The book comprehensively covers all aspects of hepatocellular carcinoma (cancer) as it occurs in sub-Saharan black Africans and how the cancer differs from that in other parts of the world, in most of which it occurs infrequently. The first chapter is introduced with a discussion of the difficulty in recording all cases of this cancer in sub Saharan Africa and then covers its epidemiology, emphasising the very high incidence of liver cancer in sub Saharan black Africans. The relatively young age at which the tumor occurs in comparison with the older age of the patients in resource-rich regions is stressed. The sex distribution of the cancer is also discussed. The second chapter describes the ways in which hepatocellular cancer presents in black Africans, its symptoms and signs, and how its presentation differs from that in other parts of the world. The third chapter summarises the grave outlook for patients with the tumor, the very short survival times of the patients, and the reasons for their deaths. The fourth chapter discusses the diagnosis of the cancer and why this is far more difficult than it is in resource-rich countries. The fifth chapter deals with the pathology of the tumor-its similarities and differences from that in other parts of the world. The sixth chapter is the longest in the book, and it deals comprehensively with the causes of liver cancer in sub-Saharan Africa. The major cause is chronic infection with the hepatitis B virus, an infection acquired in early childhood, and the possible mechanisms by which this may cause the cancer. Other less common but still important causes in the subcontinent-such as exposure to the fungal carcinogen, aflatoxin, chronic hepatitis C virus infection, dietary iron overload among Africans, and membranous obstruction of the inferior vena cava-are also discussed. The seventh chapter discusses the difficulty in treating hepatocellular cancer and the poor results obtained in sub-Saharan Africa in comparison with the results of treatment in industrialized countries. The penultimate chapter presents possible ways to prevent the cancer or, at least, to detect it at a far earlier time than is currently the case and when it may be more amenable to treatment. The current status of vaccination in preventing hepatitis B virus infection, and hence liver cancer, is discussed in detail. The final chapter asks the question, "How can we improve the diagnosis and treatment of this dreadful malignant disease?"

This book describes seven generations of a single Roberts lineage in the Southern States. A selection of public and private papers is included which refl ects the times and the temperaments of the authors. The Roberts in this lineage crossed the Blue Ridge in 1770 and were British loyalists on the Virginia frontier at the outbreak of the Revolutionary War. In the next three generations, the family settled in newly-opened Indian Territory in South Carolina, Georgia, and Mississippi, respectively. At the outbreak of the Civil War, the Roberts patriarch was a Unionist judge in Georgia, while the eldest son was a Secessionist attorney in Mississippi. The post War generations commenced with a literary college president who was life-long friends with the Candler brothers of Emory and Coca Cola. The next three generations were physicians. The first was the fi rst cardiologist in Georgia and a national medical leader. The second is a researcher in heart disease whose publications and addresses have had worldwide influence in medicine. And the last is author of this book.

Cover Photograph James William ("Will")

Roberts was twelve when this photograph was taken in Atlanta during the Civil War, in which his father, in the 13th Mississippi regiment, had died. To support his mother and younger siblings, Will sold newspapers and apples (shown in the basket he is holding) in front of the Atlanta hardware store of Joseph Spencer Stewart, an Emory College graduate (1849), who later funded the education of Will at Emory College (1st honors,1877) in Oxford, Georgia. Will married Cliff ord Rebecca Stewart, a daughter of Mr. Stewart, and became minister of Trinity Church in Atlanta and president of Wesleyan College in Macon.

The 1950s was a time of great prosperity for many Americans. Gerard and Christina van Amstel came to America with many dreams and hopes. They worked hard, educated themselves, assimilated into American culture and raised a family. Gerard and Christina always worked as a team, so they always shared the financial and domestic responsibilities of the family. It was this equal sharing and mutual respect that made them happy as a family and successful as a couple. Gerard and Christina bought several homes during their working life, raised three children, vacationed every summer and looked forward to a comfortable and much anticipated retirement.

Then life delivered a cruel blow: Christina developed Alzheimer's disease. The disease progressed slowly at first with memory loss and confusion, symptoms most people could shrug off as stress related. When Christina lost the ability to complete simple tasks like following a recipe she had used for 20 years, refused to drive the family car because she feared she could not find her way home and began drifting often into the past with little recall of daily events, it was clear the disease had become debilitating.

