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Who Killed the Queen?
by Holly DresselUsing the dramatic and entertaining 100-year history of the Queen Elizabeth as a base, Who Killed the Queen? investigates Canada's mass closures of hospitals and hospital beds between 1994 and 1998. The book shows that the resulting 20% loss of beds - a figure unparalleled in the history of any other industrialized country - continues to affect hospital and health care in every province. Holly Dressel offers strong evidence as to who and what was responsible for the closures and also provides well-supported, international assessments of the current quality of the Canadian health care system, arguing that it can not only be saved but strengthened.
Who Killed the Queen?: The Story of a Community Hospital and How to Fix Public Health Care (McGill-Queen's/Associated Medical Services Studies in the History of Medicine, Health, and Society #30)
by Holly DresselUsing the dramatic and entertaining 100-year history of the Queen Elizabeth as a base, Who Killed the Queen? investigates Canada's mass closures of hospitals and hospital beds between 1994 and 1998. The book shows that the resulting 20% loss of beds - a figure unparalleled in the history of any other industrialized country - continues to affect hospital and health care in every province. Holly Dressel offers strong evidence as to who and what was responsible for the closures and also provides well-supported, international assessments of the current quality of the Canadian health care system, arguing that it can not only be saved but strengthened.
Who Knew?: Inside the Complexity of American Health Care
by Lynn H. VogelDespite all the writing and the research, America’s health care industry continues to fail at providing health care that is accessible and affordable, with measurable quality. The fundamental reason we have failed is that health care is not only a complex business, but the most complex in our economy. Other industries are disrupted, some readily adapt to new markets; some leverage information technology and innovative and cost-saving ways. But to date, health care has resisted. The customary approaches tried in other industries seem not to apply to health care. Why? Why is the health care industry so politically divisive? Why is the quality of health care services so difficult to measure? Why do patients often fail to understand their own health care? Why are security and privacy such unique challenges in health care? Why is the payment process for health care services so complicated and challenging? This book seeks to answer these questions. This book written by a well know industry ‘insider’ with 35+ years working at senior levels in hospital operations and information technology, discusses nine major factors that in combination contribute to health care’s complexity. The author concludes that until we understand why health is so complex, we will continue to see books complaining about the poor state of health care in the U.S., and proposals for change that are generally unsuccessful, and innovative technology products that fail to deliver expected results.
WHO Laborhandbuch: zur Untersuchung und Aufarbeitung des menschlichen Ejakulates
by Eberhard Nieschlag, Stefan Schlatt, Sabine Kliesch and Hermann M. BehreDas Laborhandbuch bietet detaillierte Anleitungen zu allen labortechnischen Anwendungen, die für die Analyse des menschlichen Ejakulats und der Spermien-Zervikalschleim-Interaktion relevant sind. Behandelt werden alle Aspekte der Spermiendiagnostik, -vorbereitung und Qualitätssicherung – ob zur Evaluierung infertiler Paare, der Fertilität von Männern oder für gerichtsmedizinische Fragestellungen.
WHO Laborhandbuch
by Sabine Kliesch Stefan Schlatt Hermann M. Behre Eberhard NieschlagDas Laborhandbuch bietet detaillierte Anleitungen zu allen labortechnischen Anwendungen, die für die Analyse des menschlichen Ejakulats und der Spermien-Zervikalschleim-Interaktion relevant sind. Behandelt werden alle Aspekte der Spermiendiagnostik, -vorbereitung und Qualitätssicherung - ob zur Evaluierung infertiler Paare, der Fertilität von Männern oder für gerichtsmedizinische Fragestellungen.
WHO Laborhandbuch: zur Untersuchung und Aufarbeitung des menschlichen Ejakulates
by World Health Organization Staff Hermann M. Behre Sabine Kliesch Eberhard Nieschlag Stefan SchlattDas Laborhandbuch bietet detaillierte Anleitungen zu allen labortechnischen Anwendungen, die für die Analyse des menschlichen Ejakulats und der Spermien-Zervikalschleim-Interaktion relevant sind. Behandelt werden alle Aspekte der Spermiendiagnostik, -vorbereitung und Qualitätssicherung – ob zur Evaluierung infertiler Paare, der Fertilität von Männern oder für gerichtsmedizinische Fragestellungen.
