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Unfälle durch Blitzschlag: Medizinische Aspekte
by Fred ZackDas Buch stellt die relevanten medizinischen Aspekte bei einem Unfall durch Blitzschlag praxisnah und mit Fallbeispielen belegt dar: Arten der Energieübertragung, meteorologische und elektrotechnische Grundlagen, notfallmedizinische Erstversorgung sowie Überblick über die häufigsten, in der internationalen Literatur beschriebenen Folgeerkrankungen und deren Behandlung. Weitere Themen sind die Besonderheiten der ärztlichen Leichenschau bei Tod durch Blitzschlag, pathophysiologische Aspekte der Todesursache sowie Wissenswertes zur Epidemiologie. Es wendet sich an Ärzte und Ärztinnen aller Fachdisziplinen, die in die Akutversorgung oder Nachsorge von Personen nach Unfällen durch Blitzschlag eingebunden sind, z.B. aus der Notfallmedizin, Rechtsmedizin, Intensivmedizin und Allgemeinmedizin. Die 2. Auflage erscheint überarbeitet und aktualisiert.
The Unfit Brain and the Limits of Moral Bioenhancement
by Fabrice JotterandIn light of the potential novel applications of neurotechnologies in psychiatry and the current debate on moral bioenhancement, this book outlines the reasons why more conceptual work is needed to inform the scientific and medical community, and society at large, about the implications of moral bioenhancement before a possible, highly hypothetical at this point, broad acceptance, and potential implementation in areas such as psychiatry (e.g., treatment of psychopathy), or as a measure to prevent crime in society. The author does not negate the possibility of altering or manipulating moral behavior through technological means. Rather he argues that the scope of interventions is limited because the various options available to “enhance morality” improve, or simply manipulate, some elements of moral behavior and not the moral agent per se in the various elements constitutive of moral agency. The concept of Identity Integrity is suggested as a potential framework for a responsible use of neurotechnologies in psychiatry to avoid human beings becoming orderers and orderables of technological manipulations.
Ungewissheitsintoleranz und die psychischen Folgen: Behandlungsleitfaden für Psychotherapie und Beratung (Psychotherapie: Praxis)
by Nils SpitzerDieses Buch führt Psychotherapeuten und Berater in relevante Facetten von Ungewissheitsintoleranz ein, verdeutlicht ihre transdiagnostische Rolle bei psychischen Störungen und stellt detailliert therapeutische Ansatzpunkte zu ihrer Veränderung vor. Der Autor zeigt, wie Therapeuten, Berater und Psychiater ihre Patienten und Klienten dabei unterstützen können, Ungewissheit besser auszuhalten. Denn ausgeprägte Ungewissheitstoleranz ist möglicherweise eine Schlüsselkompetenz in unserer Zeit beständigen Wandels und steigender Unsicherheit.Die psychotherapeutische Forschung beschäftigt sich unter dem Begriff Intoleranz gegenüber Ungewissheit/Intolerance of Uncertainty (IU) mit den negativen Folgen für Menschen, die Ungewissheit nur in kleiner Dosis ertragen können. Die Liste der psychischen Diagnosen, mit denen IU in Zusammenhang gebracht wird, ist lang: Generalisierte Angststörung, Zwangsstörung, Soziale Phobie, andere Angststörungen, Autismus, Depression und der ungewisse Verlauf chronischer Krankheiten. Aus dem Inhalt: Ungewissheit – Geringe Toleranz gegenüber dem Ungewissen – Mögliche Ursachen – Psychische Folgen – Therapieziele – Therapeutische Beziehung – Exploration – Interventionen – Ideen zu einem alternativen Sinn für das Ungewisse. Der Autor: Nils Spitzer ist Psychologischer Psychotherapeut in freier Praxis, Dozent, Autor zahlreicher Artikel und mehrerer Fachbücher sowie Mitherausgeber der Zeitschrift für Rational-Emotive & Kognitive Verhaltenstherapie.
