Medicine

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  • End-of-Life Decision Making: A Cross-National Study (Basic Bioethics)

    This examination of end-of-life decision making offers a broader perspective than that found in the extensive existing literature on this topic by offering a cross-national comparison. Experts from twelve countries analyze death-related issues and policies in their respective nations, discussing such topics as health care costs, advance directives or wills, pain management, and cultural, social, and religious factors. The countries selected for study -- Brazil, China, Germany, India, Israel, Japan, Kenya, the Netherlands, Taiwan, Turkey, the United Kingdom, and the United States -- represent a mix of East and West, developed and developing nations seldom considered together in analyses of these issues. This is the first systematic attempt to analyze end-of-life issues in many of these countries; the chapters on China, Kenya (of special significance because of the HIV/AIDS epidemic in sub-Saharan Africa) and Turkey break new ground.Each author reports on various factors in end-of-life decisions: estimated costs of dying, including health care costs; the proportion of deaths occurring in hospitals, in hospices, and at home; the prevalence and variety of advance directives; the mix of high technology and palliative care; the cut-off point for aggressive care and the legal definition of death; government policies on end-of-life decisions, assisted suicide, and euthanasia; and cultural, social, and religious influences. The findings show that there are great differences among countries even in the way these issues are framed. Scholars, policymakers, and medical practitioners can all benefit from the extensive information in these essays on how different nations are dealing with death-related issues.
    14,11  TL83,00  TL
  • Action Theory, Rationality and Compulsion (International Perspectives in Philosophy and Psychiatry)

    Karton Kapak
    Rationality and Compulsion presents a unique examination of mental illness - derived from philosophical action theory. Delusion is common to many mental disorders, resulting in actions that, though perhaps rational to the individual, might seem entirely inappropriate or harmful to others. So what is it that causes these actions, and why do they continue? The theory expounded in this book shows how the key to this problem might be compulsion. This book presents a new analysis of the notion of compulsion - developed from action theory. The books starts with an introduction to action theory (for the benefit of non-philosophers) It then shows how insights from action theory can help us better understand mental illness, before developing an analysis of compulsion that emphasizes the element of unavoidability. The book argues that what is fundamentally disturbing to the person suffering from delusion is not so much the fact that the disorder tends to lead to irrational actions but rather the fact that he or she is unable to avoid performing these actions. The individual is or feels compelled to act in the way he or she does. The book contains some concrete illustrations of this idea as applied to several psychiatric diagnoses, such as paranoia, phobia, and psychopathy. Rationality and Compulsion is a highly original new work from a leading figure in the philosophy and psychiatry movement. It will advance our understanding of mental illness, and be valuable for psychiatrists, psychologists, as well as philosophers.
    32,27  TL140,29  TL
  • Practical Geriatric Oncology (Cambridge Medicine)

    Sert Kapak
    The risk of cancer increases with age, and the number of older adults seeking treatment is increasing dramatically in line with the aging population. The care of older patients differs from that of younger adults because of differences in the biology of the tumor, age-related differences in host physiology, comorbidity burden and psychosocial issues, which might im pact the efficacy and side effects of cancer therapy. Practical Geriatric Oncology is a comprehensive, evidence-based text that synthesizes the growing literature in this field and provides practical guidelines to the care of older adults with cancer. Coverage includes patient assessment, management of solid tumors and hematologic malignancies, the impact of age on the pharmacology of cancer therapy, surgical oncology and radiation oncology in the older adult, symptom management, and supportive care. In addition to serving as core reading for oncologists and hematologists, the book will also be a useful work for other healthcare professionals who provide oncology care, including surgeons, radiation oncologists, palliative care doctors, primary care providers, geriatricians, and nurses.
    30,46  TL304,56  TL
  • Slow Cures and Bad Philosophers: Essays on Wittgenstein, Medicine, and Bioethics

