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Pain Management, 2nd edition: Expert Consult – Online and Print by Steven D. Waldman, MD, JD (Elsevier Saunders)

Pain Management allows clinicians to get the expert, evidence-based guidance they need to diagnose pain.

Regarded as the premiere clinical reference in its field, Pain Management, 2nd Edition, edited by noted pain authority Steven Waldman, provides comprehensive, practical, highly visual guidance to help readers apply the most recent evidence-based advances in pain management. This popular text has been updated with 13 new chapters that include the latest information on interventional and ultrasound-guided techniques, and acute regional pain nerve blocks. A user-friendly format with lavish illustrations and complete online access enable readers to access trusted guidance quickly and apply the information easily to bring effective pain relief to patients. Author Waldman, MD, JD, is Clinical Professor of Anesthesiology, Professor of Medical Humanities and Bioethics, University of Missouri-Kansas City School of Medicine, Kansas City. More

Nelson Textbook of Pediatrics, 19th edition: Expert Consult Premium Edition – Enhanced Online Features and Print by Robert M. Kliegman, MD, Bonita F. Stanton, MD, and Richard E. Behrman, MD; Joseph W. St. Geme III, MD, and Nina F. Schor, MD, PhD, (Elsevier Saunders) Nelson Textbook of Pediatrics has been the world's most trusted pediatrics resource for nearly 75 years. Drs. Robert Kliegman, Bonita Stanton, Richard Behrman, and two new editors – Joseph St. Geme, III, MD and Nina Schor, MD, who contribute on the key subspecialties, including pediatric infectious disease and pediatric neurology – continue to provide the most authoritative coverage of the best approaches to care. This streamlined 19th edition covers the latest on genetics, neurology, infectious disease, melamine poisoning, sexual identity and adolescent homosexuality, and psychosis associated with epilepsy. The expanded online access features the regularly updated text, case studies, new references and journal articles, Clinics articles, and exclusive web-only content. More

Cancer of the Skin: Expert Consult – Online and Print, 2nd edition edited by Darrell S. Rigel, MD, June K. Robinson, MD, Merrick I. Ross, MD, Robert J. Friedman, MD, MSc (Med), Clay J. Cockerell, MD, Henry W. Lim, MD, Eggert Stockfleth, MD, PhD, & John M. Kirkwood, MD (Elsevier Saunders) Skin cancer rates are rising dramatically. In the United States each year there are over 2 million newly diagnosed cases – more than all other cancers combined. The public health ramifications are profound. Skin cancer, once viewed as a relatively uncommon disease limited to dermatologists and surgeons, is now being seen on a daily basis by primary care physicians, oncologists and other healthcare professionals. The resulting need to educate all of these groups on recognizing and managing patients with this cancer is also increasing. More

Gastrointestinal and Liver Pathology,  2nd edition,: Excerpt Consult – Online and Print edited by Christine A. Iacobuzio-Donahue, MD, PhD and Elizabeth Montgomery, MD, series editor, John R. Goldblum (Foundations in Diagnostic Pathology Series: Elsevier Saunders)

Gastrointestinal and Liver Pathology , a title in the Foundations in Diagnostic Pathology series, provides the essential information on the pathological entities encountered in practice in an easy-to-use format. Drs. Christine A. Iacobuzio-Donahue and Elizabeth Montgomery examine the full scope of neoplastic and non-neoplastic disorders of the gastrointestinal tract, including disorders of the tubular gastrointestinal tract, pancreatobiliary tree, and liver – from clinical features and ancillary studies to differential diagnoses and prognostic and therapeutic considerations. More

Goldman's Cecil Medicine: Expert Consult Premium Edition, 24th edition – Enhanced Online Features and Print, Single Volume (Goldman, Cecil Medicine: Text W/ Continually Updated Online) edited by Lee Goldman, MD and Andrew I. Schafer, MD (Elsevier Saunders) This 24th Edition of Goldman's Cecil Medicine symbolizes a time of extraordinary advances in medicine and in technological innovations for the dissemination of information. This textbook and its associated electronic products incorporate the latest medical knowledge in formats that are designed to appeal to learners who prefer to access information in a variety of ways. More

