While surveys show that most of us would prefer to die at home, 80% of us will die in a health care facility, many hooked up to machines and faced with tough decisions. When you, a family member, or a friend are in this situation, what should you do next? In Embracing Our Mortality, Dr. Lawrence J. Schneiderman, a physician who is our leading expert on medical ethics at the end of life, urges all of us, including health care professionals caring for people at the end of life, to face these decisions with sensitivity and realism informed by both the latest medical evidence as well as the oldest humanistic visions. Dr. Schneiderman vividly demonstrates the wisdom of this approach by interweaving true stories of his patients, current empirical research in care at the end of life, displays of the power of empathy and imagination as embodied in the work of writers like Tolstoy and Chekov, and examples of how the distortion of medical research by media, and its misunderstanding even by health care professionals, cloud the ability to think, feel, and decide clearly about mortal concerns. He ends by addressing the question implicit in all of this which is how to achieve a just and universal health care. Dr. Schneiderman proves a refreshingly honest, astringent, and life-affirming guide to thinking about the choices that we or people we love will face when we dienot if, as the technological imperatives of modern medicine can suggestand to making decisions at the end of life that respect all that has preceded it.
Encyclopedically learned, up-to-date, authoritative, and altogether the best introduction to the subject that exists in any language."--Thomas Laqueur, author of Making Sex
Buy a new version of this textbook and receive access to the Connected eBook with Study Center on CasebookConnect, including: lifetime access to the online ebook with highlight, annotation, and search capabilities; practice questions from your favorite study aids; an outline tool and other helpful resources. Connected eBooks provide what you need most to be successful in your law school classes. The new and revised third edition of Friedman’s Modern Constitutional Law includes the major recent cases from the Supreme Court concerning individual rights and separation of powers, integrating discussion of these cases into the book’s practical approach to understanding the Court’s constitutional jurisprudence. Unlike casebooks that seek to tackle the entirety of Constitutional Law and are organized from the theoretical and philosophical perspective of the constitutional scholar Modern Constitutional Law: Cases, Problems and Practice?focuses on the key areas most relevant to the practice law students will predominantly find themselves in after law school: small or solo firms that count individuals and small businesses as their clientele, offices of state agencies, district attorneys, and public defenders. New to the Third Edition: Updated with cases from the most recent Supreme Court term addressing the right to bear arms, the right to choose, and the free exercise of religion Updated practice perspectives that reflect changes in the law Updated with the most recent cases concerning free speech, separation of powers, and standing Professors and students will benefit from: Narrower in scope than other casebooks, the book is more manageable for 3- and 4- credit courses? A focus on doctrine rather than theory An emphasis on modern and contemporary approaches to constitutional law, while including landmark cases, such as?McCulloch v. Maryland,?The Prize Cases, and?Lochner v. New York Coverage focuses on the areas of constitutional law students are likely to encounter upon graduation, such as due process, equal protection, as well as free speech and the free exercise of religion Inclusion of cases from the lower federal and state courts, courts in which most students are most likely to one day find themselves litigating constitutional issues Inclusion of a generous case excerpts to help students to develop their ability to read legal texts closely and extract useful information, rather than relying on Notes to cover the jurisprudence in a particular area? Each chapter includes one or more Problems to provide students opportunities to apply the doctrines learned Each chapter includes one or more “Practice Perspectives” that present the facts, background, and resolution of actual constitutional law cases, challenging students to explain the results based on what they have learned in the chapter
For any organization to perform and compete successfully, it must have the systems and processes in place to translate goals into achievable actions—and to measure and monitor results. Moreover, the organization must be able to adjust and adapt as market conditions, technologies, the competitive environment, government regulations, personnel, and other variables evolve, sometimes gradually and sometimes dramatically. In Delivering Results: Measuring What Matters, Babson College professors and management consultants, Lawrence Carr and Alfred Nanni, show managers how to avoid the common pitfalls and mistakes when setting corporate strategy, and instead create a management system—unique to their organization—that aligns internal resources with objectives, motivates and rewards employees, and continuously provides feedback. Illustrating their concepts with numerous real-life examples (both successes and failures), practical tools and models, and a glossary of key terms, the authors demonstrate that knowing how to create and direct management systems that deliver results is, in itself, a strategic resource.
