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Books > Medicine > General issues > Medical ethics
* PRE-ORDER YOUR COPY TODAY * The compelling and moving memoir of
forensic psychiatrist Dr Duncan Harding
Currently, there is a critical need to integrate diversity and
inclusion into health professions curricula and to diversify
educators' approaches to teaching. The COVID-19 pandemic has most
recently highlighted the systemic barriers that exist for our most
vulnerable patients. To address these inequities, it is important
to promote diversity and inclusion in thought, practice, and
curricular content. Social and cultural experiences uniquely
influence the learning experience, so a plurality of perspectives
should be represented in educational material and seen in the
classroom. Cases on Diversity, Equity, and Inclusion for the Health
Professions Educator serves as a tool to enhance the structure and
competencies of learners in health professions. This case book
engages both learners and educators in health professions in robust
discussions that serve to enhance awareness and knowledge around
these issues with the expectation that knowledge will translate
into practices that eventually reduce health inequities. Covering
topics such as ableism, barriers to healthcare access, and mental
health stigma, this case book is an indispensable resource for
health professionals, educators and students in the health
professions, hospital administrators, medical librarians,
sociologists, government officials, researchers, and academicians.
Improving quality of life is one of the main advantages of
integrating new innovations into medicine. New technologies are
revolutionizing medicine and opening new opportunities for
patients, doctors, clinics, and companies. The patient's well-being
is monitored autonomously by smartphones, digital medical records
simplify everyday clinical work, virtual reality is used for
treatment, and robots help in the operating room. The new
technological possibilities in healthcare not only change patients'
lives, but also the work of doctors, clinics, and companies. In the
fields of healthcare and medicine, new technologies can be used for
patient communication, health monitoring, or for the treatment of
patients, and modern research is devoted to advancing and
understanding these technologies. Ethical Implications of Reshaping
Healthcare With Emerging Technologies includes the most up-to-date
research in the fields of healthcare and medicine worldwide,
provides answers to the forms of treatment that are already
possible in medicine, and illuminates the future possibilities that
are already being researched. In addition, today's knowledge is
translated and shown in how new technologies such as autonomous
VR-system can be used for pain reduction as part of a treatment.
Finally, this book examines the ethical guidelines in healthcare
and medicine that are associated with the rapid development of
these technologies. This book will be useful for the healthcare
industry, hospital administration, the health insurance industry,
doctors, healthcare workers, business professionals, IT
specialists, medical software designers, scientists, practitioners,
researchers, academicians, and students looking for the latest
information on the use of emerging technologies in healthcare
settings.
In Power and Regionalism in Latin America: The Politics of
MERCOSUR, Laura Gomez-Mera examines the erratic patterns of
regional economic cooperation in the Southern Common Market
(MERCOSUR), a political-economic agreement among Argentina, Brazil,
Paraguay, Uruguay, and, recently, Venezuela that comprises the
world's fourth-largest regional trade bloc. Despite a promising
start in the early 1990s, MERCOSUR has had a tumultuous and
conflict-ridden history. Yet it has survived, expanding in
membership and institutional scope. What explains its survival,
given a seemingly contradictory mix of conflict and cooperation?
Through detailed empirical analyses of several key trade disputes
between the bloc's two main partners, Argentina and Brazil,
Gomez-Mera proposes an explanation that emphasizes the tension
between and interplay of two sets of factors: power asymmetries
within and beyond the region, and domestic-level politics. Member
states share a common interest in preserving MERCOSUR as a vehicle
for increasing the region's leverage in external negotiations.
Gomez-Mera argues that while external vulnerability and overlapping
power asymmetries have provided strong and consistent incentives
for regional cooperation in the Southern Cone, the impact of these
systemic forces on regional outcomes also has been crucially
mediated by domestic political dynamics in the bloc's two main
partners, Argentina and Brazil. Contrary to conventional wisdom,
however, the unequal distribution of power within the bloc has had
a positive effect on the sustainability of cooperation. Despite
Brazil's reluctance to adopt a more active leadership role in the
process of integration, its offensive strategic interests in the
region have contributed to the durability of institutionalized
collaboration. However, as Gomez-Mera demonstrates, the tension
between Brazil's global and regional power aspirations has also
added significantly to the bloc's ineffectiveness.
