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Umbilicus and Umbilical Cord
by Mohamed FahmyThis book discusses the importance of umbilical cord and umbilicus as a unique structure, in health and in different diseases. All congenital anomalies of the umbilical cord as well as acquired diseases are explained and discussed with illustrations and animations.Starting from complications during and after birth, the book then covers childhood and adolescent umbilical abnormalities. Conditions such as umbilical stump diseases and anomalies, gastroschisis, omphalocele and urachal anomalies are discussed and explained, highlighting recent advances in their management. Among the contents are also chapters offering a cultural and historical perspective to the topic.Written by a top pediatric surgeon this book brings decades of practical knowledge to readers, highlighting the importance of the umbilicus in development and childhood health.
Umbrella Reviews
by Giuseppe Biondi-ZoccaiThis book is an ideal guide to umbrella reviews, overviews of reviews, and meta-epidemiologic studies for evidence synthesis. Research is conducted at different levels: primary research consists of original studies while secondary research comprises qualitative reviews, systematic reviews, and meta-analyses. Recently, a novel further level of research has been introduced, based on the analysis and pooling of reviews and meta-analysis. This book is the first to focus solely on this new type of research design, which permits a comprehensive and powerful synthesis of scientific evidence in medicine as well as in many other fields in order to inform decision-making. All aspects are covered, including review design and registration, the searching, abstracting, appraisal, and synthesis of evidence, the appraisal of moderators and confounders, and state of the art reporting. Case studies in a range of medical specialties are then presented. The hands-on approach of the book, written by a multinational team of experts, will enable the reader to interpret and independently conduct umbrella reviews.
Umgang mit dem Thema Tod bei Auszubildenden der generalistischen Pflegeausbildung
by Eva DubronnerDie wissenschaftliche Arbeit steht unter der Zielsetzung, den Stellenwert des Themas Tod bei Auszubildenden der neuen generalistischen Pflegeausbildung zu erforschen und zu untersuchen, inwieweit sich das Todesbewusstsein durch Zunahme von Fachwissen seitens des berufstheoretischen Unterrichts und durch berufspraktische Erfahrungen und Begegnungen mit Sterbenden und trauernden Angehörigen bei den Auszubildenden verändert. Die Erfassung und Bewertung der thanatologisch- und praktischen Erlebnis- und Darstellungsform wird mithilfe von leitfadengestützten Interviews exploriert und Unterschiede mit Blick auf die Thematik zwischen Auszubildenden des ersten und dritten Ausbildungsjahrganges dargestellt. Darüber hinaus werden die Befunde der qualitativen Erhebung in den curricularen Kontext gestellt und Handlungsoptionen für den berufstheoretischen Unterricht der dreijährigen Pflegeausbildung zum Thema Tod gegeben. Die Thematisierung der Endlichkeit- und Vergänglichkeitsthematik mittels leitfadengestützten Interviews versteht sich als eine der ersten wissenschaftlichen Beiträge zur Erhebung des Todesbewusstseins bei Auszubildenden der neuen generalistischen Pflegeausbildung.