This is not a story of shattered dreams. It is the story of one couple's struggle with Alzheimer's and a healthcare system that provides marginal care for the elderly and their afflictions. It is also an account of Gerard's attempt to bring care and compassion to people affected by dementia and the millions of elderly trapped in the nursing home industry.

This groundbreaking book challenges the medicalized approach to women's experiences including menstruation, pregnancy, and menopause and suggests that there are better ways for women to cope with real issues they may face. Before any woman diets, douches, botoxes, reduces, reconstructs, or fills a prescription for antidepressants, statins, hormones, menstrual suppressants, or diet pills, she should read this book. Contesting common medical practice, the book addresses the many aspects of women's lives that have been targeted as "deficient" in order to support the billion-dollar profits of the medical-pharmacological industry and suggests alternatives to these "remedies." The contributors-psychologists, sociologists, and health experts-are also gender experts and feminist scholars who recognize the ways in which gender is an important aspect of the human experience. In this eye-opening work, they challenge the marketing and "science" that increasingly render women's bodies and experiences as a series of symptoms, diseases, and dysfunctions that require treatment by medical professionals who prescribe pharmaceutical and surgical interventions. Each article in the book addresses the marketing of a specific "condition" that has been constructed in a way that convinces a woman that her body is inadequate or her experience and behavior are not good enough. Among the topics addressed are menstruation, menopause, pregnancy, post-partum adjustment, sexual desire, weight, body dissatisfaction, moodiness, depression, grief, and anxiety. Addresses popular topics including the "thin ideal," the health realities of weight, cosmetic surgery, birth as a medical emergency, sexual desire and menopause, depression, and mourning Critiques the "science" and marketing that sees all women's complaints as symptoms, diseases, and dysfunctions requiring medical treatment Explains how psychological and social factors affect women's health and argues for a more well-founded approach such as using talk therapy first Explains why events like menopause, sexual desire, body dissatisfaction, and grief are examples of issues often not best treated with drugs, but with psychotherapy for permanent resolution Will appeal to all adult women who might, or do, question current medical approaches and media promises

Shortly after Alysa Cummings was diagnosed with breast cancer, she sat down at her laptop computer and began keeping a journal. Over the two years of her cancer treatment, Alysa continued writing as she moved through the healthcare delivery system:

"I fantasized that I could somehow use my computer to craft a story with an upbeat next chapter or fairy tale happily-ever-after ending. Looking back, that's the only explanation I can come up with, why I felt so compelled to create a record of my day-to-day experiences as a cancer patient. The one thing I could control were these words that crowded each other as they quickly appeared on my computer screen; these stories that flowed through my fingertips in such a manic rush; these traumatic adventures that happened to me in a place I began to call CancerLand.

CancerLand: it's this parallel universe, I swear, separate and apart from the rest of life as I once knew it. How did I end up in this wacky Bizarro World filled with freaky language and even stranger rituals? "

Gradually her daily journal entries became vignettes and poems that were published on the OncoLink website. Greetings from CancerLand, a collection of Alysa's writing from 2002-2012, charts one breast cancer survivor's journey as she discovers the power of writing to move her recovery forward.

December 9, 2003, is a day Mary Ann Sheveland will never forget. With the sun just coming up and a fresh pot of coffee perking in the kitchen, she walked into the bedroom she shared with her husband that early December morning and found him dead. Death had come quickly and silently; he was gone.

In Mary Ann's memoir, "Journey of My Heart," she shares a story written with love, humility, and a great amount of faith. It is an account of emotional courage, determination, and the desire to have the best quality of life in our allotted time. She chronicles the challenges faced when caring for a terminally ill spouse and the love that she and her husband shared during the good and the bad times of their crisis.

"Journey of My Heart" also tells how Mary Ann overcame grief using the tools of music, journaling, travel, and the various social activities she depended upon to put her in a positive frame of mind. She hopes to help illuminate the steps along the slippery road of a progressively worsening medical condition. Gradually, with every day, she became stronger, more independent, and at peace with her new life. She emerged from grief a completely different person; she is a survivor.