An Ungovernable Foe: Science and Policy Innovation in the U.S. National Cancer Institute
by Natalie B. AvilesIn American politics, medical innovation is often considered the domain of the private sector. Yet some of the most significant scientific and health breakthroughs of the past century have emerged from government research institutes. The U.S. National Cancer Institute (NCI) is tasked with both understanding and eradicating cancer—and its researchers have developed a surprising expertise in virus research and vaccine development.An Ungovernable Foe examines seventy years of federally funded scientific breakthroughs in the laboratories of the NCI to shed new light on how bureaucratic organizations nurture innovation. Natalie B. Aviles analyzes research and policy efforts around the search for a viral cause of leukemia in the 1960s, the discovery of HIV and the development of AIDS drugs in the 1980s, and the invention of the HPV vaccine in the 1990s. She argues that the NCI transformed generations of researchers into innovative public servants who have learned to balance their scientific and bureaucratic missions. These “scientist-bureaucrats” are simultaneously committed to conducting cutting-edge research and stewarding the nation’s investment in cancer research, and as a result they have developed an unparalleled expertise. Aviles demonstrates how the interplay of science, politics, and administration shaped the NCI into a mission-oriented agency that enabled significant breakthroughs in cancer research—and in the process, she shows how organizational cultures indelibly stamp scientific work.
Unhappiness, Sadness and 'Depression'
by Tullio GiraldiThis book examines existing treatments, legislation and research methodology of depression and exposes their limitations, championing psycho-social support as an alternative. Depression, affecting 350 million people according to the World Health Organisation, is almost invariably diagnosed by the criteria of the American Psychiatric Association - a definition which encompasses those with normal emotional responses to stressful life events. Tullio Giraldi discusses recent developments in popular and academic dialogue related to the use of antidepressants and recent increases in depression diagnosis and laments the rise in prescribing antidepressants despite their links to suicide and unfulfilled promises of efficacy and safety. He argues that psychotherapy is a cost effective treatment devoid of drugs' adverse effects. This work presents psycho-social support as an alternative to antidepressants, particularly for less severe cases, and as a more effective strategy for coping with the emotional challenges of today's global reality. Patients, students of medicine and psychology, and professionals of mental health will find this work valuable.
The Unhappy Total Knee Replacement
by Michael T. Hirschmann Roland BeckerThis book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.
Unhealthy Pharmaceutical Regulation
by Courtney Davis John AbrahamEuropean and American drug regulators govern a multi-billion-dollar pharmaceutical industry selling its products on the world's two largest medicines markets. This is the first book to investigate how effectively American and supranational EU governments have regulated innovative pharmaceuticals regarding public health during the neo-liberal era of the last 30 years. Drawing on years of fieldwork, the authors demonstrate that pharmaceutical regulation and innovation have been misdirected by commercial interests and misconceived ideologies, which induced a deregulatory political culture contrary to health interests. They dismantle the myth that pharmaceutical innovations necessarily equate with therapeutic advances and explain how it has been perpetuated in the interests of industry by corporate bias within the regulatory state, unwarranted expectations of promissory science, and the emergent patient-industry complex. Endemic across both continents, the misadventures of pharmaceutical deregulation are shown to span many therapeutic areas, including cancer, diabetes and irritable bowel syndrome. The authors propose political changes needed to redirect pharmaceutical regulation in the interests of health.
Unhealthy Places: The Ecology of Risk in the Urban Landscape
by Kevin Fitzpatrick Mark LagoryAn awakening argument on modern day health hazards and how they are directly proportional to the unhealthiness of urban environment.
Unhealthy Politics: The Battle over Evidence-Based Medicine
by Conor M. Dowling Alan S. Gerber Eric M. PatashnikHow partisanship, polarization, and medical authority stand in the way of evidence-based medicineThe U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures—and too few treatments that really work. Unhealthy Politics sheds new light on why the government’s response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation.This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against “doctor’s orders.” The book shows how the government’s efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us.Unhealthy Politics offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy.
Unhealthy Politics: The Battle over Evidence-Based Medicine
by Eric M. Patashnik Alan S. Gerber Conor M. DowlingHow partisanship, polarization, and medical authority stand in the way of evidence-based medicineThe U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.
Unheard: The Medical Practice of Silencing
by Dr Rageshri DhairyawanHave you ever felt unheard by your doctor? Been frustrated that they haven't understood your symptoms, that they have neglected your concerns?When Dr Rageshri Dhairyawan was admitted to hospital as a patient she didn't receive the pain medication that she told them she needed, despite her being a senior doctor. It was in that moment she understood that something was deeply wrong with our healthcare system. Doctors aren't listening, and it is making us ill.In Unheard, Dr Dhairyawan takes us on a journey through history to show how not listening to patients has been ingrained in medicine from its inception. Western medicine has been built on the assumption that power should always lie with the doctor, and that patients should be powerless to decisions made about their body if it is done to make them well. This, alongside the prejudices of society, has led to dramatic gaps in medical knowledge because for centuries people have not been heard.Dr Dhairyawan offers a way to reshape our health system for a future where active and engaged listening is the new frontier in a timely, shocking and engaging exposé of the medical world.