Atlas of Head and Neck Surgery: : Expert Consult – Online and Print edited by James I. Cohen, MD, PhD, FACS and Gary L. Clayman, DMD, MD, FACS (Elsevier Saunders) Learning how to do an operation can be a daunting task, whether as a first-year resident preparing the night before a case never previously encountered or as a surgeon in a busy practice faced with incorporating a new technique or technology into his or her surgical repertoire. Atlas of Head and Neck Surgery acknowledges the realities of how this process occurs. It delivers unparalleled visual guidance and insight to help clinicians master the most important and cutting-edge head and neck procedures. Consistent black-and-white drawings and detailed text lead them through the steps of the standard operations, while commentary from leading experts presents alternative techniques – complete with explanations about the differences, nuances, pearls, and pitfalls of each approach. Both in print and online, Atlas of Head and Neck Surgery captures groundbreaking techniques such as video-assisted thyroid and parathyroid surgeries; transoral laser surgeries; and robotic surgeries. More

Diagnostic Imaging for the Emergency Physician: Expert Consult – Online and Print by Joshua Broder, MD (Elsevier Saunders) …I have no doubt that this text is destined to become one of our specialty's landmark textbooks, a classic that will be considered a must-have resource for all emergency physicians and emergency departments. My kudos go to Dr. Broder for his tremendous work. This textbook represents a valuable addition to the emergency medicine litera­ture…. – Amal Mattu, MD, FAAEM, FACEP, Director, Emergency Medicine Residency, Director, Faculty Development Fellowship, Professor of Emergency Medicine, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore More

Head and Neck Imaging, 5th edition 2 Volume Set: Expert Consult Online and Print by Peter M. Som and Hugh D. Curtin (Elsevier Mosby) Head and Neck Imaging, 5th edition in two volumes delivers the encyclopedic and authoritative guidance readers have come to expect from this book the expert guidance they need to diagnose the most challenging disorders using today's most accurate techniques. New state-of-the-art imaging examples throughout help readers recognize the imaging presentation of the full range of head and neck disorders using PET, CT, MRI, and ultrasound. Enhanced coverage of the complexities of embryology, anatomy, and physiology, including original color drawings and new color anatomical images, help readers distinguish subtle abnormalities and understand their etiologies. Access to the complete book's contents is available online, which allows readers to compare its images onscreen with the imaging findings they encounter in practice. More

Pocket Companion for Physical Examination and Health Assessment, 6th edition by Carolyn Jarvis (Saunders) The sixth edition of Pocket Companion for Physical Examination and Health Assessment is designed for two groups those who need a practical clinical reference and those acquiring beginning assessment skills.
Designed for quick reference in the clinical environment, this portable resource summarizes essential assessment skills and techniques for the most effective physical examinations. It provides precise information, including full-color pathology photos and illustrations, examination steps for each body system, normal versus abnormal findings, developmental and cultural competencies, related nursing diagnoses, and summary checklists. More 

Management of Acute Obstetric Emergencies: Female Pelvic Surgery Video Atlas Series by Baha M. Sibai, Series Editor: Mickey Karram (Female Pelvic Video Surgery Atlas Series: Elsevier Saunders) Acute medical and surgical emergencies in pregnancy and postpartum are the leading cause of maternal mortality and morbidity worldwide. During the past decade there has been a substantial increase in the incidence of these emergencies. Secondary to the change in demographics of women considering pregnancy as well as a change in obstetric practice, these emergencies are expected to continue to increase. Specifically many women are delaying pregnancy until they are in their 40s. Couple this with an epidemic of obesity as well as rising cesarean section rates (with a tremendous increase in repeat cesarean section) and one can easily understand why these emergencies will continue to commonly occur. Also due to an improvement in medical and surgical care and advances in medical technology, many women with serious preexisting medical and surgical disorders are now surviving to reproductive age and are capable of pregnancy. More

Energetics in Acupuncture: Five Element Acupuncture Made Easy by Radha Thambirajah (Churchill Livingstone) Energetics is an area of growing interest and importance in acupuncture. Acupuncture treatment aims to correct the imbalance of energy, or qi; energetics is a method of diagnosing which aspects of qi are out of balance. One symptom can be caused by many different imbalances of organs and it is essential for the therapist to correctly diagnose the problem before commencing treatment. More 

