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The Urban Brain: Mental Health in the Vital City
by Nikolas Rose Des FitzgeraldBridging the social and life sciences to unlock the mystery of how cities shape mental health and illnessMost of the world’s people now live in cities and millions have moved from the countryside to the rapidly growing megacities of the global south. How does the urban experience shape the mental lives of those living in and moving to cities today? Sociologists study cities as centers of personal progress and social innovation, but also exclusion, racism, and inequality. Psychiatrists try to explain the high rates of mental disorders among urban dwellers, especially migrants. But the split between the social and life sciences has hindered understanding of how urban experience is written into the bodies and brains of urbanites. In The Urban Brain, Nikolas Rose and Des Fitzgerald seek to revive the collaboration between sociology and psychiatry about these critical questions. Reexamining the relationship between the city and the brain, Rose and Fitzgerald explore the ways cities shape the mental health and illness of those who inhabit them.Drawing on the social and life sciences, The Urban Brain takes an ecosocial approach to the vital city, in which humans live and thrive but too often get sick and suffer. The result demonstrates what we can gain by a vitalist approach to the mental lives of those migrating to and living in cities, focusing on the ways that humans make, remake, and inhabit their urban lifeworlds.
The Ureter: A Comprehensive Review
by John Barry Arnulf Stenzl Mahmoud Abdel-Gawad Bedeir Ali-El-DeinThis book provides a contemporary panorama of advanced knowledge on the ureter. It covers basic knowledge and recent advances in a range of well-organized topics such as stone diagnosis, treatment, ureteroscopy, laser technology, reconstruction, oncology, trauma, embryology and radiology of the ureter. As shown in the table of contents, the book is written by a group of urology and non-urologic experts in their field and is enriched with many illustrations and summary tables. The 26 chapters are each dedicated to specific topics related to ureteral pathology and abnormality as well as diagnostic steps and treatment. Rare diseases that may affect the ureter are also included. Additionally there are basic educational materials that will be suitable for teaching, tutorials as well as electronic supplementary video clips and powerpoint presentations for demonstrations. The future perspectives of ureteral diseases, endoscopic and laparoscopic handling are covered. Fellows and medical professionals will find this a useful book with up-to-date knowledge of the various diseases and to demonstrate specific recent techniques involving stones, strictures and other pathologies of the ureter. Additional questions via app: Download the Springer Nature Flashcards app for free and use exclusive additional material to test your knowledge.
The Urge: Our History of Addiction
by Carl Erik FisherAn authoritative, illuminating, and deeply humane history of addiction—a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives—by an addiction psychiatrist striving to understand his own family and himself&“Carl Erik Fisher&’s The Urge is the best-written and most incisive book I&’ve read on the history of addiction. In the midst of an overdose crisis that grows worse by the hour and has vexed America for centuries, Fisher has given us the best prescription of all: understanding. He seamlessly blends a gripping historical narrative with memoir that doesn&’t self-aggrandize; the result is a full-throated argument against blaming people with substance use disorder. The Urge is a propulsive tour de force that is as healing as it is enjoyable to read.&”—Beth Macy, author of DopesickEven after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine. A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician&’s urgent call for a more expansive, nuanced, and compassionate view of one of society&’s most intractable challenges.
The Urge: Our History of Addiction
by Carl Erik FisherAn authoritative, illuminating, and deeply humane history of addiction—a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives—by an addiction psychiatrist striving to understand his own family and himselfEven after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine. A rich, sweeping history that probes not only medicine and science but also literature, religion, philosophy, and sociology, The Urge illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician&’s urgent call for a more expansive, nuanced, and compassionate view of one of society&’s most intractable challenges.
The Urinary Sphincter
by Jacques CorcosThis up-to-the-minute reference provides comprehensive coverage of the male and female sphincteric mechanisms and their connection to the pelvic floor as well as upper and lower urinary tract function-emphasizing modern approaches to the epidemiology, diagnosis, and treatment of abnormalities including incontinence, hypertonicity, retention, dyssyn
The Urinary Tract
by Jesse K. Mckenney Donna E. Hansel Andrew J. Stephenson Sam S. ChangProviding a true integration of pathology with clinical management, this volume presents a practical, comprehensive text on benign and malignant disease of the adult bladder. Integrating pathology, surgical management, oncology and molecular study in a site-specific manner to include the urethra, urinary bladder, ureter and renal pelvis, The Urinary Tract: A Comprehensive Guide to Patient Diagnosis and Management is the first text in adult bladder disease to closely interweave multiple clinical disciplines into each chapter. For the majority of chapters, a pathologist and urologist or urologic oncologist are paired to provide the greatest integration of information for each disease process.