Who Owns Our Bodies?: Making Moral Choices in Health Care
by John Spiers Ray RobinsonThis book explores the controversial dilemmas which meet at the intersection of medicine philosphy and law - questions concerning killing and not killing which are faced daily in health care. They embrace euthanasia abortion the care of the elderly and the demented the care of the mentally ill children and those in a persistent vegative state. Who Owns our Bodies? identifies a crisis both in ethics and in empowerment as people face often neccessarily wretched choices. It seeks a framework of guidance for practical decision-making and focuses on two key issues. First who decides on an individual's quality of life and thus on their health care treatments? Second how can patients be empowered with a structure to enable choice self-realization self-reflection and self-responsibility? John Spiers with characteristic clarity and verve offers a fundamental choice between health care experienced as hierarchy and control and the alternative of choice and self-responsibilty. He argues that health care must rely on patients deciding how much power they have not on professionals deciding how much to grant them.
Who Owns You?
by David Koepsell"Who Owns You?" is a comprehensive exploration of the numerous philosophical and legal problems of gene patenting. Provides the first comprehensive book-length treatment of this subjectDevelops arguments regarding moral realism, and provides a method of judgment that attempts to be ideologically neutralCalls for public attention and policy changes to end the practice of gene patenting
Who Owns You?: The Corporate Gold Rush to Patent Your Genes (Blackwell Public Philosophy Ser.)
by David KoepsellWho Owns You? is a comprehensive exploration of the numerous philosophical and legal problems of gene patenting. Provides the first comprehensive book-length treatment of this subject Develops arguments regarding moral realism, and provides a method of judgment that attempts to be ideologically neutral Calls for public attention and policy changes to end the practice of gene patenting
Who Says Women Can't Be Doctors?: The Story Of Elizabeth Blackwell
by Tanya Lee Stone Marjorie Priceman<P>In the 1830s, when a brave and curious girl named Elizabeth Blackwell was growing up, women were supposed to be wives and mothers. <P>Some women could be teachers or seamstresses, but career options were few. <P>Certainly no women were doctors. But Elizabeth refused to accept the common beliefs that women weren't smart enough to be doctors, or that they were too weak for such hard work. And she would not take no for an answer. <P>Although she faced much opposition, she worked hard and finally-when she graduated from medical school and went on to have a brilliant career-proved her detractors wrong. <P>This inspiring story of the first female doctor shows how one strong-willed woman opened the doors for all the female doctors to come.
Who Says You're Dead?: Medical & Ethical Dilemmas for the Curious & Concerned
by Jacob M. Appel“An original, compelling, and provocative exploration of ethical issues in our society, with thoughtful and balanced commentary. I have not seen anything like it.” —Alan Lightman, author of Einstein’s Dreams Drawing upon the author’s two decades teaching medical ethics, as well as his work as a practicing psychiatrist, this profound and addictive little book offers up challenging ethical dilemmas and asks readers, What would you do?A daughter gets tested to see if she’s a match to donate a kidney to her father. The test reveals that she is not the man’s biological daughter. Should the doctor tell the father? Or the daughter?A deaf couple prefers a deaf baby. Should they be allowed to use medical technology to ensure they have a child who can’t hear? Who should get custody of an embryo created through IVF when a couple divorces? Or, when you or a loved one is on life support, Who says you’re dead? In short, engaging scenarios, Dr. Appel takes on hot-button issues that many of us will confront: genetic screening, sexuality, privacy, doctor-patient confidentiality. He unpacks each hypothetical with a brief reflection drawing from science, philosophy, and history, explaining how others have approached these controversies in real-world cases. Who Says You’re Dead? is designed to defy easy answers and to stimulate thought and even debate among professionals and armchair ethicists alike.
