Hoarding disorder is the excessive saving of objects and difficulty parting with them to a point that interferes with one's ability to properly use rooms and furnishings in the home. Hoarding can become dangerous, sometimes resulting in structural problems and fires, or in hazardous sanitary conditions. Studies indicate that around one in every 25 people suffers from hoarding. This means that almost all of us know someone who hoards. Hoarding: What Everyone Needs to Know demystifies this complex problem, what it looks like and why it may develop, and how it can be treated. With their combined expertise in psychological treatments for hoarding and community interventions, Drs. Steketee and Bratiotis explain how to understand hoarding as a mental illness, describing the disorder in layman's terms and explaining the various facets and manifestations of the behavior. Chapters focus on one or more common questions regarding diagnosis, features, how to assess severity, and treatment. The book will dispel myths and help readers identify hoarding that touches their own lives. As such it will be of great value not only to those who suspect a loved one may be hoarding, but also to first responders, such as firefighters, public health officials, and housing and social service personnel, who will find here an essential resource for use in the field.

Here is the Fourth Edition of the classic text Electrodiagnosis in Diseases of Nerve and Muscle. With each subsequent edition, Dr. Kimura has built upon his extensive experience teaching electromyography (EMG) around the world and has transferred his knowledge to the book. It is intended for clinicians who perform electrodiagnostic procedures as an extension of their clinical examination, and will be of value to neurologists and physiatrists who are interested in neuromuscular disorders and noninvasive electrodiagnostic methods, particularly those practicing electromyography (EMG). The book provides a comprehensive review of most peripheral nerve and muscle diseases, including specific techniques and locations for performing each test. While the book has been thoroughly updated to reflect the growth that has been made in the field since 2001, a DVD has also been added to the book, allowing the readers to watch and listen to various types of normal and abnormal EMG activities. The book is designed for those interested in a broad review of electrodiagnostic medicine, especially to those dealing with patients with neuromuscular disorders, who may benefit from a referral for electromyography and nerve conduction studies as part of the clinical practice. It will appeal to those wanting a current update on the subject and those interested in state of the art information and observation of electrophysiologic techniques.

The authors of this book argue that there is a great divide between species that makes extrapolation of biochemical research from one group to another utterly invalid. In their previous book, "Sacred Cows and Golden Geese: The Human Cost of Experiments on Animals", the Greeks showed how an amorphous but insidious network of drug manufacturers, researchers dependent on government grants to earn their living, even cage-manufacurers - among others benefiting from "white-coat welfare" - have perpetuated animal research in spite of its total unpredictability when applied to humans. (Cancer in mice, for example, has long been cured. Chimps live long and relatively healthy lives with AIDS. There is no animal form of Alzheimer's disease.) In doing so, the Greeks aimed to blow the lid off the "specious science" we have been culturally conditioned to accept. Taking these revelations one step further, this book uses accessible language to provide the scientific underpinning for the Greeks' philosophy of "do no harm to any animal, human or not," by examining paediatrics, diseases of the brain, new surgical techniques, in vitro research, the Human Genome and Proteome Projects, an array of scien

Kinesiology is the study of human and nonhuman animal-body movements, performance, and function by applying the sciences of biomechanics, anatomy, physiology, psychology, and neuroscience. This book is a guide to human kinesiology for physiotherapists. Divided into three sections, the text begins with an introduction to the field, anatomical and physiological fundamentals of human motion, and biomechanics. The following section covers joint and muscle movement in different regions of the body, from shoulder, elbow, hand and wrist, to pelvis, hip, knee, ankle and foot, and spine. The final chapters discuss posture and movement and the application of kinesiology to daily life activities, sports skills and prevention of sports injuries. The comprehensive text is further enhanced by clinical photographs, illustrations and tables. Key points Comprehensive guide to human kinesiology for physiotherapists Provides clear understanding of anatomy, physiology and biomechanics Covers joint and muscle movement in all regions of the body Discusses application of kinesiology to daily life activities, sports and prevention of injuries

