Moving to America turns H&à's life inside out. For all the 10 years of her life, H&à has only known Saigon: the thrills of its markets, the joy of its traditions, the warmth of her friends close by, and the beauty of her very own papaya tree. But now the Vietnam War has reached her home. H&à and her family are forced to flee as Saigon falls, and they board a ship headed toward hope. In America, H&à discovers the foreign world of Alabama: the coldness of its strangers, the dullness of its food, the strange shape of its landscape, and the strength of her very own family. This is the moving story of one girl's year of change, dreams, grief, and healing as she journeys from one country to another, one life to the next.
No doctor can ever understand your body as well as you. And from understanding comes the self-awareness and responsible self-care that produces long-lasting good health. To help you take charge of your body's well-being, clinical nutritionist Adele Puhn, author of the New York Times bestseller The 5-Day Miracle Diet, has written this comprehensive guide to the sources of--and remedies for--many, perhaps all, of your health problems. An abused digestive tract allows toxins and bacteria to leak through its weakened walls into the bloodstream and wreak havoc throughout the body. An overtaxed liver, unable to perform its vital filtering and metabolic functions, leaves the body toxic and vulnerable. Healing from the Inside Out tells you how to heal these conditions and repair the damage they have caused in all parts of the body--featuring more than fifty fully detailed and carefully structured preventive and rescue regimens--wholesome diets, appropriate potencies of vitamins, minerals, amino acids, herbal remedies, and more--all designed to heal and invigorate the body. - Gastro-intestinal tract: Crohn's disease, colitis, ulcers, gallbladder disease, hiatal hernia, irritable bowl syndrome - Heart and circulation: angina, arrhythmia, high cholesterol, hypertension - Muscles, joints, and skeleton: chronic back pain, fibromyalgia, osteoporosis, osteoarthritis, rheumatoid arthritis - Skin and hair: dandruff, hair loss, psoriasis - Endocrine system: hypoglycemia, hyperthyroidism, kidney stones, diabetes - Emotions: depression, chronic fatigue syndrome, stress, hyperactivity - Breathing: asthma, chronic bronchitis, sinusitis And much more, including case histories and a guide to complementary heath organizations.
Three distinct types of contractions perform colonic motility functions. Rhythmic phasic contractions (RPCs) cause slow net distal propulsion with extensive mixing/turning over. Infrequently occurring giant migrating contractions (GMCs) produce mass movements. Tonic contractions aid RPCs in their motor function. The spatiotemporal patterns of these contractions differ markedly. The amplitude and distance of propagation of a GMC are several-fold larger than those of an RPC. The enteric neurons and smooth muscle cells are the core regulators of all three types of contractions. The regulation of contractions by these mechanisms is modifiable by extrinsic factors: CNS, autonomic neurons, hormones, inflammatory mediators, and stress mediators. Only the GMCs produce descending inhibition, which accommodates the large bolus being propelled without increasing muscle tone. The strong compression of the colon wall generates afferent signals that are below nociceptive threshold in healthy subjects. However, these signals become nociceptive; if the amplitudes of GMCs increase, afferent nerves become hypersensitive, or descending inhibition is impaired. The GMCs also provide the force for rapid propulsion of feces and descending inhibition to relax the internal anal sphincter during defecation. The dysregulation of GMCs is a major factor in colonic motility disorders: irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and diverticular disease (DD). Frequent mass movements by GMCs cause diarrhea in diarrhea predominant IBS, IBD, and DD, while a decrease in the frequency of GMCs causes constipation. The GMCs generate the afferent signals for intermittent short-lived episodes of abdominal cramping in these disorders. Epigenetic dysregulation due to adverse events in early life is one of the major factors in generating the symptoms of IBS in adulthood.
"A fascinating, lyrical book... Reisman's experiences in other cultures bring a richness and depth to The Unseen Body. The way he thinks about the body and medicine—the rivers and tributaries, the flowing and unclogging, the top-down organization of the brain—is extraordinary!" —Mary Roach In this fascinating journey through the human body and across the globe, Dr. Reisman weaves together stories about our insides with a unique perspective on life, culture, and the natural world. Jonathan Reisman, M.D.—a physician, adventure traveler and naturalist—brings readers on an odyssey navigating our insides like an explorer discovering a new world with The Unseen Body. With unique insight, Reisman shows us how understanding mountain watersheds helps to diagnose heart attacks, how the body is made mostly of mucus, not water, and how urine carries within it a tale of humanity’s origins. Through his offbeat adventures in healthcare and travel, Reisman discovers new perspectives on the body: a trip to the Alaskan Arctic reveals that fat is not the enemy, but the hero; a stint in the Himalayas uncovers the boundary where the brain ends and the mind begins; and eating a sheep’s head in Iceland offers a lesson in empathy. By relating rich experiences in far-flung lands and among unique cultures back to the body’s inner workings, he shows how our organs live inextricably intertwined lives—an internal ecosystem reflecting the natural world around us. Reisman offers a new and deeply moving perspective, and helps us make sense of our bodies and how they work in a way readers have never before imagined.
An award-winning artist offers a child's-eye look at such idiomatic expressions as ants in your pants and cat got your tongue, providing a unique and sympathetic perspective on a boy's first day of school. Full color.
Ideal for trainees and practicing radiologists, Diagnostic Imaging: Gastrointestinal, 3rd Edition provides comprehensive coverage of every important topic in abdominal and gastrointestinal imaging. Featuring an increased number of illustrations, graphics, and multimodality imaging, this updated medical reference book will aid you in recognizing the characteristic and variant appearances of both common and uncommon abdominal disorders. User-friendly bulleted text and a uniform chapter layout allow fast and effortless access to the crucial knowledge you need! Expanded coverage of the most important topics and trends in fluoroscopic evaluation of the GI tract, including evaluation of patients before and after bariatric surgery, fundoplication, and surgery for esophageal carcinoma. Updated sections covering disorders of the liver, biliary tract, and pancreas with information and images regarding new classification and treatment implications for pancreatitis, including autoimmune (IgG4-related) pancreatitis. Increased number of illustrations of all appropriate imaging modalities, such as multiplanar CT, sonography, MR, and PET/CT. Offers information on all forms of acute and chronic hepatitis and cirrhosis, as well as critical knowledge regarding imaging techniques that allow radiologists to distinguish among focal lesions in the cirrhotic liver. Essential information is distilled into a succinct, bulleted format with numerous high-quality images and "Key Facts" boxes to facilitate learning.
On July 9-10, 2014, the Institute of Medicine's Food Forum hosted a public workshop to explore emerging and rapidly developing research on relationships among the brain, the digestive system, and eating behavior. Drawing on expertise from the fields of nutrition and food science, animal and human physiology and behavior, and psychology and psychiatry as well as related fields, the purpose of the workshop was to (1) review current knowledge on the relationship between the brain and eating behavior, explore the interaction between the brain and the digestive system, and consider what is known about the brain's role in eating patterns and consumer choice; (2) evaluate current methods used to determine the impact of food on brain activity and eating behavior; and (3) identify gaps in knowledge and articulate a theoretical framework for future research. Relationships among the Brain, the Digestive System, and Eating Behavior summarizes the presentations and discussion of the workshop.
This special topic issue of 'Digestive Diseases' contains contributions discussing the subject in-depth. 'Digestive Diseases' is a well-respected, international peer-reviewed journal in Gastroenterology. Special topic issues are included in the subscription.