This is the fifth edition of a very successful textbook on clinical trials methodology, written by recognized leaders who have long and extensive experience in all areas of clinical trials. The three authors of the first four editions have been joined by two others who add great expertise. A chapter on regulatory issues has been included and the chapter on data monitoring has been split into two and expanded. Many contemporary clinical trial examples have been added. There is much new material on adverse events, adherence, issues in analysis, electronic data, data sharing and international trials. This book is intended for the clinical researcher who is interested in designing a clinical trial and developing a protocol. It is also of value to researchers and practitioners who must critically evaluate the literature of published clinical trials and assess the merits of each trial and the implications for the care and treatment of patients. The authors use numerous examples of published clinical trials to illustrate the fundamentals. The text is organized sequentially from defining the question to trial closeout. One chapter is devoted to each of the critical areas to aid the clinical trial researcher. These areas include pre-specifying the scientific questions to be tested and appropriate outcome measures, determining the organizational structure, estimating an adequate sample size, specifying the randomization procedure, implementing the intervention and visit schedules for participant evaluation, establishing an interim data and safety monitoring plan, detailing the final analysis plan and reporting the trial results according to the pre-specified objectives. Although a basic introductory statistics course is helpful in maximizing the benefit of this book, a researcher or practitioner with limited statistical background would still find most if not all the chapters understandable and helpful. While the technical material has been kept to a minimum, the statistician may still find the principles and fundamentals presented in this text useful.
Reconstructing Earth’s Climate History There has never been a more critical time for students to understand the record of Earth’s climate history, as well as the relevance of that history to understanding Earth’s present and likely future climate. There also has never been a more critical time for students, as well as the public-at-large, to understand how we know, as much as what we know, in science. This book addresses these needs by placing you, the student, at the center of learning. In this book, you will actively use inquiry-based explorations of authentic scientific data to develop skills that are essential in all disciplines: making observations, developing and testing hypotheses, reaching conclusions based on the available data, recognizing and acknowledging uncertainty in scientific data and scientific conclusions, and communicating your results to others. The context for understanding global climate change today lies in the records of Earth’s past, as preserved in archives such as sediments and sedimentary rocks on land and on the seafloor, as well as glacial ice, corals, speleothems, and tree rings. These archives have been studied for decades by geoscientists and paleoclimatologists. Much like detectives, these researchers work to reconstruct what happened in the past, as well as when and how it happened, based on the often-incomplete and indirect records of those events preserved in these archives. This book uses guided-inquiry to build your knowledge of foundational concepts needed to interpret such archives. Foundational concepts include: interpreting the environmental meaning of sediment composition, determining ages of geologic materials and events (supported by a new section on radiometric dating), and understanding the role of CO2 in Earth’s climate system, among others. Next, this book provides the opportunity for you to apply your foundational knowledge to a collection of paleoclimate case studies. The case studies consider: long-term climate trends, climate cycles, major and/or abrupt episodes of global climate change, and polar paleoclimates. New sections on sea level change in the past and future, climate change and life, and climate change and civilization expand the book’s examination of the causes and effects of Earth’s climate history. In using this book, we hope you gain new knowledge, new skills, and greater confidence in making sense of the causes and consequences of climate change. Our goal is that science becomes more accessible to you. Enjoy the challenge and the reward of working with scientific data and results! Reconstructing Earth’s Climate History, Second Edition, is an essential purchase for geoscience students at a variety of levels studying paleoclimatology, paleoceanography, oceanography, historical geology, global change, Quaternary science and Earth-system science.