A combination of population growth, public health failures, environmental degradation and rapid global transportation has resulted in a world that is at increasing risk to vectorborne and other infectious diseases. A large percentage of emerging diseases are vectorborne and over one-third of the agents on the list of greatest concern from bioterrorism are vectorborne. Many of these diseases are viral that have no effective drug or vaccine treatments. Drug and insecticide resistance is now common and has greatly compromised our ability to provide effective and affordable control. Parasitic diseases, including malaria, leishmmaniasis and African trypanosomiasis are likewise increasing in many parts of the world. Control programs for onchocerciasis and to some extent filariasis are reducing the impact of these diseases, largely due to the availability of filaricides such as ivermectin. Chagas disease has also declined significantly through home improvements and indoor insecticide application against the domicilary kissing bug vectors.
Despite these gains, this tend has not been sustainable. Instead, infectious disease is now responsible for greater than 25% of all deaths and nearly 50% of premature deaths among those under 45 years of age, and 63% for children less than 4 years of age. A significant proportion of these deaths is attributed to vectorborne diseases, particularly from malaria ( 11%). Indeed, more that 1 million people are killed annually by malaria, about 3000 per day. It is estimated that 700,000 children under the age of 5 die of malaria and at least 300 million are ill due to malaria each year. In response, the American Institute of Medicine (2003) has called for a renewed effort to rebuild public health infrastructures needed to conduct disease surveillance and vector control programs and to increase research to provide improved pesticides and their use, new repellents, new biopestcides and biocontrol agents to augment pesticidal control, as well as novel strategies to interrupt pathogen transmission.
With these goals in mind, we convened the first vector control symposium as part of the scientific program of the 3rd Pan-Pacific Conference of Pesticide Science in 2003. Five years after (2008), we re-convened this expanded topic at the 4th Pan-Pacific Conference on Pesticide Science and the scientific presentations made over two days comprise this current volume, Advances in Human Vector Control. The book covers two major areas: 1) Current Status and Control Practices, covering malaria, dengue, Chagas, human lice, cockroach and house dust mite issues; and 2) Novel Approaches and Resistance Management of these diseases. Chapters are provided by internationally-recognized experts who are actively involved in vector control and management, providing an up to date summary of this critically important area of public health. The effective use of novel control strategies is stressed and the status of recently acquired genomic approaches is critically reviewed.

* What is addiction?* How do you know if someone is addicted?* Are some people more prone to addiction than others?* Are some drugs more addictive than others?* How can you help someone who doesn't want help? Understanding Drugs of Abuse is designed to bring the everyday reader face-to-face with drugs of abuse and addiction. Through frank, no-nonsense explanations of the stimulants, depressants, psychedelics, and inhalants, this accessible guide will help the reader to understand how drugs of abuse affect thinking, behavior, perceptions, and emotions. It also examines the effects addiction has on the addict's family. Understanding Drugs of Abuse demystifies the treatment process by explaining what types of treatment are available, what actually happens during treatment, and what patients and their families can expect during the treatment process. The book also describes the recovery process and will help people identify good recovery-as well as recognize poor recovery and the warning signs of relapse. Perhaps most important, Understanding Drugs of Abuse explains how friends and family can intervene when someone they love does not want help. Because the use of prescribed medications by people with substance use disorders can be misunderstood or even be dangerous, this book presents practical information about medications and recovery. It also explores the unique problems of adolescents who are addicted, as well as people with the dual disorders of a psychiatric and substance use disorder. Understanding Drugs of Abuse will also help the reader understand the role of genetics and other influences on addiction to alcohol, the most widely abused drug of all.

Provides the complete knowledge about the history to be asked in the long cases for examinations and points out all the examination aspects. Contains more than 50 diagrams and illustrated photographs, which make the readers to understand easily. It includes a lot of tables and boxes with important points needed for the examination time. The book being handy makes it easier for the readers to carry it to the wards and outpatient departments. Thoroughly revised and updated with latest points from various journals and textbooks.

