Monday, October 25, 2010

Essaying Ethics Reading Writing Pedagogy

Essaying Ethics: Reading, Writing and Pedagogy

Completely and thoroughly revised, The Web That Has No Weaver is the classic, comprehensive guide on the theory and practice of Chinese medicine. This accessible and invaluable resource has earned its place as the foremost authority in the synthesizing of Western and Eastern healing practices. --This text refers to an alternate Paperback edition.

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About the Author:
Ted J. Kaptchuk, O.M.D., is associate director of the Center for Alternative Medicine Research and Education at the Beth Israel Deaconess Medical Center in Boston and an assistant professor of medicine at Harvard Medical School.

Product Details:
  1. Paperback: 432 pages
  2. Publisher: Congdon & Weed (February 28, 2006)
  3. Language: English
  4. ISBN-10: 0312293232
  5. ISBN-13: 978-0312293239
Most Helpful Customer Reviews:
Acupuncture 101, April 14, 2001 By "anderdog"

This book provides a comprehensive introduction to the theory and philosophy behind traditional Chinese medicine. The average lay person may find more information here than they need at first but better that than a dumbed-down, less comprehensive book which will leave them nothing to turn to if/when they eventually decide they want more information. And unlike some Chinese medical books where 'facts' are produced seemingly from thin air, each of Kaptchuk's chapters is followed by an extensive section of notes/references.

The Web was one of the first books on Chinese medicine published in English for the layman and despite its limitations, I feel it is still one of the best. I am a practicing acupuncturist/herbalist and I recommend this book to my patients. It isn't perfect - sometimes there's too much detail, the illustrations could be clearer, could have included more info about herbs, etc. But to Kaptchuk's credit, some sections of this book are written with a beautiful simplicity unmatched by anything I've seen written since, e.g. when he compares the way Chinese painters represented the natural elements in their landscapes to the "poetic logic" a Chinese physician employs when evaluating a patient. It is no small task to sum up traditional Chinese medicine in a single volume but Kaptchuk has done an admirable job.

Classic?, August 19, 2000 By Phylis Wheeler, LAc
This book is considered required reading for every acupuncture student and is often recommended for patients who are interested in learning more about the medicine. I find it too difficult for the layman. and the text becomes laborious. Exploring the wonders of Chinese medicine should be exciting and enjoyable. There are many books which fulfill this with excellent illustrations. As students we found the book less than helpful and few ever finished reading this tome. As a practitioner, it sits on my shelf, but I have never referred to it.

My recommendations for the beginner in these studies are:

1. The Complete Illustrated Guide to Chinese Medicine by Tom Williams
Great pictures, easy to read. Have it my waiting room. Most read by my patients (next to the Chinese astrology books).

2. The Chinese Way to Healing: Many Paths to Wholeness by Mischa Cohen, LAc
Mischa presents the medicine clearly and has easy to follow suggestions for self care.

3. Healing With Whole Foods, Oriental Traditions and Modern Nutrition by Paul Pitcford
Integrates Oriental and Western nutritional knowledge. Excellent resource for layperson and practitioner alike.

4. ANYTHING by Giovanni Maciocia or Dan Bensky

5. A Manual of Acupuncture by Peter Deadman and Mazin Al-Khafaji

As a professor of acupuncture, I have found this textbook to be one of the best attempts to integrate all of the translated material and organize it into a very readable reference. Excellent, invaluable resource for students and practitioners alike.

Excellent book for the student of acupuncture, September 2, 1998 By Brian Paige
This book is a very good treatment of the subject of acupuncture, and its associated methods of diagnosis and pattern recognition. Herbology is not discussed. Having finished the book, one will at least have an understanding of what one's acupuncturist is talking about, and may be able to take steps to better one's health. The meridians are described in basic detail, with interior and exterior branches discussed. Points and their properties are not discussed. Overall, a very good and basic description of acupuncture and its methods.

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Man Who Mistook His Wife

The Man Who Mistook His Wife for a Hat: And Other Clinical Tales
The Man Who Mistook His Wife for a Hat: And Other Clinical Tales

A neurologist who claims to be equally interested in disease and people, Sacks (Awakenings, etc.) explores neurological disorders with a novelist's skill and an appreciation of his patients as human beings. These cases, some of which have appeared in literary or medical publications, illustrate the tragedy of losing neurological facultiesmemory, powers of visualization, word-recognitionor the also-devastating fate of those suffering an excess of neurological functions causing such hyper states as chorea, tics, Tourette's syndrome and Parkinsonism. Still other patients experience organically based hallucinations, transports, visions, etc., usually deemed to be psychic in nature. The science of neurology, Sacks charges, stresses the abstract and computerized at the expense of judgment and emotional depthsin his view, the most important human qualities. Therapy for brain-damaged patients (by medication, accommodation, music or art) should, he asserts, be designed to help restore the essentially personal quality of the individual. First serial to New York Review of Books, The Sciences and Science; Reader's Subscription alternate. January
Copyright 1985 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

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Review from Library Journal:
Neurologist Sacks, author of Awakenings and A Leg To Stand On , presents a series of clinical tales drawn from fascinating and unusual cases encountered during his years of medical practice. Dividing his text into four parts"losses" of neurological function; "excesses"; "transports" involving reminiscence, altered perception, and imagination; and "the simple," or the world of the retardedSacks introduces the reader to real people who suffer from a variety of neurological syndromes which include symptoms such as amnesia, uncontrolled movements, and musical hallucinations. Sacks recounts their stories in a riveting, compassionate, and thoughtful manner. Written on a somewhat scholarly level, the book is highly recommended for larger collections. Debra Berlanstein, Towson State Univ. Lib., Baltimore
Copyright 1986 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

Product Details:
  1. Paperback: 256 pages
  2. Publisher: Harpercollins; 1st Printing edition (January 1987)
  3. Language: English
  4. ISBN-10: 0060970790
  5. ISBN-13: 978-0060970796
  6. Product Dimensions: 7.9 x 5.1 x 0.6 inches
  7. Shipping Weight: 10.4 ounces
Most Helpful Customer Reviews:
Truly incredible tales and a great read, November 18, 2004 By Dennis Littrell

It is utterly fascinating to know that, as a result of a neurological condition, a man can actually mistake his wife for a hat and not realize it. It is also fascinating to learn that a stroke can leave a person with the inability to see things on one side of the visual field--which is what happened to "Mrs. S." as recalled in the chapter, "Eyes Right!"--and yet not realize that anything is missing. In both cases there was nothing wrong with the patient's eyes; it was the brain's processing of the visual information that had gone haywire.

Neurologist Oliver Sacks, who has a wonderful way with words and a strong desire to understand and appreciate the human being that still exists despite the disorder or neurological damage, treats the reader to these and twenty-two other tales of the bizarre in this very special book. My favorite tale is Chapter 21, "Rebecca," in which Dr. Sacks shows that a person of defective intelligence--a "moron"--is still a person with a sense of beauty and with something to give to the world. Sacks generously (and brilliantly) shows how Rebecca taught him the limitations of a purely clinical approach to diagnosis and treatment. Although the child-like 19-year-old didn't have the intelligence to "find her way around the block" or "open a door with a key," Rebecca had an emotional understanding of life superior to many adults. She loved her grandmother deeply and when she died, Rebecca expressed her feelings to Sacks, "I'm crying for me, not for her...She's gone to her Long Home." She added, poetically, "I'm so cold. It's not outside, it's winter inside. Cold as death...She was a part of me. Part of me died with her" (p. 182). Rebecca goes on to show Dr. Sacks that they pay "far too much attention to the defects of...patients...and far too little to what...[is] intact or preserved" (p. 183). Rebecca was tired of the meaningless classes and workshops and odd jobs. "What I really love...is the theatre," she said. Sacks writes that the theatre "composed her...she became a complete person, poised, fluent, with style, in each role" (p. 185).

Another of my favorite stories is Chapter 23, "The Twins." These two guys, idiots savants, "undersized, with disturbing disproportions in head and hands...monotonous squeaky voices...a very high, degenerative myopia, requiring glasses so thick that their eyes seem distorted" (p. 196) had the very strange ability of being able to factor quickly in their heads large numbers and to recognize primes at a glance. They could also give you almost instantly the day of the week for any day in history. One day a box of matches fell on the floor and "<111,> they both cried simultaneously." And then one said "37" and then the other said "37" and then the first said "37" and stopped. There were indeed 111 matches on the floor (Sacks counted them) and three times the prime number 37 does indeed equal 111! (p. 199). Later he discovered them saying six-figure numbers to one another. One would give a number and the other would receive it "and appreciate...it richly." Sacks discovered that they were tossing out primes to one another just for the sheer joy of doing it.