Micronutrients in Health and Disease by Kedar N. Prasad (Informa, CRC Press) Increased oxidative stress due to the production of excessive amounts of free radicals along with the effects of chronic inflammation play a major role in the initiation and progression of a host of disease states, ranging from cancer to posttraumatic stress disorder. In varying doses, micronutrients, including antioxidants, B vitamins, and minerals have been shown to help ameliorate these effects. However, clinical studies using isolated micronutrients to combat these illnesses have proven that such limited therapy has produced inconsistent results. More

Total-Body Toning with Lashaun Dale DVD by Lashaun Dale [DVD, running time 89 minutes] (Human Kinetics) Total-Body Toning asks: Are you ready for a workout that produces results results you can see and feel? If so, look no further than Total-Body Toning with Lashaun Dale, your personal program for slimming, shaping, and sculpting your body. More 

Biomechanics of Human Motion: Basics and Beyond for the Health Professions by Barney F. LeVeau (Slack Incorporated) The focus of Biomechanics of Human Motion is on force. Force is always with us. Force is involved with large objects, such as the interaction among the sun, moon, and earth, or in very small objects, such as interactions among cells. The book presents a straightforward approach to the basic principles, theories and applications of biomechanics and provides numerous techniques and examples for approaching biomechanical situations enhanced by healthcare professionals. More

Meaningful Scents Around the World: Olfactory, Chemical, Biological, and Cultural Considerations by Roman Kaiser (Wiley-VCH) In recent years, our knowledge of the anatomy and physiology of olfaction has grown enormously, accompanied by a growing appreciation of scent. This is reflected in the fact that the 2004 Nobel Prize in Medicine was awarded for discoveries of 'Odorant Receptors and the Organization of the Olfactory System'. This book naturally supports such developments, and takes the reader on a fascinating fragrant journey around the world to some of the exciting places the author has visited during his 30 years of olfactory research. Following an introductory section to the world of natural scents, including their biological meaning and history, the fragrance and flavor chemist, Roman Kaiser, who is renowned for his 'headspace' analytical technique, revisits some memorable scents. In doing so, he leads us to such exotic places as Lower Amazonia, Papua New Guinea, India, and many rain-forest biotopes in his quest for new molecules and new scent concepts, showing us along the way how a scent like tatami can be linked to culture. The third and final section describes the analysis of the compositions of the presented scents. More

Clinical Malignant Hematology by Mikkael A. Sekeres, Matt Kalacyio, Brian Bolwell (McGraw-Hill Just the Facts: McGraw-Hill Professional) The only comprehensive guide to the clinical management of hematologic and lymphatic cancers.
Filling an unmet need in the clinical literature, this commanding, just-in-time reference sheds light on the full spectrum of cancers in the blood, bone marrow, and lymphatic system (leukemia, lymphoma, myeloma). Clinical Malignant Hematology is edited by staff members from the renowned Taussig Cancer Center at the Cleveland Clinic, which has pioneered some of the most important clinical discoveries and treatment trends in recent years. More

Neuropsychology: Clinical and Experimental Foundations by Lorin Elias, Deborah Saucier (Allyn & Bacon) Combining a unique organizational approach with an engaging writing style, Neuropsychology: Clinical and Experimental Foundations offers a comprehensive and reader-friendly introduction to the functions of the brain. Chapters take a functional perspective, weaving together discussions on intact and dysfunctional systems. Lorin Elias and Deborah Saucier address critical issues in the field, including neuroanatomy, sensation and perception, memory, and emotion. The text also incorporates helpful pedagogical features, including Real World and Current Controversy boxes as well as self-tests and internal previews and reviews, all of which are valuable tools for teaching and learning. Thorough and up-to-date, Neuropsychology: Clinical and Experimental Foundations is the ideal text to introduce students to the dynamic workings of the brain. More

Atlas Of Clinical Gross Anatomy edited by Kenneth Moses, Pedro Nava, John Banks, Darrell Petersen (Mosby Elsevier) Gain a full and clear three dimensional understanding of anatomical structures with almost 500 large, high-quality photographs and a clear clinical focus, this atlas does a more effective job of presenting gross anatomy than any other single pictorial resource. Consistent, templated chapter organization guides you smoothly through the material

  • Large page format allows all the photographs, many close to life size, to be displayed in full for effortless orientation and comprehension. No more confusion and peering at small, closely cropped pictures!