THE SUNDAY TIMES NUMBER ONE BESTSELLER 'A vital book about dying. Awe-inspiring and exquisite. Obligatory reading for the living' Nigella Lawson At the age of thirty-six, on the verge of completing a decade's training as a neurosurgeon, Paul Kalanithi was diagnosed with inoperable lung cancer. One day he was a doctor treating the dying, the next he was a patient struggling to live. When Breath Becomes Air chronicles Kalanithi's transformation from a medical student asking what makes a virtuous and meaningful life into a neurosurgeon working in the core of human identity - the brain - and finally into a patient and a new father. What makes life worth living in the face of death? What do you do when when life is catastrophically interrupted? What does it mean to have a child as your own life fades away? Paul Kalanithi died while working on this profoundly moving book, yet his words live on as a guide to us all. When Breath Becomes Air is a life-affirming reflection on facing our mortality and on the relationship between doctor and patient, from a gifted writer who became both. SHORTLISTED FOR THE WELLCOME BOOK PRIZE 2017

This volume examines recent developments in the use of intelligent materials and systems for drug delivery. Controlled release technology is moving from being a simple carrier of active agents to becoming a powerful and flexible method that permits subtle modulation of the delivery profile based on the needs of the biological host. The chapters collected here cover recent advances in materials with responsive properties, novel concepts in controlled release technology, new applications, and microanalytical techniques for rapid and accurate measurements of small samples.

Migraine treatment improved considerably with the advent of the 'triptans' in the 1990s. While the drugs used previously for headache treatment had efficacy, some compounds had bothersome side effects and their overuse could lead to severe complications. In the early days of the triptans, it was widely presumed that migraine was no longer a treatment problem. However, it has gradually been recognized that a significant proportion of patients are not responsive to triptans or do not tolerate them. It is now clear that, even with effective treatment, patients with frequent migraine attacks are not treated well exclusively with acute medications. This is partly because patients are still bothered by the attacks and partly because frequent intake of acute medication may result in medication-overuse headache. These problems have led to a renewed interest in preventive migraine drugs.
Part of the Frontiers in Headache Research series, this book summarizes the several promising new avenues for the development of future drugs for the treatment of migraine, including cortical-spreading depression inhibition, nitric oxide synthase inhibition and calcitonin gene-related peptide (CGRP) receptor antagonism, as well as other potential targets. The book presents frontline knowledge of these evolving modalities as far as it is available in the public domain. It is hoped that readers and their patients will find it exciting to learn about all the novel possibilities, and also that the impressive research advances in migraine will lead to increased funding, not only of migraine but also of other types of headache.

Accurate clinical observations are fundamental to competent and safe healthcare practice. The Biological Basis of Clinical Observations gives readers the understanding needed to perform clinical observations accurately, make accurate judgements about the patient's condition and make accurate decisions concerning patient care. This useful textbook integrates clear explanations of the techniques involved in making clinical observations, alongside the biological knowledge which gives them meaning. For each topic, it explains the pathological basis for variations in observed results, focusing on relevant anatomy and physiology, genetics and pharmacology, and the basic principles of care. In addition to new chapters on blood tests and pregnancy, the text has been updated throughout. It now incorporates increased coverage of paediatrics, movement and the musculo-skeletal system, the lymphatic system, pregnancy, diabetes, homeostasis and infection, among other areas. Topics discussed include: temperature cardiovascular observations respiratory observations urinary and bowel observations neurological observations nutrition fluid balance skin drug side effects, interactions and allergies. The Biological Basis of Clinical Observations is a unique text which integrates explanations of essential procedures with the biological knowledge that underpins practice. It is essential reading for all nursing and health students preparing for clinical practice.

Despite extensive physiological, biochemical, and structural studies, the mechanisms of muscle contraction operating in living muscle fibres are still not clearly understood. This book aims to describe and assess various experimental methods currently used in the field of muscle research. For
each method discussed, there is a comprehensive description of its advantages, problems, and limitations. Each chapter also contains a summary of the central results to have been obtained using each method. Comprehensively written by experts in their respective fields, this book will be of interest
to all investigators in muscle physiology.

The American Nurses Association, American Psychiatric Nurses Association and the International Society of Psychiatric Mental Health Nurses worked together with nurses from across the nursing profession to develop Psychiatric–Mental Health: Scope and Standards of Practice, 3rd Edition. It is the definitive and up-to-date delineation of psychiatric–mental health nursing, articulating the competent level of nursing practice and professional performance of all PMH registered nurses, whatever their practice level or setting. The publication’s scope of practice addresses what is expected of all psychiatric–mental health nurses, specifying the who, what, where, when, why, and how of their practice. The detailed discussion of that scope of practice provides the context needed to understand and use the standards, presenting the underlying assumptions, characteristics, environments and settings, education and training requirements, key issues and trends, and ethical and conceptual bases of the specialty.