    Karton Kapak
    Slow Cures and Bad Philosophers uses insights from the philosophy of Ludwig Wittgenstein to rethink bioethics. Although Wittgenstein produced little formal writing on ethics, this volume shows that, in fact, ethical issues permeate the entirety of his work. The scholars whom Carl Elliott has assembled in this volume pay particular attention to Wittgenstein’s concern with the thick context of moral problems, his suspicion of theory, and his belief in description as the real aim of philosophy. Their aim is not to examine Wittgenstein’s personal moral convictions but rather to explore how a deep engagement with his work can illuminate some of the problems that medicine and biological science present. As Elliott explains in his introduction, Wittgenstein’s philosophy runs against the grain of most contemporary bioethics scholarship, which all too often ignores the context in which moral problems are situated and pays little attention to narrative, ethnography, and clinical case studies in rendering bioethical judgments. Such anonymous, impersonal, rule-writing directives in which health care workers are advised how to behave is what this volume intends to counteract. Instead, contributors stress the value of focusing on the concrete particulars of moral problems and write in the spirit of Wittgenstein’s belief that philosophy should be useful. Specific topics include the concept of “good dying,” the nature of clinical decision making, the treatment of neurologically damaged patients, the moral treatment of animals, and the challenges of moral particularism. Inspired by a philosopher who deplored “professional philosophy,” this work brings some startling insights and clarifications to contemporary ethical problems posed by the realities of modern medicine.Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy
    14,87  TL49,57  TL
  • The Ethics of Protocells: Moral and Social Implications of Creating Life in the Laboratory (Basic Bioethics)

    Karton Kapak
    Teams of scientists around the world are racing to create protocells--microscopic, self-organizing entities that spontaneously assemble from simple organic and inorganic materials. The creation of fully autonomous protocells--a technology that can, for all intents and purposes, be considered literally alive--is only a matter of time. This book examines the pressing social and ethical issues raised by the creation of life in the laboratory. Protocells might offer great medical and social benefits and vast new economic opportunities, but they also pose potential risks and threaten cultural and moral norms against tampering with nature and "playing God." The Ethics of Protocells offers a variety of perspectives on these concerns. After a brief survey of current protocell research (including the much-publicized "top-down" strategy of J. Craig Venter and Hamilton Smith, for which they have received multimillion dollar financing from the U.S. Department of Energy), the chapters treat risk, uncertainty, and precaution; lessons from recent history and related technologies; and ethics in a future society with protocells. The discussions range from new considerations of the precautionary principle and the role of professional ethicists to explorations of what can be learned from society's experience with other biotechnologies and the open-source software movement. Contributors: Mark A. Bedau, Gaymon Bennett, Giovanni Boniolo, Carl Cranor, Bill Durodié, Mickey Gjerris, Brigitte Hantsche-Tangen, Christine Hauskeller, Andrew Hessel, Brian Johnson, George Khushf, Emily C. Parke, Alain Pottage, Paul Rabinow, Per Sandin, Joachim Schummer, Mark Triant, Laurie ZolothThe hardcover edition does not include a dust jacket.
    25,06  TL62,64  TL
  • La maladie d'Alzheimer

    Karton Kapak
    Notre espérance de vie augmente régulièrement et avec elle s'accroît le risque de développer cette maladie qui touche aujourd'hui des milliers de personnes. Mais que sait-on de cette pathologie ? Le rôle du cerveau et ses différentes fonctions, les zones de la mémoire. Les caractéristiques, les symptômes et l'évolution de la maladie d'Alzheimer, le diagnostic et les facteurs de risques. La prise en charge médicale et psychologique du malade et de son entourage, le coût de cette prise en charge, à la maison ou en institution, les aides et les mesures de protection juridique.
    18,90  TL23,05  TL
  • Bioethics as Practice (Studies in Social Medicine)