The Use Of Drugs In Food Animals: Benefits And Risks
by National Research CouncilThe use of drugs in food animal production has resulted in benefits throughout the food industry; however, their use has also raised public health safety concerns.The Use of Drugs in Food Animals provides an overview of why and how drugs are used in the major food-producing animal industries--poultry, dairy, beef, swine, and aquaculture. The volume discusses the prevalence of human pathogens in foods of animal origin. It also addresses the transfer of resistance in animal microbes to human pathogens and the resulting risk of human disease.The committee offers analysis and insight into these areas Monitoring of drug residues. The book provides a brief overview of how the FDA and USDA monitor drug residues in foods of animal origin and describes quality assurance programs initiated by the poultry, dairy, beef, and swine industries.Antibiotic resistance. The committee reports what is known about this controversial problem and its potential effect on human health. The volume also looks at how drug use may be minimized with new approaches in genetics, nutrition, and animal management. November
The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary
by Catharyn T. LivermanProtecting 18 million United States health care workers from infectious agents - known and unknown - involves a range of occupational safety and health measures that include identifying and using appropriate protective equipment. The 2009 H1N1 influenza pandemic and the 2014 Ebola virus outbreak in West Africa have called raised questions about how best to ensure appropriate and effective use of different kinds of personal protective equipment such as respirators, not only to promote occupational safety but also to reduce disease transmission. "The Use and Effectiveness of Powered Air Purifying Respirators in Health Care" is the summary of a workshop convened by the Institute of Medicine Standing Committee on Personal Protective Equipment for Workplace Safety and Health to explore the current state of practices and research related to powered air purifying respirator (PAPRs) and potential updates to performance requirements. Presentations and discussions highlighted current health care practices using PAPRs and outlined the research to date on the use and effectiveness of PAPRs in health care settings with a focus on the performance requirements. "The Use and Effectiveness of Powered Air Purifying Respirators in Health Care" focuses on efficacy, current training, maintenance, supplies, and possible enhancements and barriers to use in inpatient, clinic, nursing home, and community (home) settings. This report also explores the strengths and weaknesses of using various approaches to health care PAPR standards.
The Use and Misuse of Psychiatric Drugs
by Joel Paris"Dr. Paris has written an honest, balanced presentation of the ways in which psychiatric drugs are evaluated and prescribed. He highlights the complexity of the task, the limits of what is known and the mixed picture that research often produces. His conclusions are refreshing because they are built from an even-handed, pragmatic assessment of the empirical evidence. The result is a stimulating look at the world of treatments for emotional disorders that acknowledges the usefulness of both biological and psychosocial explanations where appropriate. His recommendations provide helpful roadmaps for patients, practitioners and researchers alike. The book is sure to serve as a welcome catalyst for the continuing debates about which treatments are likely to produce the best outcomes."--Roger P. Greenberg, Ph.D. Distinguished Professor and Head, Psychology Division Dept. of Psychiatry & Behavioral Science SUNY Upstate Medical University, NY, USAThe message of this book is that psychiatrists have some very good drugs, but can expect bad results when they are over-used, prescribed outside of evidence-based indications, or given to the wrong patients. While acknowledging that many current agents are highly effective and have revolutionized the treatment of certain disorders, Joel Paris criticizes their use outside of an evidence base. Too many patients are either over-medicated or are misdiagnosed to justify aggressive treatment. Dr. Paris calls for more government funding of clinical trials to establish, without bias, the effectiveness of these agents. He has written this book for practitioners and trainees to show that scientific evidence supports a more cautious and conservative approach to drug therapy.After describing the history of psychopharmacology, including its early successes, Dr. Paris reviews the relationship between psychiatry and the pharmaceutical industry. This problem has received considerable popular attention in recent years and Dr. Paris documents initiatives to increase transparency and decrease the influence of pharmaceutical marketing on diagnosis and prescribing habits.Dr Paris then examines some major controversies. One is the fact that newer drugs have not been shown to be superior to older agents. Another is that while the number of prescriptions for antidepressants has increased dramatically, meta-analyses show that their value is more limited than previously believed. Still another is the widespread prescription of mood stabilizers and antipsychotic drugs for patients, including children and adolescents, who do not have bipolar illness. Polypharmacy is an especially contentious area: very few drug combinations have been tested in clinical trials, yet many patients end up on a cocktail of powerful drugs, each with its own side effects.Dr Paris briefly considers alternatives to pharmacology and again calls for more clinical trials of these approaches. He also discusses the current trend to medicalizing what many would describe as normal distress and states succinctly: Some things in life are worth being upset about.