The Electronic Health Record: Ethical Considerations analyses the
ethical issues that surround the construction, maintenance,
storage, use, linkage, manipulation and communication of electronic
health records. Its purpose is to provide ethical guidance to
formulate and implement policies at the local, national and global
level, and to provide the basis for global certification in health
information ethics. Electronic health records (EHRs) are
increasingly replacing the use of paper-based records in the
delivery of health care. They are integral to providing eHealth,
telehealth, mHealth and pHealth - all of which are increasingly
replacing direct and personal physician-patient interaction - as
well as in the developing field of artificial intelligence and
expert systems in health care. The book supplements considerations
that are raised by national and international regulations dealing
with electronic records in general, for instance the General Data
Protection Regulation of the European Union. This book is a
valuable resource for physicians, health care administrators and
workers, IT service providers and several members of biomedical
field who are interested in learning more about how to ethically
manage health data.
From preeminent LGBTQ scholar, social critic, and journalist Steven W. Thrasher comes a powerful and crucial exploration of one of the most pressing issues of our times: how viruses expose the fault lines of society.
Having spent a ground-breaking career studying the racialization, policing, and criminalization of HIV, Dr. Thrasher has come to understand a deeper truth at the heart of our society: that there are vast inequalities in who is able to survive viruses and that the ways in which viruses spread, kill, and take their toll are much more dependent on social structures than they are on biology alone.
Told through the heart-rending stories of friends, activists, and teachers navigating the novel coronavirus, HIV, and other viruses, Dr. Thrasher brings the reader with him as he delves into the viral underclass and lays bare its inner workings. In the tradition of Isabel Wilkerson’s Caste and Michelle Alexander’s The New Jim Crow, The Viral Underclass helps us understand the world more deeply by showing the fraught relationship between privilege and survival.
Several presidents have created bioethics councils to advise their
administrations on the importance, meaning and possible
implementation or regulation of rapidly developing biomedical
technologies. From 2001 to 2005, the President's Council on
Bioethics, created by President George W. Bush, was under the
leadership of Leon Kass. The Kass Council, as it was known,
undertook what Adam Briggle describes as a more rich understanding
of its task than that of previous councils. The council sought to
understand what it means to advance human flourishing at the
intersection of philosophy, politics, science, and technology
within a democratic society. Briggle's survey of the history of
U.S. public bioethics and advisory bioethics commissions, followed
by an analysis of what constitutes a "rich" bioethics, forms the
first part of the book. The second part treats the Kass Council as
a case study of a federal institution that offered public, ethical
advice within a highly polarized context, with the attendant
charges of inappropriate politicization and policy irrelevance. The
conclusion synthesizes the author's findings into a story about the
possible relationships between philosophy and policy making. A Rich
Bioethics: Public Policy, Biotechnology, and the Kass Council will
attract students and scholars in bioethics and the fields of
science, technology, and society, as well as those interested in
the ethical and political dilemmas raised by modern science.
Research increasingly suggests that addiction has a genetic and
neurobiological basis, but efforts to translate research into
effective clinical treatments and social policy needs to be
informed by careful ethical analyses of the personal and social
implications. Scientists and policy makers alike must consider
possible unintended negative consequences of neuroscience research
so that the promise of reducing the burden and incidence of
addiction can be fully realized and new advances translated into
clinically meaningful and effective treatments. This volume brings
together leading addiction researchers and practitioners with
neuroethicists and social scientists to specifically discuss the
ethical, philosophical, legal and social implications of
neuroscience research of addiction, as well as its translation into
effective, economical and appropriate policy and treatments.
Chapters explore the history of ideas about addiction, the
neuroscience of drug use and addiction, prevention and treatment of
addiction, the moral implications of addiction neuroscience, legal
issues and human rights, research ethics, and public policy.