Another of Sacks's discoveries about his patients is that "music, narrative and drama" are "of the greatest practical and theoretical importance" (p. 185). He demonstrates this again and again here and in his more recent book, An Anthropologist on Mars: Seven Paradoxical Tales (1995), which is also an incredibly fascinating book. (See my review here at Amazon.com.) Many people with neurological disorders or deficiencies become whole when engaged in a process such as story, music or drama. The process seems to give them a structure to follow which, for the time being, overcomes their handicap. This is seen remarkably even in a surgeon with Tourette's syndrome who, while performing surgery, was without tics (as reported in the book mentioned above).

It's clear that one of Sacks's purposes in sharing his experience is to dispel the prejudice against people who are different because of their defects. One can see that respect for others regardless of their limitations is something Sacks incorporates in his practice and his life. It is one of the many virtues of this wonderful book, that in reading it, we too are moved to a greater respect for others, people who really are challenged in ways we "normal" people can only imagine.

Fascinating, October 3, 1998 By M. Broda "ScuzzBuster"
The first thing I did after reading this book was to hop back onto Amazon.con and order "Awakenings" and "An Anthropolgist on Mars." This book was recommended by one of my philosophy professors in college about six years ago. Well, it took me six years to pick it up, and I don't regret the decision. As a complete layperson, my eyes were opened to what a complex piece of machinery the brain is. Sack's personal perspective on these patients disorders is what takes this interesting material and makes it fascinating reading. The only problem I had with this book was that I was disappointed to see most every chapter end. I wanted to know more about most every case. I only rank it 4 instead of 5 for that reason (It could have been more in-depth) and a couple of the cases were simply mildly interesting rather than mind-bending. It's almost imcrompehensible to perceive the world and one's self in the same manner as some of these unfortunate people. I was especially intrigued by one of the questions Sack's brings up concerning the case history discussed in the chapter "The Lost Mariner." A man can remember nothing for more than a few seconds. His entire life, all of his experiences are gone almost as soon as they are past. "He is a man without a past (or future), stuck in a constantly changing, meaningless moment," Sacks writes. Sacks then ponders the question that will stop your heart: "Does he have a soul?" If you have ever been bothered by the question of the spiritual nature of man, Sacks --who stops well short of reaching any theological conclusions -- will disturb you with this material. From that standpoint, he is brilliant at informing by simply forcing the reader to ask questions of his or her self...questions which Sack's himself admits even he has no clue as to the answers. This book could change your perspective on life, or simply entertain you as an interesting novelty. In any case, I very highly recommend it...can't wait to get into "Anthropologist" next.

A little old, but still interesting, July 25, 2002 By Atheen M. Wilson "Atheen"
I used to work on a neurology ward when I first started in health care, and the many sad stories that I was privy to during that time has encouraged me to keep up with some of the research in brain and mind science.

Oliver Sacks' book The Man Who Mistook His Wife for a Hat was first published in 1970 and has been reprinted several times with new material added. The book is an interesting collection of stories of individuals with neurological deficits that highlight and clarify how the normal brain works. The author approaches his study with a compassion for his patient's troubled existence, and where the patients are content with their lot, he prudently leaves well enough alone, something not all MD's are willing to do. He also appreciates what his patients have to teach him about life and even about the practice of medicine itself. His ability to learn from others considered "unfortunate" or mentally "defective" makes the book a very insightful work.

While the author's extensive clinical practice has allowed him to make some interesting statements about what parts of the brain are involved with different mental functions, what he fails to do in this book is to provide anything approaching testable ideas or actual research supporting his theories. The colorful stories are well worth reading as moral parables, but a better book on current mind and brain research might be Ramachandran's Phantoms in the Brain. One might begin with the Sacks book, which is easy to read, and proceed to the more extensive work by Ramachandran.

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Sunday, October 24, 2010

ACSM's Guidelines Exercise Testing Prescription

ACSM's Guidelines for Exercise Testing and Prescription
ACSM's Guidelines for Exercise Testing and Prescription

The single most internationally read and referenced text in sports medicine, exercise science, and health and fitness, this manual succinctly summarizes recommended procedures for exercise testing and exercise prescription in healthy and diseased individuals. This gold-standard text is a convenient, one-stop resource for the knowledge, skills, and abilities (KSAs) that must be mastered by candidates for all ACSM certifications. Written by international experts in numerous fields, the Eighth Edition is fully compatible with newly released physical activity guidelines from the United States Department of Health and Human Services and state-of-the-art, research-based recommendations.

A companion Website for instructors will offer a test generator, an image bank, PowerPoint slides, and a WebCT/BlackBoard-ready course cartridge. A student Website will offer the fully searchable text.

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Product Details:
  1. Spiral-bound: 400 pages
  2. Publisher: Lippincott Williams & Wilkins (February 5, 2009)
  3. Language: English
  4. ISBN-10: 0781769035
  5. ISBN-13: 978-0781769037
  6. Product Dimensions: 8.3 x 5.6 x 0.9 inches
  7. Shipping Weight: 1.1 pounds
Most Helpful Customer Reviews:
An excellent resource!, May 6, 2000 By A Customer

The newest edition of ACSM's guidelines continues to be the gold standard for the professional in sports medicine. The content is research based and fairly easy to interpret and apply. Information is easy to access and the new spiral bound edition is much more user friendly. Overall, I think that ACSM does a great job in providing professionals in the field of sports medicine and exercise physiology with the practical information they need on a daily basis.

useful resource, June 2, 2008 By N. Graves
This book appears to be a pretty darn good resource for fitness prescription and testing. I have read much of it and it is pretty well written and quite clinical. So if that's what you need, then this book is it.
However, I was intending to get books to study for the ACSM Personal Trainer certification. This is NOT the book for that. Now granted, they recommend this book on their website, and it may be helpful, but the intended primary study source is the ACSM's resources for the personal trainer...book. So if that's what you are trying to do (like i was) then get that book, not this one. If you want a bunch of cool knowledge about exercise prescription, then this is the book for you.

Invaluable, August 18, 2005 By S. MCKENZIE
This book by the American College of Sports Medicine is an invaluable resourse for anyone in the field of Exercise Physioloy or other related fitness fields. I use it on a regular basis as a quick reference guide for fitness testing and evaluation. This also a necessary book for anyone taking one of the ACSM certification tests. I highly recommend this book.

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LabNotes Guide to Lab Diagnostic Tests

LabNotes: Guide to Lab & Diagnostic Tests
LabNotes: Guide to Lab & Diagnostic Tests

A DAVIS'S NOTES BOOK! Don't be without this quick and portable reference tool for explaining, preparing, and caring for patients before, during, and after common lab and diagnostic testing.

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Product Details:
  1. Spiral-bound: 252 pages
  2. Publisher: F.A. Davis Company; 2nd edition (May 22, 2009)
  3. Language: English
  4. ISBN-10: 0803621388
  5. ISBN-13: 978-0803621381
  6. roduct Dimensions: 6.3 x 3.6 x 1 inches
  7. Shipping Weight: 6.4 ounces
Most Helpful Customer Reviews:
Lab Notes, October 17, 2005 By D. Irvin "Dottie Irvin DNS, APRN, BC"

A nice pocket size with good information. Would be more helpful to students if "causes" of high or low values were included.

Great Resource, January 13, 2006 By SP
Great resource! Handy with a ton of information packed into the pocket-sized format. Thorough and organized in a way that is extremely clear and easy to use. Explains abnormal ranges of laboratory results without giving way too much information like the big lab books do. It's great for clinicals, too!

KEEP it in your pocket!, February 14, 2007 By Girl Friday "LF"
This is such a great resource - I left it at the charge nurse desk so we could ALL use it and it "took a walk" - even with my name plastered all over it! Sooo-o-o, I'm buying another one because I can't live without it. Great for finding tests in the computer that the doctor ordered but you can't read exactly what he/she wrote. Alphabetical - easy to find tests. Tells what color lab tube and any special handling (if needed) and the indications for the tests (what they're looking for). Also, the significance of ABNLs in brief concise form. A must have for quick, easy-to-understand reference and a good "look-through read" just for the 'fun of it'.