The Use of Aquatics in Orthopedics and Sports Medicine Rehabilitation and Physical Conditioning
by David Joyner Kevin WilkThe Use of Aquatics in Orthopedic and Sports Medicine Rehabilitation and Physical Conditioning is a definitive and scientifically based text on the use and application of aquatic methodologies in both rehabilitation and physical conditioning appropriate for the general population to the elite athlete.The Use of Aquatics in Orthopedic and Sports Medicine Rehabilitation and Physical Conditioning represents a new generation of rehabilitation that is informative enough to be injury and sports specific. Dr. Kevin E. Wilk and Dr. David M. Joyner, along with noted domestic and international leaders in the field, explore the aquatic techniques and principles detailed in the work, while presenting this scientifically based material in an understandable and user-friendly format. Ten chapters take the reader from the history of aquatic rehabilitation and progress to discuss all parameters of aquatic rehabilitation.Some chapter topics include:• History, theory, and applications of aquatic therapy• Pool selection, facility design, and engineering considerations• Rehabilitation for the upper and lower extremities and spine• Sports-specific training• Research evidence for the benefits of aquatic exercise• Appendices, including 4 specific protocols for various lesions and disordersThe Use of Aquatics in Orthopedic and Sports Medicine Rehabilitation and Physical Conditioning represents a new era in the use and development of aquatic therapy in sports medicine rehabilitation and is perfect for physical therapists, athletic trainers, strength and conditioning coaches, personal trainers, and sports medicine professionals alike.
The Use of Coercive Measures in Forensic Psychiatric Care
by Birgit Völlm Norbert NedopilThis book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic. The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the control of aggression in psychiatry remains controversial. Forensic mental health care deals with individuals who pose a risk to others and often present with significant management problems within institutions. The care of patients in these settings gives rise to debates about the balance between care and safety, and between the interests of the patients and those of the wider society to be protected. Despite these tensions, limited research has been conducted specifically on the use of coercive measures in forensic mental health care. This volume aims to fill the gap and will be of value to all professionals working in forensic psychiatric settings as well as to those working in general psychiatric and custodial settings, law professionals, and patients.
The Use of Robotic Technology in Female Pelvic Floor Reconstruction
by Jennifer T. Anger Karyn S. EilberThis text is designed to present a comprehensive and state-of the-art approach to robotic female pelvic reconstructive surgery. Written by experts in both urology and urogynecology, each of these sections address patient selection, pre-operative considerations, surgical technique, and management of intra and post –operative complications. Furthermore, each chapter includes the most current evidence in the literature that supports specific techniques. Extensive illustrations make this an interactive text.Emphasis is placed on sacrocolpopexy, the mostly commonly performed robotic procedure performed in female pelvic medicine. The set up of this operation, surgical technique, and tips and tricks are discussed. In addition, the management of the uterus is also be addressed in detail, including supracervical and total hysterectomy, as well as uterine-sparing techniques. The appropriate preoperative evaluation, including decisions to be made in addressing concomitant surgical conditions such as stress urinary incontinence, is addressed so that the reader can provide comprehensive management for all surgical pelvic floor disorders. Other reconstructive procedures covered include controversial topics such as power morcellation of the uterus and placement of vaginal mesh. The text will also include elements that pertain to male and female patients, such as ureteral reimplantation and sigmoid resection.The Use of Robotic Technology in Female Pelvic Floor Reconstruction will be invaluable to both urologists and gynecologists in the field.
The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans
by Institute of Medicine of the National AcademiesThe National Academies Press (NAP)--publisher for the National Academies--publishes more than 200 books a year offering the most authoritative views, definitive information, and groundbreaking recommendations on a wide range of topics in science, engineering, and health. Our books are unique in that they are authored by the nation's leading experts in every scientific field.