Umgang mit Grenzverletzungen: Professionelle Standards und ethische Fragen in der Psychotherapie (Psychotherapie: Praxis)
by Andrea SchleuDas Buch setzt sich lebendig und anhand vieler anschaulicher Beispiele mit schwierigen Behandlungssituationen in der Psychotherapie auseinander. Einen Orientierungsrahmen bieten Ethikleitlinien, Berufsordnung und wissenschaftliche Erkenntnisse, die jedoch keine abschließenden Antworten geben können. Das Buch führt in einen offenen Diskurs über den Umgang mit Irrtum, Verwicklung, Grenzen und Grenzverletzungen, von dem sowohl Aus- und Weiterbildungsteilnehmer als auch erfahrene Kollegen profitieren können. Vor dem Hintergrund des aktuellen Stands der Forschung und der rechtlichen Rahmenbedingung wird jenseits von Tabuisierung und Schweigen ein hilfreicher Umgang mit der Dynamik von Grenzverletzungen und Machtmissbrauch in der Psychotherapie entwickelt. Die teils gravierenden Folgen für Patienten und Psychotherapeuten sowie die gesamte Profession werden eingehend erörtert und Maßnahmen zur Prävention dargestellt. Aus dem Inhalt: Grenzverletzungen – Abstinenzverletzungen – Machtmissbrauch – Machtgefälle – Behandlungsfehler – Regelverstöße – Nebenwirkungen – Therapieschäden – professionelle und ethische Standards in der Psychotherapie – Ethikverein – Folgetherapie – Prävention – politische Konsequenzen. Die Autorin: Dr. med. Andrea Schleu, Fachärztin für Psychotherapeutische Medizin und Innere Medizin, Psychoanalyse (DGPT), EMDR (EMDRIA), Spez. Psychotraumatologie (DeGPT), Supervision (DGSv), Dozentin, Referentin, Beraterin und Vorsitzende Ethikverein e.V.
Umphred's Neurorehabilitation for the Physical Therapist Assistant (Core Texts for PTA Education)
by Darcy Umphred Rolando LazaroA comprehensive guide to neurological rehabilitation for physical therapist assistants (PTAs), Umphred’s Neurorehabilitation for the Physical Therapist Assistant, Third Edition presents contemporary, evidence-based principles and techniques for examination and intervention for individuals with neurological conditions.Umphred’s Neurorehabilitation for the Physical Therapist Assistant, Third Edition addresses a wide variety of pediatric and adult neurological disorders, including spinal cord injury, brain injury, stroke, Parkinson’s disease, multiple sclerosis, amyotrophic lateral sclerosis, Guillain-Barré syndrome, and more.Drs. Lazaro and Umphred have updated this classic text to reflect current and emerging trends in physical therapy, including: The role of the PTA in neurocritical care The role of the PTA in management of clients with lifelong impairments and activity limitations Technology in neurorehabilitation Also included is a new chapter on functional neuroanatomy, which provides the foundational background for understanding the relationship between the structure and function of the nervous system.The Third Edition also features helpful instructor and student resources. Included with the text are online supplemental materials for faculty use in the classroom.Umphred’s Neurorehabilitation for the Physical Therapist Assistant, Third Edition is the definitive resource for any PTA faculty, student, or clinician interested in the physical therapy management of individuals with neurological conditions.
Un altro sguardo al bipolarismo: Non c’è da vergognarsi nel preferire la felicità
by Benjamin NemopodeL’incredibile percorso di un uomo con il disturbo bipolare Come è sprofondato nella più profonda disperazione, per poi uscirne trionfante. Ti è stato diagnosticato il bipolarismo? Conosci qualcuno che soffre di questa malattia e che lotta per ritrovare se stesso? Vorresti saperne di più di questo terribile disturbo psicologico? Sei alla ricerca della pace o sei interessato al buddhismo? Disturbo bipolare o verità del risveglio spirituale? Segui il viaggio di Arthuro Jobsquare, bipolare, da Parigi a Montreal, passando per Londra, fino allo stato di buddha. Un’avventura fantastica, uno scacco al bipolarismo. Un’incredibile determinazione nel voler superare la malattia