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Unheard: The Medical Practice of Silencing
by Dr Rageshri DhairyawanHave you ever felt unheard by your doctor? Been frustrated that they haven't understood your symptoms, that they have neglected your concerns?When Dr Rageshri Dhairyawan was admitted to hospital as a patient she didn't receive the pain medication that she told them she needed, despite her being a senior doctor. It was in that moment she understood that something was deeply wrong with our healthcare system. Doctors aren't listening, and it is making us ill.In Unheard, Dr Dhairyawan takes us on a journey through history to show how not listening to patients has been ingrained in medicine from its inception. Western medicine has been built on the assumption that power should always lie with the doctor, and that patients should be powerless to decisions made about their body if it is done to make them well. This, alongside the prejudices of society, has led to dramatic gaps in medical knowledge because for centuries people have not been heard.Dr Dhairyawan offers a way to reshape our health system for a future where active and engaged listening is the new frontier in a timely, shocking and engaging exposé of the medical world.
Unhinged: A Doctor's Revelations About a Profession in Crisis
by Daniel CarlatIn this stirring and beautifully written wake-up call, psychiatrist Daniel Carlat exposes deeply disturbing problems plaguing his profession, revealing the ways it has abandoned its essential purpose: to understand the mind, so that psychiatrists can heal mental illness and not just treat symptoms. As he did in his hard-hitting and widely read New York Times Magazine article "Dr. Drug Rep," and as he continues to do in his popular watchdog newsletter, The Carlat Psychiatry Report, he writes with bracing honesty about how psychiatry has so largely forsaken the practice of talk therapy for the seductive and more lucrative practice of simply prescribing drugs, with a host of deeply troubling consequences. Psychiatrists have settled for treating symptoms rather than causes, embracing the apparent medical rigor of DSM diagnoses and prescription in place of learning the more challenging craft of therapeutic counseling, gaining only limited understanding of their patients lives. Talk therapy takes time, whereas the fifteen-minute "med check" allows for more patients and more insurance company reimbursement. Yet DSM diagnoses, he shows, are premised on a good deal less science than we would think. Writing from an insider's perspective, with refreshing forthrightness about his own daily struggles as a practitioner, Dr. Carlat shares a wealth of stories from his own practice and those of others that demonstrate the glaring shortcomings of the standard fifteen-minute patient visit. He also reveals the dangers of rampant diagnoses of bipolar disorder, ADHD, and other "popular" psychiatric disorders, and exposes the risks of the cocktails of medications so many patients are put on. Especially disturbing are the terrible consequences of over-prescription of drugs to children of ever younger ages. Taking us on a tour of the world of pharmaceutical marketing, he also reveals the inner workings of collusion between psychiatrists and drug companies. Concluding with a road map for exactly how the profession should be reformed, Unhinged is vital reading for all those in treatment or considering it, as well as a stirring call to action for the large community of psychiatrists themselves. As physicians and drug companies continue to work together in disquieting and harmful ways, and as diagnoses and misdiagnoses of mental disorders skyrocket, it's essential that Dr. Carlat's bold call for reform is heeded.
An Unholy Alliance: The Second Chronicle of Matthew Bartholomew (Chronicles Of Matthew Bartholomew Ser. #2)
by Susanna GregoryFor the twentieth anniversary of the Matthew Bartholomew series, Sphere reissued the books with beautiful new illustrated covers.-----------------------------In 1350, the people of Cambridge are struggling to overcome the effects of the Black Death - and with a high mortality rate among priests and monks, the townsfolk are vulnerable to sinister cults that have sprung up. At Michaelhouse, Matthew Bartholomew is training new physicians when the body of a friar is found in the massive chest that the University uses to store precious documents. While investigating, Bartholomew stumbles across a derelict church being used as a meeting place for the mysterious sect he believes is at the heart of a web of blackmail and deceit - with intention to overthrow the established religion.
An Unholy Alliance: The Second Chronicle of Matthew Bartholomew (Chronicles of Matthew Bartholomew #2)
by Susanna GregoryFor the twentieth anniversary of the Matthew Bartholomew series, Sphere reissued the books with beautiful new illustrated covers.-----------------------------In 1350, the people of Cambridge are struggling to overcome the effects of the Black Death - and with a high mortality rate among priests and monks, the townsfolk are vulnerable to sinister cults that have sprung up. At Michaelhouse, Matthew Bartholomew is training new physicians when the body of a friar is found in the massive chest that the University uses to store precious documents. While investigating, Bartholomew stumbles across a derelict church being used as a meeting place for the mysterious sect he believes is at the heart of a web of blackmail and deceit - with intention to overthrow the established religion.
