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Shari'a and Social Engineering: The Implementation of Islamic Law in Contemporary Aceh, Indonesia (Oxford Islamic Legal Studies), by R. Mi

This book seeks to open new lines of discussion about how Islamic law is viewed as a potential tool for programs of social transformation in contemporary Muslim society. It does this through a critical examination of the workings of the state shari'a system as it was designed and implemented at the turn of the twenty-first century in Aceh, Indonesia. While the empirical details of these discussions are unique, this particular case presents a remarkable site for investigating the broader issue of the impact of instrumentalist, future-oriented visions of Islamic law on modern Muslim calls for the state implementation of Islamic law. In post-tsunami/post-conflict Aceh, the idea of shari'a as an exercise in social engineering was amplified through resonance with an increasingly pervasive rhetoric of 'total reconstruction'.

Based upon extensive fieldwork as well as critical readings of a wide range of archival materials, official documents, and local publications this work focuses on the institutions and actors involved with this contemporary project for the state implementation of Islamic law. The individual chapters are structured to deal with the major components of this system to critically examine how these institutions have taken shape and how they work. It also shows how the overall system was informed not only by aspects of late twentieth-century da'wa discourses of Islamic reform, but also modern trends in sociological jurisprudence and the impact of global models of disaster relief, reconstruction, and development. All of these streams of influence have contributed significantly to shaping the ways in which the architects and agents of the state shari'a system have attempted to use Islamic legislation and legal institutions as tools to steer society in particular desired directions.

  • Sales Rank: #2940797 in Books
  • Published on: 2014-02-12
  • Original language: English
  • Number of items: 1
  • Dimensions: 6.40" h x 1.10" w x 9.30" l, .0 pounds
  • Binding: Hardcover
  • 368 pages

Most helpful customer reviews

2 of 2 people found the following review helpful.
A must read for all interested in Islamic law, Indonesian social transformation and post-disaster reconstruction.
By PD
This book is an excellent and highly insightful look at the formation of Islamic Law within Aceh, Indonesia from both an historical and anthropological perspective. It outlines the religious, social and political dynamics that morphed visions of Shari’a in Aceh over the past century. The author demonstrates an extensive formal understanding of Islamic law, in-depth knowledge about the history of Shari’a in Indonesia, and an intimate perspective on how the project of Shari’a is seen on the ground in Aceh. Furthermore, for an Islamic legal scholar, the author did well to discuss the nuances of the post-tsunami reconstruction and craft a book that is equally relevant to students of Islamic Law and practitioners within the emergency humanitarian sector. A highly informative, well argued, and surprisingly accessible book on a poorly understood subject.

1 of 4 people found the following review helpful.
The book fails to provide a convincing argument that the adoption and implementation of shari‘a law is not driven by politics
By Michael Buehler
In his most recent book, Michael Feener calls for a fresh perspective on the
adoption of Islamic law in Aceh, Indonesia’s westernmost province. Such a new
analytical focus is necessary, according to Feener, because the existing literature has a
tendency to portray the adoption of shari‘a laws in Aceh as the result of a national
government plan to bring the province under its control and to suppress support for
the Free Aceh Movement. However, the adoption of shari‘a laws in Aceh is not
politically motivated, Feener argues. Rather, it is primarily driven by a distinct history
during which Aceh’s religious establishment developed an increasingly
instrumentalist view of Islamic law, in combination with a local desire to “remake”
Aceh in the aftermath of the Boxing Day tsunami that devastated large parts of the
province on December 26, 2004.

The dynamics behind the adoption of shari‘a laws in Aceh are indicative of a
broader shift in the legal discourse surrounding Islamic law and show the need for a
reinterpretation of why Islamic law is being adopted within the context of modern
nation states. Shari‘a law in other countries, too, is increasingly seen in an
instrumentalist fashion and understood to stand in the service of “future-oriented
agendas for social transformations” (p. xi), which aim at “stimulating and channeling
social change in desired directions” (p. 3), according to Feener.

In Chapter 2, Feener provides a history of shari‘a law in Aceh province and shows
how Islamic law has become a defining element of Acehnese identity over time. Feener
is particularly interested in examining the discourses that occurred within Acehnese
society on how to position itself vis-à-vis “Islam.” The first part of the chapter shows
how, initially, shari‘a law was adopted to bolster the legitimacy of rulers and how, over
time, justification for shari‘a law has shifted to a discourse about the role of the state in
managing religious affairs. Feener then shows in the second part of the chapter how
this discourse gave birth to a new “da’wa paradigm” in the latter half of the twentieth
century that emphasized the use of Islamic law as a tool for social engineering and how
this discourse shaped the formation of the legal system in Aceh province.

Chapter 3 shows how the education system in the province has formed present-day
views on what role Islamic law ought to play in contemporary Aceh. The education
system has not only shaped the definition and understanding of what “Islamic values”
are, but has also contributed to the organizational structure of the shari‘a regime in the
province. Concretely, Feener shows that the campus of the State Institute for Islamic
Studies (Institut Agama Islam Negeri, IAIN) “has played a primary role in the design,
development, leadership, and day-to-day operations of the state institutions
responsible for the implementation of Islamic law under the current Shari‘a system” (p.
12).

Another institution that has played a pivotal role in the “shari‘a-ization” of Aceh
province and in shaping the discourse around it is the Ulama Council. Chapter 4
shows how the Ulama Council had been established by the Indonesian national
government in an attempt to curb dissent in the region. Later, the government used the
council to propagate the state’s “development” programs. Today, the Ulama Council
occupies a pivotal role in the discourse on what constitutes “acceptable” forms of
Islamic belief and practice in the province and is also a key player in the dissemination
of “modern Islamic discourses of social transformation” across Aceh (p. 13).
In chapter 5, Feener examines Islamic law in Aceh in its concrete manifestations
over time. He shows that much of current Islam-influenced legislation is linked to
efforts in the 1960s to introduce such laws in the province, including laws on the
consumption of alcohol, gambling, and relations between the sexes. A comprehensive
framework for Aceh’s Islamic legal system was only established after Indonesia’s
political opening in 1998, however, and renewed attempts to strike peace with the Free
Aceh Movement that ensued from it. Again, Feener uses this historical account of
earlier attempts to adopt Islamic law to show that the present-day shari‘a system was
by no means imposed by the national government for political purposes, but that local
forces pushed for the adoption of Islamic law for decades.

The following chapters explore shari‘a bureaucracy as it has developed over time in
Aceh, and its role in the implementation of Islamic law across the province. Chapter 6
looks at the Islamic courts over the past seventy years. The chapter also describes a
court case that went through the Islamic legal system in 2005. Both the account of the
historical trajectory of Aceh’s court system as well as the present-day case study show
how the provincial Islamic legal system has become almost completely integrated into
the country’s legal system. Yet, the instrumentalist vision of Islamic law that has
developed in Aceh in past decades continues to be visible in the types of cases Islamic
courts take on across the province, all of which “stress the importance of setting proper
examples to reinforce the standards of public morality prescribed in [Islamic laws]” (p.
14).

