff working in intensive care units will also value this source. It will also help to broaden the understanding of nurses and paramedical staff in intensive care therapy.
Updates on Clostridioides difficile in Europe: Advances in Microbiology, Infectious Diseases and Public Health Volume 18 (Advances in Experimental Medicine and Biology #1435)
by Paola Mastrantonio Maja RupnikThis fully updated second edition outlines the currently available clinical, epidemiological and experimental data on Clostridioides difficile infections(CDI) with special emphasis on studies and results achieved in Europe. The incidence and severity of CDI has increased significantly over the last decade, and the book explains why C. difficile, recently reclassified as Clostridioides difficile, remains a significant challenge, also from economic perspective, to health care systems all over the world. The different reservoirs of this ubiquitous microorganism are reviewed as well as the different factors contributing to its virulence, such as toxins and biofilm formation. The rapid evolution of antibiotic resistance is clearly a concern and in a specific way can influence the CDI epidemiology. Additionally, new emerging strains and comparative genomics studies are taken into consideration for their relevance from epidemiological and evolutionary point of view. The book also gives an overview on diagnostics, therapy and surveillance, all of which are still challenging. Therefore, a closer look is taken on the effect of probiotics as an alternative to antibiotics, for prevention and treatment of CDI. Fecal transplantation from healthy donors, passive immunotherapies and vaccines for patients with recurrences are also discussed in dedicated chapters. New topics included sporulation and membrane vesicles in C. difficile. The book closes with a summary of the history and the achievements of the European Society of Clinical Microbiology and Infectious Diseases Study Group for Clostridium difficile (ESGCD) written by the current and past presidents of the Society. It is the aim of this book to raise awareness on CDI and to disseminate updated information on its prevention, diagnosis and treatment.
Updates on Clostridium difficile in Europe: Advances In Microbiology, Infectious Diseases And Public Health Volume 8 (Advances In Experimental Medicine And Biology #1050)
by Paola Mastrantonio Maja RupnikThis book outlines the currently available clinical, epidemiological and experimental data on Clostridium difficile infection (CDI) with special emphasis on studies and results achieved in Europe. The incidence and severity of CDI has increased significantly over the last decade, and the book explains why C. difficile, recently reclassified as Clostridioides difficile, remains a significant challenge, also from economic perspective, to health care systems all over the world. The different reservoirs of this ubiquitous microorganism are reviewed as well as the different factors contributing to its virulence, such as toxins and biofilm formation. The rapid evolution of antibiotic resistance is clearly a concern and in a specific way can influence the CDI epidemiology. Additionally, new emerging strains and comparative genomics studies are discussed for their relevance from epidemiological and evolutionary point of view. The book also gives an overview on diagnostics, therapy and surveillance, all of which are still challenging. Therefore, a closer look is taken on the effect of probiotics as an alternative to antibiotics, for prevention and treatment of CDI. Fecal transplantation from healthy donors, passive immunotherapies and vaccines for patients with recurrences are also discussed in dedicated chapters. The book closes with a summary of the history and the achievements of the European Society of Clinical Microbiology and Infectious Diseases Study Group for Clostridium difficile (ESGCD) written by the current and past presidents of the Society. It is the aim of this book to raise awareness on CDI and to disseminate updated information on its prevention, diagnosis and treatment.
Updates on Lasers in Dermatology (Updates in Clinical Dermatology)
by Suzanne Wei Na Cheng Chee Leok GohThis book is the first authoritative and comprehensive volume dedicated to updates and current best practices in lasers in Dermatology. It provides an up-to-date and highly illustrated synopsis of the therapeutic applications, efficacy and safety of lasers to treat both medical and cosmetic dermatological conditions. Chapters will focus on newer advances and techniques in laser treatment for medical dermatological conditions such as keloids, viral warts and infantile haemangioma, and a wide range of cosmetic indications such as skin tightening, skin rejuvenation, skin resurfacing, pigmentation, and the removal of birthmarks, acquired melanocytic naevi, tattoos and unwanted hair. Updates on Lasers in Dermatology is a must-have resource for dermatologists, aesthetic GPs, and other medical physicians/specialists.
Updates on Myopia: A Clinical Perspective
by Marcus Ang Tien Y. WongThis book is open access under a CC BY 4.0 license.This open access book discusses basic clinical concepts of myopia, prevention of progression and surgical treatments for myopia and pathological myopia. It also summarises the latest evidence and best practices for managing myopia, high myopia and its complications. Written by leading experts, the book addresses clinical diagnosis and interpretation of imaging modalities, and various complications of myopia such as glaucoma, choroidal neovascularization, retinal degeneration and cataracts. It is a valuable comprehensive resource for general and sub-specialist ophthalmologists as well as residents and ophthalmologists in training.