che minacciava di controllarlo per sempre. Descrizione della malattia e dell’incredibile percorso di un bipolare di tipo I. Questo libro espone l’incredibile percorso di una persona bipolare fornendo una descrizione corretta e accurata della malattia. Se cerchi un libro sul disturbo bipolare o sul risveglio spirituale, non cercare oltre, l’hai trovato... Ordina SUBITO la tua copia e inizia il tuo percorso di risveglio. Estratti dalle recensioni di lettori Amazon ★★★★★ “L’autore condivide con noi il suo doloroso percorso di vita con il disturbo bipolare di tipo I. Una testimonianza toccante, compiuta e scritta splendidamente...” - Frédérique Madison (Francia) ★★★★★ “Ho letto questo libro in più tempi, cosa che non è mia abitudine fare. Ma ogni tanto ho dovuto fermarmi a riprendere fiato. Si sente chiaramente tutta la sofferenza di una persona che cerca di prendere le distanze dalla propria esperienza...” - Armand Poursin (Francia) ★★★★★ “Consiglio questo libro in quanto utile complemento alle proprie ricerche sulla malattia e anche come testimonianza di chi ne è affetto. Ora posso dire di averla compresa molto più chiaramente e di amare
(Un-)Erfüllter Kinderwunsch: Psychologische Hilfen und medizinisches Wissen – was Paare in der Kinderwunschzeit ihrem Ziel näher bringt
by Julietta KuehnDie Kinderwunschzeit ist mit einem hohen Leidensdruck und Zukunftsängsten verbunden. Betroffene Paare durchlaufen verschiedene emotionale Entwicklungsphasen und stehen immer wieder vor neuen Herausforderungen. Manchmal ist die Sehnsucht nach einem Baby gar so groß, dass ein Tunnelblick, vermehrtes Grübeln und angstbesetzte Gedanken den Alltag negativ beeinflussen. Wenn Verbissenheit, Trauer, Verzweiflung oder Hoffnungslosigkeit lähmend wirken, kann ein Perspektivenwechsel die Offenheit für alternative Wege stärken.Mit diesem Ratgeber erhalten Sie während dieser facettenreichen, schweren Lebenssituation Unterstützung durch eine erfahrene Medizinerin, Psychotherapeutin und Betroffene. Vor allem wenn reproduktionsmedizinische Maßnahmen in Anspruch genommen werden, ist der Erhalt der körperlichen und geistigen Gesundheit eine Grundvoraussetzung, um diese Zeit möglichst gelassen und ohne Folgeerscheinungen zu überstehen.Auf die Kinderwunschzeit abgestimmte Übungen, konkrete Hilfsangebote und Erfahrungsberichte bieten Ihnen eine lösungsorientierte, mitfühlende Bewältigungshilfe. Loslassen ist in dieser Zeit genauso wichtig, wie die Konkretisierung neuer Wege, damit Sie Ihrem Wunschziel näher kommen.
Unaffordable: American Healthcare from Johnson to Trump
by Jonathan EngelWritten for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen. Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies.
The Unapologetic Guide To Black Mental Health: Navigate An Unequal System, Learn Tools For Emotional Wellness, And Get The Help You Deserve
by Rheeda WalkerWe can’t deny it any longer: there is a Black mental health crisis in our world today. Black people die at disproportionately high rates due to chronic illness, suffer from poverty, under-education, and the effects of racism. This book is an exploration of Black mental health in today’s world, the forces that have undermined mental health progress for African Americans, and what needs to happen for African Americans to heal psychological distress, find community, and undo years of stigma and marginalization in order to access effective mental health care. <p><p> In The Unapologetic Guide to Black Mental Health, psychologist and African American mental health expert Rheeda Walker offers important information on the mental health crisis in the Black community, how to combat stigma, spot potential mental illness, how to practice emotional wellness, and how to get the best care possible in system steeped in racial bias. <p> It’s past time to take Black mental health seriously. Whether you suffer yourself, have a loved one who needs help, or are a mental health professional working with the Black community, this book is an essential and much-needed resource.