Hospital intensive care units have changed when and how we die-and
not always for the better. The ICU is a new world, one in which
once-fatal diseases can be cured and medical treatments greatly
enhance our chances of full recovery. But, paradoxically, these
places of physical healing can exact a terrible toll, and by
focusing on technology rather than humanity, they too often rob the
dying of their dignity. By some accounts, the expensive medical
treatments provided in ICUs also threaten to bankrupt the nation.
In an attempt to give patients a voice in the ICU when they might
not otherwise have one, the living will was introduced in 1969, in
response to several notorious cases. These documents were meant to
keep physicians from ignoring patients' and families' wishes in
stressful situations. Unfortunately, despite their aspirations,
living wills contain static statements about hypothetical
preferences that rarely apply in practice. And they created a
process that isn't faithful to who we are as human beings. Further
confusing difficult and painful situations, living wills leave
patients with the impression that actual communication with their
physicians has taken place, when in fact their deepest desires and
values remain unaddressed. In this provocative and empathetic book,
medical researcher and ICU physician Samuel Morris Brown uses
stories from his clinical practice to outline a new way of thinking
about life-threatening illness. Brown's approach acknowledges the
conflicting emotions we have when talking about the possibility of
death and proposes strategies by which patients, their families,
and medical practitioners can better address human needs before,
during, and after serious illness. Arguing that any solution to the
problems of the inhumanity of intensive care must take advantage of
new research on the ways human beings process information and make
choices, Brown imagines a truly humane ICU. His manifesto for
reform advocates wholeness and healing for people facing
life-threatening illness.
The concept of smart drug delivery vehicles involves designing and
preparing a nanostructure (or microstructure) that can be loaded
with a cargo, this can be a therapeutic drug, a contrast agent for
imaging, or a nucleic acid for gene therapy. The nanocarrier serves
to protect the cargo from degradation by enzymes in the body, to
enhance the solubility of insoluble drugs, to extend the
circulation half-life, and to enhance its penetration and
accumulation at the target site. Importantly, smart nanocarriers
can be designed to be responsive to a specific stimulus, so that
the cargo is only released or activated when desired. In this
volume we cover smart nanocarriers that respond to externally
applied stimuli that usually involve application of physical
energy. This physical energy can be applied from outside the body
and can either cause cargo release, or can activate the
nanostructure to be cytotoxic, or both. The stimuli covered include
light of various wavelengths (ultraviolet, visible or infrared),
temperature (increased or decreased), magnetic fields (used to
externally manipulate nanostructures and to activate them),
ultrasound, and electrical and mechanical forces. Finally we
discuss the issue of nanotoxicology and the future scope of the
field.
In the last few years, several "bottom-up" and "top-down" synthesis
routes have been developed to produce tailored hybrid nanoparticles
(HNPs). This book provides a new insight into one of the most
promising "bottom-up" techniques, based on a practical
magnetron-sputtering inert-gas-condensation method. A modified
magnetron-sputtering-based inert-gas-condensation (MS-IGC) system
is presented, and its performances under different conditions are
evaluated. Designed for graduate students, researchers in physics,
materials science, biophysics and related fields, and process
engineers, this new resource fills a critical need to understand
the fundamentals behind the design and tailoring of the
nanoparticles produced by the MS-IGC method. It shows that the
morphology, the size and the properties of the nanoparticles can be
modulated by tuning the deposition parameters such as the energy,
the cooling rate, and the collision and coalescence processes
experienced by the nanoparticles during their formation. The
mechanisms of formation of different HNPs are suggested, combining
the physico-chemical properties of the materials with the
experimental conditions. This book illustrates the potential of
MS-IGC method to synthesize multifunctional nanoparticles and
nanocomposites with accurate control on their morphology and
structure. However, for a better understanding of HNPs formation,
further improvements in characterization methods of aggregation
zone conditions are needed. In addition, the optimization of the
yield and harvesting process of HNPs is essential to make this
method sufficiently attractive for large-scale production.
Spiritual Competence for Mental Health Professionals takes a
holistic developmental approach toward spirituality in
psychotherapy and counseling. This means that it considers an
understanding of spiritual development to be as germane to mental
health practice as an understanding of physical, cognitive,
emotional, and social development and that it views spirituality as
shaped by developmental processes. Common spiritual issues at each
stage in the individual and family life course are discussed. