M Langes Offerts Robert Ellrodt
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Dying In America
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2015-03-19
Dying In America written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-19 with Medical categories.
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Drug Discovery
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Author : Robert A. Maxwell
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Drug Discovery written by Robert A. Maxwell and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
This treatise had its origins in the authors' strong opinion that the discovery of new drugs, especially of innovative therapeutic agents, really does not happen as a spontaneous sequel to investiga tive research, no matter how penetrating such research may be. Rather, it seemed to us that the discovery of innovative therapeutic agents was a very active process, existing in and of itself, and demanding full attention-it was not simply a passive, dependent by-process of investigative research. And yet, many researchers some close confreres of the authors, others more distant-believed otherwise. We felt that their view reflected unrealistic thinking and that reality probably lay closer to what Beyer" maintained: We are taught to believe that if we can understand a disease it should be easy enough to figure out, say, the molecular configuration of a definitive receptor mechanism somewhere along the line and to design a specific drug . . . . And so we start out to understand the disease but never get around to doing much about therapy. The authors very soon realized that there was essentially no quantitive information available on just where and how innovative therapeutic agents were discovered. There were only anecdotal accounts, and these were able to be selected and presented in ways that could be used to defend any point of view.
Calcium Entry Blockers In Cardiovascular And Cerebral Dysfunctions
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Author : T. Godfraind
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Calcium Entry Blockers In Cardiovascular And Cerebral Dysfunctions written by T. Godfraind and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
2 The free internal Ca+ concentration in human red cells is set according to the leak 2 and-pump principle: There is a finite passive Ca+ influx at the physiological 2 2 Ca+ -gradient across the membrane which is compensated by Ca+ pumping in the outward direction with a rate given by the degree of saturation of the A TP-fuelled Ca 2 pump at the steady-state internal Ca+ concentration. Simons (1982) recently devised a method allowing the measurement of the steady 2 2 state internal Ca+ concentration. Cells are suspended in media of different Ca+ con 2 2 tent whose Ca+ concentration is monitored by a Ca+ -selective electrode. When the cells are lysed (by digitonin) there is an upward or downward deflection of the elec 2 trode signal. At the point of zero deflection, the cellular Ca+ concentration equals that 2 of the medium. The result is, that in fresh human red blood cells the Ca+ concentra tion is ;;;; O.4,uM (this is an upper estimate; the true value may be considerably lower).
Cardiac Output And Regional Flow In Health And Disease
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Author : A-M. Salmasi
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Cardiac Output And Regional Flow In Health And Disease written by A-M. Salmasi and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
Cardiac output has always been a subject of interest to both clinicians and researchers in different branches of medicine and surgery. In the last decade more attention has also been paid to its application in pediatrics, neonatology, fetal medicine and pregnancy. Better understanding of the peripheral circulation has provided more insight into the patholophysiology of different diseases. Many cardiac and non-cardiac disorders affect cardiac outputs. Monitoring of the changes in cardiac output is also important in the acutely ill patient. There are several methods to measure cardiac output, each with advantages and pitfalls. This book deals with all relevant aspects of cardiac output in eight parts: part one describes the methods of measuring cardiac output and a comparison between the catheterisation based and the noninvasive techniques, while part two describes the changes in cardiac output due to physiological causes. Part three describes cardiac output in cardiac diseases and systemic hypertension. Cardiac output in acutely ill patients is discussed in part four. Effect of cardiac medications, temporary atrial pacing, permanent pacing, pharmacologic stress testing and anesthesia are covered in detail in part six, while changes in cardiac output in noncardiac diseases are described in part seven. Finally great attention has been paid in part eight to the regional circulation including cerebral, coronary, skeletal and splanchnic circulations. A separate chapter discusses in detail the dynamics of blood flow. This book will be useful both to the cardiologists as well as to physicians in other fields of surgery and medicine and to their trainees. Readers will find this book an interesting and a useful reference on the topic of cardiac output.
Acute Heart Failure
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Author : C. Perret
language : en
Publisher: Springer
Release Date : 1988-12-09
Acute Heart Failure written by C. Perret and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988-12-09 with Medical categories.
This book presents a comprehensive survey of acute heart failure. A series of experts recognized worldwide discuss specific topics so that, together, a wide spectrum of experimental and clinical investigations are covered. Pathophysiologic, diagnostic and therapeutic aspects are included. The present volume will help clinicians deal with the important problem of acute heart failure. It will help provide an up-to-date reference for those involved in cardiology, internal medicine, pediatrics, anesthesia, intensive care and emergency medicine.
A Full Moon In March
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Author : William Butler Yeats
language : en
Publisher:
Release Date : 1935
A Full Moon In March written by William Butler Yeats and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1935 with English drama categories.
Mla International Bibliography Of Books And Articles On The Modern Languages And Literatures
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Author :
language : en
Publisher:
Release Date : 1986
Mla International Bibliography Of Books And Articles On The Modern Languages And Literatures written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Languages, Modern categories.
Vols. for 1969- include ACTFL annual bibliography of books and articles on pedagogy in foreign languages 1969-
Approaching Death
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Author : Committee on Care at the End of Life
language : en
Publisher: National Academies Press
Release Date : 1997-10-30
Approaching Death written by Committee on Care at the End of Life and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-10-30 with Medical categories.
When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Cancer Research
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Author :
language : en
Publisher:
Release Date : 1985
Cancer Research written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Cancer categories.
Velleius Paterculus
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Author : Paterculus
language : la
Publisher: Cambridge University Press
Release Date : 2004-06-10
Velleius Paterculus written by Paterculus and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-06-10 with History categories.
The first volume of Professor Woodman's edition of, and commentary on, Velleius Paterculus was published in the Cambridge Classical Texts and Commentaries series in 1977. This is the second volume to appear, covering Velleius' narrative of Julius Caesar and Augustus, down to 19 B.C. Velleius' history was first published in A. D. 30 and is being increasingly regarded as an important source for Roman history. Professor Woodman's aims have been the same as in his first volume: to establish the text, or at least to indicate where it is unreliable, and to explain the nature and meaning of the narrative. Thus his commentary is primarily textual, linguistic and stylistic, to be used by those who want to read Velleius, whether their interests are literary, historiographical or historical. It is the first commentary of its scale and scope since the beginning of the nineteenth century.