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Anticancer New Life Thorndike Nonfiction

Anticancer: A New Way of Life (Thorndike Nonfiction)
Anticancer: A New Way of Life (Thorndike Nonfiction)

After undergoing chemotherapy and surgery for brain cancer, Servan-Schreiber, a clinical professor of psychiatry at the University of Pittsburgh School of Medicine, asked his oncologist if any lifestyle changes would prevent a relapse; the answer was no. Certain this was wrong, Servan-Schreiber spent months researching a mass of scientific data on natural defenses against cancer. After a lucid introduction to cancer and its causes, he points out studies indicating that a poor diet, unhealthy habits (like smoking), some hormones, and environmental toxins increase risk. But as his advice grows more specific, evidence dwindles that these steps work. Eating organic foods, avoiding red meat and processed food, and eliminating household chemicals seem reasonable, but readers curious about how much turmeric or garlic to consume and how much it lowers their cancer risk will find no answers. Servan-Schreiber also advocates a positive, life-affirming attitude, illustrating with anecdotes of patients whose cancers disappeared when they attained inner peace. Servan-Schreiber underscores that his advice should be an adjunct to, not a replacement for, conventional treatments like surgery and chemotherapy, in this spirited mixture of good medical information, helpful suggestions and alternative medicine. (Sept. 22) ""
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved." --This text refers to an out of print or unavailable edition of this title.

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Review From Booklist:
*Starred Review* If anyone has the cred, professional and street, to discuss cancer prevention and survival, it is Servan-Schreiber, clinical professor of psychiatry at the University of Pittsburgh School of Medicine, cofounder of Doctors Without Borders, and 15-year brain cancer survivor. That he chooses to talk about, even promote, certain environmental, dietary, and emotional adjustments one can make in one’s life that can mitigate suspected carcinogenic influences makes this a slightly controversial book. Typical of his demeanor, though, as researcher-teacher rather than practitioner, he addresses the controversy head-on, cautioning his critics to note that he does not promote these life adjustments in lieu of conventional medical interventions such as surgery, chemotherapy, and radiotherapy. He promotes them in addition to, as a support for, traditional treatments. He calls them anticancer practices. Stay away from white sugar and flour. Eat more cruciferous vegetables and dark-colored fruits. Get regular exercise, and take up yoga or some other form of meditation. These practices made for him a new way of life that he claims helped him beat cancer twice and, he believes, once and for all. This has been a best-seller in France and may well become a valuable resource about personal wars waged on cancer in this country, as well. --Donna Chavez --This text refers to an out of print or unavailable edition of this title.

Product Details:
  1. Hardcover: 507 pages
  2. Publisher: Thorndike Press; Lrg edition (September 9, 2008)
  3. Language: English
  4. ISBN-10: 1410410560
  5. ISBN-13: 978-1410410566
  6. Product Dimensions: 8.5 x 5.6 x 1 inches
  7. Shipping Weight: 1.3 pounds
Most Helpful Customer Reviews:
Enjoy the benefits of medical progress and the body's natural defenses.", October 2, 2008 By E. Bukowsky "booklover10"

In "Anti-Cancer: A New Way of Life," French-born psychiatrist and neuroscientist Dr. David Servan-Schreiber discusses his fifteen-year battle with brain cancer. Although conventional treatments worked initially, the cancer recurred. Fortunately, he has been cancer-free for the past seven years, and he attributes his success to an anti-cancer regimen that, he asserts, boosts the body's natural defenses. Dr. Servan-Schreiber does NOT encourage cancer patients to reject their doctors' advice concerning surgery, chemotherapy, and radiation treatments. However, he does believe that there is nothing to lose and everything to gain by making changes in one's diet, level of physical activity, psychological attitude, and environment.

This book is an informative and eye-opening look at the mechanisms of cancer, explained in a way that a layman can understand. There are many helpful charts, tables, and illustrations that clarify the sometimes technical information about the latest research on the genesis and progression of cancer. The author maps out how rogue cells are nourished and conversely, how they can be starved of the nourishment that they need to multiply. Although researchers have undoubtedly made a great deal of progress, Servan-Schreiber assures us that we have a long way to go before we can declare victory over the many types of cancer that still plague mankind. In addition, he includes well-chosen quotations from literature (such as Tolstoy's "The Death of Ivan Ilyich"), philosophy, and other physicians and scientists to illustrate his points, some of which deal with our fear of dying without having lived a full and meaningful life.

"Anti-Cancer" is a personal, touching, instructive, and thought-provoking. Whether or not the reader is interested in adopting the author's recommendations concerning diet, exercise, meditation, and other lifestyle changes, no one who completes this book will ever think about cancer or about the human body in quite the same way. Servan-Schreiber is not a new-age charlatan who advocates far-out therapies. Everything that he suggests is based on solid and well-documented research, and he includes numerous citations from scientific journals.

Although no one wants to confront a fatal illness, Servan-Schreiber contends that his battle with cancer has had a positive aspect. "By exposing life's brevity, a diagnosis of cancer can restore life's true flavor." Forced for the first time to look into his soul and evaluate his approach to living, he realized that he had been caught up in a treadmill that allowed him little time to appreciate the importance of mind-body equilibrium, inner peace, relationships with loved ones, and personal fulfillment. Everyone, no matter what the state of his or her health, can benefit from this stimulating and provocative work.

Connecting the Dots, October 24, 2008 By Rita Arditti
A REVIEW OF ANTICANCER: A NEW WAY OF LIFE by David Servan-Schreiber, MD, Ph.D.
Viking Penguin, 2008. 258 pages. Hardcover, $25.95.


Mind and heart come together in this remarkable book, making it a must read. As a person living with cancer I found it impossible to put down. Servan-Schreiber, a physician and neuroscience researcher, co-founder of the Center for Integrative Medicine at the University of Pittsburgh was diagnosed with brain cancer when he was 31 years old, received treatment and went into remission. Eventually though, he had a recurrence. After the recurrence he started to look into natural approaches to prevent or help treat cancer. The book is both a memoir and a riveting journey through recent developments in the ideas about cancer. We learn about his personal story and how he slowly transformed himself from a laboratory scientist mainly interested in writing papers into a proponent of an integrative approach to cancer treatment who is keenly interested in human beings. He does a marvelous job of connecting the dots in widely dispersed areas of knowledge-all relevant to his interest in cancer and our natural defense mechanisms.

Key ideas presented are: 1) everybody has cancer cells in their bodies, but not everybody develops cancer; 2) we must include the concept of "terrain," our whole being, in any discussion about cancer; and 3) at this point in history, we cannot attempt to deal with cancer without the tools of conventional Western medicine. Based on these ideas, he presents an updated view on cancer growth and how to mobilize our vital mechanisms and use the resources of the body to defend ourselves.

Chapter 4, "Cancer's Weaknesses," presents some of the current thinking about the immune system, inflammation, and angiogenesis. He discusses "natural killer" cells (NK cells), white blood cells that attack cancer cells, and activate their self-destruction. The more active NK cells are the more they can stop tumor's growth. It follows that we must do all we can to activate them through a healthy diet, clean environment, physical exercise, and stress reducing activities.
The discussion on inflammation is clear and concise. Inflammation is the normal process that our bodies use to repair tissues after a wound. But, as it turns out, inflammation can be diverted to promote cancer growth, as if cancer were the outcome of a wound repair mechanism gone wrong. Cancer cells need to produce inflammation to sustain their growth and block the natural process of apoptosis-the suicide of cells. As Servan-Schreiber aptly puts it "Thanks to the inflammation they create they infiltrate neighboring tissues, slip into the bloodstream, migrate, and establish remote colonies called metastases" (page 37). Dietary imbalance in the ratio of essential fatty acids has led us to an incredibly higher consumption of omega-6s oils compared to omega-3s, which increases inflammation.
Judah Folkman was a surgeon whose great contribution to cancer research was to highlight angiogenesis, the fact that tumors need new capillaries to feed themselves and expand. Tumors hijack blood vessels by producing a chemical substance that attracts them and stimulates them to grow new branches. Though it took quite a while for Folkman's ideas to be accepted, how to block angiogenesis is now one of the central areas of cancer research. There are some foods, spices, and herbs that reduce angiogenesis and diminishing inflammation will also prevent new vessel growth.
Servan-Schreiber gives very practical suggestions about these three areas of knowledge, so that we can stimulate our defense mechanisms, while receiving conventional treatment. Just this chapter is worth the price of the book!