An Unholy Alliance: The Second Chronicle of Matthew Bartholomew (Chronicles of Matthew Bartholomew #2)
by Susanna GregoryFor the twentieth anniversary of the Matthew Bartholomew series, Sphere reissued the books with beautiful new illustrated covers.-----------------------------In 1350, the people of Cambridge are struggling to overcome the effects of the Black Death - and with a high mortality rate among priests and monks, the townsfolk are vulnerable to sinister cults that have sprung up. At Michaelhouse, Matthew Bartholomew is training new physicians when the body of a friar is found in the massive chest that the University uses to store precious documents. While investigating, Bartholomew stumbles across a derelict church being used as a meeting place for the mysterious sect he believes is at the heart of a web of blackmail and deceit - with intention to overthrow the established religion.
Unicompartmental Knee Arthroplasty: A New Paradigm?
by Arnaud Clavé Frédéric DubranaThis timely and practical book presents the state-of-the-art of unicompartmental knee arthroplasty exploring half a century of reflection, reluctance and research around this increasingly common technique.In the opening part readers will discover UKA’s history, controversies as well as standard and emerging indications. Moving forward they will understand the differences between several eligible implants as well as case-by-case guiding principles behind a correct implant choice. Insights into single stage and robotic surgery, rehabilitation, possible complications, return to play and the use of joint registries further complement the book. Written by an international panel of experts, who share best practices and high quality intra-operative pictures, the book will be an excellent resource for practicing knee surgeons, sports physicians, residents and fellows alike.
Unicompartmental Knee Arthroplasty: Indications, Surgical Techniques and Complications
by Tad L. GerlingerUnicompartmental knee arthroplasty (UKA) - also known as unicondylar knee arthroplasty or partial knee replacement - is an excellent surgical option for the treatment of isolated medial, lateral and patellofemoral compartment arthritis of the knee, as long term results suggest high patient satisfaction and survivability that rivals total knee arthroplasty (TKA). These procedures are well-suited for rapid recovery protocols and outpatient surgery through well-structured surgical pathways. With demand increasing for knee arthroplasty, patients presenting sooner and at a younger age, and an ever-increasing interest from patients, surgeons and payors in outpatient surgery, the demand for unicompartmental arthroplasty is expected to increase significantly. This text will assist orthopedic surgeons, sports medicine specialists, residents and attendings in developing successful pathways for unicompartmental knee arthroplasty, divided into three thematic sections. Part one discusses the history, indications and patient selection for UKA, including how to manage patient expectations, as well as implant choices. Surgical techniques for UKA are presented in part two, both the medial and lateral sides, with discussion of mobile bearings, pain management, blood preservation strategies, and therapy options both before and after surgery. Complications and their prevention are presented in part three, including periprosthetic fractures and infection.Timely and practical, Unicompartmental Knee Arthroplasty will provide orthopedic surgeons and related clinical staff with all they need to know to bring this increasingly common technique into practice.
The Unified Airway: Rhinologic Disease and Respiratory Disorders
by David A. Gudis Rodney J. SchlosserIn recent years, our understanding of the unified airway concept has become paramount in the diagnosis, treatment, and management of sinonasal, airway, and respiratory disorders. The relationship between sinonasal inflammatory disorders, such as chronic rhinosinusitis, and pulmonary disorders, such as asthma or cystic fibrosis, is being examined more closely than ever before. This volume comprehensively reviews and discusses the unified airway approach, and more closely examines the relationship between sinonasal inflammatory disorders and pulmonary disorders. The text is formatted as an easy to read reference with bulleted points and sample case studies that maximize the clinical value of the evidence and data described. In addition to exploring chronic rhinosinusitis in patients with asthma and cystic fibrosis, other topics include pediatric chronic rhinosinusitis, aspirin-exacerbated respiratory disease, chronic bronchiectasis, primary ciliary dyskinesia, immunodeficiencies, and the unified airway microbiome. Rhinologic Disease and Respiratory Disorders will be an invaluable guide for practicing otolaryngologists, allergists, pulmonologists, otolaryngologists-in-training, and rhinologists.Foreword written by David W. Kennedy and Elina M. Toskala.
Unilateral Biportal Endoscopic Spine Surgery: Basic and Advanced Technique
by Dong Hwa Heo Cheol Woong Park Sang Kyu Son Jin Hwa EumBiportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.