Chapter 7 focuses on another part of Aceh’s shari‘a bureaucracy, namely, the State
Shari‘a Agency (Dinas Syariat Islam, DSI). This coordinating body for the
implementation of Islamic law across the province interests Feener because its guiding
principles are deeply rooted in the da’wa paradigm that developed in Indonesia in the
1960s, and which has become popular in Aceh in past decades. Once again, Feener
argues, the ideological basis of the DSI shows that the adoption and implementation of
Islamic law is part of a forward-looking project that aims at improving governance
through establishing a government system based on the rule of law.
In chapter 8, Feener joins Aceh’s shari‘a police (Wilayatul Hisbah, WH) on patrols
and examines the interchange between the formal legal system and society. This
exercise reveals how the operations of the WH and its involvement (or intrusion,
depending on one’s view) in the daily lives of ordinary Acehnese are again informed
by “conceptions of public pedagogy” (p. 15) rather than a backward-looking
interpretation of Islamic law. Feener argues that Aceh’s shari‘a police, therefore, also
contribute to the broader project of remodeling Acehnese society.

Finally, a broader discussion of how instrumentalist views of Islamic law have
developed in Aceh is provided in chapter 9. Feener not only shows how concepts
developed in US-American sociological jurisprudence in the twentieth century have
and continue to inform the discourse on Islamic law in Aceh (and Indonesia in
general), but also how understanding the trajectory of Islamic law in Aceh deepens our
understanding of the discourse surrounding the adoption and implementation of
shari‘a in the broader Muslim world. Aceh shows the importance of examining
critically what the idea of a state based on “Islamic law” may actually entail in a
specific local context rather than reacting reflexively to abstract agendas that push for
the adoption of Islamic law, as has occurred frequently in the aftermath of the Arab
Spring, with “various admixtures of fear and disdain” (p. 16). In other words, the
discourse surrounding the adoption and implementation of Islamic law in Aceh shows
that “conventional wisdom on calls for the implementation of Islamic law as
expressions of identity politics and/or atavistic dreams of a return to the time of the
Prophet is insufficient to understand the complexity and dynamism of evolving
understandings of Shari‘a and society in the contemporary world” (p. 276).
Feener’s book is an excellent, in-depth case study on what drives the shari‘a agenda
in Aceh, a region that continues to be a reference point for many other provinces in
Indonesia. Feener’s argument that the Islamic law agenda is a forward-looking project
that is driven by society’s most proactive and well-connected members not only shows
the misperceptions of accounts that have portrayed the adoption of Islamic law in
Indonesia as a desperate measure by local politicians to establish authority in
provinces and districts with low state capacity,but also the crucial role state
institutions have played in pushing the Islamization of Aceh forward. Particularly
important in this respect is Feener’s account of the role that IAIN has played (and
continues to play) in the adoption of Islamic law. The local branches of IAIN are
usually portrayed by experts as supportive of liberal Islam, and even “bulwarks of
intellectual freedom and tolerance.”

Overall, however, Feener’s argument that the recent adoption and implementation
of Islamic law is not politically motivated is unconvincing. While Feener states early on
in his book that the goal of his study is to merely complement accounts that see the
adoption of Islamic law in Aceh as a political project of Jakarta elites (and their local
allies) or a reactive measure by conservative, inward-looking forces against the West,
he reiterates his argument more forcefully towards the end of his book and states that
the adoption of shari‘a laws in Aceh was “mainly” the result of a combination of
apolitical factors, such as an instrumentalist understanding of Islamic law that
developed over time in the province; the devastation of large parts of Aceh by the 2004
tsunami, which swept away the stalemate between the Indonesian government and the
Free Aceh movement and allowed for a peace settlement; and an influx of foreign aid
workers in the aftermath of the catastrophe, which triggered a discourse on “building
Aceh back better” (p. 253) and provided a fertile ground for discussions about a total
transformation of society from the ground up.

Yet, dynamics surrounding the adoption and implementation of Islamic law in
other parts of Indonesia where aforementioned factors are absent have been strikingly
similar to the developments Feener encountered in Aceh province. For instance, the
adoption and implementation of shari‘a law is often justified in similar, “forwardlooking”
terms and presented as a project that aims at the overall improvement of
society. In West Java, a province where, as Feener points out himself (pp. 168–69), the
religious establishment differs in important ways compared to Aceh (e.g., many more
Islamic judges have a pesantren background compared to Aceh, where most shari‘a
court judges have degrees from IAIN; and judges in West Java usually cite Arabic fiqh
texts in court decisions, while their counterparts in Aceh interpret the law closer to
models set out by the Indonesian state in the Compilation of Islamic Law),
justifications for the adoption of Islamic laws nevertheless follow a similar forwardlooking,
modern narrative. For instance, in Cianjur, the district in West Java province
that had adopted the most shari‘a regulations at the time of writing, the district head,
Wasidi Swastomo, told the media during a press conference held after his inauguration
in 2001 that “in order to fight for better conditions in the world in this time of moral
crisis, the Islamic community, particularly in Cianjur, demands from the local
government [that it become] directly involved in fostering the community and
establishing moral values through adopting Shari‘a Law for the Islamic community of
Cianjur.”

When Swastomo unveiled his comprehensive shari‘a program, titled “The
Gate to Marhamah,” an acronym for “The Movement for the Development of a Noble
Society” (Gerbang Marhamah, Gerakan Pembangunan Masyarakat Berakhlakul Karimah),
he also expressed his confidence that, after the adoption of his shari‘a agenda, the
bureaucracy would be completely overhauled: “Hopefully, employees will work
diligently, are no longer lying, and, of course, no longer corrupt.”5
Finally, during his time in office, Swastomo invited “Islamic music” groups to write songs that praised his
Islamization campaign and provided them with money for recordings.6
In 2002, Yus Wiradiredja,a famous local artist, and his group Ath-Thawaf released two music
tapes financed by the district government. The first tape, “Gerbang Marhamah,”
contained a speech by Swastomo and a song about Cianjur’s “noble society.” The lyrics
read:
Gerbang Marhamah/Cianjur lives in comfort and the Islamic way/Gerbang
Marhamah/A means for vital power in eternity/Gerbang Marhamah is our purpose/The essence for an Islamic community with a noble/moral character/
Gerbang Marhamah/Take a firm decision to be pure, show honesty/Gerbang
Marhamah we establish the entire Islamic religion for pursuing matters that are
approved by Allah
[Chorus] Cianjur lives in comfort and the Islamic way/We have to make it fit, we
need to prove it/Cianjur lives in real comfort/Gerbang Marhamah is the means
for this.

In short, forces pushing for the adoption and implementation of Islamic law in
other parts of the archipelago, too, have justified the adoption of Islamic laws by
referring to how it will result in deep-reaching societal transformation and increase the
efficiency of the bureaucratic apparatus and eventually improve the governance of the
modern nation-state, which the bureaucracy serves. In other words, the adoption of
shari‘a laws based on a vision that “actively engages with modern developments …”
that Feener described for Aceh (p. 260) also occurs in parts of Indonesia that do not
share the distinct characteristics of the Aceh case that were driving the adoption of
shari‘a law there, according to Feener’s argument.