The V Zone: A Woman's Guide to Intimate Health Care
by Colette BouchezThe V Zone answers those difficult and embarrassing questions women often are unable to ask their own doctor. Colette Bouchez, an award winning medical journalist, explains important health information in easy-to-understand language, and offers women a clear, concise plan for dealing with the most common gynecological complaints. In addition to describing currently available medical treatments, The V Zone reports on natural and alternative solutions, and helps navigate the wide array of over-the-counter products, including menstrual aids, home test kits, and feminine hygiene products. Know instantly what's safe to use, what's not, when it's okay to self-treat, and when it's time to seek professional care. Also included is the latest information on: vaginitis, painful sex urinary tract infections, yeast infections, STDs, and much more! With advice from over two dozen medical experts, The V Zone is the definitive guide women can turn to and rely on, today and for years to come.
The Vacation House: A Novel
by Jane ShemiltThe Edgar-nominated, #1 internationally bestselling author of The Daughter and The Playground weaves a breathtaking tale of betrayal, family, and secrets from the past in this crackling novel of psychological suspense.Two women. Two secrets. One terrible night.PAXOS, GREECEThe vacation house is a luxurious getaway for a wealthy English family, windows open to sun and the sea, a sparkling swimming pool, and a verdant garden. One hot summer night, while the parents and their friends drink wine and amuse themselves, a young woman—the teenage daughter of the Greek caretaker—ventures for a walk on their private beach. Her life will never be the same again.LONDON, ENGLAND, TEN YEARS LATERJulia is the perfect spouse and mother. Slender, blonde, expensively dressed, she’s the classic “yummy mummy” of high society: cook, organizer, arm candy, and speechwriter to her influential husband.But behind her winning smile is a stifled woman trapped in a gilded cage, stricken with anxiety and perfectionism. When Julia meets Laurel, a therapist who promises to help her find fulfillment, Julia opens herself up to the hope of a different future.BOUND BY THE PASTWhat happened in Greece all those years ago that binds these two women together? And will uncovering the truth destroy everything… or set them free?
The Vaccinators
by Ann JannettaIn Japan, as late as the mid-nineteenth century, smallpox claimed the lives of an estimated twenty percent of all children born--most of them before the age of five. When the apathetic Tokugawa shogunate failed to respond, Japanese physicians, learned in Western medicine and medical technology, became the primary disseminators of Jennerian vaccination--a new medical technology to prevent smallpox. Tracing its origins from rural England, Jannetta investigates the transmission of Jennerian vaccination to and throughout pre-Meiji Japan. Relying on Dutch, Japanese, Russian, and English sources, the book treats Japanese physicians as leading agents of social and institutional change, showing how they used traditional strategies involving scholarship, marriage, and adoption to forge new local, national, and international networks in the first half of the nineteenth century. The Vaccinators details the appalling cost of Japan's almost 300-year isolation and examines in depth a nation on the cusp of political and social upheaval.
The Vaccine Race: Science, Politics, and the Human Costs of Defeating Disease
by Meredith Wadman“This is a story about the war against disease—a war without end—and the development of enormously important vaccines, but in telling that story, in showing how science works, Meredith Wadman reveals much more. I loved this book.” —John M. Barry, New York Times bestselling author of The Great InfluenzaThe epic and controversial story of a major breakthrough in cell biology that led to the conquest of rubella and other devastating diseases. Until the late 1960s, tens of thousands of American children suffered crippling birth defects if their mothers had been exposed to rubella, popularly known as German measles, while pregnant; there was no vaccine and little understanding of how the disease devastated fetuses. In June 1962, a young biologist in Philadelphia, using tissue extracted from an aborted fetus from Sweden, produced safe, clean cells that allowed the creation of vaccines against rubella and other common childhood diseases. Two years later, in the midst of a devastating German measles epidemic, his colleague developed the vaccine that would one day wipe out homegrown rubella. The rubella vaccine and others made with those fetal cells have protected more than 150 million people in the United States, the vast majority of them preschoolers. The new cells and the method of making them also led to vaccines that have protected billions of people around the world from polio, rabies, chicken pox, measles, hepatitis A, shingles and adenovirus. Meredith Wadman’s masterful account recovers not only the science of this urgent race, but also the political roadblocks that nearly stopped the scientists. She describes the terrible dilemmas of pregnant women exposed to German measles and recounts testing on infants, prisoners, orphans, and the intellectually disabled, which was common in the era. These events take place at the dawn of the battle over using human fetal tissue in research, during the arrival of big commerce in campus labs, and as huge changes take place in the laws and practices governing who “owns” research cells and the profits made from biological inventions. It is also the story of yet one more unrecognized woman whose cells have been used to save countless lives. With another frightening virus imperiling pregnant women on the rise today, no medical story could have more human drama, impact, or urgency today than The Vaccine Race.From the Hardcover edition.
