broken hearts the tangled history of cardiac care

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Broken Hearts

Author : David S. Jones
ISBN : 9781421408026
Genre : Medical
File Size : 52. 60 MB
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Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke. Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes. -- Stephen Goddard

Ending Medical Reversal

Author : Vinayak K. Prasad
ISBN : 9781421417721
Genre : Health & Fitness
File Size : 69. 21 MB
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We expect medicine to progress in an orderly fashion, with good medical practices being replaced by better ones. But some tests and therapies are discontinued because they are found to be worse, or at least no better, than what they replaced. Medications like Vioxx and procedures such as vertebroplasty for back pain caused by compression fractures are among the medical "advances" that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base—and then stop using it when it is found not to help, or even to harm, patients. Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors’ offices and hospitals is truly effective.

Intolerant Bodies

Author : Warwick Anderson
ISBN : 9781421415345
Genre : Medical
File Size : 58. 87 MB
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Autoimmune diseases, which affect 5 to 10 percent of the population, are as unpredictable in their course as they are paradoxical in their cause. They produce persistent suffering as they follow a drawn-out, often lifelong, pattern of remission and recurrence. Multiple sclerosis, lupus, rheumatoid arthritis, and type 1 diabetes—the diseases considered in this book—are but a handful of the conditions that can develop when the immune system goes awry. Intolerant Bodies is a unique collaboration between Ian Mackay, one of the prominent founders of clinical immunology, and Warwick Anderson, a leading historian of twentieth-century biomedical science. The authors narrate the changing scientific understanding of the cause of autoimmunity and explore the significance of having a disease in which one’s body turns on itself. The book unfolds as a biography of a relatively new concept of pathogenesis, one that was accepted only in the 1950s. In their description of the onset, symptoms, and course of autoimmune diseases, Anderson and Mackay quote from the writings of Charles Dickens, Edgar Allan Poe, Joseph Heller, Flannery O’Connor, and other famous people who commented on or grappled with autoimmune disease. The authors also assess the work of the dedicated researchers and physicians who have struggled to understand the mysteries of autoimmunity. Connecting laboratory research, clinical medicine, social theory, and lived experience, Intolerant Bodies reveals how doctors and patients have come to terms, often reluctantly, with this novel and puzzling mechanism of disease causation. -- Sir Gustav Nossal

A Heart For The Work

Author : Claire L. Wendland
ISBN : 9780226893273
Genre : Medical
File Size : 54. 94 MB
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Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility. Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.

The Tangled Web

Author : Michal Zalewski
ISBN : 9781593273880
Genre : Computers
File Size : 85. 9 MB
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Modern web applications are built on a tangle of technologies that have been developed over time and then haphazardly pieced together. Every piece of the web application stack, from HTTP requests to browser-side scripts, comes with important yet subtle security consequences. To keep users safe, it is essential for developers to confidently navigate this landscape. In The Tangled Web, Michal Zalewski, one of the world's top browser security experts, offers a compelling narrative that explains exactly how browsers work and why they're fundamentally insecure. Rather than dispense simplistic advice on vulnerabilities, Zalewski examines the entire browser security model, revealing weak points and providing crucial information for shoring up web application security. You'll learn how to: * Perform common but surprisingly complex tasks such as URL parsing and HTML sanitization * Use modern security features like Strict Transport Security, Content Security Policy, and Cross-Origin Resource Sharing * Leverage many variants of the same-origin policy to safely compartmentalize complex web applications and protect user credentials in case of XSS bugs * Build mashups and embed gadgets without getting stung by the tricky frame navigation policy * Embed or host user-supplied content without running into the trap of content sniffing For quick reference, "Security Engineering Cheat Sheets" at the end of each chapter offer ready solutions to problems you're most likely to encounter. With coverage extending as far as planned HTML5 features, The Tangled Web will help you create secure web applications that stand the test of time.

The Weight Of Obesity

Author : Emily Yates-Doerr
ISBN : 9780520961906
Genre : Social Science
File Size : 86. 39 MB
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A woman with hypertension refuses vegetables. A man with diabetes adds iron-fortified sugar to his coffee. As death rates from heart attacks, strokes, and diabetes in Latin America escalate, global health interventions increasingly emphasize nutrition, exercise, and weight loss—but much goes awry as ideas move from policy boardrooms and clinics into everyday life. Based on years of intensive fieldwork, The Weight of Obesity offers poignant stories of how obesity is lived and experienced by Guatemalans who have recently found their diets—and their bodies—radically transformed. Anthropologist Emily Yates-Doerr challenges the widespread view that health can be measured in calories and pounds, offering an innovative understanding of what it means to be healthy in postcolonial Latin America. Through vivid descriptions of how people reject global standards and embrace fatness as desirable, this book interferes with contemporary biomedicine, adding depth to how we theorize structural violence. It is essential reading for anyone who cares about the politics of healthy eating.

Heart Made Whole

Author : Christa Black Gifford
ISBN : 9780310346500
Genre : Religion
File Size : 74. 77 MB
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In Heart Made Whole, Christa Black Gifford shares her own stories of loss, betrayal, and personal tragedy, chronicling clear steps to redemption to help those in pain invite the true Healer into the tangled mess of their broken hearts. Gifford reminds readers that pain is not their enemy, however, unhealed pain can become their greatest foe if it’s not taken to Jesus. Growing up as a preacher's kid, Gifford had been submerged in Christian culture for decades when she uncovered the truth--that there were broken parts of her heart that weren't on friendly terms with the God who lived inside. Through disappointments and traumas, she had learned to guard her heart from God, keeping her angry, entrapped, and disconnected. As struggles and hardships continued, she finally learned to run towards her relationship with God when things got hard, instead of running away from Him like she had in the past. The more that she did this--building her heart's capacity for intimacy and deep relationship--the more her heart began to heal from the inside-out. She teaches the reader to access the solution that's already living inside of them--the God who forever made their heart a home. When trials and tragedy hit our lives in a fallen world, our hearts can get smashed to bits, and we end up putting God on trial and blaming Him for the mess. But Christa helps readers understand that they don’t have to live controlled by their circumstances – or angry with God. Instead, she provides powerful insight and practical steps to turn the painful fire that comes to destroy us into an unexpected friend that can produce our greatest healing. The condition of the heart determines the condition of life—and the heart can be bound up and healed, producing freedom and abundant life. With personal workbook sections for each chapter Christa helps readers experience steps to turn their pain into the healing and wholeness available to every believer.

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