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COMING TO TERM

MYSTERIES, MYTHS, AND THE LATEST SCIENCE OF MISCARRIAGE

While revealing a disconcerting dearth of scientific knowledge about its causes, Cohen’s work on miscarriage is a worthwhile...

A deft melding of what researchers are learning about miscarriage, persistent misconceptions about it, and deeply personal stories of women who have repeatedly miscarried.

Science writer Cohen (Shots in the Dark: The Wayward Search for an AIDS Vaccine, 2001) began delving into the subject of miscarriages after his wife had four in a row. Besides exploring the scientific literature, he interviewed and observed doctors working with their patients at clinics (in Boston, Vancouver, and London) that specialize in recurrent miscarriage; he also interviewed nearly one hundred women and their partners about the experience of miscarrying. In “Mother Nature,” Cohen looks at the biology of the female reproductive system, focusing on the mechanisms of miscarriage. Abnormal chromosomes, he reports, are the cause half the time or more, and, as women age, the frequency of abnormalities in their eggs increases. As for other causes, science has few clear-cut answers. In “Mysteries,” Cohen examines and rejects various ideas about causes, including a woman’s faulty immune system and contaminants in the environment. Fetuses, he says, are more rugged than we think, and the environment provided by the female body is remarkably protective. He also offers a warning tale about abortion interventions: the drug diethylstilbestrol, known as DES, once given to women to prevent miscarriage, turned out to cause grievous harm to pregnant women and their daughters. In “Hope,” Cohen tells the stories of couples seeking help in carrying babies to term and provides a close-up look at clinicians who are trying to help them. The success stories of women who carried to term after repeated failures puts a human face on a statistic Cohen uncovered early in his research: those who have had three or more consecutive miscarriages and become pregnant again will, with no treatment, carry to term 70 percent of the time.

While revealing a disconcerting dearth of scientific knowledge about its causes, Cohen’s work on miscarriage is a worthwhile addition to the literature and his reassuring message welcome.

Pub Date: Jan. 11, 2005

ISBN: 0-618-27724-2

Page Count: 288

Publisher: Houghton Mifflin

Review Posted Online: June 24, 2010

Kirkus Reviews Issue: Oct. 15, 2004

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COURAGE BEYOND THE GAME

THE FREDDIE STEINMARK STORY

A superb work that paints the resilient athlete as a fierce competitor and an unforgettable sportsman.

Heartfelt biography of a Texas football star whose life was cut short by cancer.

Inspired by interviews with coaches, teammates and friends and a 1971 autobiography, award-winning sportswriter Dent (Twelve Mighty Orphans: The Inspiring True Story of the Mighty Mites Who Ruled Texas Football, 2007, etc.) tracks Freddie Joe Steinmark’s early years and burgeoning career with the Texas Longhorns. From his childhood in 1950s Denver, Colo., Steinmark’s interest in sports flourished, carefully groomed and profoundly encouraged by his father, a self-made athlete turned cop who’d sacrificed a professional baseball career to raise his son. “A small child with fragile bones” yet dubbed “a born winner” by early mentors, Steinmark’s diminutive stature proved a surprisingly suitable match for his steely, fearless determination on the field. Dent budgets his narrative wisely, proffering equal parts sports achievement and personal accomplishment in tracing his subject’s incremental ascent to greatness as he earned the admiration of fellow teammates like star quarterback Roger Behler. As the Longhorns’ “golden boy” key safety, the “155-pound peach-fuzz kid” exhibited drive and tireless perseverance on the gridiron, making him a respected letterman under Coach Darrell Royal. However, soon after a game-saving field performance, Steinmark suffered a crushing blow when he was diagnosed with an aggressive form of bone cancer that would eventually claim his life at 22. Dent also includes the story of Steinmark’s shyly romantic courtship of high-school sweetheart Linda Wheeler, an intensive love that endured throughout their tenure together at the University of Texas. The author also bolsters the biography with a fond foreword from current Texas head coach Mack Brown, who, to this day, continues to memorialize Steinmark’s legacy by bringing his photograph along to the team’s away-games.

A superb work that paints the resilient athlete as a fierce competitor and an unforgettable sportsman.

Pub Date: Aug. 16, 2011

ISBN: 978-0-312-65285-2

Page Count: 307

Publisher: Dunne/St. Martin's

Review Posted Online: June 7, 2011

Kirkus Reviews Issue: June 15, 2011

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HEALING OUR VILLAGE

A SELF-CARE GUIDE TO DIABETES CONTROL

Authoritative and, most helpfully, accessible.

Self-help guide for diabetes sufferers, mostly in question-and-answer format, with an emphasis on helping racial and ethnic minority diabetics.

Coleman is a pharmacist with a doctorate in her specialty, Gavin a Ph.D. and M.D. Aside from acknowledgments and a foreword signed by Gavin alone, their voices and expertise are indistinguishable, offering lucid, simple solutions for diabetes patients. Gavin relates watching his great-grandmother endure debilitating pain as a result of diabetes while he visited her as a youngster. He remembers hearing adults mention that sugar killed her, and he wondered how something that tasted sweet could cause so much harm. As an adult, he realized that his great-grandmother's affliction could be controlled through treatment. The authors focus on Type 2 diabetes, the most common form in minority populations. An estimated 18.2 million Americans are diabetic, with perhaps 5 million unaware of their situation. About 11 percent of U.S. diabetics are African-American, and about 8 percent are Latino. The question-and-answer format begins with an overview section about diabetes, with an emphasis on risk factors. Section Two covers management of the disease, including nutrition, exercise, blood-testing, oral medications and insulin use. In addition, the authors continually recommend smoking cessation, as well as instructing patients on the readiness of self-treatment. Section Three explains the complications—high blood pressure, high cholesterol and heart disease—that could arise if the condition remains untreated or treated ineffectively. The questions in all of the sections are worded simply, and the answers are usually free of medical jargon. Though the sudden shifts in tone and voice are occasionally jarring, the writing remains clear enough to distill the facts. The real downside here, though: patronizing, laughable illustrations that degrade the overall product.

Authoritative and, most helpfully, accessible.

Pub Date: Jan. 31, 2004

ISBN: 0-9746948-0-0

Page Count: -

Publisher: N/A

Review Posted Online: May 27, 2010

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