The Vaccine-Friendly Plan: Dr. Paul's Safe and Effective Approach to Immunity and Health-from Pregnancy Through Your Child's Teen Years
by Paul Thomas Jennifer MargulisAn accessible and reassuring guide to childhood health and immunity from a pediatrician who's both knowledgeable about the latest scientific research and respectful of a family's risk factors, health history, and concerns In The Vaccine-Friendly Plan, Paul Thomas, M.D., presents his proven approach to building immunity: a new protocol that limits a child's exposure to aluminum, mercury, and other neurotoxins while building overall good health. Based on the results from his pediatric practice of more than eleven thousand children, as well as data from other credible and scientifically minded medical doctors, Dr. Paul's vaccine-friendly protocol gives readers * recommendations for a healthy pregnancy and childbirth * vital information about what to expect at every well child visit from birth through adolescence * a slower, evidence-based vaccine schedule that calls for only one aluminum-containing shot at a time * important questions to ask about your child's first few weeks, first years, and beyond * advice about how to talk to health care providers when you have concerns * the risks associated with opting out of vaccinations * a practical approach to common illnesses throughout the school years * simple tips and tricks for healthy eating and toxin-free living at any age The Vaccine-Friendly Plan presents a new standard for pediatric care, giving parents peace of mind in raising happy, healthy children.
The Vaccine: Inside the Race to Conquer the COVID-19 Pandemic
by Joe Miller Özlem Türeci Ugur SahinWinners of the Paul Ehrlich PrizeThe dramatic story of the married scientists who founded BioNTech and developed the first vaccine against COVID-19.Nobody thought it was possible. In mid-January 2020, Ugur Sahin told Özlem Türeci, his wife and decades-long research partner, that a vaccine against what would soon be known as COVID-19 could be developed and safely injected into the arms of millions before the end of the year. His confidence was built upon almost thirty years of research. While working to revolutionize the way that cancerous tumors are treated, the couple had explored a volatile and overlooked molecule called messenger RNA; they believed it could be harnessed to redirect the immune system's forces against any number of diseases. As the founders of BioNTech, they faced widespread skepticism from the scientific community at first; but by the time Sars-Cov-2 was discovered in Wuhan, China, BioNTech was prepared to deploy cutting edge technology and create the world’s first clinically approved inoculation for the coronavirus.The Vaccine draws back the curtain on one of the most important medical breakthroughs of our age; it will reveal how Doctors Sahin and Türeci were able to develop twenty vaccine candidates within weeks, convince Big Pharma to support their ambitious project, navigate political interference from the Trump administration and the European Union, and provide more than three billion doses of the Pfizer/BioNTech vaccine to countries around the world in record time.Written by Joe Miller—the Financial Times’ Frankfurt correspondent who covered BioNTech’s COVID-19 project in real time—with contributions from Sahin and Türeci, as well as interviews with more than sixty scientists, politicians, public health officials, and BioNTech staff, the book covers key events throughout the extraordinary year, as well as exploring the scientific, economic, and personal background of each medical innovation. Crafted to be both completely accessible to the average reader and filled with details that will fascinate seasoned microbiologists, The Vaccine explains the science behind the breakthrough, at a time when public confidence in vaccine safety and efficacy is crucial to bringing an end to this pandemic.