In addition, Feener’s argument that shari‘a laws began to be adopted quickly and
widely only after the devastation caused by the 2004 tsunami and in the context of a
discourse on “social engineering” and “building back better” that ensued from an
influx of foreign aid workers, is again undermined by the similar trajectory the
adoption of shari‘a laws has followed in other parts of Indonesia. While the legal
framework to adopt Islamic law has been in place since 1999, there was an uptick in the
adoption of shari‘a regulations across the country in 2005, that is, soon after direct
elections for local government heads were introduced that year. These direct elections
increased the need for local politicians to be seen as innovative and visionary.
It is difficult, in other words, to disentangle the effects that the late-2004 natural disaster
had on the Islamization in Aceh from the effects changes in the political system had on
the adoption of Islamic law throughout the province.

Finally, Feener’s study provides various accounts of how the adoption—
particularly the implementation—of shari‘a law in Aceh is defined by political
dynamics. Feener not only shows how the implementation of shari‘a laws and the
works of the DSI (p. 193) “are contingent upon the support of the district head …” and
how “as a result there has not been any uniform implementation of such programs
across the province as a whole …” (p. 194), but also how the funds available for the
implementation of Islamic laws are closely tied to the rise and fall of local
governments, particularly local government heads (p. 213). These dynamics are, again,
very similar to those in other parts of the archipelago, where elites controlling key
positions in the local state apparatus define the Islamization of politics by mediating
the influence of Islamist activists situated in society.

Overall, then, Feener’s book fails to provide a convincing argument that the
adoption and implementation of shari‘a law is not driven by political factors. The
shari‘a-ization of Aceh may indeed not have resulted from the strategizing of national
political elites based in Jakarta vis-à-vis rebellious local forces. Yet, situating Aceh in
the context of broader developments in Indonesian local politics since political reforms
in 1998, suggests that local political conditions—such as the introduction of direct
elections in the context of democratization; the decentralization of political and fiscal
power to subnational governments; the competition between local elites and the
ensuing pressures for contenders for local government office to engage in rhetoric
heavy in references to development; good governance and modernization; as well as a
need all politicians whose political fortunes depend on mass support have to “appeal
to the presumed values of subordinates … [that] aims at showing how power is in fact
exercised on behalf of the best interests of subordinates,” but which in reality “serves
cosmetically to beautify power, to highlight its beneficent side, and to obscure nasty
truths”—all strongly suggest that the adoption and implementation of shari‘a law in
Aceh and elsewhere is an inherently political project.

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  • Sales Rank: #2091016 in Books
  • Brand: Brand: Editorial Kier
  • Published on: 2005-01-15
  • Original language: Spanish
  • Number of items: 1
  • Dimensions: .41" h x 5.56" w x 7.96" l, .49 pounds
  • Binding: Paperback
  • 157 pages
Features
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An Introduction to Building Procurement Systems, by Jack Masterman

Building procurement systems are the organisational structures within which the design and construction of building projects take place. The intention of this guide is to provide construction students and junior professionals with sufficient information about the systems to ensure an awareness of the main methods that are currently available and their principal advantages and drawbacks.This clear, well researched and well-structured guide will be invaluable to students and practitioners alike as they work with a wide range of building procurement systems.

  • Sales Rank: #7009493 in Books
  • Published on: 2002-01-13
  • Released on: 2001-11-22
  • Original language: English
  • Number of items: 1
  • Dimensions: 11.00" h x .58" w x 8.50" l, .86 pounds
  • Binding: Paperback
  • 256 pages

About the Author
Lately Property Director responsible for the management of the property portfolio and development activities of the Welsh Development Agency, in North Wales, with more than forty years experience of managing major development projects and large organisations in the United kingdom, the Far East, Middle East and Africa.

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Sabtu, 20 September 2014

[P848.Ebook] Ebook A House Dividing: The Lincoln-Douglas Debates of 1858 (Dialogues in History), by Stephen Berry

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A House Dividing: The Lincoln-Douglas Debates of 1858 updates the Lincoln-Douglas debates for the sound-bite era. Instead of 100,000 words, this volume in the Dialogues in History series gives students 20,000 words from the debates. Rather than long, uncontested ramblings, it offers rapid-fire accusations and responses. Despite their reputations as intellectual heavyweights, Lincoln and Douglas were not above mudslinging; their arguments prove surprisingly studded with ad hominem attacks, political grandstanding, and gross appeals to the candidates' respective bases.

Historians generally agree on Civil War causality: a disagreement over the right of slaveholding in the territories caused secession; a disagreement over the right of secession caused the Civil War. A House Dividing places these political disagreements at the center of the narrative. Watching the cut-and-thrust of past political theater draws students into discussions of the continued importance of the political process as the place where the national agenda is set and executed.

  • Sales Rank: #1128726 in Books
  • Published on: 2015-09-14
  • Released on: 2015-09-14
  • Original language: English
  • Number of items: 1
  • Dimensions: 6.10" h x .50" w x 9.10" l, .40 pounds
  • Binding: Paperback
  • 120 pages

Review

"Berry provides students with the opportunity to delve into the heart of the Lincoln-Douglas debates so that they can wrestle with the question of slavery's expansion that especially bedeviled Americans in the years before the Civil War."--Robert Tinkler, California State University, Chico


"A House Dividing is a carefully crafted, edited version of the Lincoln-Douglas debates designed to introduce readers to the evolution of Abraham Lincoln as a politician on the national stage and the role that Stephen Douglas played in abetting that transformation."--Alan C. Downs, Georgia Southern University


"A House Dividing provides an excellent example for how oratorical give-and-take came to define the modern debate format and how Lincoln and Douglas reflected democracy at work within the confines of a capitalist marketplace. Lincoln set the tone for winning not only the day and the moment, but also in laying the foundation for a fundamental shift in vision for the democratic republic."--Steve Engle, Florida Atlantic University


"A House Dividing injects an energy and relatable excitement into the debates long lacking in other works."--Cheryl A. Wells, University of Wyoming


About the Author

Stephen Berry is Amanda and Greg Gregory Professor of the Civil War Era at the University of Georgia. He is the author or editor of several books, including Weirding the War: Stories from the Civil War's Ragged Edges (2011) and House of Abraham: Lincoln and the Todds, A Family Divided by War (2009).

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[ Every Nine Seconds (Original) (Queer as Folk) , by Brockton, Joseph ( Author ) Paperback 2003 ], by Joseph Brockton

  • Published on: 1828
  • Binding: Paperback

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Jumat, 19 September 2014

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Humour

  • Sales Rank: #3470638 in Books
  • Published on: 1981
  • Binding: Paperback
  • 47 pages

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Five Stars
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One of the funniest cat books ever written.

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[M749.Ebook] PDF Ebook Biotechnology: Academic Cell Update Edition, by David P. Clark, Nanette J. Pazdernik

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Now available with the most current and relevant journal articles from Cell Press, Biotechnology Academic Cell Update Edition approaches modern biotechnology from a molecular basis, which grew out of the increasing biochemical understanding of physiology. Using straightforward, less-technical jargon, Clark and Pazdernik manage to introduce each chapter with a basic concept that ultimately evolves into a more specific detailed principle. This up-to-date text covers a wide realm of topics, including the forensics used in crime scene investigations, the burgeoning field of nanobiotechnology, bioethics and other cutting edge topics in today’s world of biotechnology.



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  • Sales Rank: #1175269 in eBooks
  • Published on: 2011-01-06
  • Released on: 2011-01-06
  • Format: Kindle eBook

Most helpful customer reviews

0 of 1 people found the following review helpful.
Good but can improve (especially for KINDLE Readers)
By R. Wolfcastle
For this review I am referring to the Kindle edition. I like the book and it could be 4-5 stars but there is a lot of room for improvement in my opinion.