This book is a thoughtful, informative, and practical guide for anyone involved in caring for the seriously and chronically ill or dying. The connection between spirituality and medicine has been receiving a lot of attention in both the scientific and lay presses recently, but research and
anecdotal evidence all indicate that spirituality is central to the care of the chronically ill and dying. It is therefore critical that healthcare providers who interact with seriously ill patients know how to address their spiritual needs.
This book presents current thinking on how spiritual care can be integrated into traditional caregiving. Part one discusses aspects of spirituality, such as presence, ethics, and relationships. Part two delves into a number of specific religious and theological traditions. Part three offers
practical applications and tools, including storytelling, psychotherapy, dance, music, and the arts. Part four focuses on patients' stories and reflections. The book concludes with appendices that have sample advance directives for Protestant, Catholic, Jewish, and Muslim patients.
Volume editor Christina Puchalski is the director of the George Washington Institute of Spirituality and Health. She is also an associate professor of medicine at the George Washington University Medical Center and an active practicing physician and medical educator. Dr. Puchalski is nationally and
internationally recognized as a pioneer in the integration of spirituality and healthcare. Chapters are authored by an impressive group of medical and religious experts, and patients' stories also appear throughout, offering real-world examples. The book features a foreword by theDalai
Lama.

After her diagnosis of triple negative breast cancer (TNBC), health journalist Patricia Prijatel did what any reporter would do: start investigating the disease, how it occurs, and how it's treated. While she learned that important research was emerging, she found a noticeable lack of resources on the disease, which affects 70,000 women a year and differs from hormone-positive breast cancer in important ways, including prognosis and treatment options. Hormone negative breast cancer disproportionately affects younger women and African-American women - and it can be more dangerous than other types of breast cancer. But there are many reasons to be hopeful, as Prijatel learned. Through her blog, Positives About Negative, she has met hundreds of women who have told her their stories and shared their fears, confusion, and frustration. After her recovery, she began writing this book to provide the first dedicated resource for women diagnosed with TNBC. Surviving Triple Negative Breast Cancer delivers research-based information on the biology of TNBC; the role of genetics, family history, and race; how to navigate treatment options; and a plethora of strategies to reduce the risk of recurrence, including diet and lifestyle changes. In clear, approachable language, Prijatel provides an accessible guide to understanding a pathology report and a vast array of scientific studies. Woven throughout the book are stories of women who have faced TNBC. These are mothers, wives, daughters, and sisters who went through a variety of medical treatments and then got on with life - one competes in triathlons, two had babies after being treated with chemo, one got remarried in her 50s, and one just celebrated the 30th birthday of the son she was nursing when she was diagnosed. With honesty and humor, Prijatel's inspiring story shows the heart of a survivor. Her message is that TNBC is a disease to take seriously, with proper and occasionally aggressive treatment, but it is not automatically a killer. Most women diagnosed with the disease do survive. Surviving Triple Negative Breast Cancer is a roadmap for women who want to be empowered through their treatment and recovery.

Vision and the Visual System offers students, teachers, and researchers a rigorous, yet accessible account of how the brain analyzes the visual scene. Schiller and Tehovnik describe key aspects of visual perception while explaining the relationship between eye movements and the neural structures in the brain, which play a central role in how we process visual information. The book discusses various brain areas involved in processing information, focusing on the evolutionary origins and mechanics behind the several parallel pathways that compose the visual system. Later chapters explain how the nervous system processes the perception of color, motion, depth, and patterns. A variety of illusions are on display in Chapter 14, where the authors provide detailed explanations that deconstruct how the visual system operates to create them. The volume concludes with a discussion of recent attempts to build visual prosthetic devices for blind individuals, of which there are more than 40 million in the world. Vision and the Visual System is based on Professor Schiller's more than 40 years of experience teaching vision courses at MIT, and is tailored especially for college undergraduates and graduate students interested in visual perception and the operations of the visual system.