Unilateral Biportal Endoscopy of the Spine: An Atlas of Surgical Techniques
by Javier Quillo-Olvera Diego Quillo-Olvera Javier Quillo-Reséndiz Michael MayerEndoscopic spinal surgery has become popular due its procedure-related benefits. The biportal endoscopic surgery is a recent technique, which has gained popularity in Asia, Europe, and Latin America since it can be applied to treat many diseases of the whole spine as cervical, thoracic, lumbar and sacral.Divided into thirty-four chapters, this first-ever book on unilateral biportal endoscopic spine surgery presents the technique history review and its current applications; the currently available technology and basic principles of this surgery: anesthesia, position, and operative room setup; endoscopic instruments, hydrostatic pressure, and intraoperative radiology; as well as anatomical considerations of basic approaches. It also details the techniques to resolve lumbar, cervical and thoracic spine diseases. Written by the world's most influential groups that perform the method, Unilateral Biportal Endoscopy of the Spine: An Atlas of Surgical Techniques will certainly be widely accepted by all surgeons interested to improve their daily practice in minimally invasive spine surgery.
Uninsured in America: Life and Death in the Land of Opportunity
by Susan Starr Sered Rushika FernandopulleThis book was born at a Harvard health care symposium when Rushika, a physician specializing in health policy, met Susan, an anthropologist who recently had returned to the United States after living for two decades in Israel and Japan, countries that have national health care programs.
Uninsured in America, Updated: Life and Death in the Land of Opportunity
by Susan Sered Rushika FernandopulleUninsured in America goes to the heart of why more than forty million Americans are falling through the cracks in the health care system, and what it means for society as a whole when so many people suffer the consequences of inadequate medical care. Based on interviews with 120 uninsured men and women and dozens of medical providers, policymakers, and advocates from around the nation, this book takes a fresh look at one of the most important social issues facing the United States today. A new afterword updates the stories of many of the people who are so memorably presented here.
Uninsured in Chicago: How the Social Safety Net Leaves Latinos Behind (Latina/o Sociology #14)
by Robert VargasWhy millions of Latinx people don’t access the healthcare system, even in times of needMore than a decade after the passage of the Affordable Care Act, around eleven million Latinx citizens around the country remain uninsured. In Uninsured in Chicago, Robert Vargas explores the roots of this crisis, showing us why, despite their eligibility, Latinx people are the racial group least likely to enroll in health insurance. Following the lives of forty uninsured Latinx people in Chicago, Vargas provides an up-close look at America’s broken healthcare system, and how it impacts marginalized groups. From excruciatingly long waits and expensive medical bills, to humiliating interactions with health navigators and emergency room staff, he shows us why millions of Latinx people avoid the healthcare system, even in times of need. With a compassionate eye, Vargas highlights the unique struggles Latinx people face as the largest racial group without health insurance in the United States. An intimate account of the lives of uninsured Latinos, this book imagines new, powerful ways to strengthen our social safety net to better serve our most vulnerable communities.
An Unintended Journey
by Janet Yagoda ShagamAccording to the 2009 census, more than five million people living in the United States have Alzheimer's disease or some other form of dementia. Not reported in these statistics are the fifteen million family caregivers who, in total, contribute seventeen billion hours of unpaid care each year. This book addresses the needs and challenges faced by adult children and other family members who are scrambling to make sense of what is happening to themselves and the loved ones in their care. The author, an experienced medical and science writer known for her ability to clearly explain complex and emotionally sensitive topics, is also a former family caregiver herself. Using both personal narrative and well-researched, expert-verified content, she guides readers through the often-confusing and challenging world of dementia care. She carefully escorts caregivers through the basics of dementia as a brain disorder, its accompanying behaviors, the procedures used to diagnose and stage the disease, and the legal aspects of providing care for an adult who is no longer competent. She also covers topics not usually included in other books on dementia: family dynamics, caregiver burnout, elder abuse, incontinence, finances and paying for care, the challenges same-sex families face, and coping with the eventuality of death and estate management. Each chapter begins with a real-life vignette taken from the author's personal experience and concludes with "Frequently Asked Questions" and "Worksheets" sections. The FAQs tackle specific issues and situations that often make caregiving such a challenge. The worksheets are a tool to help readers organize, evaluate, and self-reflect. A glossary of terms, an appendix, and references for further reading give readers a command of the vocabulary clinicians use and access to valuable resources.
Un'intervista con Jeffery Khoury
by Richard G Lowe Jr Vita CumboQuesto libro riporta l'affascinante intervista dell'autore a Jeffery Khoury un giovanissimo imprenditore che ci presenta la sua applicazione innovativa che permette l'applicazione medicina telematica nella vita di tutti i giorni, pensata per chiunque. Parliamo di una vera e propria avanguardia sul mondo delle applicazioni per i nostri cellulARI e, insieme, sul modo nuovo di connettersi con il proprio dottore. Questo giovane ragazzo ci spiega come sia semplice per tutti usare questo nuovo strumento, come è nata questa brillante idea e gli sforzi per realizzarla, dandoci anche una preziosa lezione di vita.