Unheard: The Medical Practice of Silencing
by Dr Rageshri DhairyawanHave you ever felt unheard by your doctor? Been frustrated that they haven't understood your symptoms, that they have neglected your concerns?When Dr Rageshri Dhairyawan was admitted to hospital as a patient she didn't receive the pain medication that she told them she needed, despite her being a senior doctor. It was in that moment she understood that something was deeply wrong with our healthcare system. Doctors aren't listening, and it is making us ill.In Unheard, Dr Dhairyawan takes us on a journey through history to show how not listening to patients has been ingrained in medicine from its inception. Western medicine has been built on the assumption that power should always lie with the doctor, and that patients should be powerless to decisions made about their body if it is done to make them well. This, alongside the prejudices of society, has led to dramatic gaps in medical knowledge because for centuries people have not been heard.Dr Dhairyawan offers a way to reshape our health system for a future where active and engaged listening is the new frontier in a timely, shocking and engaging exposé of the medical world.
Unhinged: A Doctor's Revelations About a Profession in Crisis
by Daniel CarlatIn this stirring and beautifully written wake-up call, psychiatrist Daniel Carlat exposes deeply disturbing problems plaguing his profession, revealing the ways it has abandoned its essential purpose: to understand the mind, so that psychiatrists can heal mental illness and not just treat symptoms. As he did in his hard-hitting and widely read New York Times Magazine article "Dr. Drug Rep," and as he continues to do in his popular watchdog newsletter, The Carlat Psychiatry Report, he writes with bracing honesty about how psychiatry has so largely forsaken the practice of talk therapy for the seductive and more lucrative practice of simply prescribing drugs, with a host of deeply troubling consequences. Psychiatrists have settled for treating symptoms rather than causes, embracing the apparent medical rigor of DSM diagnoses and prescription in place of learning the more challenging craft of therapeutic counseling, gaining only limited understanding of their patients lives. Talk therapy takes time, whereas the fifteen-minute "med check" allows for more patients and more insurance company reimbursement. Yet DSM diagnoses, he shows, are premised on a good deal less science than we would think. Writing from an insider's perspective, with refreshing forthrightness about his own daily struggles as a practitioner, Dr. Carlat shares a wealth of stories from his own practice and those of others that demonstrate the glaring shortcomings of the standard fifteen-minute patient visit. He also reveals the dangers of rampant diagnoses of bipolar disorder, ADHD, and other "popular" psychiatric disorders, and exposes the risks of the cocktails of medications so many patients are put on. Especially disturbing are the terrible consequences of over-prescription of drugs to children of ever younger ages. Taking us on a tour of the world of pharmaceutical marketing, he also reveals the inner workings of collusion between psychiatrists and drug companies. Concluding with a road map for exactly how the profession should be reformed, Unhinged is vital reading for all those in treatment or considering it, as well as a stirring call to action for the large community of psychiatrists themselves. As physicians and drug companies continue to work together in disquieting and harmful ways, and as diagnoses and misdiagnoses of mental disorders skyrocket, it's essential that Dr. Carlat's bold call for reform is heeded.
An Unholy Alliance: The Second Chronicle of Matthew Bartholomew (Chronicles Of Matthew Bartholomew Ser. #2)
by Susanna GregoryFor the twentieth anniversary of the Matthew Bartholomew series, Sphere reissued the books with beautiful new illustrated covers.-----------------------------In 1350, the people of Cambridge are struggling to overcome the effects of the Black Death - and with a high mortality rate among priests and monks, the townsfolk are vulnerable to sinister cults that have sprung up. At Michaelhouse, Matthew Bartholomew is training new physicians when the body of a friar is found in the massive chest that the University uses to store precious documents. While investigating, Bartholomew stumbles across a derelict church being used as a meeting place for the mysterious sect he believes is at the heart of a web of blackmail and deceit - with intention to overthrow the established religion.
An Unholy Alliance: The Second Chronicle of Matthew Bartholomew (Chronicles of Matthew Bartholomew #2)
by Susanna GregoryFor the twentieth anniversary of the Matthew Bartholomew series, Sphere reissued the books with beautiful new illustrated covers.-----------------------------In 1350, the people of Cambridge are struggling to overcome the effects of the Black Death - and with a high mortality rate among priests and monks, the townsfolk are vulnerable to sinister cults that have sprung up. At Michaelhouse, Matthew Bartholomew is training new physicians when the body of a friar is found in the massive chest that the University uses to store precious documents. While investigating, Bartholomew stumbles across a derelict church being used as a meeting place for the mysterious sect he believes is at the heart of a web of blackmail and deceit - with intention to overthrow the established religion.