In Force Under Pressure, Dr. Lawrence Blum, who has devoted his life's work to the survival and wellness of "those who serve," describes the sources of danger, injuries, and victory to police officers in a down-to-earth, readable style. Blum argues that there are missing "ingredients" in the training and socialization of police officers. These ingredients include techniques and tools to condition the officer's decision-making and concentration during conditions of emergency; internal controls necessary to maintain the will to survive; and aids that will prevent officers being defeated by any threat. Distressing and/or disturbing physical and psychological reactions are common in a police officer's workday, and the officer must be prepared for them. Blum's work has uncovered many of the casues of compromise to officer safety and wellness, and he contends that police officers will be well prepared to cope with unanticipated or rapidly changing encounters if they possess the right tools and the know-how to command and control field encounters and life's pressures. Here Blum provides practical tools for survival in law enforcement, by combining his clinical knowledge with true stories of police officers for an attention-grabbing and informative book.
This student-friendly introductory text describes the criminal justice process—outlining the decisions, practices, people, and issues involved. It provides a solid introduction to the mechanisms of the criminal justice system, with balanced coverage of the issues presented by each facet of the process, including a thorough review of practices and controversies in law enforcement, the criminal courts, and corrections.
The U.S. stock market has been transformed over the last twenty-five years. Once a market in which human beings traded at human speeds, it is now an electronic market pervaded by algorithmic trading, conducted at speeds nearing that of light. High-frequency traders participate in a large portion of all transactions, and a significant minority of all trade occurs on alternative trading systems known as “dark pools.” These developments have been widely criticized, but there is no consensus on the best regulatory response to these dramatic changes. The New Stock Market offers a comprehensive new look at how these markets work, how they fail, and how they should be regulated. Merritt B. Fox, Lawrence R. Glosten, and Gabriel V. Rauterberg describe stock markets’ institutions and regulatory architecture. They draw on the informational paradigm of microstructure economics to highlight the crucial role of information asymmetries and adverse selection in explaining market behavior, while examining a wide variety of developments in market practices and participants. The result is a compelling account of the stock market’s regulatory framework, fundamental institutions, and economic dynamics, combined with an assessment of its various controversies. The New Stock Market covers a wide range of issues including the practices of high-frequency traders, insider trading, manipulation, short selling, broker-dealer practices, and trading venue fees and rebates. The book illuminates both the existing regulatory structure of our equity trading markets and how we can improve it.
It is important to understand what came before and how to meld new products with legacy systems. Network managers need to understand the context and origins of the systems they are using. Programmers need an understanding of the reasons behind the interfaces they must satisfy and the relationship of the software they build to the whole network. And finally, sales representatives need to see the context into which their products must fit.
The Handbook of Liver Disease, 3rd Edition, by Drs. Lawrence S. Friedman and Emmet B. Keeffe, gives you quick reference to the most recent diagnostic and treatment options for patients with liver disorders. International authorities share the latest clinical findings and procedures to help you expertly manage illnesses like hepatitis B and C and hepatocellular carcinoma, as well as apply new practices like genetic testing, noninvasive imaging techniques, and so much more. Quickly access updated information on all aspects of liver disease including new drugs, therapy trials, and post-transplant conditions with this full-color, templated edition–in print and online at www.expertconsult.com. Expedite diagnostic and therapeutic decision making with a highly templated outline format that uses full-color illustrations, tables, algorithms and figures, key point boxes, and alert symbols to present information at a glance. Apply some of the latest treatments for liver disease including the role of pretreatment IL28B testing for patients with hepatitis B and C; radiofrequency ablation and sorafenib in cases of hepatocellular carcinoma; the use of the drug rifaximin to treat hepatic encephalopathy; and much more. Make optimal use of genetic testing to assess your patients’ risk of metabolic liver disease and to personalize treatment regimens for chronic hepatitis C. Offer your liver transplantation patients the best prognosis and follow-up with the latest information on outcomes and the management of complications. Use blood test panels and noninvasive imaging techniques to evaluate the degree of liver fibrosis. Make informed treatment decisions with the latest clinical trial results for portal hypertension, autoimmune liver diseases, acute liver failure, and hepatic infections. Search the complete text online, download all the images, and test your knowledge with 200 board-style review questions at www.expertconsult.com.