For kindle readers... the pictures are tiny. It is very difficult to read this book from a phone or a tablet because kindle refuses to let you zoom in on the pictures.

From a text perspective... the material is good and the author explains things very clearly. My only gripe is that the author references future chapters quite often, and it's not easy to read from cover to cover. I think in the 'intro' parts like chapters 1-3, he could explain things in a little more detail so you don't have to keep flipping to the next chapter.

Otherwise I like it!

0 of 1 people found the following review helpful.
Great book for my classes
By Juan Rodriguez Fernandez
I teach a high school class of Biotechnology and I found this book to be a great resource to use. It covers a lot of information regarding most of the basic biotechnological topics. I don't like the illustrations and how kindle doesn't really support the zoom in for this book, so the images sometimes look very fuzzy and unclear.
Other than that the book is highly recommended.

0 of 1 people found the following review helpful.
Great bargain
By Justin Standridge
As most students know, saving money is important. I couldn't believe the money I saved buying this item here versus the college bookstore or any local bookstore. This book had everything that was required by the teacher and I paid about $100 less than the person sitting next to me in class.

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"The Flexible AC Transmission System (FACTS) -- a new technology based on power electronics -- offers an opportunity to enhance controllability, stability, and power transfer capability of AC transmission systems. Pioneers in FACTS and leading world experts in power electronics applications Narain G. Hingorani and Laszlo Gyugyi have teamed together to bring you the definitive book on FACTS technology.

Hingorani and Gyugyi present a practical approach to FACTS that will enable electrical engineers working in the power industry to understand the principles underlying this advanced system. UNDERSTANDING FACTS will also enhance expertise in equipment specifications and engineering design, offering an informed view of the future of power electronics in AC transmission systems.

This comprehensive reference book provides an in-depth look at:
* Power semiconductor devices
* Voltage-sourced and current-sourced converters
* Specific FACTS controllers including SVC, STATCOM, TCSC, SSSC, UPFC, IPFC plus voltage regulators, phase shifters, and special controllers with a detailed comparison of their performance attributes
* Major FACTS applications used in the United States.


UNDERSTANDING FACTS is an authoritative resource that is essential reading for electrical engineers who want to stay on the cusp of the power electronics revolution."

Sponsored by:
IEEE Power Engineering Society.

  • Sales Rank: #1266139 in Books
  • Brand: Brand: Wiley-IEEE Press
  • Published on: 1999-12-24
  • Original language: English
  • Number of items: 1
  • Dimensions: 10.20" h x 1.07" w x 7.17" l, 2.16 pounds
  • Binding: Hardcover
  • 452 pages
Features
  • Used Book in Good Condition

From the Back Cover
Electrical Engineering Understanding FACTS Concepts and Technology of Flexible AC Transmission Systems The Flexible AC Transmission System (FACTS)—a new technology based on power electronics—offers an opportunity to enhance controllability, stability, and power transfer capability of ac transmission systems. Pioneers in FACTS and leading world experts in power electronics applications, Narain G. Hingorani and Laszlo Gyugyi, have teamed together to bring you the definitive book on FACTS technology. Drs. Hingorani and Gyugyi present a practical approach to FACTS that will enable electrical engineers working in the power industry to understand the principles underlying this advanced system. Understanding FACTS will enhance your expertise in equipment specifications and engineering design, and will offer you an informed view of the future of power electronics in ac transmission systems. This comprehensive reference book provides in-depth discussions on:

  • Power semiconductor devices
  • Voltage-sourced and current-sourced converters
  • Specific FACTS Controllers, including SVC, STATCOM, TCSC, SSSC, UPFC, IPFC plus voltage regulators, phase shifters, and special Controllers with a detailed comparison of their performance attributes
  • Major FACTS applications in the U.S.
Understanding FACTS is an authoritative resource that is essential reading for electrical engineers who want to stay on the cusp of the power electronics revolution.

About the Author
About the Authors...
Narain G. Hingorani is credited with originating the concepts of FACTS and Custom Power. He is a retired vice president of Electrical Systems at EPRI and provides consulting services that help utilities plan and purchase power electronics technology. Dr. Hingorani has published widely on HVDC and ac transmission and is coauthor of High Voltage Direct Current Power Transmission (Garaway Ltd., 1960). Dr. Hingorani is the recipient of the 1985 Uno Lamm Medal of the IEEE Power Engineering Society for outstanding contributions to High Voltage Direct Current Technology and the 1995 IEEE Lamme Medal for leadership and pioneering contributions to the transmission and distribution of electric power. He is a Fellow of the IEEE and in 1988 he was elected to the National Academy of Engineering.
Laszlo Gyugyi is technical director at Siemens FACTS & Power Quality Division in Orlando, Florida. His research covers a broad range of power electronic circuits and systems. In collaboration with B. R. Pelly, Dr. Gyugyi established the theoretical foundations of ac to ac switching converters in Static Power Frequency Changers (John Wiley & Sons, 1976). Subsequently, he has focused on the development of new power electronic technologies for electric transmission and distribution systems, and has pioneered the converter-based approach for FACTS. Dr. Gyugyi has published more than 50 papers in the field and holds 76 U.S. patents. He is the recipient of the 1992 Westinghouse Order of Merit, the 1994 William E. Newell Power Electronics Award of the IEEE Power Electronics Society, and the first Flexible AC Transmission System (FACTS) Award given by the IEEE Power Engineering Society in 1999. He is a Fellow of the IEE.

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1 of 1 people found the following review helpful.
Understanding FACTS
By R. M. Falconer
A good general overview of the role of FACTS devices and their capabilities. This book is sure to become a classic reference book as the technology develops over the next few years, primarily because it is authored by the original developer of FACTS devices - Dr Hingorani. The technical content is acessable to both undergraduates and practicing engineers.

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Nitrogen is one of the most critical elements for all life forms. In agricultural systems it is essential for the production of crops for feed, food, and fiber. The ever-increasing world population requires increasing use of nitrogen in agriculture to supply human needs for dietary protein. Worldwide demand for nitrogen will increase as a direct response to increasing population.

Nitrogen in the Environment provides a wholistic perspective and comprehensive treatment of nitrogen. The scope of this book is diverse covering a range of topics and issues related to furthering our understanding of nitrogen in the environment at farm and national levels. Issues of nitrogen from its effects on crops and human nutrition to nitrogen in ground water, watersheds, streams, rivers, and coastal marine environments are discussed to provide a broad view of the problem and support scientists, researchers, and engineers in formulating comprehensive solutions.

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  • Sales Rank: #4228549 in Books
  • Published on: 2008-07-30
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.00" h x 6.25" w x 1.25" l, 2.30 pounds
  • Binding: Hardcover
  • 720 pages

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The PCOS Diet Plan: A Natural Approach to Health for Women with Polycystic Ovary Syndrome, by Hillary Wright

Polycystic Ovary Syndrome is the most common hormonal disorder among women of reproductive age, and if left unchecked, is linked to serious health issues like infertility, type 2 diabetes, heart disease, and endometrial cancer. In this groundbreaking book, registered dietitian Hillary Wright explains this increasingly diagnosed disorder and introduces the holistic symptom-management program she developed by working with hundreds of patients. With Wright’s proven diet and lifestyle-based program, you can influence your reproductive hormones and take charge of your health. Featuring a carbohydrate distribution approach at its core, The PCOS Diet Plan also zeroes in on exactly what exercise, supplements, and self-care choices you can make to feel better every day.
 
