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Thrombotic thrombocytopenic purpura (TTP) is a rare disorder of the blood coagulation system. In most cases, a lack of the ADAMTS13 enzyme leads to an accumulation of ultra-large von Willebrand factor molecules in the plasma which, in turn, initiate the formation of microscopic thromboses in small blood vessels. TTP is a medical emergency. Timely diagnosis and urgent and effective management are vital – mortality in those untreated is in the region of 90%. The understanding of TTP pathogenesis has increased markedly in recent decades. It is now known that TTP is acquired (immunemediated) or congenital, and that the most common type – the acquired form – predominantly affects women in t...
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Thrombotic thrombocytopenic purpura (TTP) is a rare disorder of the blood coagulation system. In most cases, a lack of the ADAMTS13 enzyme leads to an accumulation of ultra-large von Willebrand factor molecules in the plasma which, in turn, initiate the formation of microscopic thromboses in small blood vessels. TTP is a medical emergency. Timely diagnosis and urgent and effective management are vital – mortality in those untreated is in the region of 90%. The understanding of TTP pathogenesis has increased markedly in recent decades. It is now known that TTP is acquired (immunemediated) or congenital, and that the most common type – the acquired form – predominantly affects women in t...
In the United States and throughout the industrialized world, just as the population of older and sicker patients is about to explode, we have a major shortage of nurses. Why are so many RNs dropping out of health care's largest profession? How will the lack of skilled, experienced caregivers affect patients? These are some of the questions addressed by Suzanne Gordon's definitive account of the world's nursing crisis. In Nursing against the Odds, one of North America's leading health care journalists draws on in-depth interviews, research studies, and extensive firsthand reporting to help readers better understand the myriad causes of and possible solutions to the current crisis. Gordon exa...
Born in 1981, shortly after the first IVF baby, Anne-Marie Scully grew up in a world where infertility is a problem everyone assumes can be fixed. Named for the frustration Anne-Marie felt when realizing that becoming a mother was not a given and that IVF was not a guaranteed 'Plan B', Motherhoodwinked documents the pain and the shame of life as an infertile woman. But Motherhoodwinked is more than just another trying to conceive memoir, it is an important social commentary on the impact infertility has on the lives of those going through it and how the modern digital age has both helped and hindered the journey. With heartbreaking honesty Anne-Marie takes us on a journey from her initial optimism and excitement at finally trying for a baby and fulfilling her lifelong dream to become a mother, through to her increasingly complex pregnancy plan, her experiments with holistic therapies, the NaPro program and finally her experience with ICSI and IVF. Sometimes sad, sometimes laugh out loud funny Motherhoodwinked offers both couples going through infertility and their support networks coping skills for how to survive this lonely journey, that actually affects one in six couples.
This book examines the representation of infertility, assisted reproduction, miscarriage, adoption and surrogacy in a wide range of media, including blogs, vlogs, social media posts and factual programming. In so doing, it illustrates how pregnancy loss, involuntary childlessness and non-traditional mothering are being depicted across the media landscape. Whilst the topic of motherhood has emerged as a significant area of academic debate, narratives of unsuccessful or unconventional mothering have remained largely absent, even at a time when there is a growing conversation about infertility online. Timely, pertinent and original, the book demonstrates the importance of a broader and more informed cultural discussion about fertility and family building.