What happens to a family of four when it travels over 18,000 miles in five weeks? In this nonfiction account the authors family follows in the century-old footsteps of writer Holly J. Pierces grandmother Ruth Crapo taken during her six-month Grand Tour of Europe and beyond. While the Grand Tour was designed to educate and refine a 27-year-old young lady, this contemporary journey initially planned to be both one of connection with the past and a chance to strengthen family bonds turns into a hectic, often grimly humorous forced march. Based on the words of Grandmother Ruths diary, the trek taken a century later comes to life through the candid words hastily scratched into the author and her daughters diaries as the family scrambled to make connections with trains, ferries, metros and planes. How the whine of circular saws, pushy Italian futbol players and French onion soup serve to both tear apart and heal wounds and grievances among these four travelers make it a trip not to be missed.
A balanced proposal that protects both a patient's access to care and a physician's ability to refuse to provide certain services for reasons of conscience. Physicians in the United States who refuse to perform a variety of legally permissible medical services because of their own moral objections are often protected by “conscience clauses.” These laws, on the books in nearly every state since the legalization of abortion by Roe v. Wade, shield physicians and other health professionals from such potential consequences of refusal as liability and dismissal. While some praise conscience clauses as protecting important freedoms, opponents, concerned with patient access to care, argue that professional refusals should be tolerated only when they are based on valid medical grounds. In Conflicts of Conscience in Health Care, Holly Fernandez Lynch finds a way around the polarizing rhetoric associated with this issue by proposing a compromise that protects both a patient's access to care and a physician's ability to refuse. This focus on compromise is crucial, as new uses of medical technology expand the controversy beyond abortion and contraception to reach an increasing number of doctors and patients. Lynch argues that doctor-patient matching on the basis of personal moral values would eliminate, or at least minimize, many conflicts of conscience, and suggests that state licensing boards facilitate this goal. Licensing boards would be responsible for balancing the interests of doctors and patients by ensuring a sufficient number of willing physicians such that no physician's refusal leaves a patient entirely without access to desired medical services. This proposed solution, Lynch argues, accommodates patients' freedoms while leaving important room in the profession for individuals who find some of the capabilities of medical technology to be ethically objectionable.
With the use of multiple medications in the elderly patient comes the risk of drug-related problems. This issue covers polypharmacy in the elderly patient with topics that include: The Interplay between Polypharmacy, Geriatric Conditions, and Adverse Drug Reactions, Factors Leading to Excessive Polypharmacy, Clinical Practice Guidelines for Chronic Diseases and How They Contribute to Polypharmacy, Polypharmacy in Nursing Home Residents, Psychotropic Polypharmacy, Deprescribing Trials: Methods to Reduce Polypharmacy and the Impact on Prescribing and Clinical Outcomes, Ethical Framework for Medication Discontinuation in Nursing Home Residents with Limited Life Expectancy, Pharmacokinetics in the Elderly and the Interaction with Polypharmacy, Medication Adherence to Multi-drug Regimens, Improvements in Electronic Prescribing to Reduce Inappropriate Medication Use and Polypharmacy, and Tools to Decrease Polypharmacy.
Colonel Moses Hazen’s 2nd Canadian Regiment was one of the first “national” regiments in the American army. Created by the Continental Congress, it drew members from Canada, eleven states, and foreign forces. “Congress’s Own” was among the most culturally, ethnically, and regionally diverse of the Continental Army’s regiments—a distinction that makes it an apt reflection of the union that was struggling to create a nation. The 2nd Canadian, like the larger army, represented and pushed the transition from a colonial, continental alliance to a national association. The problems the regiment raised and encountered underscored the complications of managing a confederation of states and troops. In this enterprising study of an intriguing and at times “infernal” regiment, Holly A. Mayer marshals personal and official accounts—from the letters and journals of Continentals and congressmen to the pension applications of veterans and their widows—to reveal what the personal passions, hardships, and accommodations of the 2nd Canadian can tell us about the greater military and civil dynamics of the American Revolution. Congress’s Own follows congressmen, commanders, and soldiers through the Revolutionary War as the regiment’s story shifts from tents and trenches to the halls of power and back. Interweaving insights from borderlands and community studies with military history, Mayer tracks key battles and traces debates that raged within the Revolution’s military and political borderlands wherein subjects became rebels, soldiers, and citizens. Her book offers fresh, vivid accounts of the Revolution that disclose how “Congress’s Own” regiment embodied the dreams, diversity, and divisions within and between the Continental Army, Congress, and the emergent union of states during the War for American Independence.
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