Who Shall Take Care of Our Sick?: Roman Catholic Sisters and the Development of Catholic Hospitals in New York City (Medicine, Science, and Religion in Historical Context)
by Bernadette McCauleyThis rich history chronicles the prominent role of Catholic women religious in establishing the hospitals at the core of New York City's extensive Catholic medical network. Beginning with the opening of St. Vincent's Hospital in 1849, Bernadette McCauley relates how determined and pragmatic women of faith worked over the next eighty years to place the Catholic Church in the mainstream of American medicine.Exploring the differences and similarities between Catholic hospitals and other hospitals, McCauley describes the particular cultural sensibility and management style that informed Catholic health care and gauges the ultimate success of Catholic efforts. Visionary sisters established, managed, and staffed the hospitals, and they sat on hospital boards and served as administrators at a time when women rarely occupied positions of leadership in business. McCauley illustrates how they at once embraced the world of God and the world of man, playing an unheralded role in the development of the modern hospital while serving the daily needs of New York's immigrant poor.Encompassing such issues as immigration, the education of nurses and doctors, hospital care and organization, and the role of women in the Catholic church, this extensive study is a valuable resource for scholars and students in the history of medicine, history of nursing, American religion, and women's history.
Who Should Run the Health Service?: Realignment and Reconstruction
by Olusola OniThis study examines management systems and their appropriateness to the National Health Service. The text considers the role of clinicians in management, recommending increased involvement by clinicians, and arguing that they must take on a greater management role in the reformed health service. The author suggests that conultants are best placed to manage the NHS efficiently and cost-effectively. In a system where non-clinical staff have come to dominate NHS management, and where purchasers determine what services are to be provided and the Patient's Charter defines the parameters of practice, doctors have genuine reasons to be hostile to the idea of involvement in hospital management. However, the author of this book warns of the danger to the health service and to patient care if consultants are sidelined. He considers management systems and the most suitable roles of clinicians in practice. In proposing models for change, he aims to transform the professional lives of clinicians.
Who They Were: Inside the World Trade Center DNA Story
by Robert C. ShalerIn Who They Were, Dr. Robert C. Shaler, the man who directed the largest and most groundbreaking forensic DNA investigation in U.S. history, tells with poignant clarity and refreshing honesty the story behind the relentless effort to identify the 2,749 victims of the attacks on the World Trade Center. No part of the investigation into the 9/11 attacks has taken as long or been less discussed than the daunting task of identifying the victims -- and the hijackers -- from the remains in the rubble of Ground Zero. In Who They Were, Dr. Robert C. Shaler, former director of the Forensic Biology Department at the New York City Office of the Chief Medical Examiner, tells the inside story of the relentless process of DNA identification and depicts the victories and frustrations that he and his team of scientists experienced during more than three years of grueling work. On September 11, 2001, New York City was unprepared for the mass-fatality event that occurred at the World Trade Center. The Office of the Chief Medical Examiner had to completely reconfigure itself to process and identify the nearly 20,000 remains that would eventually come through its doors. Facing an astonishing array of obstacles -- from political infighting and an overwhelming bureaucracy to the nearly insurmountable task of corralling personnel and supplies to handle the work -- Shaler and his team quickly established an unprecedented network of cooperation among public agencies and private labs doing cutting-edge research. More than a story of innovative science at the frontiers of human knowledge, Who They Were also tells the very human story of how Dr. Shaler and his staff forged important and lasting bonds with the families of those who were lost. He shares the agony of mistakes made in the chaos and unintended misidentifications resulting in the excruciating difficulty of having to retrieve remains from families of the lost. Finally, Dr. Shaler shares how he and the dedicated team of scientists who gave up more than three years of their lives when the rest of the world had moved on had to face the limits of science in dealing with the appalling level of destruction at Ground Zero and concede that no more victims would be sent home to their families. As of April 2005, when the process was suspended, only 1,592 out of the 2,749 who died on that fateful day had been identified. With compelling prose and insight, Who They Were reveals the previously untold stories of the scientists determined to bring closure to devastated families in the wake of America's largest disaster.