Updating the USDA National Breastfeeding Campaign: Workshop Summary
by Paula Tarnapol WhitacreSupport for breastfeeding has been a priority of the WIC program since its inception in the 1970s. The Loving Support Makes Breastfeeding Work campaign, which the U. S. Department of Agriculture's (USDA) Food and Nutrition Services launched in 1997, emphasizes key components needed for a breastfeeding mother to be successful. More than a decade after the campaign began, USDA wants to update it, taking into account changes in the WIC program, participants, and technology. On April 26, 2011, the IOM hosted a workshop to bring together experts to discuss what has changed since Loving Support began, lessons learned from other public health campaigns, and suggestions for where to take the campaign in the future.
Upgrading Residues and By-products for Animals
by J. Tal HuberAccumulation into one source of what is known regarding the feeding value of these materials and systems which have been developed for improving their digestibility, palatability or methods of handling was the motivation for organising this book. These has been an effort to include the major categories of unconventional materials which can potentially be upgraded to provide the ruminant with needed nutrients, but certainly some have been missed. It is hoped that this treatise will prove to be a valuable tool for workers involved in improving the utilization of residues and waste products for animals.
Upper Abdominal Surgery
by Brendon J. CoventryWritten by internationally acclaimed specialists, Upper Abdominal Surgery provides pertinent and concise procedure descriptions spanning benign and malignant problems and minimally invasive procedures. Complications are reviewed when appropriate for the organ system and problem, creating a book that is both comprehensive and accessible. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. The text is illustrated with photographs that depict anatomic or technical principles. Forming part of the series, Surgery: Complications, Risks and Consequences, this volume Upper Abdominal Surgery provides a valuable resource for all general surgeons and residents in training. Other healthcare providers will also find this a useful resource.
Upper Airway Disorders and Noninvasive Mechanical Ventilation: Rationale and Approaches
by Antonio M. Esquinas Andrea De Vito Nikolaos BarbetakisThis book analyses the basic rationale of noninvasive respiratory management in upper airways medical and perioperative disorders and key interactions and clinical implications. It offers key diagnostic tools to detect early and late failure of upper airway disorders whit a noninvasive approach. Furthermore, all medical and post-operative clinical indications of acute and chronic diseases in upper airway respiratory disorders and outcomes are summarized.The book can be considered unique from various perspectives: from the physiological and practical point of view as well as from the side of the therapeutic approach. As a matter of fact, from the physiological perspective, noninvasive mechanical ventilation has been shown to have several beneficial effects on the elasticity, musculature, and resistance of the upper and lower airways. Then, in the book the relationships between noninvasive respiratory management options and upper airway disorders in medical and postoperative conditions are also considered. Finally, the book provides information and analysis of the interaction of upper airways in the interaction of noninvasive mechanical ventilation management, which are the determining factors in the response in various clinical settings. Considering the growing evidence of the role of upper airways disorders in influencing the outcomes of noninvasive mechanical ventilation, in this book is presented a unique multidisciplinary approach to better understand the role of upper airways in noninvasive mechanical ventilation. The volume – richly illustrated – offers an exhaustive analysis of the role of the upper airways in patients who require treatment with noninvasive mechanical ventilation and can be considered a scientific reference for several specialists such as intensivists and anesthesiologists, pneumologists-sleep medicine professionals as well as otorhinolaryngologists.
Upper Airway Stimulation in Obstructive Sleep Apnea: Best Practices in Evaluation and Surgical Management
by Clemens Heiser Nico De VriesThis book by leading international experts provides an evidence-based approach to electrical stimulation of the upper airway, beginning with patient selection, implant techniques, trouble shootings, patient pathways, titrations during daytime and sleep as also new innovative techniques such as stimulation of the ansa cervicalis and the phrenic nerve. Key Features: · Superbly illustrated schematic drawings and full-colored photographs;· Step-by-step description of surgical concepts and techniques on all of the market available systems (Inspire, Nyxoah, LivaNova, Remede);· Complete online media library with videos on the surgical procedures;· New surgical steps presented for well established procedures (e.g. 2-incicions technique);· Discussion of outcomes, success rates, risks, and potential troubleshooting’s, where evidenced-based data are not available, expert opinion is provided. Upper Airway Stimulation in Obstructive Sleep Apnea will be welcomed by residents, fellows, and board-certified surgeons in otorhinolaryngology and head and neck surgery.
Upper Endoscopy for GI Fellows
by Douglas G. AdlerThis volume provides a concise overview of the most important and vital aspects of upper endoscopy. The text is specifically geared towards first-year GI fellows and novice endoscopists in order to help them rapidly assimilate the core concepts needed to perform upper endoscopy in the most important and most commonly encountered clinical situations. The book also covers the most important variations of normal anatomy and pathology and how to manage them. Key concepts covered include foreign body removal, diagnosis and management of upper GI bleeding, Barrett's Esophagus, evaluation and management of benign and malignant strictures of the esophagus, stomach, and duodenum, submucosal lesions, and evaluation of post operative upper GI anatomy. A plethora of high quality color illustrations and narrated online video clips illustrate major concepts in the book are also included. Written by experts in the field, Upper Endoscopy for GI Fellows is a valuable resource for new physicians just starting to perform upper endoscopy.