An Unholy Alliance: The Second Chronicle of Matthew Bartholomew (Chronicles of Matthew Bartholomew #2)
by Susanna GregoryFor the twentieth anniversary of the Matthew Bartholomew series, Sphere reissued the books with beautiful new illustrated covers.-----------------------------In 1350, the people of Cambridge are struggling to overcome the effects of the Black Death - and with a high mortality rate among priests and monks, the townsfolk are vulnerable to sinister cults that have sprung up. At Michaelhouse, Matthew Bartholomew is training new physicians when the body of a friar is found in the massive chest that the University uses to store precious documents. While investigating, Bartholomew stumbles across a derelict church being used as a meeting place for the mysterious sect he believes is at the heart of a web of blackmail and deceit - with intention to overthrow the established religion.
Unicompartmental Knee Arthroplasty: A New Paradigm?
by Arnaud Clavé Frédéric DubranaThis timely and practical book presents the state-of-the-art of unicompartmental knee arthroplasty exploring half a century of reflection, reluctance and research around this increasingly common technique.In the opening part readers will discover UKA’s history, controversies as well as standard and emerging indications. Moving forward they will understand the differences between several eligible implants as well as case-by-case guiding principles behind a correct implant choice. Insights into single stage and robotic surgery, rehabilitation, possible complications, return to play and the use of joint registries further complement the book. Written by an international panel of experts, who share best practices and high quality intra-operative pictures, the book will be an excellent resource for practicing knee surgeons, sports physicians, residents and fellows alike.
Unicompartmental Knee Arthroplasty: Indications, Surgical Techniques and Complications
by Tad L. GerlingerUnicompartmental knee arthroplasty (UKA) - also known as unicondylar knee arthroplasty or partial knee replacement - is an excellent surgical option for the treatment of isolated medial, lateral and patellofemoral compartment arthritis of the knee, as long term results suggest high patient satisfaction and survivability that rivals total knee arthroplasty (TKA). These procedures are well-suited for rapid recovery protocols and outpatient surgery through well-structured surgical pathways. With demand increasing for knee arthroplasty, patients presenting sooner and at a younger age, and an ever-increasing interest from patients, surgeons and payors in outpatient surgery, the demand for unicompartmental arthroplasty is expected to increase significantly. This text will assist orthopedic surgeons, sports medicine specialists, residents and attendings in developing successful pathways for unicompartmental knee arthroplasty, divided into three thematic sections. Part one discusses the history, indications and patient selection for UKA, including how to manage patient expectations, as well as implant choices. Surgical techniques for UKA are presented in part two, both the medial and lateral sides, with discussion of mobile bearings, pain management, blood preservation strategies, and therapy options both before and after surgery. Complications and their prevention are presented in part three, including periprosthetic fractures and infection.Timely and practical, Unicompartmental Knee Arthroplasty will provide orthopedic surgeons and related clinical staff with all they need to know to bring this increasingly common technique into practice.
The Unified Airway: Rhinologic Disease and Respiratory Disorders
by David A. Gudis Rodney J. SchlosserIn recent years, our understanding of the unified airway concept has become paramount in the diagnosis, treatment, and management of sinonasal, airway, and respiratory disorders. The relationship between sinonasal inflammatory disorders, such as chronic rhinosinusitis, and pulmonary disorders, such as asthma or cystic fibrosis, is being examined more closely than ever before. This volume comprehensively reviews and discusses the unified airway approach, and more closely examines the relationship between sinonasal inflammatory disorders and pulmonary disorders. The text is formatted as an easy to read reference with bulleted points and sample case studies that maximize the clinical value of the evidence and data described. In addition to exploring chronic rhinosinusitis in patients with asthma and cystic fibrosis, other topics include pediatric chronic rhinosinusitis, aspirin-exacerbated respiratory disease, chronic bronchiectasis, primary ciliary dyskinesia, immunodeficiencies, and the unified airway microbiome. Rhinologic Disease and Respiratory Disorders will be an invaluable guide for practicing otolaryngologists, allergists, pulmonologists, otolaryngologists-in-training, and rhinologists.Foreword written by David W. Kennedy and Elina M. Toskala.