In discussing the contribution of the environment to the cancer epidemic, Servan-Schreiber writes about the typical Western diet, the changes in farming and raising animals during the last century, and the chemical contamination of our planet since the forties. Sugar and white flours dominate our diet and raise rapidly the level of glucose. Insulin and IGF-1 (insulin Growth Factor 1, a powerful growth hormone) are released to allow glucose to enter cells. Insulin and IGF1 also promote inflammation. He argues convincingly that we should eliminate sugar and white flour from our diet.
There is a detailed section about anticancer foods in daily practice. Servan-Schreiber has been influenced by the work of Richard Béliveau, at the University of Montreal. Béliveau, a cancer biologist working in medical pharmacology for twenty years, shifted to working on diet, through a series of interesting circumstances that I won't tell you about here. Read the book! It is a fascinating story and it has led to the concept of anticancer foods, like phytochemicals, components of some vegetables/fruits, which have antimicrobial, antifungal, insecticidal, and antioxidants properties. They also act as detoxifiers of the body. There is also a wonderful description of the research on traditional spices, like turmeric, by Professor Bharat Aggarwal at the M.D. Anderson Cancer Research Center. A key substance called nuclear factor-kappa B (NF-kappaB) is secreted by tumor cells, it promotes cancer cell growth and spread. The whole pharmaceutical industry is trying to find out drugs that inhibit NF-kappaB. Servan-Schreiber points out that two substances that do so are available easily, catechins, found in green tea and resveratrol, found in red wine. And as it happens, turmeric is also an antagonist to NF-kappaB. He also states that since the pharmaceutical industry and the food industry are not interested in any changes we badly need "... public institutions and foundations to finance human studies on the anticancer benefits of food" (page 115). Indeed!

The book emphasizes the importance of a healthy mindset that will stimulate the will to live in cancer patients and the need to find support, to deal with emotions, and to find ways to relieve stress. There is a lot of work going on about the link between psychological factors and the immune system. White blood cells can detect the presence of stress hormones and react according to the levels of these hormones in the bloodstream by releasing inflammatory substances. Natural killer cells can be blocked by stress hormones, and become passive instead of reacting to viruses or cancer cells. Feelings of helplessness can influence directly our immune system. Meditation, yoga, and other practices that develop awareness and attention to the present moment can help the body's harmonious functioning and in so doing stimulate the life force that keeps us healthy. Our bodies need touch and physical exercise, we can benefit from massage, and we must increase our sense of connection with others that it is so important to give meaning and purpose to our lives. A holistic approach needs to take all the dimensions of living into consideration and Servan-Schreiber pushes us to leave nothing out of the picture and to pay attention to our inner selves so that we can live fully and gracefully.

The book ends by stressing three points: the importance of our "terrain," the effects of awareness, and the synergy of natural forces. This last point is important. The body is a system in equilibrium, each function interacts with all the others. If we just change one of these functions the whole is affected. So, we can start with one thing, diet, psychological work, whatever makes sense to us and nourishes the will to live. Awareness in one area will automatically lead to progress in others, and little by little, the equilibrium will shift to greater health and will make changes easier. Finally, he addresses an important point, the worry that some oncologists have "not to give false hope." He turns this idea around, and points out that "...this comes down to restricting ourselves to a conception of medicine that withholds the power every one of us has to take charge of ourselves. As if we couldn't do anything to protect ourselves actively against cancer- before and after the disease. Encouraging this passivity creates a culture of hopelessness" (page 203).

One reservation that I have about the book is that the discussion about chemical contamination of the environment seems weak in comparison to the depth with which other topics are discussed. This is an area where individually we can do very little. This needs to be addressed at a system level, and in fact it is beginning to happen. For instance, in Massachusetts, the Alliance for a Healthy Tomorrow, a coalition of over 160 organizations, has relentlessly pursued legislation that will require the use of Safer Alternatives, when feasible, to dangerous chemicals. This year, the Senate voted unanimously in support of this but the House did not get to vote. The law will be introduced again in the 2009 legislative session. Keep an eye on it.

The book has eight pages in color on glossy paper that summarize visually the information about foods, inflammation, contamination in fruits and vegetables, effects of certain foods on specific cancers, detoxification, and an anticancer shopping list. And a list of ten precautions for cell phone use. Very useful!

If you want to take a look at Servan-Schreiber go to [....] and look for the video Anticancer, in English. He conveys intelligence and warmth. I highly recommend this book for everybody.

Rita Arditti

A Must-Read for Everyone!, September 6, 2008 By Jo Krupinski
Being a mom of two small children, I rarely have time to read a book from start to finish without interruption. However, the day I bought this book I had read 40 pages in one sitting and only put it down because the hours sped past midnight before I knew it! I'm very impressed with how Dr. Servan-Schreiber is able to break down extremely complex subjects in cellular and molecular biology in such a way that everyone can understand them. Cancer runs in my family, so I'm always trying to stay current on the science of living healthfully in order to avoid it. This book explains vital information about how to do that. It thoroghly describes what cancer is, how it behaves, and what things are necessary for it to grow. Then Dr. Servan-Schreiber shows you how to deprive a cancer of those things, thus avoiding mestasteses and prolonging life.

Given the cancer epidemic we are currently experiencing in the West, I truly believe this is an important book for everyone to read. You won't regret buying this one.

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Thursday, October 21, 2010

Research Manuscript Guide Scientific Writing

From Research to Manuscript: A Guide to Scientific Writing
From Research to Manuscript: A Guide to Scientific Writing

"Compulsory reading for post-docs wanting to achieve success in the scientific field."
(Ronan Bree, National University of Ireland, Galway)
"The book would be a great addition to the personal libraries of graduate students and postdoctoral fellows bent on careers in science. Many seasoned scientists could also be advised to read the book to improve their skills in writing."
(Donald K. Ingram, Editor-in-Chief of AGE)

"From specific details of style to manuscript publication and practices of peer-review, From research to manuscript covers a wide range of topics. … Overall, Katz provides a pleasant overview of the research-science report process for both first-time science research authors and seasoned professionals. … it could serve as a teaching guide for students learning the process of taking science from the laboratory notebook to the scientific paper-in Katz’s words, ‘from research to manuscript.’" (Julie Kinyoun, Technical Communication, Vol. 54 (2), 2007)
--This text refers to an alternate Paperback edition.

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From the reviews:
"Compulsory reading for post-docs wanting to achieve success in the scientific field." (Ronan Bree, National University of Ireland, Galway)

"A great addition to the personal libraries of graduate students and postdoctoral fellows bent on careers in science. Many seasoned scientists could also be advised to read the book to improve their skills in writing." (Donald K. Ingram, Editor-in-Chief of AGE)

"Overall, Katz provides a pleasant overview of the research-science report process for both first-time science research authors and seasoned professionals." (Julie Kinyoun, Technical Communication, Vol. 54 (2), 2007)

"... another excellent book to treasure." (Dr. Achuthsankar S. Nair, University of Kerala)

Product Details:
  1. Paperback: 210 pages
  2. Publisher: Springer; 2nd ed. edition (January 29, 2009)
  3. Language: English
  4. ISBN-10: 1402094663
  5. ISBN-13: 978-1402094668
  6. Product Dimensions: 9.1 x 6.1 x 0.8 inches
  7. Shipping Weight: 12 ounces
Most Helpful Customer Reviews:
Very useful content, needs better graphics, February 21, 2010 By R. L. Wright "biology prof"

If you are looking for a very solid, well-written, practical guide to writing research papers, this is a great choice. It begins with a strategy of turning an outline into a paper, then moves into basic statistic and approaches to developing good figures, graphs, and tables that lay out the significant results of the work. (This is a real strength, and not something you usually find in these kids of books.) Then, it follows each section in a reseach paper, providing very practical explanations, approaches, and examples. I would definitly consider this book appropriate to require for a college senior-level scientific writing course, such as a senior capstone thesis course. The only drawback is that this is not a "pretty" book. The diagrams are in black and white (helping to maintain the reasonable cost) but honestly not very well done. It really needs a professional layout/graphic artist's touch.

An outstanding guide for science authors, June 30, 2009 By Busu
I find it very helpful and useful guide. It will be a great for all scientists especially to all postgraduate students and postdoctoral researchers who will be in the business of writing manuscripts for publications in peer-reviewed journals.

OK book, September 21, 2010 By James Schammerhorn "schammy"
Too many example (weird to say that) and seemed unnecessarily long. The info it provided was good and the flow of the book was good.

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Wednesday, October 20, 2010

My Stroke Insight Scientist's Personal

My Stroke of Insight: A Brain Scientist's Personal Journey
My Stroke of Insight: A Brain Scientist's Personal Journey

A brain scientist's journey from a debilitating stroke to full recovery becomes an inspiring exploration of human consciousness and its possibilities

On the morning of December 10, 1996, Jill Bolte Taylor, a thirty-seven-year-old Harvard-trained brain scientist, experienced a massive stroke when a blood vessel exploded in the left side of her brain. A neuroanatomist by profession, she observed her own mind completely deteriorate to the point that she could not walk, talk, read, write, or recall any of her life, all within the space of four brief hours. As the damaged left side of her brain--the rational, grounded, detail- and time-oriented side--swung in and out of function, Taylor alternated between two distinct and opposite realties: the euphoric nirvana of the intuitive and kinesthetic right brain, in which she felt a sense of complete well-being and peace; and the logical, sequential left brain, which recognized Jill was having a stroke, and enabled her to seek help before she was lost completely.