With information on how to develop healthy meal plans, choose a sustainable exercise routine, relieve stress, address fertility issues, and find emotional support, this accessible, all-in-one guide will be your trusted companion to a better life.

  • Sales Rank: #118884 in Books
  • Published on: 2010-11-09
  • Released on: 2010-11-09
  • Original language: English
  • Number of items: 1
  • Dimensions: 8.20" h x .70" w x 5.50" l, .66 pounds
  • Binding: Paperback
  • 256 pages

Review
“Hillary Wright’s book on PCOS is a must-read for the millions of women affected by this common disorder. It not only explains the why of PCOS, but offers practical solutions that are critical to beat the disorder. This book empowers women to understand their bodies and live longer and healthier lives.”
--Michael M. Alper, MD, Associate Clinical Professor of Obstetrics and Gynecology, Harvard Medical School
 
“This comprehensive, researched-based resource demystifies PCOS and offers hope to women with the condition. Wright’s wealth of professional knowledge shines through on every page, and I am particularly impressed by how deftly she translates the latest scientific studies about PCOS into specific diet and lifestyle advice that’s easy to incorporate into your daily routine.”
--Elizabeth M. Ward, MS, RD, author of Expect the Best: Your Guide to Healthy Eating Before, During, and After Pregnancy

About the Author
Hillary Wright, M.Ed, RD, is the director of nutritional counseling at the Domar Center for Mind/Body Health at Boston IVF, a Harvard-affiliated fertility treatment center, and a nutritionist at the Dana Farber Cancer Institute in Boston. She lives with her husband and three sons in Arlington, Massachusetts.

Excerpt. © Reprinted by permission. All rights reserved.
Chapter 1

The Mystery of PCOS
 
Many people are unfamiliar with the strange-sounding condition of polycystic ovary syndrome (PCOS). From infertility to heart disease, the broad reach of PCOS can intimidate and overwhelm even the most health-conscious women who are up to speed on the connection between their diet, lifestyle, and health. There’s a lot to learn, and a lot we still don’t understand about the syndrome. Common reactions to a diagnosis of PCOS include the following:
 
• Confusion. What exactly is this condition that has the potential to affect so many aspects of my health, but that many health-care providers seem to know so little about?
 
• Frustration. Why, after complaining about my symptoms to health-care providers for years, am I just now finding out what this is? (For those trying to get pregnant, the timing couldn’t be worse.) Now I have to figure out how to manage this complex condition in the hope a new diet and lifestyle will help me get pregnant.
 
• Stress. All the information is confusing, and none of it sounds good. Feeling like I have to change so many things about my lifestyle to get better is overwhelming and even paralyzing.
 
• Relief. Even though I’m not happy about having PCOS, now at least I know what I’m dealing with.
 
• Motivation. PCOS could have lasting effects on my health and fertility. I want to get a grip on my symptoms and participate fully in my care.
 
Although certainly no one hopes for a diagnosis of PCOS, if you’ve finally received the diagnosis, rest assured that this is a condition you can do something about. The diet and lifestyle changes that can help you manage your PCOS are not extreme recommendations. If more Americans in general (both men and women, old and young) adopted these recommendations, we’d see a decline in nearly every chronic health problem: heart disease, diabetes, obesity, high blood pressure, cancer, and possibly many others. Eating well and leading an active lifestyle have such far-reaching effects on one’s health and quality of life: more energy, improved mood, better sleep, improved self- and body image, better sex, and less stress, to name just a few benefits.
 
A certain amount of the stress many people feel comes from the knowledge that they’re not doing all they can to protect their health. Starting to chip away at the list of things we know we should be doing offers a certain amount of relief in itself. The diet and lifestyle recommendations outlined throughout this book are solid, healthful ideas that anyone can follow. With a diagnosis of PCOS, you just have more of an incentive to make these changes.
 
The Facts about PCOS
 
PCOS is the most common female hormonal disorder and the primary cause of anovulatory infertility (infertility caused by lack of regular ovulation). The syndrome has been recognized as having damaging lifelong health effects. PCOS is estimated to affect 5 to 10 percent of all women during their reproductive years. According to the 2000 U.S. Census, there are more than 140 million females in the United States—that’s up to 14 million women who may develop the condition during their lifetime. Research suggests that up to 30 percent of women experience some symptoms of the disorder, referred to as nonclassic or variant PCOS. With the dramatic increase in childhood obesity, which often leads to earlier onset menstruation, PCOS is starting to show up in younger girls. That means more years to live with the damaging health consequences of this syndrome that never goes away. It is a lifelong, chronic condition.
 
The cause of PCOS is not clearly understood, but it’s believed to be a complex genetic disorder likely involving multiple genes. The genes involved may be those that regulate function of the hypothalamus, the pituitary gland, and the ovaries, as well as those genes responsible for insulin resistance, which is believed to be the driving force for most of the signs and symptoms of the disorder. In fact, women with PCOS experience similar risk for the development of metabolic and cardiovascular problems as those diagnosed with metabolic syndrome, another common and complex health problem that is escalating in the U.S. population and driving the national epidemic of diabetes and heart disease. This makes sense: insulin resistance is a contributing factor in both conditions.1
 
Depending on the research you read, anywhere from 50 to 80 percent of women with PCOS are overweight or obese. The incidence of PCOS in the U.S. population has paralleled the increase in obesity, suggesting a strong connection between body weight and the severity of the condition. Although obesity has not been identified as a cause of PCOS, carrying around excess weight worsens its signs and symptoms. Women with the syndrome often store fat around the middle, known as visceral adiposity, which basically means that they tend to wrap excess body fat around their internal organs. This type of body fat storage is genetic, known to aggravate insulin resistance, and raise blood pressure and the risk of heart disease.
 
PCOS can also trigger a host of physical symptoms, most of which are caused by excessive production of androgens, or male-type hormones, like testosterone. The hallmark of insulin resistance is higher circulating levels of insulin, which can have a seriously toxic effect on hormone production in the ovaries. Higher circulating insulin levels increase the release of an important reproductive hormone called luteinizing hormone (LH) from the pituitary gland. Both LH and insulin then stimulate the theca cells in the ovaries to produce testosterone, which is toxic to egg development. Production of testosterone doesn’t make you any less of a woman. All women make some testosterone (and all men produce some estrogen), but in the ovaries estrogen should predominate over testosterone. When excess insulin stimulates a cascade effect where testosterone predominates over estrogen, eggs don’t develop normally.2 Physical signs that androgen levels may be atypical include excess hair growth on the face, chest, and back (male-pattern growth); thinning of the hair on the crown of the head; acne; and a tendency to gain much-maligned “belly fat” (an apple-shaped body as opposed to the healthier pear-shaped body, where body fat is stored more in the buttocks and thighs).
 