Unavoidably Unsafe: Childhood Vaccines Reconsidered
by Edward Geehr Jeffrey BarkeAn in-depth guide for parents as they struggle to make informed decisions about vaccines for their children. In Unavoidably Unsafe, Dr. Edward Geehr and Dr. Jeffrey Barke confront the prevailing beliefs surrounding childhood vaccines with unflinching scrutiny and bold insight. As seasoned physicians, they acknowledge the revered status vaccines hold in modern medicine while bravely questioning their safety and efficacy. From the historical triumphs of polio eradication to the complexities of modern immunization schedules, Geehr and Barke unravel the layers of vaccine development and regulation. They shed light on the unintended consequences of vaccine mandates and the erosion of informed consent in the face of mounting pharmaceutical influence. Drawing on decades of clinical experience and exhaustive research, the authors challenge conventional wisdom by addressing critical issues such as: The proliferation of childhood vaccines and their impact on public health The National Childhood Vaccine Injury Act and its implications for vaccine safety The symbiotic relationship between pharmaceutical companies and regulatory agencies The shortcomings of Emergency Use Authorization and its implications for vaccine safety The presence of potentially harmful additives in vaccine formulations A fresh look at possible links between vaccines and autism Cautionary considerations regarding mRNA vaccines and their suitability for children Practical guidance for evaluating the risks and benefits of vaccines for individual children The significance of proper informed consent and patient advocacy in vaccination decisions Unavoidably Unsafe is not an indictment of vaccines but a call to arms for informed decision-making and transparency in healthcare. Geehr and Barke aim to empower parents, guardians, and healthcare providers with the knowledge needed to navigate the complex landscape of childhood immunization responsibly. In a rapidly evolving medical landscape where uncertainties abound, Unavoidably Unsafe serves as a beacon of clarity and integrity, reaffirming the importance of critical thinking and patient-centered care in safeguarding the health and well-being of future generations.
[Unawareness voor ] hypoglykemie
by Th. F. VenemanDiabetes neemt wereldwijd ongekende vormen aan. Geschat wordt dat er in 2030 350 miljoen diabetespatiënten zullen zijn. Goede metabole regulatie is van groot belang voor patiënten met diabetes mellitus. Echter het streven naar lagere plasmaglucoseconcentraties gaat onlosmakelijk gepaard met een groter risico op het ontstaan van hypoglykemie. In dit boek wordt het fenomeen 'hypoglykemie' en unawareness voor hypoglykemie uitvoerig beschreven. Er wordt aandacht besteed aan de fysiologie en de pathofysiologie van hypoglykemie en de afweer daartegen. Ook beschrijft de auteur de gevolgen van hypoglykemie in de dagelijkse praktijk. [Unawareness voor] Hypoglykemie geeft de lezer meer inzicht in de mogelijkheden en risico's van strikte metabole regulatie.
Unbegrenzte Lichtmikroskopie: Über Auflösung und Super-Hochauflösung und die Frage, ob man Moleküle sehen kann (essentials)
by Rolf Theodor BorlinghausRolf T. Borlinghaus erläutert die Ursachen für die klassische Begrenzung der Lichtmikroskopie und beleuchtet die neuen Super-Hochauflösungstechniken. Dies ist besonders aktuell, da der Nobelpreis 2014 für Chemie für die Entwicklung von Technologien vergeben wurde, die es nun ermöglichen, mit Lichtmikroskopen feinere Details aufzulösen, als es die klassische Theorie einschränkend vorhersagt. Diese neuen Methoden stellen aber nicht das bisherige Weltbild der Optik in Frage, vielmehr nutzen sie ganz andere Phänomene, um mittels klassischer Optik Positionsbestimmungen von Molekülen durchzuführen. Das ist theoretisch beliebig genau möglich.