The Vaccine: Inside the Race to Conquer the COVID-19 Pandemic
by Joe Miller Ugur SahinWhen the world stopped, all hopes rested on finding a vaccine. An unlikely team answered the call. Before Covid-19 was even given its name, a select group of scientists in Germany, assembled by married couple and decades-long research partners Ugur Sahin and Özlem Türeci, began building 20 potential vaccines.As the deadly disease spread from country to country, what followed was a desperate race against time to conduct rigorous tests and clinical trials, whilst navigating political interference and seeking the support of the pharmaceutical industry.Shedding a light on the science behind the breakthrough, The Vaccine tells the story of the trailblazers who led the fightback against Covid-19, whose discoveries could now help the world tackle cancer, along with many other pervasive diseases. It draws back the curtain on one of the most important medical achievements of our age, containing contributions from the fascinating couple themselves, as well as more than 60 scientists, politicians, public health officials, and BioNTech staff.More suspenseful than a novel, this is a real-life story of an extraordinary race against time to save the world.
The Vagina Bible: The Vulva and the Vagina: Separating the Myth from the Medicine
by Dr. Jen GunterInstant New York Times, USA Today, and Publishers Weekly bestseller!Boston Globe bestseller#1 Canadian BestsellerOB/GYN, The New York Times columnist, host of the show Jensplaining, and internationally bestselling author Dr. Jen Gunter now delivers the definitive book on vaginal health, answering the questions you&’ve always had but were afraid to ask—or couldn&’t find the right answers to. She has been called Twitter&’s resident gynecologist, the Internet&’s OB/GYN, and one of the fiercest advocates for women&’s health…and she&’s here to give you the straight talk on the topics she knows best. Does eating sugar cause yeast infections? Does pubic hair have a function? Should you have a vulvovaginal care regimen? Will your vagina shrivel up if you go without sex? What&’s the truth about the HPV vaccine? So many important questions, so much convincing, confusing, contradictory misinformation! In this age of click bait, pseudoscience, and celebrity-endorsed products, it&’s easy to be overwhelmed—whether it&’s websites, advice from well-meaning friends, uneducated partners, and even healthcare providers. So how do you separate facts from fiction? OB-GYN Jen Gunter, an expert on women&’s health—and the internet&’s most popular go-to doc—comes to the rescue with a book that debunks the myths and educates and empowers women. From reproductive health to the impact of antibiotics and probiotics, and the latest trends, including vaginal steaming, vaginal marijuana products, and jade eggs, Gunter takes us on a factual, fun-filled journey. Discover the truth about: • The vaginal microbiome • Genital hygiene, lubricants, and hormone myths and fallacies • How diet impacts vaginal health • Stem cells and the vagina • Cosmetic vaginal surgery • What changes to expect during pregnancy and after childbirth • What changes to expect through menopause • How medicine fails women by dismissing symptomsPlus: • Thongs vs. lace: the best underwear for vaginal health • How to select a tampon • The full glory of the clitoris and the myth of the G Spot . . . And so much more. Whether you&’re a twenty-six-year-old worried that her labia are &“uncool&” or a sixty-six-year-old dealing with painful sex, this comprehensive guide is sure to become a lifelong trusted resource.
The Vagina Bible: The vulva and the vagina--separating the myth from the medicine
by Jen GunterFrom Canadian OB/GYN, women's health advocate and New York Times columnist Dr. Jen Gunter: The Vagina Bible is a comprehensive, accessible antidote to the maelstrom of misinformation around female sexual health, and the ultimate guide to everything a person needs to know about the vagina and vulva.We are well into the twenty-first century and have access to more information than ever before, yet many people don't know that a vagina is self-cleaning, condoms should be used with a lubricant, eating sugar doesn't cause a yeast infection, and sex shouldn't be painful. As a physician with twenty-five years of clinical experience, Dr. Jen Gunter is all too familiar with the fears, fallacies and misinformation that abound about vaginal health. On Twitter, she hilariously exposes unscientific wellness advice and debunks potentially harmful and stunningly unnecessary products from "vagina profiteers." Dr. Gunter knows the questions women (and men) have about female sexual health, and in The Vagina Bible, she answers them all. For: * the sixteen-year-old trying to figure out tampons; * the twenty-six-year-old wondering how to avoid a UTI; * the thirty-six-year-old trans woman navigating her new anatomy; * the forty-six-year-old worried about the changing appearance of her vulva; * the fifty-six-year-old looking into the HPV vaccine for her daughter (and maybe herself); * the sixty-six-year-old experiencing painful sex;The Vagina Bible offers a repository of accurate information based on science, and delivered with wit and wisdom. This is the fact-based, inclusive, and empowering guide you deserve to advocate for your own body.