Women with PCOS are also at greater risk of a number of life-threatening chronic health problems. Most concerning is the connection between PCOS and type 2 diabetes. Diabetes is exploding in the U.S. population. Type 2 diabetes has increased 40 percent since the early 2000s. Undiagnosed diabetes is seven times more likely in women with PCOS, compared with similar-age women without the condition. In fact, 30 to 40 percent of women with PCOS have prediabetes (that is, they don’t yet have full-blown diabetes, but they are already showing signs of insulin resistance, which causes type 2 diabetes). As many as 10 percent of women with PCOS develop full-blown diabetes by age forty.3 A recently released report published in the journal Diabetes Care suggests that over the next twenty-five years, the number of Americans living with diabetes will nearly double, increasing from 23.7 million in 2009 to 44.1 million in 2034. Over the same period, spending on diabetes will almost triple, rising from $113 billion to $336 billion, even with no increase in the prevalence of obesity.4
 
Heart disease continues to be the number-one killer of both women and men in the United States, and women with PCOS have a four to seven times higher risk of heart attack than women of the same age without the syndrome.5 Endometrial cancer is also a risk for women with PCOS. The hormone estrogen triggers the growth of cells that line the uterus, which are usually shed once a month due to the opposing effect of the hormone progesterone. But in cases of PCOS, where periods are inconsistent or absent, the lining of the uterus builds up, raising the risk of endometrial hyperplasia (overgrowth of the endometrium), which down the road may lead to endometrial cancer. Hyperinsulinemia (elevated blood levels of insulin due to insulin resistance) is common in PCOS and can encourage the growth of potentially cancerous cells. If left untreated, research suggests that endometrial hyperplasia advances to endometrial cancer in as many as 30 percent of cases.6
 
With many women having children later in life, the number of women requiring fertility treatment is also on the rise, and the hormonal changes seen in PCOS have been recognized to be a major player in the world of infertility. If a woman with PCOS does become pregnant, she’s at higher risk of gestational (pregnancy-induced) diabetes, which presents a risk to both the mother and the developing baby. Some research suggests that women with PCOS are three times more likely to miscarry than women without the disorder.
 
Another threatening aspect of PCOS is that although 5 to 30 percent of women may have PCOS or some of its symptoms, awareness about the syndrome—even among many health-care providers—remains inadequate. The emergence of information on the prevalence of the syndrome is very much like what happened with fibromyalgia and hypothyroidism in the 1990s. Prior to these disorders being recognized as affecting large numbers of women, many women—and clinicians—failed to recognize the symptoms as a collection of complaints caused by one underlying health problem. Today, both disorders are widely recognized as treatable, as is PCOS.
 
A Historical Look at PCOS
 
In the medical literature the earliest mention of polycystic ovary syndrome dates back more than 150 years to France, where the first official description of polycystic-appearing ovaries was made in 1845. In the early 1900s a few isolated reports began to emerge describing a procedure called a wedge resection (the removal of a section of the ovary) used to treat cystic changes in the ovaries, but knowledge was still very much isolated to treating the ovarian cysts. An understanding of the systemic reach of the condition was still years away.7 In 1935 the American gynecologists Irving Stein and Michael Leventhal published a paper on their findings in seven women with amenorrhea (the absence of menstruation), hirsutism (excessive thick hair growth in male-pattern areas), obesity, and cystic-appearing ovaries. This was one of the first descriptions of the complex condition known today as PCOS, which at the time was termed Stein-Leventhal syndrome after the trailblazing physicians who had first tied the symptoms together.8 Because of the ovary’s cystic appearance, Stein and Leventhal referred to the condition as polycystic ovarian disease, but as more was learned about PCOS, the term “syndrome” began to emerge.
 
Although it is appropriately named a syndrome, the fact that PCOS is a syndrome as opposed to a disease contributes to much of the confusion around diagnosing it. What is the difference between a syndrome and a disease? Let’s start by looking at technical definitions of the two terms: a disease is a pathological condition of a part, organ, or system of an organism resulting from various causes and characterized by an identifiable group of signs or symptoms; a syndrome is a group of symptoms that collectively indicates or characterizes a disease or another abnormal condition, the cause of which may or may not be known, and for which no single test is diagnostic.
 
While these definitions basically sound the same, the difference is in the details. A disease has an “identifiable group of signs or symptoms” that you either have or you don’t. To be diagnosed with a disease, you have to meet all the criteria. A syndrome is different in that there could be a number of signs and symptoms that vary between individuals, and potentially indicate a condition, but not all signs and symptoms have to be met to make a diagnosis. In other words, there may be a list of potential signs and symptoms, and if you have enough of them, your clinician may say you have the condition. (A similar condition is IBS, irritable bowel syndrome, where physicians generally rule out more serious gastrointestinal diseases and end up with a diagnosis of IBS.) It is critical to be evaluated by a physician who’s used to seeing patients with PCOS—his or her clinical judgment and experience seeing hundreds of women presenting with a similar constellation of symptoms may allow the physician to pull together a clinical picture that might not be as apparent to someone with less experience diagnosing the condition. That doesn’t mean all those doctors who missed the diagnosis were bad doctors; they likely weren’t used to seeing a lot of women with PCOS. In their defense, it’s only been since the early 2000s or so that the prevalence and importance of treating this syndrome has come to light.
 
Symptoms of PCOS and Getting a Diagnosis
 
A woman may see her doctor for several reasons that may ultimately result in a diagnosis of PCOS. Her menstrual periods may not come on a regular basis—or at all—a condition called amenorrhea. Or she’s been trying to get pregnant without success. She may be experiencing unwanted hair growth, severe acne, or weight problems—all of which are negatively affecting her body image and self-esteem. She may have been diagnosed with some metabolic abnormality, such as elevated blood sugar (glucose), high cholesterol, or high blood pressure, often at a young age. She may just have a feeling that “something isn’t right” with her body, and she’s hoping a doctor can pull it together for her.
 
Scientists don’t know exactly what causes PCOS. No single factor can account for the array of abnormalities seen in the syndrome, but research suggests that the underlying primary cause in most cases is insulin resistance—a condition that responds strongly to weight loss, exercise, a healthful diet, and medications when necessary. We do know that PCOS is a genetic condition, likely complicated by ovarian and metabolic abnormalities that, when taken together, can create a potential firestorm of health risks. This is particularly true when environmental factors like obesity, an unhealthy diet, and a sedentary lifestyle are stirred into the mix. Further complicating matters, it appears there are different phenotypes or genetically different forms of PCOS.9 Some phenotypes are at higher risk of diabetes and other metabolic problems (those with apple-body obesity and signs of insulin resistance), and others appear at lower risk (thin women with PCOS and no evidence of androgen excess). Women with classic PCOS—those with spotty or absent periods and androgen excess—are more likely to have more severe insulin resistance and other metabolic problems.
 