A musician's life is filled with many stressful situations: passing auditions, rehearsing and performing with difficult partners, sitting for long hours in uncomfortable chairs, going on stage to face audiences large and small, who may or may not be receptive to the performance they are presented. And yet many musicians are able to surmount these looming obstacles with grace and balance, to find satisfaction and artistry in their music and build productive and lasting careers. Indirect Procedures will guide you around these obstacles and along that path to becoming a balanced and successful musician. Based on the work of Frederick Matthias Alexander, this book is a thorough and practical approach to the issues of musicians' health and wellbeing. Author Pedro de Alcantara introduces concepts and exercises for musicians to let go of excessive tensions, stay focused, and direct their energies as they handle the challenges of practicing, rehearsing, and performing. Complemented by an extensive, easy-to-use companion website, and working alongside Integrated Practice, this new edition of Indirect Procedures is an invaluable and essential resource for today's musicians to learn to sing, play, and conduct with less effort and stronger results.

Research is finding a way to measure the problem. This seminal 2-volume book contains hundreds of the most useful measurement tools for use in clinical practice and in research. All measures are critiqued by the editors, who provide guidance on how to select and score them and the actual measures are wholly reproduced. This second volume, focusing on measures for use with adults, whose conditions of concerns are not focused on family relationships or couple relationships, includes an introduction to the basic principles of measurement, an overview of different types of measures, and an overview of the Rapid Assessment Inventories included herein. Volume II also contains descriptions and reviews of each instrument, as well as information on how they were selected and how to administer and score them. This book is designed as the definitive reference volume on assessment measures for both practice and research in clinical mental health. This fifth edition of Corcoran and Fischer's Measures for Clinical Practice and Research is updated with a new preface, new scales, and updated information for existing instruments, expanding and cementing its utility for members of all the helping professions, including psychology, social work, psychiatry, counseling, nursing, and medicine. Alone or as a set, these classic compendiums are powerful tools that clinicians and researchers alike will find an invaluable addition to - or update of - their libraries.

Tobacco: Science, Policy and Public Health Second Edition comprehensively covers the science and policy issues relevant to one of the major public health disasters of modern times. It pulls together the aetiology and burden of the myriad of tobacco-related diseases with the successes and failures of tobacco control policies. The book looks at lessons learnt to help set health policy for reducing the burden of tobacco-related diseases. It also deals with the international public health policy issues which bear on control of the problem of tobacco use and which vary between continents.
New chapters in this second edition include: Market manipulation: How the tobacco industry recruits and retains smokers; In Their Own Words: An Epoch of Deceit and Deception; Manipulating Product Design to Reinforce Tobacco Addiction; and a new section of the text devoted to 'Tobacco around the world'.
The editors are an international group distinguished in the field of tobacco-related diseases, epidemiology, and tobacco control. The contributors are world experts drawn from the various clinical fields. This major reference text gives a unique overview of one of the major public health problems in both the developed and developing world.

This book brings together current thought on several aspects of the use of pesticides in and around homes, schools and workplaces. The book addresses several parts of the process, from the discovery and development of new active ingredients, their formulation, use, longevity, environmental fate and human exposure.

According to popular belief, technical skill is far more important for surgeons than thoughtful deliberation. Nothing could be further from the truth. Although surgeons must sometimes make decisions rapidly on the basis of incomplete evidence and must respond to unexpected catastrophes in the operating room rapidly, those events are intermittent - most of the time surgeons deliberate on diagnostic problems and thoughtfully manage postoperative care, which is often intellectually challenging. The relationship of surgeons with their patients is, in a real sense, far more intimate and trusting than that of any other professional, a claim that is supported by the fact that patients surrender their bodies to their surgeons in a state of total helplessness and vulnerability when they undergo anesthesia. Because of that responsibility, no other professional group has a greater sense of dedication to the welfare of their patients than surgeons. Surgical culture is deeply steeped in ethics, and surgeons confront and resolve ethical dilemmas as much or more than most other professionals, although they often may not recognize the situations they resolve are problems in ethics - they are just part of the daily routine. This book is a compendium of articles from the recent surgical literature that address ethical issues chosen by surgeons because they are controversial and pertinent to the practice of surgery. The reader will not find a great deal of sophisticated dissection of fine philosophical distinctions in these discussions of ethical conflicts and controversies in surgery. Instead, they will discover differing viewpoints from thoughtful essayists, mostly surgeons, whose feet are firmly in contact with the ground and who have extensive experience in the real world of surgery, medicine, and law.