Uniparental Disomy (UPD) in Clinical Genetics
by Thomas LiehrThis book focus on genetic diagnostics for Uniparental Disomy (UPD), a chromosomal disorder defined by the exceptional presence of a chromosome pair derived from only one parent, which leads to a group of rare diseases in humans. First the molecular and cytogenetic background of UPD is described in detail; subsequently, all available information of the various chromosomal origins and the latest findings on genotype-phenotype correlations and clinical consequences are discussed. Numerous personal reports from families with a child suffering from a UPD-induced syndrome serve to complement the scientific and clinical aspects. Their experiences with genetic counseling and living with a family member affected by this chromosomal aberration present a vivid picture of what UPD means for its victims.
Unitary Caring Science: Philosophy and Praxis of Nursing
by Jean WatsonUnitary Caring Science: The Philosophy and Praxis of Nursing takes a profound look at conscious, intentional, reverential caring-healing as sacred practice/praxis and as a necessary turn for survival. Jean Watson posits Unitary Caring Science for the evolved Caritas-conscious practitioner and scholar. A detailed historical discussion of the evolution from Caring Science toward Unitary Caring Science reflects the maturing of the discipline, locating the nursing phenomena of wholeness within the unitary field paradigm. An exploration of praxis as informed moral practice results in an expanded development of the ten Caritas processes, resulting in a comprehensive value-guide to critical Caritas literacy and ontological Caritas praxis. Watson writes for the Caritas Conscious Nurse™ or the Caritas Conscious Scholar/Practitioner/Educator on the journey toward the deeper caring-healing dimensions of life. Unitary Caring Science offers a personal-professional path of authenticity, bringing universals of Love, Energy, Spirit, Infinity of Purpose, and Meaning back into nurses lives and their life’s work. Unitary Caring Science serves as a continuing, evolving message to the next generation of nurse scholars and healing-health practitioners committed to a praxis informed by mature disciplinary consciousness. Each book comes with a set of Caritas cards, and individual customers will also receive a secure link to select copyrighted teaching videos and meditations on www.watsoncaringscience.org.
United: Caring for our loved ones living with dementia
by Gina AwadA moving and beautifully illustrated book that captures the real life tales of people living with dementia, as told by their loved ones caring for them.This humorous, heartwarming and often heartbreaking collection will be relatable and supportive for anyone touched by dementia in their lives, and provides insight and information for anyone wanting to know more.The stories reflect on: the impact of receiving a diagnosis, the importance of person-centred care and social inclusion; the power of meaningful engagement, partnerships, peer support and much, much more.
United: Caring for our loved ones living with dementia
by Gina AwadA moving and beautifully illustrated book that captures the real life tales of people living with dementia, as told by their loved ones caring for them.This humorous, heartwarming and often heartbreaking collection will be relatable and supportive for anyone touched by dementia in their lives, and provides insight and information for anyone wanting to know more.The stories reflect on: the impact of receiving a diagnosis, the importance of person-centred care and social inclusion; the power of meaningful engagement, partnerships, peer support and much, much more.
The United Nations Madrid International Plan of Action on Ageing: Global Perspectives
by Marvin Formosa and Mala Kapur ShankardassThe United Nations Madrid International Plan of Action on Ageing (MIPAA) offers a bold new agenda for handling the issue of ageing in the 21st-century. It focuses on three priority areas: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments. This book brings together global perspectives on the MIPAA and focusses on and assesses the success and failures of governments to implement its recommendations. Despite its pivotal importance in international ageing policy, the MIPAA has been relatively neglected by academics in their writings and studies. This book mitigates this analytical and empirical cavity. Each chapter focuses on one specific geographical region and addresses five key themes: National ageing situation; Twenty years of MIPAA; Ensuring ageing with dignity; Healthy and active ageing in a sustainable world; and Priorities for the future. It presents an overall summary of the findings, future challenges and opportunities related to ageing, recommendations for future actions to be taken, and policy adjustments needed. The authors also present lessons that were learnt from managing the impact of COVID-19 on older people, together with an outlook on the most immediate priorities for the future so that the recommendations in the MIPAA are achieved in post-COVID-19 and sustainable ethical scenarios. An important contribution towards the advancement of ageing policy, the book will be indispensable to students and researchers of gerontology, ageing, and health. It will also be of interest to policy makers, geriatricians, dementia care specialists, social policy makers responsible for ensuring active and healthy ageing, and all public sector departments which have specific responsibilities towards improving the quality of life of older adults.