  • Succinct introductions efficiently preview the key features in each chapter Over 200 artworks support descriptions in the introductory text

  • Clinical correlations describe common situations where anatomy is relevant for medical practice

  • Surface anatomy is brought to life with illustration overlays showing how interior anatomy relates to external features

  • Specially commissioned dissections, shown one per page, guide you through superficial, intermediate and deep dissections, all performed to a uniformly high standard

  • Color enhancements of selected structures make these easier to identify in the photographs Outstanding osteology and radiology images complete your understanding and knowledge. More

Prions by Claudio Soto (CRC) offers a well-organized overview of prion-related diseases. It reviews the symptoms, epidemiology, and neuropathology of the disease, and focuses on the idea that TSEs result from a novel mechanism involving transmission by replication of the misfolding of a single protein. The author, a renowned innovator in the area of neurodegenerative diseases, examines the structure, conversion, and mechanism of prion propagation and details its cellular biology. He also looks at other diseases that display folding aberrations, considers how common such aberrations are, and speculates on the impact of prions on broader areas of biology, public health, and biotechnological strategies. More

Fundamentals of Nuclear Pharmacy, 5th Edition by Gopal B. Saha (Springer-Verlag) Upon publication of the First Edition, Fundamentals of Nuclear Pharmacy emerged as the standard text and reference in nuclear medicine. Generously supplemented with charts, tables, and more than 100 illustrations, the revised Fifth Edition of this classic text has been thoroughly updated by judiciously replacing obsolete sections with new, cutting-edge material. Each chapter provides the reader with well-delineated descriptions of the subject matter from the basic atomic structure to the clinical uses of radiopharmaceuticals. Previous editions were highly acclaimed for their clarity and accuracy since Dr. Saha sets new standards for making complex theoretical concepts readily understandable for students and practitioners in nuclear pharmacy and nuclear medicine. More

All In My Head: An Epic Quest to Cure an Unrelenting, Totally Unreasonable, and Only Slightly Enlightening Headache by Paula Kamen (Da Capo Lifelong Books) A personal, cultural, and scientific exploration of chronic, untreatable pain.

At the age of twenty-four, journalist Paula Kamen's life changed in an instant. While putting in her contact lenses, the left lens set off a chain reaction, igniting a constellation of nerves that radiated backwards from behind the surface of her eye. The pain was more piercing than with any other headache she had experienced. More than a decade later, she still has a headache-the exact same headache.

From surgery to a battery of Botox injections to a dousing of Lithuanian holy water, from a mountain of pharmaceutical products to aromatherapy and even a vibrating hat, All in My Head chronicles the sometimes frightening, usually absurd, and always ineffective remedies she-and so many like her-was willing to try to relieve her pain. Beleaguered and frustrated by doctors who, frustrated themselves, periodically declared her pain psychosomatic, Kamen came to understand the plight of the millions who suffer chronic pain in its many forms. Full of self-deprecating humor, and razor sharp reporting, All in My Head is the remarkable story of perseverance, acceptance, and patience in the face of terrifying pain.

Imagine the sensation of a fishhook lodged behind your left eye and tugging backwards. Now imagine that you live with that pain 24 hours a day for 15 years. That is Kamen's headache, one that she attempted at first to cure but finally learned to accept. Kamen (Her Way: Young Women Remake the Sexual Revolution) first tried all sorts of drugs—some were addicting, others made her gain 70 pounds in six months; none had any effect on the pain. She turns to alternative medicine: cranial-sacral adjustments, acupuncture, gluten-free diets, magnets, yoga. Kamen intersperses her account of these increasingly bizarre treatments with a look at how Western medicine, and even feminism, abandons patients with chronic pain and other invisible ailments: since her pain has no discernible physical cause, she has been told it's "all in her head." This book may not be uplifting, but it is undeniably funny. Kamen's irreverent sense of humor about her pain and herself makes the book a delight to read as she unabashedly pokes fun at the corporate pharmaceutical industry (even while she hopes for a test-tube cure), doctors and other caregivers. Kamen makes the reader understand what it is like to be happy even while one is in pain. Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Fitnessgram/Activitygram Test Administration Manual by The Cooper Institute (Human Kinetics Publishers) (Hardcover) This fully updated manual now includes a DVD with video clips to help teachers administer the FITNESSGRAM/ACTIVITYGRAM tests. In doing so, teachers impart the value of physical activity and guide students in making fitness a lifelong habit.

