As life expectancy continues to increase, millions of seniors are living well into their eighties and nineties. With the aging of the baby boomers, the population of senior citizens will swell dramatically in the coming decades. These statistics will inevitably draw more attention to the aging process. What should middle-aged people expect as they grow older? What should caregivers of the elderly know about normal aging? How can we all stay healthy despite the limitations of age? In this authoritative, user-friendly guide, three experts in geriatric medicine provide the latest evidence on: healthy aging, an understanding of the modern and often confusing health care system, and information about the medical issues affecting frail older adults. They begin with the basic facts of aging, distilling the current research on the underlying molecular mechanisms, organ system changes, and associated disease risks that occur as our bodies get older. They devote separate chapters to preventative medical testing, so-called anti-aging therapies, vitamin and herbal supplements, exercise, and medication problems. In the next section, they present an overview of the American healthcare system, from making the most of a doctor''s visit and an explanation of various healthcare professionals involved in elder care to guidelines for choosing a nursing home or assisted care facility. They also discuss the health risks of a stay in the hospital, including antibiotic-resistant infections, temporary delirium, and bedsores. In the following section, they tackle the challenges of caring for a frail senior, covering a range of issues from falls, osteoporosis, and infections, to sleep difficulties, depression, and dementia. A chapter is also devoted to the last days of life and how hospice can help. The authors also provide a section on the need to plan ahead. Among the questions considered are: When should an advance directive be written? How much money will be needed for the elder years? When should a senior give up driving? At a time when geriatric medicine is becoming a rare specialty and doctors receive little training in this area, the wealth of information compiled in this outstanding volume is invaluable. Senior citizens, their families, and even healthcare professionals will find it to be an unparalleled resource.
Breast cancer and its treatment is a terribly complex problem that involves all the intricacies of the human body, the anatomical and microscopic anatomy of the breast, the endocrine system, and bone metabolism, as well as the nature of malignant transformation. Even experts still have uncertainties. However, there is now an ethical and legal obligation for specialists to share their uncertainties with their patients when we are looking for informed consent before invasive procedures. Obsessive ruminations about the threat of breast cancer mean that few in the lay public know that breast cancer has slipped out of the top seven causes of death for women. Treatments for breast cancer might increase the risk of death from cardio-vascular disease, whilst, on the other hand, denying women in this age group hormone replacement therapy for the unjustified fear of breast cancer can impair their quality of life, cognitive function and bone mineral density. The totality of women’s health and expectation of life must always trump the single-issue fanatics who only view women as the sum of their two breasts. This is more than a self-help book, but should also be considered as introducing the history and mystery of breast cancer, from the time of the Ancient Egyptians to the modern era, as well as hopes for the future.
Considerable advances have been made in cardiology during the last few decades. In particular, there has been great progress in the field of coronary angiography both when combined with, and without, computed tomography (CT) and magnetic reso nance (MR) imaging. These techniques of modern imaging allow the cardiologist and coronary surgeon to study every cardiac structure in detail, both two- and three-di mensionally and from either side, to analyze the movements of the heart and valves, and to observe myocardial circulation and even myocardial metabolic processes. However, coronary heart disease, a multifactorial illness of the coronary vessels, still remains the most common cause of death in developed countries. In addition to the large group of patients suffering from coronary heart disease, there is a smaller group of children and adults who are in need of open heart surgery and,most frequently,valve surgery.Avery small number of individuals suffering from Wolff-Parkinson-White syndrome still await competent surgical intervention. These three groups of patients have in common that, for them, meticulous preop erative diagnostics and preparation for surgery are urgently required. Any open heart surgeon who carri es out procedures in the coronary or interventricular grooves or on the atrial walls of the heart must take the normal and anomalous origins,courses, and terminations of cardiac vessels into consideration. Therefore, with the availability of precise anatomical and physiological data,operation time will be shortened, operative risks will diminish, and the safety of the operation for the patient will be greater.
Controversies in Media Ethics offers students, instructors and professionals multiple perspectives on media ethics issues presenting vast "gray areas" and few, if any, easy answers. This third edition includes a wide range of subjects, and demonstrates a willingness to tackle the problems raised by new technologies, new media, new politics and new economics. The core of the text is formed by 14 chapters, each of which deals with a particular problem or likelihood of ethical dilemma, presented as different points of view on the topic in question, as argued by two or more contributing authors. The 15th chapter is a collection of "mini-chapters," allowing students to discern first-hand how to deal with ethical problems. Contributing authors John A. Armstrong, Peter J. Gade, Julianne H. Newton, Kim Sheehan, and Jane B. Singer provide additional voices and perspectives on various topics under discussion. This edition has been thoroughly updated to provide: discussions of issues reflecting the breadth and depth of the media spectrum numerous real-world examples broad discussion of confidentiality and other timely topics A Companion Website (www.routledge.com/textbooks/9780415963329) supplies resources for both students and instructors. You can also join the Controversies community on Facebook: http://www.facebook.com/CME3rd Developed for use in media ethics courses, Controversies in Media Ethics provides up-to-date discussions and analysis of ethical situations across a variety of media, including issues dealing with the Internet and new media. It provides a unique consideration of ethical concerns, and serves as provocative reading for all media students.
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