In My Stroke of Insight, Taylor shares her unique perspective on the brain and its capacity for recovery, and the sense of omniscient understanding she gained from this unusual and inspiring voyage out of the abyss of a wounded brain. It would take eight years for Taylor to heal completely. Because of her knowledge of how the brain works, her respect for the cells composing her human form, and most of all an amazing mother, Taylor completely repaired her mind and recalibrated her understanding of the world according to the insights gained from her right brain that morning of December 10th.

Today Taylor is convinced that the stroke was the best thing that could have happened to her. It has taught her that the feeling of nirvana is never more than a mere thought away. By stepping to the right of our left brains, we can all uncover the feelings of well-being and peace that are so often sidelined by our own brain chatter. A fascinating journey into the mechanics of the human mind, My Stroke of Insight is both a valuable recovery guide for anyone touched by a brain injury, and an emotionally stirring testimony that deep internal peace truly is accessible to anyone, at any time.

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Review From Publishers Weekly:
In 1996, 37-year-old neuroanatomist Taylor experienced a massive stroke that erased her abilities to walk, talk, do mathematics, read, or remember details. Her remarkable story details her slow recovery of those abilities (and the cultivation of new ones) and recounts exactly what happened with her brain. Read proficiently by the author, this is a fascinating memoir of the brain's remarkable resiliency and of one woman's determination to regain her faculties and recount her experience for the benefit of others. Taylor repeatedly describes her "stroke of insight"-a tremendous gratitude for, and connection with, the cells of her body and of every living thing-and says that although she is fully recovered, she is not the same driven, type-A scientist that she was before the stroke. Her holistic approach to healing will be valuable to stroke survivors and their caregivers, who can pick up suggestions from Taylor's moving accounts of how her mother faithfully loved her back to life. A Viking hardcover.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to the Audio CD edition.

Product Details:
  1. Paperback: 224 pages
  2. Publisher: Plume; 1 Reprint edition (May 26, 2009)
  3. Language: English
  4. ISBN-10: 0452295548
  5. ISBN-13: 978-0452295544
  6. Product Dimensions: 7.9 x 5.2 x 0.5 inches
  7. Shipping Weight: 6.4 ounces
Most Helpful Customer Reviews:
Important, March 13, 2008 By David H. Peterzell "Ph.D., Ph.D."

This is, indeed, a first-person description of stroke by a scientifically and dare I say it -- spiritually -- sophisticated person. The author describes a range of experiences that make sense given our knowledge of localization of function. I'm not sure that such a detailed and consistent report by a scientist is available anywhere else. As such, this story is unusual and important. Moreover the author reports how she turned her stroke into an opportunity for profound wisdom and insight. Amazing stuff! And this may save lives.

Personally, I don't share all the author's ideas about strict functional localization in the brain... but that is secondary and doesn't detract from my admiration of her remarkable contribution.

My enjoyment of this book was enhanced considerably by the material and links at the author's website. She has posted a number of video and audio presentations, radio shows, etc.

Stroke of Brilliance!, December 2, 2008 By B. Madhu
I first came across Jill Bolte Taylor, Phd when her speech at TED (an annual conference devoted to Technology, Entertainment, Design) went viral. In it, she describes how she witnessed herself having a stroke and the subsequent feeling of peace that enveloped her when her logical left brain shut down and her right brain became dominant. I became intrigued after watching the video and then read the book.

The book expounds on her experience while having the stroke and her subsequent recovery. It was amazing on many levels:
(1) She gives a 1st person narrative of her experience of the stroke and recovery but she doesn't portray it as something we should all pity and feel sorry for. Instead, she lays it out not unlike an explorer discovering new territory, full of suspense and wonder.

(2) She gives incredible tips on how to communicate with and care for stroke victims. For e.g., some people would yell at her after they saw she didn't understand what they were saying. However, she wasn't deaf. She could only process one word at a time. If those people would have spoken more slowly rather than loudly, she would have been able to understand them. This is something that would never have occurred to me if I hadn't read this book.

(3) She takes us on a tour of the 'mystical' right side of her brain which little is known about and whose capabilities in today's world seem to be dismissed. She says the right side of the brain is the gateway to enlightenment and nirvana. She shares tips on how to 'tend the garden of your mind' and to interrupt or stop those stories we all tell ourselves over and over again (usually about how we are deficient, not good enough, etc.). She calls them loops.

Dr. Taylor's tips about how we can all achieve nirvana by accessing the right side of the brain as a conscious process is worth the price of the book many times over. We all have a "loop of deep inner peace" wired into our neurological circuitry in our right brain and we can consciously choose to run this loop whenever we wish.

Closely related to this topic are books by Ariel & Shya Kane. They've written three outstanding books: Working on Yourself Doesn't Work: The 3 Simple Ideas That Will Instantaneously Transform Your Life, How to Create a Magical Relationship: The 3 Simple Ideas that Will Instantaneously Transform Your Love Life & Being Here: Modern Day Tales of Enlightenment. The Kanes have been teaching about accessing the magic of the right-side of the brain for over 20 years and their book is chock full of tips, and stories on how to recognize those loops Dr. Taylor talks about and how to bypass them. If you're serious about getting enlightened, get Dr. Taylor's and the Kanes' books NOW!

Valuable information about stroke; but the book has its flaws, August 2, 2008 By Gregory J. Casteel "Dr. Gregory J. Casteel"
I debated over whether to give this book three, four, or five stars. The information that Dr. Taylor presents about the brain and stroke is worth five stars, without question. But I have a few complaints about how she presents this information; and lots of complaints about the "self-help" aspects of this book. I almost wish I could post two reviews of this book -- a five-star review for the information about the brain and stroke; and a two-star review for everything else about the book. I ended up giving the book a (somewhat charitable) compromise rating of four stars (but in some ways the four star rating is too low; and in others it is way too high).

Let's start with the positives: This book is a must-read for anyone who is interested in the human brain and how it functions, any health care professional or caregiver who deals with stroke patients, anyone who has a friend or family member who has had a stroke, and anyone who is concerned about the possibility that they might someday suffer from a stroke (a statistical possibility, since about 700,000 Americans will have a stroke this year). If you want to know about what it's like to have a stroke and to recover from it, this is the book to read. Dr. Taylor is a brain scientist who had a stroke and lived to tell her story of survival, recovery, and rehabilitation. The information she provides about her personal experience is priceless for anyone who wants to better understand what happens when someone has a stroke, and what is needed for recovery and rehabilitation. This information is also of extreme value for anyone who wants to better understand how the brain works to make us who we are. Five stars for the information on the brain and stroke.

But now I must deal with the negatives, and comment on the "two-star" aspects of this book. First of all, the writing style is a bit amateurish; but we can excuse Dr. Taylor for that, since she's a brain scientist, not a professional writer. But I do have a bit of a problem with how she tells her story. What bothers me about her account is her description of what was going on in her mind while she was having the stroke and during her recovery. She describes herself as having certain thoughts that just don't seem plausible given her description of the mental impairments she was suffering at the time. She makes a point of saying that the language centers of her left cerebral cortex had been impaired, silencing the inner voice in her head, leaving her mind in a state of peaceful quiet. Yet she goes on to describe thoughts that were running through her mind. (How could she have such thoughts without that inner voice?) I got the feeling that she was actually describing the thoughts that went through her mind years later as she was recalling her stroke experience. (But, given the fact that our minds actually "construct" our memories as we reflect on our past experiences rather than simply recording our experiences and playing them back for us with perfect accuracy, this sort of thing is to be expected.)

But what really annoyed me about this book was that, in the last few chapters, it turned into a sappy, shallow, self-help book of the "learn-to-love-yourself-and-think-happy-thoughts" variety; and includes what has to be the single corniest sentence ever written in the English language: "When my bowels move, I cheer my cells for clearing that waste out of my body." (p. 156) In these later chapters, the book even delves into "New Age" stuff like "energy dynamics", Feng Shui, and "Angel Cards". I felt that this seriously compromised the integrity of the valuable information that Dr. Taylor presented about brain science and stroke recovery. This information is so valuable that I would still recommend the book in spite of its many shortcomings; but I would encourage you to take the last few chapters of the book with a grain of salt.