American law in the twentieth century describes the explosion of law over the past century into almost every aspect of American life. Since 1900 the center of legal gravity in the United States has shifted from the state to the federal government, with the creation of agencies and programs ranging from Social Security to the Securities Exchange Commission to the Food and Drug Administration. Major demographic changes have spurred legal developments in such areas as family law and immigration law. Dramatic advances in technology have placed new demands on the legal system in fields ranging from automobile regulation to intellectual property. Throughout the book, Friedman focuses on the social context of American law. He explores the extent to which transformations in the legal order have resulted from the social upheavals of the twentieth century--including two world wars, the Great Depression, the civil rights movement, and the sexual revolution. Friedman also discusses the international context of American law: what has the American legal system drawn from other countries? And in an age of global dominance, what impact has the American legal system had abroad? This engrossing book chronicles a century of revolutionary change within a legal system that has come to affect us all.
Lawrence O. Gostin’s seminal Public Health Law is widely acclaimed as the definitive statement on public health law at the turn of the twenty-first century. In this bold third edition, Gostin is joined by Lindsay F. Wiley to analyze major health threats of our time such as chronic diseases, emerging infectious diseases, antimicrobial resistance, bioterrorism, natural disasters, opiod overdose, and gun violence. The authors draw on constitutional law, administrative law, local government law, and tort law to develop their conception of law as a tool for protecting the public’s health. The book creates an intellectual framework for modern public health law and supports that framework with illustrations of the scientific, political, and ethical issues involved. In proposing innovative solutions for the future of the public’s health, Gostin and Wiley’s essential study provides a blueprint for public and political debates to come. New issues covered in this edition: • Corporate personhood rights raised in response to regulations of tobacco, food and beverages, alcohol, firearms, prescription drugs, and marijuana. • Local government authority to protect the public’s health. • Deregulation and harm reduction as modes of public health law intervention. • Taxation, spending, and alteration of the socioeconomic environment as modes of public health law intervention. • Access to health care as a strategy for protecting the public’s health. • Taxation, spending, licensing, zoning, and shared-use strategies for chronic disease prevention. • The public health law perspective on violence and injury prevention. • Health justice as a framework for reducing health disparities and protecting the public’s health.
Epidemiologic Research Principles and Quantitative Methods DavidG. Kleinbaum, Ph.D. Lawrence L. Kupper. Ph.D. Hal Morgenstern,Ph.D. Epidemiologic Research covers the principles and methodsof planning, analysis and interpretation of epidemiologic researchstudies. It supplies the applied researcher with the mostup-to-date methodological thought and practice. Specifically, thebook focuses on quantitative (including statistical) issues arisingfrom epidemiologic investigations, as well as on the questions ofstudy design, measurement and validity. EpidemiologicResearch emphasizes practical techniques, procedures andstrategies. It presents them through a unified approach whichfollows the chronology of issues that arise during theinvestigation of an epidemic. The book's viewpoint ismultidisciplinary and equally useful to the epidemiologicresearcher and to the biostatistician. Theory is supplemented bynumerous examples, exercises and applications. Full solutions aregiven to all exercises in a separate solutions manual. Importantfeatures * Thorough discussion of the methodology of epidemiologicresearch * Stress on validity and hence on reliability * Balanced approach, presenting the most important prevailingviewpoints * Three chapters with applications of mathematical modeling
Selected as one of Motley Fool’s "5 Great Books You Should Read" In The AIG Story, the company's long-term CEO Hank Greenberg (1967 to 2005) and GW professor and corporate governance expert Lawrence Cunningham chronicle the origins of the company and its relentless pioneering of open markets everywhere in the world. They regale readers with riveting vignettes of how AIG grew from a modest group of insurance enterprises in 1970 to the largest insurance company in world history. They help us understand AIG's distinctive entrepreneurial culture and how its outstanding employees worldwide helped pave the road to globalization. Corrects numerous common misconceptions about AIG that arose due to its role at the center of the financial crisis of 2008. A unique account of AIG by one of the iconic business leaders of the twentieth century who developed close relationships with many of the most important world leaders of the period and helped to open markets everywhere Offers new critical perspective on battles with N. Y. Attorney General Eliot Spitzer and the 2008 U.S. government seizure of AIG amid the financial crisis Shares considerable information not previously made public The AIG Story captures an impressive saga in business history--one of innovation, vision and leadership at a company that was nearly--destroyed with a few strokes of governmental pens. The AIG Story carries important lessons and implications for the U.S., especially its role in international affairs, its approach to business, its legal system and its handling of financial crises.