Who Will Care For Us? Long-Term Care and the Long-Term Workforce: Long-Term Care and the Long-Term Workforce
by Paul OstermanThe number of elderly and disabled adults who require assistance with day-to-day activities is expected to double over the next twenty-five years. As a result, direct care workers such as home care aides and certified nursing assistants (CNAs) will become essential to many more families. Yet these workers tend to be low-paid, poorly trained, and receive little respect. Is such a workforce capable of addressing the needs of our aging population? In Who Will Care for Us? economist Paul Osterman assesses the challenges facing the long-term care industry. He presents an innovative policy agenda that reconceives direct care workers’ work roles and would improve both the quality of their jobs and the quality of elder care. Using national surveys, administrative data, and nearly 120 original interviews with workers, employers, advocates, and policymakers, Osterman finds that direct care workers are marginalized and often invisible in the health care system. While doctors and families alike agree that good home care aides and CNAs are crucial to the well-being of their patients, the workers report poverty-level wages, erratic schedules, exclusion from care teams, and frequent incidences of physical injury on the job. Direct care workers are also highly constrained by policies that specify what they are allowed to do on the job, and in some states are even prevented from simple tasks such as administering eye drops. Osterman concludes that broadening the scope of care workers’ duties will simultaneously boost the quality of care for patients and lead to better jobs and higher wages. He proposes integrating home care aides and CNAs into larger medical teams and training them as “health coaches” who educate patients on concerns such as managing chronic conditions and transitioning out of hospitals. Osterman shows that restructuring direct care workers’ jobs, and providing the appropriate training, could lower health spending in the long term by reducing unnecessary emergency room and hospital visits, limiting the use of nursing homes, and lowering the rate of turnover among care workers. As the Baby Boom generation ages, Who Will Care for Us? demonstrates the importance of restructuring the long-term care industry and establishing a new relationship between direct care workers, patients, and the medical system.
Who Will Keep the Public Healthy?: Workshop Summary
by Lyla M. Hernandez Committee on Educating Public Health Professionals for the 21st CenturyA report on How the Public Will Keep Healthy
Who Will Keep the Public Healthy?: Educating Public Health Professionalsfor the 21st Century
by Institute of Medicine of the National AcademiesBioterrorism, drug--resistant disease, transmission of disease by global travel . . . there’s no shortage of challenges facing America’s public health officials. Men and women preparing to enter the field require state-of-the-art training to meet these increasing threats to the public health. But are the programs they rely on provide the high caliber professional training they require? Who Will Keep the Public Healthy? provides an overview of the past, present, and future of public health education, assessing its readiness to provide the training and education needed to prepare men and women to face 21st century challenges. Advocating an ecological approach to public health, the Institute of Medicine examines the role of public health schools and degree--granting programs, medical schools, nursing schools, and government agencies, as well as other institutions that foster public health education and leadership. Specific recommendations address the content of public health education, qualifications for faculty, availability of supervised practice, opportunities for cross--disciplinary research and education, cooperation with government agencies, and government funding for education. Eight areas of critical importance to public health education in the 21st century are examined in depth: informatics, genomics, communication, cultural competence, community-based participatory research, global health, policy and law, and public health ethics. The book also includes a discussion of the policy implications of its ecological framework.