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Ghost Map London's Terrifying Epidemic

The Ghost Map: The Story of London's Most Terrifying Epidemic--and How It Changed Science, Cities, and the Modern World
The Ghost Map: The Story of London's Most Terrifying Epidemic--and How It Changed Science, Cities, and the Modern World

The idiosyncratic thinker and cultural historian Johnson leaps from trumpeting video games (in his previous book Everything Bad Is Good for You) to uncovering the history of murderous cholera infestations in London and the scientific research that revealed the microbial origins of the outbreaks. Sklar reads Johnson's engaging book with a deep, measured baritone that is the embodiment of solidly backed reasonability. Sklar makes each word sound as if it has been chipped into a block of marble, there to rest for all eternity. This is not always conducive to following the flow of Johnson's narrative, but Sklar does well with his voice what Johnson seeks to do with his book: insert a slip into the history book, adding the mundane deaths of working souls and the audacious efforts of scientists into the story of the European march of progress.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to the Audio CD edition.

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Review From Bookmarks Magazine:
In books such as Emergence: The Connected Lives of Ants, Brains, Cities, and Software, Steven Johnson neatly draws connections between seemingly unconnected aspects of life—think of James Burke in the digital age. The Ghost Map is no different in applying a 21st-century sensibility to a 19th-century cholera epidemic. According to critics, Johnson makes a single tactical error in the last pages, where he attempts to link the events he describes to too many other contemporary historical trends while ignoring some real-world realities. Regardless, the story is in capable hands, and the lives of individuals and a culture on the cusp of technological and medical advance resonates with readers 150 years later.

Copyright © 2004 Phillips & Nelson Media, Inc. --This text refers to the Hardcover edition.

Product Details:
  1. Paperback: 320 pages
  2. Publisher: Riverhead Trade; 1 Reprint edition (October 2, 2007)
  3. Language: English
  4. ISBN-10: 1594482691
  5. ISBN-13: 978-1594482694
  6. Product Dimensions: 8.2 x 5.5 x 0.9 inches
  7. Shipping Weight: 10.4 ounces
Most Helpful Customer Reviews:
Fascinating: A look at the past, A look into the future., October 29, 2006 By Peter Senese

This is surprisingly, one fascinating and important read that spins the historical reality of pathogenic disease with a well crafted story regarding the plight of a society facing a treacherous epidemic. Combining an in-depth view regarding the indefatigable energy and brilliance of Dr. John Snow in his quest to solve the deadliest outbreak of cholera in the history of London, with the history of epidemic plagues, `The Ghost Map: The Story of London's Most Terrifying Epidemic- And How it Changed Cities, Science, and The Modern World' provided me with one page-turning, gripping historical tale that also provided further insight into the plight free societies face today in lieu of the possabilities of biological or chemical attacks on innocent people.

When I was recommended to read Steven Johnson's book, it was not for the sake of diving into a good read, but rather to `browse' through it for further insight on the origins of water contamination and how, thru these origins, terrorist could look at contamination for horrific purposes. As a writer with an interest in international affairs, and a tendency to use fiction storytelling to share my views, I opened Steven Johnson's book and within pages was completely hooked on this extraordinarily written, well researched tell all of the London epidemic of cholera that killed so many lives.

With reflection on how science viewed pathogenic outbreaks during the midpoint of the 19th Century, it was startling to find that there really existed a classification system that gave all sorts of bizarre reasons why a disease would spread, including a weight based upon wealth and financial disposition! We sure have come a long way . . . or have we? I guess we can still look at Africa with great outrage and clearly say we're back in London during 1854! And this folks is important: in Johnson's attempt to share the history of the past, what he really is doing is talking about the immediate needs of to protect the most impoverished with assistance to medical treatment, and ongoing diligence to understand the nature of disease and how wide-spread health concerns effect not only those who are directly in contact with a pathogenic, but equally as important: how societies infrastructure's essentially crumble when epidemic disease spreads.

Writing with such an easy style that readers will not get lost, Johnson takes us on a fascinating trip with Dr. John Snow; clearly one of the scientific pioneers whose actions have saved the lives of untold people. Take your time and sit back with `The Ghost Map': it may bring you a bit closer to acting in a socially responsible way that connects all of us a bit further. It may even cause you to open your wallet and send a few much needed dollars to health care organizations attempting to follow the lead of Dr. Snow: determining pathogenic causes and feverishly attempting to help those in need. Steven Johnson's `The Ghost Map' is simply brilliant.

History With A Warning, November 13, 2006 By John D. Cofield
The Ghost Map is an engrossing tale of medical detection and discovery. In 1854 a London neighborhood was suddenly plunged into a massive cholera epidemic. The actual disease was awful enough, but ignorance added to the fear felt by Londoners, because no one understood the true method by which cholera spread from one victim to another. Prevailing medical opinion held that cholera, like nearly all other diseases, was spread through miasmas, bad air and bad smells.

Two men, Dr. John Snow and Rev. Henry Whitehead, began to suspect that the true culprit was water from the neighborhood pump and conducted an assiduous investigation that finally proved them right. Although most doctors and scientists were reluctant to discard the miasma theory, eventually the weight of the evidence convinced them that Snow and Whitehead were correct.

Like all good histories, The Ghost Map branches from the main story to trace the many different ways in which Snow and Whitehead's investigations helped lead to the development of modern cities. I especially enjoyed the final chapters and epilogue, in which Johnson identifies many ways in which our modern mega-cities are both more vulnerable (yet thanks to technology and communications safer and better able to cope with threats as well) than was London in 1854.

The Ghost Map is an engrossing read, well written, scholarly, yet dramatic too. It will appeal to historians and fans of medical detection alike.

Parts are great, overall frustrating, December 18, 2006 By Harold Davis
As I've indicated in my header for this review, I think parts of this book are great but parts are frustrating. I debated between three and four stars, 3.5 is about what I feel would be just.

Great: the background on Victorian sanitation and the human ecology that grew up about this sanitation (or lack thereof). For example, I bet you didn't know there was a whole occupation devoted to the collection of "pure" (dog poo) used in the tanning process. The details of the spread of cholera in the outbreak traced by Dr. Snow are fascinating, as is the dissection of the cult of miasma. The varnished cover, with a ghostly map (but it's not *the ghost map*) appearing at the right angle is very cool.

Not so great: This is a book called "The Ghost Map". It could use a great deal more cartography. The wonderful cover to the despite, there's no reproduction that I could see of the eponymous ghost map in the book.

The book could also have used a good editor, or at least some more self-editing on the part of Mr. Johnson. Coverage of Victorian sanitation, Dr. Snow, and the cholera outbreak of 1854 is fascinating every icky step of the way. But when Johnson heads out of the limits of his tale and heads into Jane Jacobs territory, his chapters begin to sound like lightly reworked Wired articles. Johnson's thoughts on global warming, for example, really do not belong in this book. A more disciplined approach to narrative could have produced a great and classic title. Alas, this book is not.

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Saturday, October 16, 2010

Better Surgeon's Performance Atul Gawande

Better: A Surgeon's Notes on Performance
Better: A Surgeon's Notes on Performance

Starred Review. Surgeon and MacArthur fellow Gawande applies his gift for dulcet prose to medical and ethical dilemmas in this collection of 12 original and previously published essays adapted from the New England Journal of Medicine and the New Yorker. If his 2002 collection, Complications, addressed the unfathomable intractability of the body, this is largely about how we erect barriers to seamless and thorough care. Doctors know they should wash their hands more often to avoid bacterial transfer in the ward, but once a minute does seem extreme. Using chaperones for breast exams seems a fine idea, but it does make situations awkward. "The social dimension turns out to be as essential as the scientific," Gawande writes—a conclusion that could serve as a thumbnail summary of his entire output. The heart of the book are the chapters "What Doctors Owe," about the U.S.'s blinkered malpractice system, and "Piecework," about what doctors earn. Cheerier, paradoxically, are the chapters involving polio and cystic fibrosis, featuring Dr. Pankaj Bhatnagar and Dr. Warren Warwick, two remarkable men who have been able to catapult their humanity into their work rather than constantly stumble over it. Indeed, one suspects that once we cure the ills of the health care system, we'll look back and see that Gawande's writings were part of the story. (Apr.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

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Review from Bookmarks Magazine:
A surgeon at the Brigham and Women's Hospital in Boston and an assistant professor at the Harvard School of Public Health, Dr. Atul Gawande succeeds in putting a human face on controversial topics like malpractice and global disparities in medical care, while taking an unflinching look at his own failings as a doctor. Critics appreciated his candor, his sly sense of humor, and his skill in examining difficult issues from many perspectives. He conveys his message—that doctors are only human and therefore must always be diligent and resourceful in fulfilling their duties—in clear, confident prose. Most critics' only complaint was that half of the essays are reprints of earlier articles. Gawande's arguments, by turns inspiring and unsettling, may cause you to see your own doctor in a whole new light.

Copyright © 2004 Phillips & Nelson Media, Inc.