United States Health Care Policymaking
by Sunday E. UbokudomHealth care is a very important component of the American economy. The United States Centers for Medicare and Medicaid Services (CMS) put the 2008 direct health care expenditures at about $2.34 trillion, or about 16.2 percent of the nation's gross domestic product (GDP), or an average of $7,681 spent for every man, woman, and child in the country. Health care cost increases have caused very serious problems that threaten to bankrupt the system, providers, employers, and the families that pay the costs that their health insurance plans do not cover. Additionally, cost increases have reduced access to health care services, adversely affected the quality of care, and resulted in avoidable illnesses, premature deaths, and in health disparities based on race, ethnicity, and income. Consequently, health care reform has continuously been on the public and governmental agendas. It is out of this environment that several reform plans, including the 1993 Health Security Act, and the 2010 Patient Protection and Affordable Care Act (PPACA), were launched. This book examines the ideological, social, cultural, economic, and several other factors that dictate the various measures and approaches employed to tackle the perceived problems. The book has an index, tables, charts and figures, lists of major terms, and review questions for each chapter. This book will appeal to students in Master of Health Administration (MHA), Master of Public Health (MPH), Master of Public Administration (MPA), Master of Science in Nursing (MSN), health certificate programs, and junior and senior level undergraduate students in political science, public administration, public health, and public policy. In addition to serving as a core text for health policy and administration classes, the book will serve as a supplementary text for graduate level courses.
The United States Healthcare System: Overview, Driving Forces, and Outlook for the Future
by Stephen L. WagnerThe complexity of the United States healthcare system is well known, as are its challenges and shortcomings. A vital task in the years ahead will be to transition the system toward a new paradigm—one that more effectively balances quality, costs, and access to support the overall well-being of the American people. The United States Healthcare System: Overview, Driving Forces, and Outlook for the Future is intended for the healthcare professionals who will lead the transformation to optimized health and healthcare solutions. The book presents a broad overview of the system's numerous components, assesses the historical influences that brought us to our present state, and examines the trends and emerging opportunities through which we can attain a better future. The book's chapters establish a firm knowledge base for each topic while also inviting deeper discussion and further exploration. Collectively, they aim to foster a thorough, multidimensional understanding of how the healthcare system functions, how it has evolved, and how it can be improved.
Units, Symbols, and Abbreviations: A Guide for Authors and Editors in Medicine and Related Sciences, Sixth edition
by Denis Baron H.M. ClarkeNow in its sixth edition, this guide sets out international and standard practice and is an invaluable reference for medical and scientific editors and authors. Scholarly journals often quote this booklet as a guide in their instructions to authors.An invaluable reference for editors and authors. Includes fully updated sections on metrication and SI units, symbols and nomenclature, layout of references and proof correction.
Unity
by Kevin KerrIn the fall of 1918, a world ravaged by war was suddenly hit by a mysterious and deadly plague. As fear of the dreaded "Spanish" flu fills the town of Unity with paranoia, drastic measures are taken. But when the disease descends upon the town despite their precautions, the citizens begin to turn on each other, looking for a scapegoat.
Unity between Horse and Rider: Classical Training for the Benefit of Both
by Anne WilsonMany riders and horse owners are looking for a kinder, more ethical way of interacting with their horses, to fulfil the requirements of the modern Social Licence to Operate but also to enhance their relationship with their animal. In this book, author and expert rider Anne Wilson demonstrates that we need look no further than the teachings of the great classical riding masters, past and present.Classical teachings are often misunderstood today. This in-depth book on classical principles aims to rectify that, enlightening the reader on techniques which will enhance their own enjoyment as well as that of their horses. Wilson provides a wealth of ‘how-to’ information, via down-to-earth language and detailed imagery, which will enable readers to put the principles into effect. She throws light on hitherto much misunderstood aspects of horse training, showing that when these principles are employed correctly, the rider or trainer will experience an incomparable feeling of being at one with their horse. Perhaps most importantly, this book will help your horse enjoy ‘dancing’ with his or her rider, enhancing their physical and mental well-being, as well as their likely longevity.Unity between Horse and Rider: Classical Training for the Benefit of Both will be of great benefit to riders in any discipline who have basic knowledge and skills but wish to learn a more ethical, fulfilling way of training and riding. For riders, riding professionals, students and trainers, classical riding is the key to a happy life for horse and human alike.