Unbemannte Flugsysteme in der medizinischen Versorgung: Strategien zur Überwindung von Innovationsbarrieren
by Mina Baumgarten Klaus Hahnenkamp Steffen FleßaUnbemannte Flugsysteme (unmanned aerial systems, UAS) in der medizinischen Versorgung einsetzen – was für viele noch ein wenig futuristisch klingt, ist aktuell Gegenstand mehrerer Projekte in Deutschland. Über 20 Autoren verschiedenster Fachgebiete präsentieren in diesem Buch ihre Erfahrungen, Analysen und Ergebnisse als interdisziplinäres Positionspapier. Sie stellen den Status quo der UAS-Entwicklung in Deutschland vor, entwickeln Anwendungsszenarien für unbemannte Flugsysteme in künftigen medizinischen Versorgungskonzepten, identifizieren die wichtigsten Innovationsbarrieren bei der Umsetzung in aktuellen Strukturen der Gesundheitsversorgung und zeigen Wege zu ihrer Überwindung auf. Dabei werden sowohl versorgungsstrukturelle, technische, rechtliche, gesetzliche als auch konzeptionelle Barrieren und Fragestellungen thematisiert. Den Experten gelingt es, die komplexen Inhalte aus den vier Themengebieten zur medizinischen Versorgung, Richtlinien, UAS-Technik sowie zur Entwicklung künftiger Betriebskonzepte verständlich zu machen. Angesprochen werden alle Akteure des Innovationsprozesses um medizinische UAS. Für künftig standardisierte Einsätze zählen darunter politische Akteure mit Richtlinienkompetenz, medizinische Anwender und Kaufleute des Versorgungssystems, wie auch Entwickler von UAS-Technik und Infrastruktur im Gesundheitssektor.
Unbiased Stereology: A Concise Guide
by Peter R. MoutonThis update to Peter R. Mouton’s pioneering work provides bioscientists with the concepts needed in order to apply the principles and practices of unbiased stereology to research involving biological tissues.Mouton starts with a brief explanation of the history and theory of the process before defining the terms, concepts, and tools of unbiased stereological procedures. He compares and contrasts the procedures with less-exacting approaches to quantitative analysis of biological structure using specific examples from biomedical literature. The book incorporates existing best practices with new methodologies, such as the Rare Event Protocol, while simplifying the dense, often difficult literature on the subject to show the utility and importance of unbiased stereology. This clear, insightful guide goes a step further than other books on this subject by demonstrating not only how to use unbiased stereology but also how to interpret and present the results.Written by the official U.S. representative to the International Society for Stereology, this is the most complete, up-to-date resource on the science of unbiased stereology. Those new to bioscience research as well as experienced practitioners will find that Mouton’s explanations are the perfect companion for stereology courses and workshops.
An Unbreakable Cycle:Drug Dependency Treatment, Mandatory Confinement, and HIV/AIDS in China’s Guangxi Province
by Human Rights WatchIn China, illicit drug use is an administrative offense and Chinese law dictates that drug users "must be rehabilitated." In reality, police raids on drug users often drive them underground, away from methadone clinics, needle exchange sites, and other proven HIV prevention services. And every year Chinese police send tens of thousands of drug users to mandatory drug treatment centers, often for years, without trial or due process. This report finds that most mandatory treatment centers, while ostensibly meant to provide drug treatment, do not actually offer forms of drug dependence treatment internationally recognized as effective. Mostly, drug users are forced to work or to spend their days in crowded cells little different from prisons.