The Vagina Monologues (10th Anniversary Edition)
by Eve Ensler"I was worried about vaginas. I was worried about what we think about vaginas, and even more worried that we don't think about them... So I decided to talk to women about their vaginas, to do vagina interviews, which became vagina monologues. I talked with over two hundred women. I talked to old women, young women, married women, single women, lesbians, college professors, actors, corporate professionals, sex workers, African American women, Hispanic women, Asian American women, Native American women, Caucasian women, Jewish women. At first women were reluctant to talk. They were a little shy. But once they got going, you couldn't stop them." So begins Eve Ensler's hilarious, eye-opening tour into the last frontier, the forbidden zone at the heart of every woman. Adapted from the award-winning one-woman show that's rocked audiences around the world, this groundbreaking book gives voice to a chorus of lusty, outrageous, poignant, and thoroughly human stories, transforming the question mark hovering over the female anatomy into a permanent victory sign. With laughter and compassion, Ensler transports her audiences to a world we've never dared to know, guaranteeing that no one who reads The Vagina Monologues will ever look at a woman's body the same way again.
The Vagus Nerve in Therapeutic Practice: Working with Clients to Manage Stress and Enhance Mind-Body Function
by Ann BaldwinThe Vagus Nerve in Therapeutic Practice describes practical, science-based techniques that can be used to improve vagal performance with the goal of restoring and maintaining mind-body health. Aimed at complementary medicine practitioners and holistic healers such as massage therapists, biofield practitioners, nutritional therapists, aromatherapists and energy healers, it explains how practitioners can adapt their modalities to stimulate the vagus nerve, together with other cranial nerves and the limbic system, to enhance their clients' experience and improve outcomes.The book provides a clear understanding of the importance and benefits of self-regulating the autonomic nervous system, focusing on the vagus nerve. This nerve controls the stress response, regulates digestion, modulates the immune system, and releases an anti-inflammatory neurotransmitter, acetylcholine; when it functions inadequately, all of these systems can be adversely affected. By learning techniques to stimulate the vagus nerve, practitioners can help those experiencing low-level inflammation and emotional stress, including those with chronic diseases. Each chapter provides practical, evidence-based methods that can be used to stimulate the ventral vagal complex, illustrated by a case history from a complementary medicine or holistic practice. The author addresses the anatomy and evolution of the vagus nerve, including its possible role in promoting social engagement, using the polyvagal theory as a model. The functions of major branches of the vagus nerve and other neighbouring cranial nerves are discussed in turn; in each case the mechanism by which neural stimulation improves relaxation and health is outlined, and a practical way to engage the nerve branch and limbic system is described with the help of a case study. An addendum includes an easily referenced summary of the exercises described throughout the book, as well as routines for utilizing combinations of the exercises on a daily, weekly and monthly basis.This book will enable healthcare professionals to attain a solid grasp of the clinical significance of regulating the vagus nerve and provide them with simple ways to do it.
The Valedictorian of Being Dead: The True Story of Dying Ten Times to Live
by Heather B. ArmstrongFrom New York Times bestselling author and blogger Heather B. Armstrong comes an honest and irreverent memoir—reminiscent of the New York Times bestseller Brain on Fire—about her experience as one of only a few people to participate in an experimental treatment for depression involving ten rounds of a chemically induced coma approximating brain death.For years, Heather B. Armstrong has alluded to her struggle with depression on her website, dooce. It’s scattered throughout her archive, where it weaves its way through posts about pop culture, music, and motherhood. But in 2016, Heather found herself in the depths of a depression she just couldn’t shake, an episode darker and longer than anything she had previously experienced. She had never felt so discouraged by the thought of waking up in the morning, and it threatened to destroy her life. So, for the sake of herself and her family, Heather decided to risk it all by participating in an experimental clinical trial involving a chemically induced coma approximating brain death. Now, for the first time, Heather recalls the torturous eighteen months of suicidal depression she endured and the month-long experimental study in which doctors used propofol anesthesia to quiet all brain activity for a full fifteen minutes before bringing her back from a flatline. Ten times. The experience wasn’t easy. Not for Heather or her family. But a switch was flipped, and Heather hasn’t experienced a single moment of suicidal depression since. Disarmingly honest, self-deprecating, and scientifically fascinating, The Valedictorian of Being Dead brings to light a groundbreaking new treatment for depression.