From the authors who pioneered the concept of posttraumatic growth comes Posttraumatic Growth in Clinical Practice, a book that brings the study of growth after trauma into the twenty-first century. Clinicians will find a framework that's easy to use and flexible enough to be tailored to the needs of particular clients and specific therapeutic approaches. And, because it utilizes a model of relating described as "expert companionship," clinicians learn how to become most empathically effective in helping a variety of trauma survivors. Clinicians will come away from this book having learned how to assess posttraumatic growth, how to address it in treatment, and they'll also have a basic grasp of the ways the changes they're promoting will be received in various cultural contexts. Case examples show how utilizing a process developed from an empirically-based model of posttraumatic growth can promote important personal changes in the aftermath of traumatic events.
Practical, real-world solutions are given to potential problems covering the entire system life cycle. This book describes how to map real-life systems (databases, data centers, and e-commerce applications) into analytic performance models. The authors elaborate upon these models and use them to help the reader better understand performance issues.
Find out all you need to know about providing high-quality care to patients with serious illnesses from the 2nd edition of Palliative Care: Core Skills and Clinical Competencies. Drs. Linda L. Emanuel and S. Lawrence Librach, leaders in the field, address the clinical, physical, psychological, cultural, and spiritual dimensions that are integral to the care of the whole patient. They give you a broad understanding of the core clinical skills and competencies needed to effectively approach patient assessment, care of special populations, symptom control, ethical issues, and more. Clearly written in a user-friendly, high-yield format, this resource is your ultimate guidebook to the burgeoning practice of palliative medicine. Improve your pain management and symptom management skills with a better understanding of best practices in palliative care. Quickly review specific treatment protocols for both malignant and non-malignant illnesses, including HIV/AIDS, heart failure, renal failure, pulmonary disease, and neurodegenerative disease. Better understand and manage the common and unique challenges associated with delivering palliative care in various social settings, such as the ICU, hospice, and the home; and to diverse populations, such as children, elders, and vulnerable members of society. Expand your knowledge of palliative care issues with new chapters on Veterans, Special Populations, Prognostication, Delirium, Working with Families, Wound Care, Home Care, and Dealing with Economic Hardship. Find the information you need quickly and easily with a templated, high-yield format.
In this long-awaited successor to his landmark work A History of American Law, Lawrence M. Friedman offers a monumental history of American law in the twentieth century. The first general history of its kind, American Law in the Twentieth Century describes the explosion of law over the past century into almost every aspect of American life. Since 1900 the center of legal gravity in the United States has shifted from the state to the federal government, with the creation of agencies and programs ranging from Social Security to the Securities Exchange Commission to the Food and Drug Administration. Major demographic changes have spurred legal developments in such areas as family law and immigration law. Dramatic advances in technology have placed new demands on the legal system in fields ranging from automobile regulation to intellectual property. Throughout the book, Friedman focuses on the social context of American law. He explores the extent to which transformations in the legal order have resulted from the social upheavals of the twentieth century--including two world wars, the Great Depression, the civil rights movement, and the sexual revolution. Friedman also discusses the international context of American law: what has the American legal system drawn from other countries? And in an age of global dominance, what impact has the American legal system had abroad? Written by one of our most eminent legal historians, this engrossing book chronicles a century of revolutionary change within a legal system that has come to affect us all.
The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity — which is at the heart of the Act—but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.
List of tables; Education of caregiver; Knowledge, attitudes, and beliefs of caregiver; Physical health and nutritional status of caregiver; Mental health, self-confidence, and lack of stress of caregiver; Autonomy and control of resources in the household by caregiver; Workload and time availability of caregiver; Social support for caregiver; Estimates of time spent on child care from observation and recall; Feeding practices: caregiver-child interactions; Feeding practices: child variables; Psychosocial care: child and caregiver interactions; Psychosocial care: child variables; Illustrations; The unicef conceptual model; The extended model of care; The transactional model of care; Pathways of interaction of education with caregiving; Possible pathways of interaction of maternal health and caregiving; Summary; Introduction; Developments in conceptualizing care; Resources for care; Care practices.