Unbroken Brain: A Revolutionary New Way of Understanding Addiction
by Maia SzalavitzChallenging both the idea of the addict's 'broken brain' and the notion of a simple 'addictive personality,' this book offers a radical and groundbreaking new perspective, arguing that addictions are learning disorders and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
Unbuttoning the Bachelor Doc (Nashville Midwives #1)
by Deanne AndersLights, camera, action! Can a midwife and a doctor resist temptation when they&’re forced to be on their patient&’s reality TV show—together? Find out in the first installment of Deanne Anders&’s Nashville Midwives trilogy! MEDICS IN THE SPOTLIGHT! Life has been one big bump in the road after another for midwife Skylar. After moving to Nashville for a fresh start, she immediately clashes with grumpy bachelor Dr. Jared. So she&’s unimpressed when they must feature together on their patient&’s reality TV show! On-screen, they&’re strictly professional. But off camera, she discovers there&’s more to Jared than meets the eye. Can she convince this buttoned-up doc to let loose for once?From Harlequin Medical: Life and love in the world of modern medicine.Nashville Midwives Book 1: Unbuttoning the Bachelor DocBook 2: The Rebel Doctor's Secret Child
The Uncanny Rise of Medical Hypnotism, 1888–1914: Between Imagination and Suggestion (Mental Health in Historical Perspective)
by Gordon David BatesThis book explores the improbable rise of medical hypnotism in Victorian Britain and its subsequent assimilation and neglect. It follows the careers of the ‘New Hypnotists’: Charles Lloyd Tuckey, John Milne Bramwell, George Kingsbury and Robert Felkin. This loosely knit group all trained with the Suggestion School of Nancy and published books on hypnotism. They had to confront the many public and medical prejudices against the trance state which had persisted after the scandalous disgrace of John Elliotson and medical mesmerism, fifty years before. Hypnotism was a highly contested technology and in the 1890s the debates about safety and utility were fought in the national newspapers as well as the medical journals. The new hypnotists took on the might of the medical institutions personified by Ernest Hart, Editor of the British Medical Journal. However their timing was propitious, as the rise of faith-healing forced the medical profession to confront the non-physical therapeutic aspects of the doctor-patient relationship. The hypnotic discourse was shaped by these developments, but also by the fascination of the general public, novelists, occultists, psychic investigators, educationalists and spiritualists in the myriad possibilities of the trance state. Despite growing interest in the prehistory of British psychology and talking therapies, and the recent challenges to the primacy of Freudian histories, there are few accounts of the development of British ‘eclectic therapy’. This book uses the New Hypnotists as a lens to examine Victorian medicine and society, exploring their role in establishing the term ‘psychotherapy,’ and legitimising medical hypnotism, a precursor of psychological therapies.
Uncaring: How the Culture of Medicine Kills Doctors and Patients
by Robert PearlDoctors are taught how to cure people. But they don&’t always know how to care for them.Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation&’s outdated and dysfunctional healthcare system. But that&’s only part of the problem.In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today&’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us.Uncaring draws an original and revealing portrait of what it&’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.
Uncemented Femoral Stems for Revision Surgery
by Pierre Le Béguec François Canovas Olivier Roche Mathias Goldschild Julien BatardChoosing an uncemented femoral prosthesis means first choosing a concept and to be effective, an operator has to have access to all the information that will allow them to reach the desired goals. This is the first step to be made. The quality of a surgical procedure does not depend on the manual skills of the surgeon performing it, but on how he has prepared and performed the operation "virtually" before actually performing it. This is the second step. An operating technique must be adapted to the chosen concept and the purpose of every surgical procedure must be clearly formulated and understood by the operator. This is the third step. Every surgeon has to have a reliable and rigorous radiological method of analysis for evaluating overall results and which suggests ways of improving results.
The Uncertain Art: Thoughts on a Life in Medicine
by Sherwin B. Nuland"Life is short, and the Art so long; the occasion fleeting; experience fallacious; and judgment difficult. The physician must not only be prepared to do what is right himself, but also to make the patient, the attendants, and the externals, cooperate."-attributed to Hippocrates, c. 400 B.C.E. The award-winning author of How We Die and The Art of Aging, venerated physician Sherwin B. Nuland has now written his most thoughtful and engaging book. The Uncertain Art is a superb collection of essays about the vital mix of expertise, intuition, sound judgment, and pure chance that plays a part in a doctor's practice and life. Drawing from history, the recent past, and his own life, Nuland weaves a tapestry of compelling stories in which doctors have had to make decisions in the face of uncertainty. Topics include the primitive (and sometimes illegal) procedures doctors once practiced with good intentions, such as grave robbing and prescribing cocaine as an anesthetic (which resulted in a physician becoming America's first cocaine addict); the curious "cures" for irregularity touted by people from the ancient Egyptians to the cereal titan John Harvey Kellogg and bodybuilder Charles Atlas; and healers grappling with today's complex moral and ethical quandaries, from cloning to gene therapy to the adoption of Eastern practices like acupuncture. Nuland also recounts his most dramatic experiences in a forty-year medical career: the time he was called out of the audience of a Broadway play to help a man having a heart attack (when no other doctor there would respond), and how he formed a profound friendship with an unforgettable-and doomed-heart patient. Behind these inspiring accounts always lie the mysteries of the human body and human nature, the manner in which the ill can will themselves back to health and the odd and essential interactions between a body's own healing mechanisms and a doctor's prescriptions.Riveting and wise, amusing and heartrending, The Uncertain Art is Sherwin Nuland's best work, gems from a man who has spent his professional life acting in the face of ambiguity and sharing what he has learned.
