A modern guide to understanding your menstrual cycle, breaking through shame and stigma, and reclaiming your fifth vital sign through holistic nutrition, lifestyle, and self-advocacy.

Effective solutions for premenopause, bleeding due to fibroid tumors, hormonal imbalance, endometriosis, endometrial cancer, and low blood count.

What do you know about your menstrual cycle? Your menstrual cycle is your fifth vital sign — a barometer of health and wellness that is as telling as your pulse or blood pressure. Yet most of us see our periods as nothing more than a source of inconvenience and embarrassment. The reasons for this are vast and complex and many are rooted in misogyny. The fact is, women the world over are taught the bare minimum about menstruation, and the messages they do receive are negative: that periods are painful and gross, that they turn us into hormonal messes, and that they shouldn't be discussed. By examining the history of period shame and stigma and its effects on women’s health and wellness today as well as providing a crash course in menstrual self-care, Heavy Flow aims to lift the veil on menstruation, breaking the "curse" once and for all.

"This fiction book begins as eight frustrated midlife women-from all walks of life-meet Dr. Kailey Madrona, a woman specialist. All are in perimenopause, the long and chaotic transition to menopause. They are as different as women can be-yet they share the mysterious experiences of perimenopause, night sweats, flooding periods or mood swings. We follow these women as they consult Dr. Madrona, learn the surprising hormonal changes explaining their symptoms, get better or worse, and try or refuse therapies. As each woman lives through her particular challenge, we begin to see how we, too, can survive perimenopause! Dr. Jerilynn Prior tells the story of women in perimenopause through a unique blend of storytelling and scientific fact."--

This e-book will review special features of the cerebral circulation and how they contribute to the physiology of the brain. It describes structural and functional properties of the cerebral circulation that are unique to the brain, an organ with high metabolic demands and the need for tight water and ion homeostasis. Autoregulation is pronounced in the brain, with myogenic, metabolic and neurogenic mechanisms contributing to maintain relatively constant blood flow during both increases and decreases in pressure. In addition, unlike peripheral organs where the majority of vascular resistance resides in small arteries and arterioles, large extracranial and intracranial arteries contribute significantly to vascular resistance in the brain. The prominent role of large arteries in cerebrovascular resistance helps maintain blood flow and protect downstream vessels during changes in perfusion pressure. The cerebral endothelium is also unique in that its barrier properties are in some way more like epithelium than endothelium in the periphery. The cerebral endothelium, known as the blood-brain barrier, has specialized tight junctions that do not allow ions to pass freely and has very low hydraulic conductivity and transcellular transport. This special configuration modifies Starling's forces in the brain microcirculation such that ions retained in the vascular lumen oppose water movement due to hydrostatic pressure. Tight water regulation is necessary in the brain because it has limited capacity for expansion within the skull. Increased intracranial pressure due to vasogenic edema can cause severe neurologic complications and death.

This book describes in detail the clinical presentation, diagnosis, and management of a wide range of congenital bleeding disorders. It will assist readers in overcoming the significant challenges involved in clinical and laboratory diagnosis and in providing effective clinical care that makes optimal use of new products, including recombinant factor concentrate. The coverage ranges from hemophilia A and B and von Willebrand disease to rare bleeding disorders such as congenital factor V, factor X, factor XI, and factor XIII deficiency and inherited platelet function disorders. The exceptional attention to rarer conditions is of particular importance given the considerable risk of overlooking them during diagnosis, with potential consequences for disease-related morbidity and mortality. The authors are acknowledged specialists in the field from across the world who have particular expertise in the disorder that they discuss. The book will be of value to hematologists, oncologists, pediatricians, laboratory specialists and technicians, general physicians, and trainees.

This book includes the carefully edited contributions to the United Engineering Foundation Conference: The Aerodynamics of Heavy Vehicles: Trucks, Buses and Trains held in Monterey, California from December 2-6, 2002. This conference brought together 90 leading engineering researchers discussing the aerodynamic drag of heavy vehicles. The book topics include a comparison of computational fluid dynamics calculations using both steady and unsteady Reynolds-averaged Navier-Stokes, large-eddy simulation, and hybrid turbulence models and experimental data obtained from wind tunnel experiments. Advanced experimental techniques including three-dimensional particle image velocimetry are presented as well, along with their use in evaluating drag reduction devices.