Just down from Oxford in the depression of the Thirties, young Blore-Smith has the confidence of the callowest of youths, and the security of a sizeable private income. But when a car accident causes him to bump into Maltravers, an almost-famous film director, and Chipchase, a distinctly amateur psychoanalyst, he finds himself swept into an hilariously instructive - yet costly - adventure...
Sylhet, the area of Bangladesh most closely associated with overseas migration, has seen an increase in remittances sent home from abroad, introducing new inequalities. Social change has also been mediated by the global forces of Western biomedicine and orthodox Islam. This book examines the effects of these modernizing trends on mental health and on local, traditional healing as the new inequalities have exacerbated existing social tensions and led to increased vulnerability to mental illness. It is the young women of Sylhet who are most affected. The global economy has increased competition for resources and led to marriage being seen as a route to economic advancement. Parents prefer to give their daughters in marriage to families that will widen their social contacts and enhance their economic and social standing. Accordingly, the young wife's outsider status (and hence vulnerability to mental illness) has increased as it is no longer customary to give daughters in marriage to local kin. Yet, patients and their families do not work out tensions passively. They are active agents in the construction of their own diagnosis. The extent to which patients act or are acted upon is an investigation that runs throughout the book. Alyson Callan is a psychiatrist and anthropologist. She currently works as a consultant psychiatrist in Brent for the Central and North West London NHS Foundation Trust.
Doctors are obviously influential in determining the costs of their services. But even more important, many believe, is the influence physicians have over the use and cost of nonphysician health-care resources and services. Doctors and Their Workshops is the first comprehensive attempt to use economic analysis to understand some of the physician effects on nonphysician aspects of health care.
Gender inequality remains an issue of high relevance, and controversy, in society. Previous research shows that language contributes to gender inequality in various ways: Gender-related information is transmitted through formal and semantic features of language, such as the grammatical category of gender, through gender-related connotations of role names (e.g., manager, secretary), and through customs of denoting social groups with derogatory vs. neutral names. Both as a formal system and as a means of communication, language passively reflects culture-specific social conditions. In active use it can also be used to express and, potentially, perpetuate those conditions. The questions addressed in the contributions to this Frontiers Special Topic include: • how languages shape the cognitive representations of gender • how features of languages correspond with gender equality in different societies • how language contributes to social behaviour towards the sexes • how gender equality can be promoted through strategies for gender-fair language use These questions are explored both developmentally (across the life span from childhood to old age) and in adults. The contributions present work conducted across a wide range of languages, including some studies that make cross-linguistic comparisons. Among the contributors are both cognitive and social psychologists and linguists, all with an excellent research standing. The studies employ a wide range of empirical methods: from surveys to electro-physiology. The papers in the Special Topic present a wide range of complimentary studies, which will make a substantial contribution to understanding in this important area.
"As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
AACN Protocols for Practice: Monitoring Neuroscience Patients provides clinicians at the point of care with the latest research findings in patient care in a format which is easy to understand and integrate into clinical practice. Each protocol guides clinicians in the appropriate selection of patients, use and application of management principles, initial and ongoing monitoring, discontinuation of therapies or interventions, and selected aspects of quality control.
Individualized Drug Therapy for Patients: Basic Foundations, Relevant Software and Clinical Applications focuses on quantitative approaches that maximize the precision with which dosage regimens of potentially toxic drugs can hit a desired therapeutic goal. This book highlights the best methods that enable individualized drug therapy and provides specific examples on how to incorporate these approaches using software that has been developed for this purpose. The book discusses where individualized therapy is currently and offers insights to the future. Edited by Roger Jelliffe, MD and Michael Neely, MD, renowned authorities in individualized drug therapy, and with chapters written by international experts, this book provides clinical pharmacologists, pharmacists, and physicians with a valuable and practical resource that takes drug therapy away from a memorized ritual to a thoughtful quantitative process aimed at optimizing therapy for each individual patient. - 2018 PROSE Awards - Honorable Mention, Clinical Medicine: Association of American Publishers - Uses pharmacokinetic approaches as the tools with which therapy is individualized - Provides examples using specific software that illustrate how best to apply these approaches and to make sense of the more sophisticated mathematical foundations upon which this book is based - Incorporates clinical cases throughout to illustrate the real-world benefits of using these approaches - Focuses on quantitative approaches that maximize the precision with which dosage regimens of potentially toxic drugs can hit a desired therapeutic goal
This text reviews the postoperative management of patients who have undergone cardiac surgical procedures, some of the most common and most complicated forms of surgery. These patients and their management are characterized by complex challenges, while among the factors determining ultimate clinical outcome, postoperative critical care is of major importance. This new and extensively updated edition of Postoperative Critical Care for Cardiac Surgical Patients maintains the general clinical approach in explaining and analyzing the course of clinical care in patients undergoing cardiac surgery, providing the reader with a practical "cookbook" of postoperative intensive care in adult cardiac patients. It has been extensively updated to include the developments in this field during the last few years, from new chapters on postoperative management of renal, gastrointestinal and respiratory systems, postoperative management of infectious and inflammatory complications, and postoperative care of transplant patients and postoperative safety. This book is of critical importance for cardiac surgeons, cardiac anesthesiologists and intensivists, and defines optimal daily practice for adult patients undergoing cardiac surgical procedures.
The number of patients treated for hematological malignancies is increasing steadily. To maximize cure rates, aggressive treatments have been introduced, including high-dose chemotherapy, stem cell transplantation, and targeted therapies. As a result, overall and disease-free survival rates have improved substantially, but at the price of life-threatening toxic and infectious complications that chiefly target the lung. This book provides clinicians caring for patients with hematological malignancies with detailed, up-to-date information on all relevant aspects of pulmonary involvement. Individual sections are devoted to epidemiology, diagnostic strategy, lung infections, non-infectious pulmonary involvement, and treatment, including decision making in patients with acute respiratory failure. Each of these sections contains a number of chapters, all written by leading international experts. In addition, the reader’s attention is drawn to important "pearls" relating to each condition.
This volume provides a comprehensive and state-of-the-art overview of the major issues specific to managing bleeding patients. The sections of the book have been structured to review the overall scope of issue, among them bleeding conditions, managing bleeding including clearing patients for surgery, and massive bleeding during surgery. Reflecting the multidisciplinary care that is an integral part of managing bleeding patients, the book is written by authors from a variety of integrated disciplines, including transfusion medicine, hematology, pediatric hematology, critical care medicine, pediatric critical care medicine, obstetrics, and anesthesia. The volume also includes brief etiology and a practical reference guide regarding type of blood components, medication, dose, and duration. Management of Bleeding Patients is a valuable resource for clinicians working in the area of bleeding management.