Unilateral Biportal Endoscopic Spine Surgery: Basic and Advanced Technique
by Dong Hwa Heo Cheol Woong Park Sang Kyu Son Jin Hwa EumBiportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.
Unilateral Biportal Endoscopy of the Spine: An Atlas of Surgical Techniques
by Javier Quillo-Olvera Diego Quillo-Olvera Javier Quillo-Reséndiz Michael MayerEndoscopic spinal surgery has become popular due its procedure-related benefits. The biportal endoscopic surgery is a recent technique, which has gained popularity in Asia, Europe, and Latin America since it can be applied to treat many diseases of the whole spine as cervical, thoracic, lumbar and sacral.Divided into thirty-four chapters, this first-ever book on unilateral biportal endoscopic spine surgery presents the technique history review and its current applications; the currently available technology and basic principles of this surgery: anesthesia, position, and operative room setup; endoscopic instruments, hydrostatic pressure, and intraoperative radiology; as well as anatomical considerations of basic approaches. It also details the techniques to resolve lumbar, cervical and thoracic spine diseases. Written by the world's most influential groups that perform the method, Unilateral Biportal Endoscopy of the Spine: An Atlas of Surgical Techniques will certainly be widely accepted by all surgeons interested to improve their daily practice in minimally invasive spine surgery.
Uninsured in America: Life and Death in the Land of Opportunity
by Susan Starr Sered Rushika FernandopulleThis book was born at a Harvard health care symposium when Rushika, a physician specializing in health policy, met Susan, an anthropologist who recently had returned to the United States after living for two decades in Israel and Japan, countries that have national health care programs.
Uninsured in America, Updated: Life and Death in the Land of Opportunity
by Susan Sered Rushika FernandopulleUninsured in America goes to the heart of why more than forty million Americans are falling through the cracks in the health care system, and what it means for society as a whole when so many people suffer the consequences of inadequate medical care. Based on interviews with 120 uninsured men and women and dozens of medical providers, policymakers, and advocates from around the nation, this book takes a fresh look at one of the most important social issues facing the United States today. A new afterword updates the stories of many of the people who are so memorably presented here.
Uninsured in Chicago: How the Social Safety Net Leaves Latinos Behind (Latina/o Sociology #14)
by null Robert VargasWhy millions of Latinx people don’t access the healthcare system, even in times of needMore than a decade after the passage of the Affordable Care Act, around eleven million Latinx citizens around the country remain uninsured. In Uninsured in Chicago, Robert Vargas explores the roots of this crisis, showing us why, despite their eligibility, Latinx people are the racial group least likely to enroll in health insurance. Following the lives of forty uninsured Latinx people in Chicago, Vargas provides an up-close look at America’s broken healthcare system, and how it impacts marginalized groups. From excruciatingly long waits and expensive medical bills, to humiliating interactions with health navigators and emergency room staff, he shows us why millions of Latinx people avoid the healthcare system, even in times of need. With a compassionate eye, Vargas highlights the unique struggles Latinx people face as the largest racial group without health insurance in the United States. An intimate account of the lives of uninsured Latinos, this book imagines new, powerful ways to strengthen our social safety net to better serve our most vulnerable communities.
An Unintended Journey
by Janet Yagoda ShagamAccording to the 2009 census, more than five million people living in the United States have Alzheimer's disease or some other form of dementia. Not reported in these statistics are the fifteen million family caregivers who, in total, contribute seventeen billion hours of unpaid care each year. This book addresses the needs and challenges faced by adult children and other family members who are scrambling to make sense of what is happening to themselves and the loved ones in their care. The author, an experienced medical and science writer known for her ability to clearly explain complex and emotionally sensitive topics, is also a former family caregiver herself. Using both personal narrative and well-researched, expert-verified content, she guides readers through the often-confusing and challenging world of dementia care. She carefully escorts caregivers through the basics of dementia as a brain disorder, its accompanying behaviors, the procedures used to diagnose and stage the disease, and the legal aspects of providing care for an adult who is no longer competent. She also covers topics not usually included in other books on dementia: family dynamics, caregiver burnout, elder abuse, incontinence, finances and paying for care, the challenges same-sex families face, and coping with the eventuality of death and estate management. Each chapter begins with a real-life vignette taken from the author's personal experience and concludes with "Frequently Asked Questions" and "Worksheets" sections. The FAQs tackle specific issues and situations that often make caregiving such a challenge. The worksheets are a tool to help readers organize, evaluate, and self-reflect. A glossary of terms, an appendix, and references for further reading give readers a command of the vocabulary clinicians use and access to valuable resources.