Who You Were Before Trauma: The Healing Power Of Imagination For Trauma Survivors
by Luise ReddemannIntroducing a proven, pioneering program that empowers trauma survivors to take control of their recovery through imaginative exercises Over the last thirty-five years, our understanding of trauma has dramatically changed. We now know that most people live through at least one traumatic event—which can cause disorders that range from depression, addiction, and anxiety, to cardiovascular disease and diabetes. But when leading German psychotherapist Luise Reddemann became head of a psychosomatic clinic in 1985, many doctors were routinely dismissive of patients’ trauma. Dr. Reddemann has devoted her career to this question: How can survivors of complex trauma and PTSD heal—and even help themselves to heal? In Who You Were Before Trauma, she presents her groundbreaking method, along with positive therapeutic strategies, to therapists and patients alike. Psychodynamic Imaginative Trauma Therapy (PITT) incorporates imagination work at every stage of the three-phase trauma therapy model: Establish safety and stabilization Come to terms with traumatic memories Integrate and reconnect with others. By guiding patients to unearth their buried strengths, envision an inner refuge, evoke helpful guiding figures, and ultimately build an “internal counterweight” to their trauma, Reddemann’s approach avoids the counterproductive dynamic where the therapist becomes the patient’s only source of comfort. This definitive trauma resource shows the way to empower survivors—by making them true partners in their recovery.
Whole Body Barefoot: Transitioning Well to Minimal Footwear
by Katy BowmanMany work hard on good posture and better walking and running alignment, but it’s critical to understand how what you put on your feet each day can play a bigger role in the function of your feet, ankles, knees, hips, and spine than you might realize. <p><p> Biomechanist and author of Simple Steps to Foot Pain Relief, Katy Bowman offers walkers, runners, and health professionals alike clear, accessible lessons on how the shape of shoes can play a role in painful feet, knees, and hips―and what to do about it. <p><p> When we have painful feet and weak ankles it seems like stiff, supportive shoes are the answer, but this solution can be temporary, especially if our issues stem from foot and leg weakness. In short, humans come with great “foot technology,” we just need to learn how to use it.
Whole-Body Cryostimulation: Clinical Applications
by Paolo CapodaglioThis book entails chapters ranging from cell to clinical studies exploring the state-of-the-art of the molecular and clinical effects of Whole-Body Cryostimulation (WBC). Based on consolidated evidence, WBC is nowadays widely used in elité athletes for recovery from muscle fatigue or injury but, despite growing scientific support, it remains a niche topic in the field of Rehabilitation. At present, WBC is used mostly in eastern Europe as add-on treatment for rheumatological conditions, but recent literature suggests that its positive effects can have a clinically significant impact on a wider range of conditions. The novelty of the book consists of documenting the clinical and functional effects of WBC in a range of conditions including post/long-Covid symptoms, fibromyalgia, rheumatologic, metabolic, psychiatric, sleep and respiratory disorders, multiple sclerosis, Parkinson disease, spasticity.It addresses clinicians, researchers and postgraduate students, trying to provideevidence-based support for the use of WBC in pain and fatigue reduction, and improvement in functioning, mood, quality of sleep in various clinical conditions. The recently unveiled metabolic effects of the chronic exposure to cryogenic temperatures represent cutting-edge research in the field of obesity and diabetes management. The book describes the work-in-progress of an international panel of experts and provides the latest indications for a safe use of WBC in the clinical setting in different medical conditions. It is about time to pinpoint to the clinical audience the current achievements on this topic together with the limitations of the existing studies, the lack of standard protocols with regard to individual “doses” of cryogenic exposure in specific health conditions and the safety concerns in order to foster research on the application of clinically useful and safe WBC protocols as add-on treatments able to boost rehabilitation programs.
The Whole Body Cure
by Dr Corey KirshnerThe Whole Body Cure: the Simple Plan to Prevent and Reverse Disease, Eliminate Pain, and Lose Weight for Good.
Whole-Body FDG PET Imaging in Oncology
by Pier Francesco RambaldiThis manual presents a large collection of clinical cases in oncology with accompanying whole-body FDG PET-CT scans. The aim is to promote an integrated approach to the use of PET-CT, and detailed attention is therefore paid to the clinical history and diagnostic question. A central aspect of every clinical case described in this manual is the guidance on the clinical report, which is the official tool for communicating with both the referring physician and the person undergoing the diagnostic test; for this reason it needs to be clear, understandable, and written in shared language. The advice regarding report preparation is strongly supported by informative PET, CT, and PET-CT fused images of each disease. The book is broadly structured according to anatomic region, and a wide range of common diseases likely to be imaged using PET-CT is covered. This book will be of value to all those training or working in the field of oncology who wish to ensure that they are best placed to contextualize, interpret, and report the findings obtained with PET-CT, which can have such a dramatic impact on prognosis, therapeutic choice, and quality of life.