There are differing opinions on the criteria for a diagnosis of PCOS. Regardless of criteria used, the first step is to rule out related disorders, such as Cushing’s Syndrome and Congenital Adrenal Hyperplasia (CAH). The main criteria used to diagnose the syndrome tends to run along continental lines, with physicians in the United States preferring criteria set during the 1990 National Institutes of Health (NIH) International Conference on PCOS. European physicians tend to favor the more recent 2003 consensus developed by the European Society for Human Reproduction and Embryology and the American Society for Reproductive Medicine, called the Rotterdam Criteria, named after the city in which the criteria were drafted. In 2006 an international organization called the Androgen Excess and PCOS Society weighed in with their own criteria that attempted to meld together the NIH and Rotterdam Criteria, basically concluding that hyperandrogenism is the cornerstone of PCOS but also conceding the possibility that there are forms of PCOS without blatant evidence of hyperandrogenism that need more study.10
 
For the 1990 criteria the NIH held an international conference on PCOS and basically took a show of hands on what the audience and speakers thought should be included in the criteria. The consensus was, to be diagnosed with PCOS, after other disorders were ruled out, a woman had to have these two complaints: (1) chronic oligoanovulation (few or no periods) and (2) biochemical or clinical signs of excess androgen (excess hair growth, thinning of the hair on the head, and so on). Interestingly, having polycystic ovaries visible on ultrasound was not required to be present for diagnosis, which was basically a nod to the belief that ovaries were only part of the picture, despite the syndrome’s name.
 
In an effort to be more inclusive—and to recognize that the diagnosis may be broader than these two criteria—the Rotterdam Criteria expanded the diagnosis of PCOS to women if they met two of the following three conditions: (1) oligoanovulation or anovulation, (2) the clinical or biochemical diagnosis of androgen excess, and (3) polycystic ovaries visible on ultrasound. Because the Rotterdam Criteria uses the presence of cystic ovaries as one of the criteria that can be present to diagnose PCOS, it opens the diagnosis pool up to women with normal periods and fertility but who have signs of androgen excess and polycystic ovaries on ultrasound as well as to women who have irregular periods and polycystic ovaries but no signs of androgen excess. This expanded criterion is believed to increase the number of women who could be diagnosed with PCOS by about 20 percent. Although this categorization sounds confusing, it may clarify the confusion for women who might doubt their PCOS diagnosis because they’re thin (many of the books and online information women read about PCOS suggest they’re more likely to be overweight if they have PCOS) and without signs of androgen excess but have irregular periods and cystic ovaries on ultrasound.
 
In addition to adding phenotypes beyond “classic PCOS,” the Rotterdam Criteria includes many more women who have milder PCOS symptoms and are less likely to be overweight, many of whom are probably less affected by the metabolic abnormalities (insulin resistance, high cholesterol, and so on) seen in classic PCOS. The 2006 Androgen Excess and PCOS Society criteria are worth mentioning, although they don’t change the picture much. Their position accepts the NIH criteria with some modifications based on the concerns of the Rotterdam Criteria, basically concluding that hyperandrogenism is the cornerstone of PCOS but also conceding the possibility there are forms of PCOS without blatant evidence of hyperandrogenism that need more study. Acknowledging the criteria will evolve over time as new findings emerge, they officially concluded that until more is known, all three of the following criteria should be present to diagnose PCOS: (1) hyperandrogenism (excess hair growth and/or blood tests suggesting high androgens); (2) ovarian dysfunction (lack of regular periods and/or polycystic ovaries); and (3) exclusion of other androgen excess or related disorders.
 
Particularly if you’re looking for a reason not to have PCOS, it can be overwhelming and confusing. But identifying all these different “types” of PCOS begs the question, do we treat women who have a diagnosis of PCOS but who don’t have all the classic signs and symptoms the same? And what about the fact that gaining or losing weight could move a woman in and out of criteria because of its effect on ovulation and androgen production? Until we know more about the degree to which these less-classic cases of the syndrome may be affected by insulin resistance—the primary abnormality affecting women with PCOS—the prudent thing to do is to assume some increased risk and fine-tune diet and lifestyle accordingly. If we look at irregular periods, excess androgens, and polycystic ovaries as three variables to be mixed and matched, it’s possible there may be differences in how women should be treated based on their life and health goals. Scientists say some degree of insulin resistance can be assumed once someone’s Body Mass Index (BMI) drifts over 30 (the clinical definition of obesity). According to a 2005–2006 survey from the Centers for Disease Control and Prevention (CDC), 35.3 percent of women in the United States are obese—all of whom would benefit from the information presented in this book (even without a diagnosis of PCOS).
 
The Clinician and PCOS Diagnosis
 
It’s important to be fully evaluated by a health-care provider who has considerable PCOS experience. This may be your primary care provider—be it a medical doctor, a physician’s assistant, or a nurse practitioner—or an endocrinology specialist. According to PCOS expert Dr. Samuel Thatcher, in no other gynecological condition is a thorough medical history more important than in PCOS. Knowing what questions to ask—and a willingness to listen as you tell your story—is critical to helping piece together whether you have PCOS. No one knows your history better than you. You’re looking to form a partnership, so don’t settle for being brushed aside by a busy clinician looking to cut to the chase. The sidebar on page 18, written by reproductive endocrinologist Dr. Alison Zimon, includes information on obtaining a comprehensive medical evaluation for PCOS. Zimon outlines the type of information your doctor will gather from your medical history and physical exam as well as the tests you might expect and medications that might be helpful depending on your circumstances.
 
Using Medications to Manage PCOS
 
My goal is to help you manage your health and hormones as naturally as possible through diet and lifestyle change (by boosting activity, taking sensible supplements, managing stress, and so on). But despite your best efforts, sometimes medications are needed to help regulate your menstrual cycles, control your symptoms, manage your health risk factors, or just to help you see your way clear to what needs to happen to get better. Medications can be used as an ally on the road to better health. Some problems, like hypothyroidism, don’t respond to diet or exercise. Or perhaps what’s happening with your health has been going on for a while and has progressed to the point where you need to start medications to get better. Maybe you’re showing signs of prediabetes, and medications may help reduce the risk of progressing to full-blown diabetes.
 
There is also the possibility of starting out on medications you may be able to wean off of down the road, as the effects of diet and lifestyle change take hold. Or you may only need medications temporarily (to increase your odds of getting pregnant, for example). But medications can never compensate for a lousy diet and sedentary lifestyle—that is, you can’t take meds instead of making diet and lifestyle changes and expect to get the optimal results from the medications. Many people with diabetes have run through a long list of oral agents to manage the disease, only to eventually end up on insulin. Sometimes, try as you might, things turn out this way, but there’s a lot we can do to keep our dependence on medications to a minimum.
 
Medications used to treat PCOS tend to fall into several categories (see the table below): insulin sensitizers, hormone regulators, symptom management meds, lipid (cholesterol)-lowering meds, and blood pressure regulators.
 
Preparing for the Doctor’s Visit
 
In today’s health-care environment, many physicians are crunched for time. Be sure to bring anything to the appointment that outlines your past medical history and specific concerns. Make a list of all the potentially important pieces of the puzzle for the PCOS expert to analyze. This greatly facilitates the gathering of information and helps the clinician develop a clear picture of what’s been happening and what your goals are. Gather the following information ahead of time:
 
• Menstrual history. How old were you when you got your first period? What has your menstrual pattern been like? Are there any previous pregnancies, and if so, how many?
 
• Weight history. If you are currently overweight, did your weight change significantly in a short period of time? Has your weight been a challenge all your life, or has managing it become more of a problem recently?
 
• Family history. Are there diabetes, heart disease, cancer, history of fertility problems, or weight issues in your family?
 
• Medications and/or dietary supplements. Include everything you are taking as well as the doses.
 
• Previous tests. If available, bring along the results of previous blood tests, ultrasounds, and so on.
 