New to the Third Edition

DVD features video clips showing all test protocols for the FITNESSGRAM/ACTIVITYGRAM test, including common errors and corrections.

DVD includes reproducible forms, charts, certificates, and reports that teachers need to conduct the test, record the results, and communicate to administrators, students, and parents.

Manual is highlighted with new illustrations and photos, and an attractive, reader-friendly design makes it easy to use.

The FITNESSGRAM/ACTIVITYGRAM Test Administration Manual, Third Edition, features an increased emphasis on ACTIVITYGRAM, which is the only computerized physical activity management tool available for use with schoolchildren.

More about the Test Administration Manual

Set individualized goals for students

Give students responsibility for managing and recording their own activities

Help students understand the value of physical activity and make healthy behaviors and choices a lifelong habit

Part I introduces teachers to the program components and the mission, goals, and philosophy behind the program. It provides information on fitness education and assessment guidelines, detailing the assessment process step by step. It also explores ways to promote physical education, and it examines guidelines and provides promotion models.

Part II focuses on various aspects of FITNESSGRAM. It takes teachers through test administration issues, including safe administration of the program, considerations for special populations, and administration to primary grades. It provides tests for aerobic capacity; details how to determine body composition through skinfold measurements, body mass index, and other methods; and shows how to test for muscular strength, endurance, and flexibility. It also answers physical activity questions related to FITNESSGRAM and guides teachers in interpreting FITNESSGRAM results.

Part III provides an assessment module for ACTIVITYGRAM, outlining how to administer the program and how to interpret the results and give feedback to students. Four appendixes provide guidelines on where to find testing equipment and how to use it, answers to frequently asked questions, and health-related fitness charts and copy masters of all 17 forms and reports.

FITNESSGRAM/ACTIVITYGRAM Test Administration Manual, Third Edition, is time tested, research based, and highly practical—even more so now with its new DVD component. It’s sure to help teachers assess students’ fitness and motivate them to take responsibility to adopt and maintain healthy habits throughout their lives.

More about FITNESSGRAM® and ACTIVITYGRAM®

FITNESSGRAM/ACTIVITYGRAM is an integrated fitness and activity assessment program that can greatly enhance the effectiveness of school-based physical education programs. The program consists of software, a test manual with DVD, and related ancillaries, including The Cooper Institute's FITNESSGRAM/ACTIVITYGRAM Reference Guide. It is designed to work in conjunction with Physical Best, a program of curriculum resources and training certifications for health-related fitness education developed by the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD) and now run by the National Association for Sport and Physical Education (NASPE).

FITNESSGRAM is recommended by NASPE and is the first health-related fitness test to use criterion-referenced standards. This means that test scores are compared to research-based health standards rather than to national averages. FITNESSGRAM has been widely used for two decades and is guided by a distinguished scientific advisory board.

Through FITNESSGRAM and ACTIVITYGRAM, teachers will be able to accurately assess students’ fitness levels, set goals for the students based on those assessments, and teach students how to manage and record their own activities. Teachers can easily track and report students’ progress, motivate students to stick with their activity programs, and—perhaps best of all—teach them to make healthy choices a lifelong habit.

These unique features set the FITNESSGRAM/ACTIVITYGRAM program apart from other test batteries for youth:

FITNESSGRAM/ACTIVITYGRAM allows teachers to produce individual as well as group fitness and activity reports for students. The reports are generated using complex algorithms that take into account children’s results on various fitness tests as well as estimates of their current activity level. This personalized feedback provides students and parents with more meaningful information than a simple listing of fitness scores. The group reports can help teachers track data over time to document their efforts to promote activity and fitness in their curriculum.

FITNESSGRAM/ACTIVITYGRAM uses criterion-referenced standards to evaluate students on each dimension of fitness and on measures of physical activity. These standards are age and gender specific and are based on how fit and active children need to be for good health. The use of criterion-referenced standards is a critical distinction, because this type of feedback helps to minimize comparisons among children and allows teachers to provide personalized information to each child about their health-related fitness. Feedback in FITNESSGRAM is targeted to personal fitness for health rather than to goals based on performance. • FITNESSGRAM/ACTIVITYGRAM encourages student involvement in physical education. Software allows students to enter personal data and print out their own reports. The reports provide personalized feedback that encourages children to establish regular patterns of physical activity. The program also encourages the use of self-testing or peer testing to promote self-monitoring skills needed for lifetime participation in physical activity.

