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In turn heartbreaking, irreverent, moving—and at times raucously humorous—one of the nation's leading pediatric researchers recounts his first years as a newly minted, stuggling, and insecure doctor at Massachusetts General Hospital in Boston. A graduate of a state university medical school, Scott Rivkees was competing with elite students from some of the most prestigious schools in the country. Nervous and uncertain, he worked unholy hours with patients ranging from indigent street people to celebrity guests drawn to the reputation and care offered by Mass General. Along the way he learned what medical school textbooks don't teach: how to deal with immense pressure, exhaustion, unruly patients, mysterious conditions, the joy of saving a life, and the wrenching suddenness of losing a patient, more often than not a young child. His resident education did not prevent him from losing his sense of irony and humor as he recounts bleary nights on the town, the allure of young nurses, substandard housing, and the value of pricking an inflated ego.
Over two billion people worldwide are at risk for the spectrum of disorders known as "The Iodine Deficiency Disorders." 1-10% will suffer cretinism; 5-30% will have some sort of brain damage or neurological impairment and 30-70% will be hypothyroid. The causes of iodine deficiencies can be considered from both simplistic and more complex perspectives: From the leaching of iodine from soil resulting in crops with low iodine content to malnutrition resulting in impaired iodine absorption. Poor dietary diversification and impoverished socio-economic development can also lead to iodine deficiencies. Although it is possible to diagnose and treat deficiencies, there is still an ongoing dialogue re...
When the utility of masks or vaccinations became politicized during the COVID-19 pandemic and lost its mooring in scientific evidence, an already-developing crisis of expertise was exacerbated. Those who believe in consensus science wondered: "How can 'those people' not see the truth?" This book shows that the crisis is not a "scientific" controversy, but an ideological dispute with "believers" on both sides. If the advocates for consensus science acknowledge the uncertainties involved, rather than insisting on cold, hard facts, it is possible to open a pathway towards interaction and communication, even persuasion, between world views. As the crisis of expertise continues to be a global issue, this will be an invaluable resource for readers concerned about polarized societies and the distrust of consensus science.
Based on a conference funded by the National Institutes of Health, this timely book is the most up-to-date and definitive reference on the suprachiasmatic nucleus (SCN), the part of the brain that controls circadian rhythms in mammals. These biological rhythms range from daily fluctuations in metabolism to seasonal and annual cycles. This book comprehensive and incisive review of the SCN covers anatomy and physiology, intrinsic SCN rhythms, circadian rhythms, neuropharmacology, transplants, and development.
The rise and spread of Covid-19 in the beginning of 2020 presents a once-in-a-century challenge and opportunity for decision makers, managers, scholars, and citizens to understand the risks, mitigate its impact and prepare for future crises. Drawing on a global network of scholars, this book presents a comparative analysis of ten nations’ response to a global pandemic, while operating nominally under the framework of the World Health Organization. The book introduces the concept of ‘collective cognition’ as an analytic lens for examining the nations’ response to Covid-19 during the first six months of the emerging pandemic (January – June 2020) and draws out insights for improving ...
Describes the causes, effects, treatment options, and research in the field of insomnia.
Do you regularly perform thyroid surgery? Are you looking for a tool that guides you through best surgical practice and successful avoidance of complications? Whether you are an endocrine surgeon, general surgeon or otolaryngologist, you will find this highly practical, full colour multimedia tool an essential guide to help perfect your surgical techniques and overcome the various complications that can arise when performing surgery of the thyroid. Packed full of useful tips and tricks, and well illustrated with over 130 figures, it covers the following key areas: • Best practices in thyroid surgery • Intraoperative complications – both common and rare cases • Postoperative complicat...
In Beyond 9 to 5, Sarah Norgate investigates the psychological, social, and cultural influences that affect the way we regard and are affected by time. Using everyday examples from around the world, her intriguing analysis unravels both the mental and biological mysteries of our relationships with time and provides a clear understanding of the links among behavior, brain, and genes. Norgate begins by musing on the origins of our obsession with punctuality; the conflicting practices of rushing and taking things slow; economy-driven proverbs from highly industrialized nations-Don't put off until tomorrow what you can do today-and how they differ from beliefs and attitudes in more rural areas; ...
Why does US health care have such high costs and poor outcomes? Dr. David S. Guzick offers this critique of the American health care industry and argues that it could work more effectively by rebalancing care, cost, and access. For decades, the United States has been faced with a puzzling problem: Despite spending much more money per capita on health care than any other developed nation, its population suffers from notoriously poorer health. In comparison with 10 other high-income nations, in fact, the US has the lowest life expectancy at birth, the highest rates of infant and neonatal mortality, and the most inequitable access to physicians when adjusted for need. In An Introduction to the ...
Research related to the pineal gland has advanced rapidly in the last three decades since the discovery of its most important hormone, melatonin. This indoleamine has been shown to have a large variety of effects in the organism; the bulk of these actions were initially thought to relate the pineal gland to the reproductive and endocrine systems. It is now apparent, however, that the physiologic interactions of the pineal and its hormones far transcend its control of endocrine function. One field of pineal research that has developed rapidly within the last 5 years has been the demonstration of its relationship to the immune system. Since the pineal gland is part of the central nervous syste...