The first thing that will generally happen in the diagnosis process is that the doctor will look to rule out other explanations for your health complaints. These might include such disorders as hyperprolactinmeia, nonclassic congenital adrenal hyperplasia, or Cushing’s syndrome, a hormonal disorder caused by prolonged exposure of the body’s tissues to high levels of the hormone cortisol. The doctor will weed through three different types of information: the symptoms and a physical examination, a variety of blood tests, and other test results. What exactly is he or she looking for?
 
Menstrual Disturbances
 
Women with PCOS typically get their periods around the usual age of twelve to thirteen, but it’s not uncommon for a young woman to make her first trip to the gynecologist because she hasn’t gotten her period at all. Menstruation may start out regular, but by the mid-teens cycles may start to lengthen or be skipped altogether. Frequently, birth control pills are prescribed to regulate this, but this doesn’t mean the PCOS is gone. The symptoms are just being overridden by the hormones in the oral contraceptives. During the teen years skin problems seen in women with PCOS may also start to kick in (although acne in general isn’t unusual during the teen years).
 
Because oral contraceptives regulate hormones, and therefore many of the signs and symptoms of PCOS, it’s not unusual for a woman to think all is well—until she goes off her birth control pills for one reason or another and then she doesn’t get her period. Although some women with PCOS have fairly regular twenty-eight-day cycles, PCOS should be suspected in anyone with cycles that last longer than thirty-five days. Those women without periods will often be given medications (like progestin) to trigger the onset of a period. Age at menopause is believed to be the same for women with and without PCOS.
 
Skin and Hair Problems
 
Skin problems in women with PCOS are extremely common, brought on by increased levels of male hormones (androgens). Androgens increase production of sebum (an oily substance secreted by the sebaceous glands in the skin), which increases inflammation and bacterial growth in the skin, causing acne. Seborrhea (flaky skin) and hidradenitis suppurtiva (inflammation of the sweat glands in the armpit and groin) are also common in PCOS, as is a particularly telling skin sign called acanthosis nigricans (AN). AN is a skin condition characterized by velvety, raised, pigmented skin changes most commonly seen on the back of the neck, armpits, groin, and beneath the breasts. AN is often described as the skin “looking dirty,” but the discoloration can’t be scrubbed off. Skin tags are also often present. AN is frequently a skin symptom of insulin resistance and is more common in dark-skinned people.
 
Another major PCOS sign that can be particularly annoying is hirsutism. All manner of expensive or uncomfortable therapies exist to deal with this hair growth (laser, electrolysis, waxing, shaving)—most women will do whatever it takes—as do some medications (that either treat the underlying hormonal problems or the hair growth itself). As if growing facial hair wasn’t upsetting enough, some women also experience hair thinning on the crown of the head similar to male-pattern balding. For many women a full head of hair is vital to their self-esteem, and losing it, particularly during the reproductive years, can result in nothing short of panic! The mechanism isn’t completely understood, but hormones are the likely culprit. Hair loss may improve with treatment of the underlying insulin resistance. I remember one patient who started taking metformin, a medication to manage insulin resistance, and a multivitamin at the same time; she commented that the vitamin seemed to be making her hair grow thicker. The more likely explanation, however, was that her insulin levels were improving on the metformin, causing a drop in her androgen levels. Other medications exist to help mediate hair loss for women with PCOS.
 
Weight Problems
 
Being overweight or obese is commonly associated with PCOS, but which comes first, the chicken or the egg? Likely, it’s a little bit of both—depending on individual circumstances. Research cites some widely fluctuating numbers on this, but it appears that between 50 to 80 percent of women with PCOS are overweight or obese. And they tend to carry much of their excess weight as abdominal fat (the apple versus the pear body). This is particularly damaging to overall health because of its association with a greater risk of diabetes, hypertension, and cardiovascular disease. Certainly, there are both lean and obese women with PCOS, but obese women are more likely to be harmed by the syndrome’s health implications. Likely because of a slew of metabolic derangements, many women with PCOS gain weight very easily and struggle more to lose it. Understandably, they feel frustrated, particularly when a physician stares at them cynically when they’ve reported having “really tried” to lose weight without results!
 
Obesity is so common in the United States (some scientists have called ours an obesity-promoting culture) that it’s difficult to separate how much of a woman’s weight problem might be due to PCOS versus the contributing factors tied to weight gain in the general population. Women with PCOS are exposed to the same influences we all are, but they may be more susceptible to their harmful effects. These realities include the following:
 
• Too little daily physical activity.
 
• Too few occupations that require “heavy lifting,” contributing to progressive loss of muscle mass over time.
 
• Food portions that are too large given many people’s sedentary lifestyle.
 
• Too much access to calorie-dense junk food that is loaded with calories but provides little to no nutritional benefit.
 
• Low intakes of whole fruits, vegetables, and whole grains, which fill you up without weighing you down with calories.
 
• Too little attention to the importance of eating on a regular basis, resulting in reactive overeating (usually in the evening) because we’re starved when we finally get around to it!
 
• Too much sugar and other processed carbohydrates that shoot your insulin levels up and down, resulting in subsequent increased cravings for more sugar.
 
This last point presents a particular problem for women with PCOS because they often overproduce insulin anyway, and eating too much sugar and refined carbohydrates is like pouring lighter fluid on a fire. It creates an ever-increasing demand for insulin in a body that’s already having trouble managing it. Some of the metabolic derangements seen in PCOS can encourage the deposition of body fat and trigger mood swings and blood sugar fluctuations that can set the stage for overeating. Among its many functions, insulin resistance tends to jog your appetite, particularly for carbohydrates. Trying to control hunger without controlling insulin response is likely to be a futile exercise in willpower.

Most helpful customer reviews

117 of 128 people found the following review helpful.
Adequate book but too complicated
By EweeSweetie
This book gives a very nice overview of PCOS and a concise description of the syndrome. However, the diet plan that she lays out is quite complicated. It involves EXTENSIVE counting of carbs and basically, relies on the glycemic index to determine what and when to eat. For the most part, it is correct but it was too much for me to follow, while trying to cook for a family. Basically, I took control of my PCOS by:

1. Cutting out grains and refined starches (sugar, breads, pastas)
2. Cutting out root veggies (potatoes, carrots, onions)
3. Increasing protein
4. Increasing water.

That's it. That's all there is to it. I even allow myself one small helping of "Carb laden" food a day and have steadily lost weight and increased my fertility.

1 of 1 people found the following review helpful.
Not bad.
By Codina
Just like every other medical professional ever in the community of PCOS who doesn't actually have PCOS she assumes that every woman wants to deal with infertility issues and that's the main focus. There's some good info, but you can tell it was written by someone without first-hand experience. At least she acknowledges that she was wrong in the front part of her book and took action to help the women she could and also acknowledges that every woman is different with what they experience with this disease and actually reports data about working with these women above researching purely written/reported data. Overall, not a bad starting place.

0 of 1 people found the following review helpful.
This book doesn't tell you what to eat
By Ashley Beattie
This book is way too difficult to apply to real life. You would think that a book called "The PCOS Diet Plan" would have an actual diet plan in it, but it doesn't. Rather than present a diet plan, it shows you a bunch of complicated calculations. It spends a lot of time talking about the tests my doctor will run to diagnose me, and what chemical reactions are occurring in my body that caused the condition. I just need to know what I'm supposed to eat to help my PCOS. That's why I picked this book. The title was flat out misleading.

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