Product Details:
  1. Hardcover: 288 pages
  2. Publisher: Metropolitan Books; 1st edition (April 3, 2007)
  3. Language: English
  4. ISBN-10: 0805082115
  5. ISBN-13: 978-0805082111
  6. Product Dimensions: 8.4 x 5.7 x 1 inches
  7. Shipping Weight: 15.2 ounces
Most Helpful Customer Reviews:
Difficult problems are ... difficult, April 7, 2007 By Stephen R. Laniel

First, as a quick proxy of how good it is, and as a way of enticing busy readers, I should note that I finished Atal Gawande's book Better: A Surgeon's Notes On Performance in less than four hours. I can't remember the last time that happened. True, it's a relatively short book, and I had some uninterrupted time on a bus. But mostly it's that Gawande is a straightforward, energetic, thoughtful writer whose essays relentlessly pull you forward. Each discusses one or two ideas in enough depth to make you realize that they're not easy problems -- which is all most people need, and which does a world of good on its own. Every country has its unquestioned assumptions; it's the rare writer who helps us question them and gently remind us that if there were easy solutions, we'd have found them by now. Gawande is good at that.

The most moving and thought-provoking of these essays, to me, was "The Doctors of the Death Chamber," in which Gawande interviews four doctors (whom he labels "A," "B," "C" and -- wait for it -- "D," in order to secure their anonymity) who help states carry out the death penalty humanely. The use of "humanely" here is questionable; it's humane in the sense that, if we are to use the death penalty, we must not be needlessly cruel at the time of the criminal's death. But it's inhumane in the larger sense that we are furthering a corrupt system -- we are "tinker[ing] with the machinery of death," to use Justice Blackmun's words. Since a doctor's role is to protect human lives, are anaesthesiologists who help execute people painlessly violating their roles? To put it more succinctly: should a doctor make the best of the machinery of death, or should he take no part in the machine? The American Medical Association has its answer and its role. Democratically elected governments have their own. It's Gawande's job to teach us that easy answers don't exist for complicated problems like this.

One reason it's so easy to come up with easy answers for questions like this is that we rarely come face to face with the system we critique. Gawande does the legwork for us. He's at his best, in this regard, when he interviews a medical-malpractice attorney, a doctor, and the family of a dead patient involved in one malpractice case. We're all inclined to boo at the malpractice attorney . . . right up to the moment we feel we've been wronged, when that attorney is the man we want on our side. Gawande knows that this is how we work, so he takes some time to look at a case when doctors failed other doctors: Gawande's friend Bill Franklin found that doctors had failed to treat a tumor on Franklin's son that they should have noticed years before -- that someone had actually singled out on an X-ray for further study. This is the test case where ethics hits the road: when it's your own son, and you're a doctor, and you're well aware of the expenses of medical malpractice, what do you do? After trying other routes, Franklin did what so many others do: he sued and won. (Along the way Franklin helped establish a precedent in the Massachusetts Supreme Court, in the case of Franklin v. Massachusetts General Hospital et al., affecting the statute of limitations on malpractice cases. Seems worth reading.)

Better contains lots of great little insights into the medical profession -- for instance, how difficult it is to get doctors and nurses to wash their hands as often as is safe for patients, or the awkwardness of a male doctor palpating a naked female patient. Throughout it all, Gawande's organizing principle is to lay out for us the system in which doctors work, the limitations they operate under, and how they make the best within those limitations.

I'm less inclined than I used to be to believe that Gawande has an agenda, but I do think that a slightly different arrangement of the chapters within Better would have sent a different message. Had the chapter on malpractice come at the end of the book, after we've read about Gawande's own mistakes and about sloppy handwashing, we'd be less sympathetic toward doctors. In "The Score," which I've mentioned before, Gawande tells us that C-sections are vital in a world where doctors can't be expected to be very talented; in "The Bell Curve," he reveals that not all cystic-fibrosis clinics are the same, and that the medical industry was reluctant for years to release data on how well individual clinics performed. With these insights in mind, malpractice would seem to the reader to be completely justified. As it is, the malpractice article is tucked into the middle of the book; Better ends with a story about heroically performing surgery in poor rural India, and with a few pieces of advice to newly-minted doctors. It's a hopeful ending. I can't decide whether this arrangement was deliberately obfuscating. Nor does Gawande spend much time explaining whether malpractice makes doctors better.

He's fair throughout, however, and his point is that doctors' work is hard. Understanding precisely why it's hard, and what they do to get their jobs done under trying conditions, is Better's job, and it succeeds admirably. It's a great, thought-provoking, fun read.

An insider's perspective which can help you be a more informed patient, May 20, 2007 By K. Corn "reviewer"
I'm always on the side of self-education when it comes to medical topics, especially in light of the current health care system and its looming problems. Gawande's skill is in writing movingly ab out all sorts of medical issues, including both failures and successes, in a way that illuminates the complexities of practicing medicine in today's world of HMOs, soaring premiums and more.

Some of his essays may appeal more to you than others but I urge you to read the entire book, as well as to get his other one, Complications. I've read medical memoirs that put me to sleep and have been baffled by how someone could take life and death situations and turn them into dry writing. This isn't the case here and you'll come away from the book with a stronger understanding of all the factors (and possible solutions) that make up the world of medicine, medical ethics and patient care today.

An Intriguing Work by a Top-Notch Medical Writer, April 15, 2007 By Dr. Jonathan Dolhenty
Atul Gawande is a general surgeon at the Brigham and Women's Hospital in Boston and -- from everything I've heard and read about him recently -- one of the best of the new breed of medical writers who devote their prose to informing the general public about important concerns in the world of medicine. If this new book, "Better: A Surgeon's Notes on Performance," is a representative example of his usual writing talent, I will completely agree with the above assessment. This collection of original and previously published essays is highly readable and very interesting. Normally, I am not all that interested in reading about medical topics unless it impacts me personally. I'm not a great fan of hospitals nor am I enthusiastic about going to a physician. Fortunately, for most of my life I have enjoyed relatively excellent health. My attitude, however, changed five years ago and Gawande's book takes on some genuine relevance for me. How so and why?

In a section of his book, entitled "The Mop-Up," Gawande discusses polio and the campaign to wipe it out in Asia wherein he was a momentary observer in the field in 2003. Way back in ancient history, when I was a mere child in the 1940s and America was hit with a polio epidemic, I was diagnosed with polio and almost died. Hence the relevance here for me. But more than that, I am convinced to this day that I was "saved" because of the efforts of a nurse -- I'm sure she was one of Gawande's "positive deviants" which he describes in his book -- who insisted on treating me and others with a controversial treatment (opposed by most of the medical "establishment" at the time) called "The Sister Kenny Method." She never lost a patient, by the way; we all recovered without any significant aftereffects that I know of.

Fortunately, from that time in the 1940s I never needed to be hospitalized again. That is, until 2002. Then I had a heart attack and was forced into a hospital for an angioplasty and had to take note of medical matters, including the state of medical care in this country." So, whereas before that latter year I could ignore books of the type that Gawande writes, I now have a profound interest in all things medical. Even more so since my second heart attack and angioplasty in 2006. (I even subscribe to daily updates via e-mail about medical topics!) I am now very concerned about "better" when it comes to medical care and policy.

Gawande divides his book into three significant sections: Diligence, Doing Right, and Ingenuity. He says that "Diligence" is "the necessity of giving sufficient attention to detail to avoid error and prevail against obstacles." The section "Doing Right" considers topics such as "how much doctors should be paid, and what we owe patients when we make mistakes." Important as these sections are, the final section, "Ingenuity," is of even greater importance in my opinion. Ingenuity, he says, "demands more than anything a willingness to recognize failure" and "arises from deliberate, even obsessive, reflection on failure and a constant searching for new solutions." Amen to that!

Furthermore, Gawande quite realistically concludes: "Betterment is a perpetual labor. The world is chaotic, disorganized, and vexing, and medicine is nowhere spared that reality. To complicate matters, we in medicine are also only human ourselves. ...Yet...to live as a doctor is to live so that one's life is bound up in others' and in science and in the messy, complicated connection between the two. It is to live a life of responsibility. The question...is not whether one accepts the responsibility. Just by doing this work one has. The question is, having accepted the responsibility, how one does such work well." Well said, that. Couldn't agree more.

One of the more politically relevant issues (at least for me) that Gawande discusses is the matter of medical practitioners' involvement in executions. In his essay, "The Doctors of the Death Chamber," he says that "We [doctors and nurses] must do our best to choose intelligently and wisely," and then notes that "Sometimes, however, we will be wrong -- as I think the doctors and nurses are who have used their privileged skills to make possible 876 deaths by lethal injection thus far." I cannot understand how a physician -- "First, do no harm" -- could even contemplate participating in the killing of another human being, even if officially sanctioned. Gawande addresses this issue in what I think is a sensible manner. But the debate on this issue is current, lively and will continue for some time.