The standard-setting text in oncology for 40 years, DeVita, Hellman and Rosenberg’s Cancer: Principles and Practice of Oncology, 12th Edition, provides authoritative guidance and strategies for managing every type of cancer by stage and presentation. Drs. Vincent T. DeVita, Jr., Theodore S. Lawrence, and Steven A. Rosenberg oversee an outstanding team of expert contributing authors who keep you up to date and fully informed in this fast-changing field. This award-winning reference is also continually updated on Health Library and VitalSource platforms for the life of the edition.
DeLisa’s Physical Medicine and Rehabilitation, Principles and Practice presents the most comprehensive review of the state of the art, evidence-based clinical recommendations for physiatric management of disorders affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons.
Hedges argues that countertransference responsiveness is the key to understanding issues of attachment and separation between patient and therapist. Hedges shows therapists how to interpret their countertransference to the patient in a way that enhances therapeutic progress. This book defines a challenge to psychotherapists to find support within the community of analysts who are available for consultation in teasing out their countertransference entanglements.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Now updated online for the life of the edition, DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology, 11th Edition keeps you up to date in this fast-changing field. Every quarter, your eBook will be updated with late-breaking developments in oncology, including new drugs, clinical trials, and more.
The Third Edition of Knowles Neoplastic Hematopathology has been thoroughly updated by the world's experts to cover all aspects of neoplastic hematopathology, a field that covers disorders of the bone marrow, spleen, and lymphatic system. Now in full-color, this completely revised and expanded edition integrates the basic science, modern diagnostic techniques, and clinical aspects of malignant diseases affecting these organs. It is the most comprehensive, encyclopedic textbook concerning neoplastic hematopathology available on the market today.
Rossi examines new evidence from psychoneuroimmunology, neuroendocrinology, molecular genetics, and neurobiology, and shows how we can utilize these natural processes to facilitate our emotional and physical well being. More than a dozen new approaches to Many of the hypotheses that Rossi proposed when this book was published in 1986 have now been confirmed. The mind-body connection is a process that can be seen, measured and accessed through hypnosis. In establishing that it is possible to use the mind to heal body illness, he now brings together new evidence from psychoneuroimmunology, neuroendocrinology, molecular genetics and neurobiology. More than a dozen new approaches to mind-body healing are outlined in a series of teaching tutorials.
Historical Information Science is an extensive review and bibliographic essay, backed by almost 6,000 citations, detailing developments in information technology since the advent of personal computers and the convergence of several social science and humanities disciplines in historical computing. Its focus is on the access, preservation, and analysis of historical information (primarily in electronic form) and the relationships between new methodology and instructional media, techniques, and research trends in library special collections, digital libraries, data archives, and museums.
Comprehensive and heavily illustrated, this is a unique reference for anyone involved in the diagnosis and treatment of dermatologic diseases in infants and newborns. In addition to over 500 superb photographs of normal and abnormal skin conditions, this latest edition also includes new algorithms, new tables, and new care plans. Simple to use text and tables for reference during daily practice. Comprehensive information on infant skin care and toxicology. Differential diagnosis aided by lists, text and images. Assists with work-up and management of common and rare conditions New Care Plan boxes help you to outline your diagnosis and treatment plan. Differential diagnosis algorithms guide you to more effective decision making. New illustrations and photos provide even more visual examples than before.
Directed at future sports executives and sports managers, the book contains numerous case studies that allow students to apply the ethical decision-making process to a sports-related ethical dispute. Unlike other texts that spend too much time discussing ethical theories, Sports Ethics for Sports Management Professionals addresses the important issues sports professionals may actually encounter during their career --Book Jacket.
