Lewis Thomas, in his semi-autobiographical book The Youngest Science:
Notes of a Medicine-Watcher, reminisced about his father, an internist in the
early twentieth century who would sit by his patient, holding his hand while
nature affected the cure. There was little else he could offer. Now, after
almost 100 years, we have crossed vast frontiers in medicine, from hormones
to the immune system to unlocking the promise of genomics. We have
relegated diseases such as erythroblastosis to the history books and transformed
AIDS from a death sentence to a chronic illness.
For both patient and the practitioner, few things are as dramatic and rewarding
as childbirth. After months of anticipation and careful antepartum care, labor
is the last phase of pregnancy in which prudent decisions can improve outcome.
With over 130 million births in the world, 4 million of which occur in the
United States, it is imperative that the clinicians are current on the recent developments
of intrapartum management.
The first edition of Harrison’s Principles of Internal Medicine was
published more than half a century ago. Over the decades, this textbook
has evolved to reflect the continuing advances in the field of
internal medicine and to meet the growing information base required
of medical students and clinical practitioners. The users of this sixteenth
edition of Harrison’s will not even have to open the volume to
see that it marks a transition point in the book’s history. The new cover
is only the most obvious indication of a new direction for Harrison’s.
More than 19 million Americans have diabetes—a condition that
can produce life-threatening complications. Of the two major
forms of diabetes—type 1 and type 2—type 2 comprises 90 to 95 percent
of all cases in the United States. An additional 13 million people
have the precursor to type 2 diabetes, called prediabetes. Worldwide,
type 2 diabetes affects more than 190 million people, and some experts
predict that if the current trends continue that figure could surge to
over 300 million by the year 2025....
The need to efficiently deliver and process information in the healthcare and biomedical sectors is a
primary concern among practitioners, researchers, and patients alike. Medical informatics—a field that
has emerged at the intersection of information technology and medicine—has transformed modern
healthcare and created new, more pervasive methods for access to information, records, and even medical
IN the year 1883 a legacy of eighty thousand dollars was left to the President and Fellows of Yale College in
the city of New Haven, to be held in trust, as a gift from her children, in memory of their beloved and honored
mother, Mrs. Hepsa Ely Silliman.
On this foundation Yale College was requested and directed to establish an annual course of lectures designed
to illustrate the presence and providence, the wisdom and goodness of God, as manifested in the natural and
moral world. These were to be designated as the Mrs. Hepsa Ely Silliman Memorial Lectures. It was the belief
of the testator...