I do, however, wish that Gawande had spent more time discussing the future of health care in America as regards the delivery of medical services to all its citizens. He briefly touches on this matter, but not in detail. From my perspective, HMOs are definitely not the solution (they are part of the current problem!) and government-managed health care (socialized medicine) is even less desirable. I mean, the government, in my opinion, cannot even provide a decent public education for our children; how can we expect it to provide decent health care? I have considered a number of proposals, all of them wanting in some way or other. I'd like to see Gawande tackle this problem in a detailed way from a physician's perspective. Maybe another book?

Moreover, regarding the above, it is disturbing to read what one American medical reviewer recently stated: "We spend 50 percent more per capita on health care than any other country, for a total of $2 trillion a year, yet our health system, according to the World Health Organization, ranks 37th worldwide. ...By any measure -- longevity, infant mortality, burden of disease -- we sit in the basement of the industrialized world." For a country that can spend trillions of dollars to wage war and promote "regime changes" throughout the world, that statement is embarrassing and hard to fathom.

All in all, "Better" is a good read and extremely informative. It is full of interesting anecdotes, as well as confronting, if only briefly, some of the major issues in the practice of medicine today such as the influence of money in the healthcare system, the problem of malpractice lawsuits, and medical practice under the tensions of the military battlefield, as well as more mundane issues which are often ignored such as the simple act of hand washing or how nakedness impacts the examination room. Since I have had my own experiences lately with the medical establishment, I can now relate to at least some of the topics that Gawande discusses. Therefore -- and since there is no medical experience like a really personal one -- I highly recommend this book to all readers. I guarantee you'll learn a lot, you'll enjoy the fine writing, and you'll have some thinking to do about the state of medical care in America.

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Biology 5th Neil A. Campbell

Biology (5th Edition)
Biology (5th Edition)

With an extraordinary reputation for authority and accuracy, this landmark biology text continues to be an invaluable learning partner for students and teachers. The authors focus on the "big ideas" of biology: each chapter is organized around key concepts that build in a logical way, and are clearly explained and reinforced by the text discussion and illustration. The straightforward writing style, appropriate level of depth, and judiciously-selected coverage are other hallmarks. A comprehensive new supplements package includes a highly-interactive student learning CD-ROM. The Special Edition of The Biology Place allows students to explore animations, take quizzes, and access the most up-to-date biology resources on the web.

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From the Back Cover:
The Sixth Edition of BIOLOGY by Neil Campbell and Jane Reece builds upon the earlier versions' dual goals to both help readers develop a conceptual appreciation of life within the context of integrating themes, and to inspire readers to develop more positive and realistic impressions of science as a human activity.

The authors have thoroughly updated each of the book's eight units to reflect the existing progress in our understanding of life at its many levels, from molecules to ecosystems. Examples of updated content include the Human Genome Project, the revolution in systematics, HIV as a research model in evolutionary biology, the role of cell-signaling pathways in plant responses, new frontiers in neurobiology, and experimental approaches that are advancing ecology. To assure accurate representation of each field of biology, a team of stellar specialists has worked with the authors in updating every unit.

An innovative design breakthrough ensures that the art is as current as the content. Guided Tour diagrams explicitly guide readers through the more challenging figures, succinctly explaining key structures, functions, and steps of processes within the figure, reducing the need to look back and forth between legend and art. It's as if an instructor were looking over the reader's shoulder and clarifying each part of a figure! Guided Tour commentary is set in blue, making it easy to differentiate these explanations from ordinary labels and keeping the figure itself clear and uncluttered. For college instructors and students. --This text refers to an out of print or unavailable edition of this title.

Product Details:

  1. Hardcover: 1175 pages
  2. Publisher: Benjamin-Cummings Pub Co; 5th edition (February 1999)
  3. Language: English
  4. ISBN-10: 0805330445
  5. ISBN-13: 978-0805330441
  6. Product Dimensions: 10.9 x 8.8 x 1.8 inches
  7. Shipping Weight: 6.4 pounds
Most Helpful Customer Reviews:
Impressive depth of explanation, August 1, 2005 By Alan Meyer

I'm working through an earlier edition of this book (because it was used and cheap) and am very impressed by it. There are a lot of excellent introductory science textbooks, but what distinguishes this one in my mind is the author's relentless effort to deepen his explanations. You don't just learn that some reaction occurs in the cell. You learn why it occurs, what its antecedents are, what their antecedents are, how feedback reactions in the cell stimulate or inhibit the reaction, and what the mechanisms of action are. At each point where the reader may be thinking, "That's interesting, but why does that happen?", all he need do is read on and very likely find that Campbell will ask, and answer, his question.

Explanation must always come to a stop. But Campbell pushes his explanations out to the frontiers of our knowledge. His explanations stop not where he thinks the student is too unsophisticated to continue, but where either there is no more known, or where it would be impossible to say more and still cover the whole subject of biology in one book.

This approach shows great respect for the student. It treats the student as an intelligent person who is interested, motivated, and able to learn. It is the standard approach for more advanced texts, but it's not always found in introductory books. It's a considerable achievement to be able to write about a highly technical subject this deeply and this thoroughly, and still put it in terms that the beginning student can understand.

The book is also very well produced. There are excellent illustrations, a useful glossary, an index, and many photo-micrographs. Even in the illustrations, Campbell treats the reader as a serious student - providing thorough explanations and labeling each microscope photo to indicate how it was made (light, scanning electrons, transmissive electrons). I can't say what's on the CD ROM because I haven't seen it. But if it's as good as the rest of the visual material, it will be very good indeed.

I heartily recommend this book to anyone who wants to learn the science of Biology.

The standard by which biology majors' texts are gauged, March 21, 2006 By Alan Holyoak
Campbell's Biology has been the standard biology text for majors for many years. Though there are many good competitors, this is the one that consistently seems to rise to the top.

The breadth of coverage is good overall, with particular strengths in cell, molecular, and physiology sections of the text. It's the one we chose to use in our year-long intro to biology majors course.

Not everything is roses, however. For one thing, compared to other sections of the text the section on animal diversity is brief (perhaps unavoidably so)...after all, no book can be all things to all people. The section on ecology is also a bit light compared to other sections of the text. That's not surprising, since many intro courses these days don't touch much on ecology...more's the pitty.

The two biggest challenges associated with this book are it's mass, and massive price tag (not unique among textbooks today). I have a difficult time sitting in a reading chair and getting into a comfortable position with this block of paper on my lap or in my hands. It is, as mentioned in at least one other review, just too heavy. The other challenge is the cost. That's an issue with many textbooks today. They are just so expensive that you almost need to take out a loan just to get your books.

Is there a way to get this book in an e-version, so I could load it onto a notebook computer? At least that way the book would be in a computer that would probably weigh less...

There are pros and cons. The pros seem to outweigh the cons for the moment.

One concern I have for the future of this text is that Campbell, the senior author, passed away recently. We'll have to wait and see if subsequent editions are able to maintain the scope and quality of coverage that this and previous editions were able to manage.

5 stars for quality, minus one for weight and cost. 4 stars.

Alan Holyoak (Biol Prof)

Now this, is a textbook, January 7, 2004 By K. Anderson
I loved this textbook. Imagine that, the words "love" and "textbook" in the same sentence. This is my first college Biology text so I don't have anything to compare it to, but I feel I did very well in my class not only because I love biology, but because this textbook explained everything in such an interesting and lucid way. The pictures and diagrams are wonderful and incredibly helpful. To give a random example, the chapters on cell mitosis and meiosis. This can be a potentially difficult subject if you're expected to memorize the various stages, and what the chromosomes are doing and when, but this book gives very helpful and colorful diagrams and light micrographs of each stage. The authors really understand the importance of visual learning in conjunction with reading.

Speaking of the authors, I was pleasantly surprised that the writing had a hint of personality, and didn't have the dreaded "textbook dry" monotone. It didn't feel as if robots wrote the book, as in some textbooks. I noticed they reinforced important core concepts throughout to drum it into the students head, like the the connection between "form and function", or how the size and shape of, for example an enzyme, is really it's most important characteristic.

I bought this book new and it came with a cd-rom, that for me, put my grades over the top. I'm not sure I would have done as well without this cd. In it are all sorts of quizzes and tests, a complete on-line version of the book, various links to helpful internet sites, and which I used the most, animations and voice commentary of each chapter. Many people are visual learners, and sometimes they get a much deeper understand of something when they see it in action.

I will not be selling this textbook back to the college after I'm done with it, this is a keeper. I have no complaints about it.

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