The Whole-Body Microbiome: How to Harness Microbes—Inside and Out—for Lifelong Health
by B. Brett Finlay Jessica M. FinlayLearn the secret to total, lifelong health: the teeming world of microbes inside and all around us Modern-day science has allowed us to prolong and improve life in astonishing ways, often by fending off germs and other invisible foes. But there’s no “immunity” to the inevitable signs of aging . . . or is there? In The Whole-Body Microbiome, the father-daughter team of Dr. Brett Finlay (a microbiologist) and Dr. Jessica Finlay (a specialist on aging) offers a different—and truly revolutionary—solution to the quest for the fountain of youth. While much has been written about bacteria in the gut, exciting new research shows that there are millions of microbes both inside our bodies—supporting our brain, teeth, heart, lungs, bones, immune system, and more; plus the microbes on our bodies, coming from the air we breathe and the things we touch all day long—cell phones and kitchen sponges, pets and doorknobs, and even other humans. These microbial “lifelong companions” have an immense impact on our daily health—and, as groundbreaking research is showing, they have the power to help prevent and reverse the most common age-related diseases. In this eye-opening new take on the significance of the microbiome, the Finlays offer empowering knowledge, surprising myth-busters, and simple yet effective daily tips that prove “dirty” is the new clean. Whether it’s by changing your diet, enjoying a glass of wine, getting more exercise, trading your antibacterial gel for good old soap and water, or spending more time outdoors, you can change your life today; so that you and your microbes live long—and prosper.
Whole-body MRI Screening
by Ralf Puls Norbert HostenThe daily analysis of whole-body MRI datasets uncovers many incidental findings, which are discussed by an interdisciplinary advisory board of physicians. This book provides a systematic overview of these incidental findings with the aid of approximately 240 high-quality images. The radiologists involved in the project have written chapters on each organ system, presenting a structured compilation of the most common findings, their morphologic appearances on whole-body MRI, and guidance on their clinical management. Chapters on technical and ethical issues are also included. It is hoped that this book will assist other diagnosticians in deciding how to handle the most common incidental findings encountered when performing whole-body MRI.
Whole Body Ultrasonography in the Critically Ill
by Daniel A. LichtensteinOver the past two decades it has been increasingly recognized that whole-body ultrasound is an invaluable tool in the critically ill. In addition to offering rapid whole-body assessment, it has the advantage of being a bedside approach that is available at all times and can be repeated at will. Accordingly, it permits the immediate institution of appropriate therapeutic management. Whole-Body Ultrasound in the Critically Ill is the sequel to the author's previous books on the subject, which were first published in French in 1992 and 2002 and in English in 2004. This new volume reflects the latest state of knowledge by including a variety of improvements, revised definitions, and updated algorithms. Findings in respect of individual organs are clearly presented, and a particular feature is the in-depth coverage of the lungs, traditionally regarded as an area unsuitable for ultrasound. Throughout, the emphasis is on the practical therapeutic impact of the technique. Its value in a variety of settings, including unexplained shock, management of hemodynamic instability, acute respiratory failure (the BLUE protocol), and the critically ill neonate, is carefully explained. Interventional ultrasound and less widely recognized applications, such as mesenteric infarction, pneumoperitoneum, and intracranial hypertension, are also described. Pitfalls of the technique receive due attention. Today, whole-body ultrasound touches upon every area of critical care. This book, from the chief pioneer in the field, shows that the technique enables critical care physicians to detect therapeutically relevant signs easily and quickly. It will serve as an invaluable guide to the practice of a form of visual medicine.