Black's Medical Dictionary by Gordon MacPherson 40th Edition (Scarecrow: Rowman & Littlefield) The fortieth edition gives over 5000 definitions and descriptions of medical terms and concepts accompanied by appendices on important subjects such as the National Health Service (including selected statistics), Health Economics, Complementary and Alternative Medicine, Common Medical Tests and an address list of support and professional organizations. 

All material has been checked and updated with new or substantially revised entries on:

  • apoptosis
  • attention deficit disorder
  • autism
  • children's physical and mental he cognitive behavior therapy
  • environmental health
  • ethics
  • general practice
  • nursing occupational health
  • pregnancy and labor
  • prostheses
  • research fraud
  • suicide transfusion

Where relevant, entries contain appropriate cross references to further information.

Black's Medical Dictionary first appeared in 1906. That new century was to see health care in the United Kingdom evolve from a largely personal, paternalistic consultation between doctor and patient, based more on medical tradition than medical science, to a complex, science-based, team-oriented and managed service. Even so, the core of medical practice has survived: the face-to-face consultation between doctor and patient. But the nature of this core activity has been irreversibly altered by a shift in the `balance of power' between the participants as patients became better informed about their health, illnesses and possible treatments. A significant catalyst in the emergence of the informed patient has been the media, including publications like this dictionary, the contents of which have during its 40 editions reflected these changes in medicine.

One modest constant in this sea of change, however, has been the objective of Black's Medical Dictionary. When launching the first edition, the editor, Edinburgh physician John D. Comrie, declared his aim as producing `a work which would occupy a position somewhere between that of a Technical Dictionary of Medicine and one intended merely for the domestic treatment of common ailments . . . [giving] information in simple language upon medical subjects of importance and general interest.' That initial mission statement underpins this first edition of the 21st century.

The 40th edition embraces many subjects from the venerable, such as arthritis, the common cold, diabetes and fractures, to leading-edge technology – for example, new diagnostic imaging techniques, mini­mally invasive surgery, improved treatments for cancers and heart attacks, and exploration of those ethically fraught territories of reproductive medicine and gene therapy. Clinical practice has always been bounded by ethical guidelines: nowadays, however, political and economic imperatives intrude. New medical treatments, growing demands for health care – and its increasing expense – the growth of patient litigation and communities' attempts to fund these changes have added an economic dimension to health care that I have put into a UK context in appendices covering health economics and statistics and the National Health Service.

Dr Comrie and his publishers Adam and Charles Black would have been delighted that their dictionary has flourished into a new century. The first editor might have found some of the 2002 edition's contents familiar, some intriguing and others baffling or downright unbeliev­able. Who in 1906 would have imagined growing new tissues from artificially cultured stem cells, computer-generated `virtual organs' or manipulating the mechanisms of heredity to prevent or cure congenital disorders? Another phenomenon that might have surprised him is the flow of medical `discoveries': some enter mainstream medicine, others do not. In the time between the preparation and publication of this volume there will be several such discoveries; their inevitable omission will, no doubt, be remedied in the 41st edition. Meanwhile, I hope that this 40th edition follows its predecessors' traditions and will be of practical value to all readers, whether members of the public, students and practitioners in the health and social care professions, or lawyers, actuaries and, indeed, anyone who needs an understanding of medical terms for their professional activities.

Black's Medical Dictionary is neither a textbook of medicine nor a formulary of therapeutic drugs. The many drugs that are included are given their generic title as used in the British Pharmacopoeia. Patients are individuals who react in varying ways to injuries, diseases and their treatments. Appendix 1 explains some basic first-aid procedures, but patients' own doctors are normally the appropriate source for personal medical advice. The dictionary should, however, help readers to decide when it would be wise to seek medical advice and subsequently help them to set such advice in context. 

Although every effort has been made to ensure accuracy, neither the publishers nor the author can be held responsible for any consequences if readers use the book for the treatment of themselves or others.

 

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