    Those who work in bioethics and the medical humanities come from many different backgrounds, such as health care, philosophy, law, the social sciences, and religious studies. The work they do also varies widely: consulting on ethical issues in patient care, working with legislatures, dealing with the media, teaching, speaking, writing, and more. Writing as a participant in this field, Judith Andre offers a model to unify its diversity. Using the term "bioethics" broadly, to include all the medical humanities, she articulates ideals for the field, identifies its temptations and moral pitfalls, and argues for the central importance of certain virtues. Perhaps the most original of these is the virtue of choosing projects well, which demands not only broadening the field's focus but also understanding the forces that have kept it too narrow. Andre offers an imaginative analysis of the special problems presented by interdisciplinary work and discusses the intellectual virtues necessary for its success. She calls attention to the kinds of professional communities that are necessary to support good work. The book draws from interviews with many people in the field and from the findings of social scientists. It includes the author's personal reflections, several extended allegories, and philosophical analysis.
    13,64  TL62,00  TL
  • If That Ever Happens to Me: Making Life and Death Decisions after Terri Schiavo (Studies in Social Medicine)

    Every day, thousands of people quietly face decisions as agonizing as those made famous in the Terri Schiavo case. Throughout that controversy, all kinds of people—politicians, religious leaders, legal and medical experts—made emphatic statements about the facts and offered even more certain opinions about what should be done. To many, courts were either ordering Terri's death by starvation or vindicating her constitutional rights. Both sides called for simple answers. If That Ever Happens to Me details why these simple answers were not right for Terri Schiavo and why they are not right for end-of-life decisions today.Lois Shepherd looks behind labels like "starvation," "care," or "medical treatment" to consider what care and feeding really mean, when feeding tubes might be removed, and why disability groups, the faithful, and even the dying themselves often suggest end-of-life solutions that they might later regret. For example, Shepherd cautions against living wills as a pat answer. She provides evidence that demanding letter-perfect documents can actually weaken, rather than bolster, patient choice. The actions taken and decisions made during Terri Schiavo's final years will continue to have repercussions for thousands of others—those nearing death, their families, health-care professionals, attorneys, lawmakers, clergy, media, researchers, and ethicists. If That Ever Happens to Me is an excellent choice for anyone interested in end-of-life law, policy, and ethics—particularly readers seeking a deeper understanding of the issues raised by Terri Schiavo's case.
    14,07  TL67,00  TL
  • The Infertility Treadmill: Feminist Ethics, Personal Choice, and the Use of Reproductive Technologies

    Karton Kapak
    Combining attention to lived experience with the critical tools of ethics, Karey Harwood explores why many women who use high-tech assisted reproduction methods tend to use them repeatedly, even when the results are unsuccessful. With a compassionate look at the individual decision making behind the desire to become pregnant and the use of assisted reproductive technologies (ART), Harwood extends the public conversation beyond debates about individual choice by considering the experiences of families and by addressing the broader ethical problems presented by these technologies.
    14,00  TL50,00  TL
  • Alcohol and the Community: A Systems Approach to Prevention (International Research Monographs in the Addictions)

    Karton Kapak
    An individual's decision to use alcohol and the frequency, quantity, and situations of use are the result of a combination of biological and social factors. Drinking is not only a personal choice, but also a matter of custom and social behavior, and is influenced by access and economic factors including levels of disposable income and cost of alcoholic beverages. Until prevention efforts cease to focus narrowly on the individual and begin to adopt broader community perspectives on alcohol problems and strategies to reduce them, these efforts will fail. The author challenges the current implicit models used in alcohol problem prevention and demonstrates an ecological perspective of the community as a complex adaptive system composed of interacting subsystems. This important volume represents a new and sensible approach to the prevention of alcohol dependence and alcohol-related problems.
    32,66  TL116,64  TL
  • Antipsychotic Trials in Schizophrenia: The CATIE Project

    Sert Kapak
    Antipsychotic medications are a key treatment for schizophrenia and sales of antipsychotic drugs approach $20 billion per year, with fierce marketing between the makers of the drugs. The U.S. National Institute of Mental Health sponsored the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) project to provide independent information about the comparative effectiveness of medications. CATIE was the largest, longest and most comprehensive study of schizophrenia to date. Conducted under rigorous double-blind conditions, Antipsychotic Trials in Schizophrenia presents the definitive archival results of this landmark study. The core of the book consists of chapters focused on specific outcomes that set the CATIE findings in a wider context. Also included are chapters on the design, statistical analyses and implications for researchers, clinicians and policy makers. Psychiatrists, psychiatric researchers, mental health policy makers and those working in pharmaceutical companies will all find this to be essential reading.
    75,17  TL86,40  TL
  • Case Studies in Neurological Rehabilitation