Uncertain Bioethics: Moral Risk and Human Dignity (Routledge Annals of Bioethics)
by Stephen NapierBioethics is a field of inquiry and as such is fundamentally an epistemic discipline. Knowing how we make moral judgments can bring into relief why certain arguments on various bioethical issues appear plausible to one side and obviously false to the other. Uncertain Bioethics makes a significant and distinctive contribution to the bioethics literature by culling the insights from contemporary moral psychology to highlight the epistemic pitfalls and distorting influences on our apprehension of value. Stephen Napier also incorporates research from epistemology addressing pragmatic encroachment and the significance of peer disagreement to justify what he refers to as epistemic diffidence when one is considering harming or killing human beings. Napier extends these developments to the traditional bioethical notion of dignity and argues that beliefs subject to epistemic diffidence should not be acted upon. He proceeds to apply this framework to traditional and developing issues in bioethics including abortion, stem cell research, euthanasia, decision-making for patients in a minimally conscious state, and risky research on competent human subjects.
An Uncertain Inheritance: Writers on Caring for Ill Family Members
by Nell CaseyIn this eloquent collection of essays—from the editor of the national bestseller Unholy Ghost: Writers on Depression—contributors reveal their experiences in caring for family through illness and deathToday, thirty million people look after frail family members in their own homes. This number will increase drastically over the next decade—as baby boomers tiptoe toward old age; as soldiers return home from war wounded, mentally and physically; as a growing number of Americans find themselves caught between the needs of elderly parents and young children; as medical advances extend lives and health insurance fails to cover them. This compelling book offers both literary solace and guidance to the people who find themselves witness to—and participants in—the fading lives of their intimates.Some of the country's most accomplished writers offer frank insights and revelations about this complex relationship. Julia Glass describes the tension between giving care—to her two young sons—and needing care after being diagnosed with breast cancer; Ann Harleman explores her decision to place her husband in an institution; Sam Lipsyte alternates between dark humor and profound understanding in telling the story of his mother's battle with cancer; Ann Hood wishes she'd had more time as a caregiver, to prepare herself for the loss of her daughter; Andrew Solomon examines the humbling experience of returning as an adult to be cared for by his father; cartoonist Stan Mack offers an illustrated piece about the humor and hell of making his way through the medical bureaucracy alongside his partner, Janet; Julia Alvarez writes about the competition between her and her three sisters to be the best daughter as they tend to their ailing parents. An Uncertain Inheritance examines the caregiving relationship from every angle—children caring for parents; parents caring for children; sib-lings, spouses, and close friends, all looking after one another—to reveal the pain, intimacy, and grace that take place in this meaningful connection.
An Uncertain Safety: Integrative Health Care for the 21st Century Refugees
by Thomas Wenzel Boris DrožđekThis book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes. The topics are discussed in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches. Issues covered include an overview of current health challenges in the new refugee crises: medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention. The book was developed in collaboration with the World Psychiatric Association, and is endorsed by Fabio Grandi (UN High Commissioner for Refugees), Manfred Nowak (former UN Special Rapporteur for Torture), and Jorge Aroche (President of IRCT).
Uncertain Suffering: Racial Health Care Disparities and Sickle Cell Disease
by Carolyn Moxley RouseUncertain Suffering provides a richly nuanced examination of what this fact means for health care in the United States through the lens of sickle cell anemia, a disease that primarily affects blacks.