The heart is our most important - and perhaps most mysterious - organ.

Every day it pumps 9000 litres of blood and beats around 100,000 times. But the heart is more than just a pump. In all major human cultures, it is seen as the source of love, sympathy, joy, courage, strength and wisdom. Why is this so?

Having witnessed the extraordinary complexity and unpredictability of human hearts in the operating theatre - each one individual in its make-up, like a fingerprint - heart surgeon Reinhard Friedl went on a search for answers. He examined closely the latest findings in neurocardiology and psychocardiology, and in The Beat of Life he shares his discoveries, using riveting personal stories to illustrate the complex relationship between the heart, the brain and the psyche.

Ideal study aid for the NEBDN Certificate in Oral Health Education Questions and Answers in Oral Health Education comprehensively and efficiently prepares students for the National Examining Board for Dental Nurses (NEBDN) Certificate in Oral Health. Written by a dental tutor and course administrator, as well as a certified NEBDN examiner, this revision guide includes tips and techniques to help students with the test. It also includes examples of mock examination questions along with answers and explanations to further students' understanding of the material contained within. Presented in question-and-answer format to aid with retention and learning, Questions and Answers in Oral Health Education contains the most up-to-date regulations, policies, and oral health guidance. Full of useful information to better cater to each student's unique style of learning, it features: An introduction to the exam process and exam structure, including the style of questions a test-taker is likely to see A discussion of legislation and General Dental Council standards and guidance A summary of the material contained within the book along with website links for further, supplementary study Treatments of a wide variety of topics, including plaque, sugars, erosion, fluoride, and more Questions and Answers in Oral Health Education is perfect for qualified dental nurses seeking to extend their duties with a post-registration qualification like the NEBDN Certificate in Oral Health Education.

This book (hardcover) is part of the TREDITION CLASSICS. It contains classical literature works from over two thousand years. Most of these titles have been out of print and off the bookstore shelves for decades. The book series is intended to preserve the cultural legacy and to promote the timeless works of classical literature. Readers of a TREDITION CLASSICS book support the mission to save many of the amazing works of world literature from oblivion. With this series, tredition intends to make thousands of international literature classics available in printed format again - worldwide.

Part memoir and part medical history, "Real Life Stories" presents remembrances, personal anecdotes, and stories from the life and career of Paul Emerson. It also shares the harrowing and heartwarming story of a young Filipino boy's struggle for survival.

Paul Emerson was born in a small town in Pennsylvania. He grew up in a close-knit extended family in his grandfather's house. But his upbringing was much like those of other young boys who were born in the 1930s. He was seven years old when the Japanese bombed Pearl Harbor, an event that is etched in his mind forever. He shares his memories of growing up and of various events in his adult life.

He also shares the memorable story of Rinor Marcial, a young boy from the Philippines who was badly burned with gasoline during the Christmas holiday one year. After being treated by local medical center, he returned to his bamboo bungalow home, where his sleeping position caused complications. Rinor was discovered by a missionary who was determined to get him admitted to a Shriner's Burns Institute in Galveston, Texas.

His heartwarming story is just one of the many "Real Life Stories" included in this memorable collection from Paul Emerson.

Offers an innovative plan to eliminate inequalities in American health care and save the lives they endanger Over 84,000 black and brown lives are needlessly lost each year due to health disparities: the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system-and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.

Endocrine Self-Assessment Program (ESAP (TM)), Reference Edition 2018 is a self-study curriculum for physicians and health professionals wanting a self assessment and a broad review of endocrinology. It consists of 120 brand-new multiple choice questions in all areas of endocrinology, diabetes, and metabolism. There is extensive discussion of each correct answer, a comprehensive syllabus, and references. ESAP is updated annually with new questions. Customers are advised that this book is a reference edition and the questions in it are designed for self-study and reference. The content is the same as the non-reference edition, but CME and MOC credits are not available upon completion of the material. Anyone with questions about CME and/or MOC credits should consult www.endocrine.org/store for further information.