    Karton Kapak
    Rehabilitation medicine is one of the fastest growing specialities in medicine. The largest sub-set of this field is neurological rehabilitation. This timely book, presented as a series of case studies, describes the wide range of clinical scenarios encountered by the rehabilitation medicine team and advises on management issues and options. Areas covered include ethical, medico-legal and social factors, touching on issues such as service organisation and patient reintegration. The book concludes with a set of multiple choice questions to test understanding and as the basis for preparation for professional examinations. This will be essential reading for all trainees in rehabilitation medicine, specialists from fields such as neurology where an understanding of the principles is important, and professionals from supportive allied health disciplines including physiotherapy, occupational therapy, speech therapy and nursing.
    41,99  TL155,52  TL
  • Central Nervous System Tumours of Childhood (Clinics in Developmental Medicine)

    Sert Kapak
    Clinics in Developmental Medicine No.166Ranging from epidemiology and neuroimaging through the general principles of surgery and radiotherapy/chemotherapy to issues of palliative care and quality of life, this concise, broad-ranging and practical text covers all clinical aspects of central nervous system tumours in children. It provides an overview of current important issues in diagnosis and management, and focuses on important areas of research, with an emphasis on the areas likely to impact on clinical practice. It will be essential reading for paediatric oncologists, medical and clinical oncologists, neurosurgeons, and paediatricians involved in the care of children with brain tumours, trainees in these and related specialties, specialist nurses and paramedical staff.
    29,37  TL293,74  TL
  • Contagion and the State in Europe, 1830-1930

    Karton Kapak
    This book explains the historical reasons for the divergence in public health policies adopted in Britain, France, Germany and Sweden, and the spectrum of responses to the threat of contagious diseases such as cholera, smallpox and syphilis. In particular the book examines the link between politics and prevention, and uses medical history to illuminate broader questions of the development of statutory intervention and the comparative and divergent evolution of the modern state in Europe.
    32,08  TL97,20  TL
  • Duplicity Theory of Vision: From Newton to the Present

    Sert Kapak
    The duplicity theory of vision concerns the comparisons (both differences and similarities) and interaction between the cone and rod systems in the visual pathways, with the assumption that the cone system is active during daylight vision and the rod system functions in low light (night time). Research on this aspect of vision dates back to the 17th century and the work of Newton, and is still ongoing today. This book describes the origin and development of this fundamental theory within vision research - whilst also examining the Young-Helmholtz trichromatic colour theory, and the opponent colour theory of Hering - and presents evidence and ideas in light of modern conceptions of the theory. Written for academic researchers and graduate students, the book brings back knowledge of the tradition of duplicity theory, inspiring questions related to anatomy, comparative biology, molecular biology, photochemistry, physiology, genetics, phylogenetics and psychophysics.
    63,68  TL289,44  TL
  • Health Informatics: A Patient-Centered Approach to Diabetes

    Sert Kapak
    The healthcare industry has been slow to join the information technology revolution; handwritten records are still the primary means of organizing patient care. Concerns about patient privacy, the difficulty of developing appropriate computing tools and information technology, high costs, and the resistance of some physicians and nurses have hampered the use of technology in health care. In 2009, the U.S. government committed billions of dollars to health care technology. Many questions remain, however, about how to deploy these resources. In Health Informatics, experts in technology, joined by clinicians, use diabetes--a costly, complex, and widespread disease that involves nearly every facet of the health care system--to examine the challenges of using the tools of information technology to improve patient care. Unlike other books on medical informatics that discuss such topics as computerized order entry and digital medical records, Health Informatics focuses on the patient, charting the information problems patients encounter in different stages of the disease. [Chapters discuss ubiquitous computing as a tool to move diabetes care out of the doctor's office, technology and chronic disease management, educational gaming as a way to help patients understand their disease, patient access to information, and methodological and theoretical concerns.] We need both technologists and providers at the drawing board in order to design and deploy effective digital tools for health care. This book examines and exemplifies this necessary collaboration.
    37,15  TL86,40  TL