Too often, patients in American hospitals are subjected to painful, expensive, and futile treatments because of a physician’s notion of medical duty or a family’s demands. Lawrence J. Schneiderman and Nancy S. Jecker renew their call for common sense and realistic expectations in medicine in this revised and updated edition of Wrong Medicine. Written by a physician and a philosopher—both internationally recognized experts in medical ethics—Wrong Medicine addresses key topics that have occupied the media and the courts for the past several decades, including the wrenching Terry Schiavo case. The book combines clear descriptions of ethical principles with real clinical stories to discuss the medical, legal, and political issues that confront doctors today as they seek to provide the best medical care to critically ill patients. The authors have added two chapters that outline theoretical, legislative, judicial, and clinical developments since the first edition. Based on the latest empirical research, Wrong Medicine continues to guide a broad range of health care professionals through the challenges of providing humane end-of-life care.
While surveys show that most of us would prefer to die at home, 80% of us will die in a health care facility, many hooked up to machines and faced with tough decisions. When you, a family member, or a friend are in this situation, what should you do next? In Embracing Our Mortality, Dr. Lawrence J. Schneiderman, a physician who is our leading expert on medical ethics at the end of life, urges all of us, including health care professionals caring for people at the end of life, to face these decisions with sensitivity and realism informed by both the latest medical evidence as well as the oldest humanistic visions. Dr. Schneiderman vividly demonstrates the wisdom of this approach by interweaving true stories of his patients, current empirical research in care at the end of life, displays of the power of empathy and imagination as embodied in the work of writers like Tolstoy and Chekov, and examples of how the distortion of medical research by media, and its misunderstanding even by health care professionals, cloud the ability to think, feel, and decide clearly about mortal concerns. He ends by addressing the question implicit in all of this which is how to achieve a just and universal health care. Dr. Schneiderman proves a refreshingly honest, astringent, and life-affirming guide to thinking about the choices that we or people we love will face when we dienot if, as the technological imperatives of modern medicine can suggestand to making decisions at the end of life that respect all that has preceded it.
This updated edition of Stroke: Pathophysiology, Diagnosis, and Management delivers convenient access to the latest research findings and management approaches for cerebrovascular disease. Picking up from where J. P. Mohr and colleagues left off, a new team of editors — Drs. Grotta, Albers, Broderick, Kasner, Lo, Mendelow, Sacco, and Wong — head the sixth edition of this classic text, which is authored by the world’s foremost stroke experts. Comprehensive, expert clinical guidance enables you to recognize the clinical manifestations of stroke, use the latest laboratory and imaging studies to arrive at a diagnosis, and generate an effective medical and surgical treatment plan. Abundant full-color CT images and pathology slides help you make efficient and accurate diagnoses. Data from late-breaking endovascular trials equips you with recent findings. Includes comprehensive coverage of advances in molecular biology of cell death; risk factors and prevention; advances in diagnostics and stroke imaging; and therapeutic options, including a thorough review of thrombolytic agents and emerging data for endovascular therapy. Features brand-new chapters on Intracellular Signaling: Mediators and Protective Responses; The Neurovascular Unit and Responses to Ischemia; Mechanisms of Cerebral Hemorrhage; Stroke Related to Surgery and Other Procedures; Cryptogenic Stroke; and Interventions to Improve Recovery after Stroke. Highlights new information on genetic risk factors; primary prevention of stroke; infectious diseases and stroke; recovery interventions such as robotics, brain stimulation, and telerehabilitation; and trial design. Details advances in diagnostic tests, such as ultrasound, computed tomography (including CT angiography and CT perfusion), MRI (including MR perfusion techniques), and angiography. Includes extracted and highlighted evidence levels. Expert Consult eBook version included with print purchase. This enhanced eBook experience allows you to search all of the text, figures, and references on a variety of devices. The content can also be downloaded to tablets and smart phones for offline use.
Over 5,000 illustrations of the latest imaging and research findings essential for effective diagnosis of retinal disorders populate this atlas. A unique page layout consisting of optimally positioned panoramic images, magnified photos, and histopathological specimens illustrate key manifestations, giving you the best visual display of each disease. In addition, composite images using different retinal imaging modalities, including the latest in optical coherence tomography (OCT), fluorescein angiography, indocyanine green (ICG), and fundus autofluorescence display how a disease appears in each imaging modality, allowing you to compare imaging methods and gain a better understanding of each disorder.
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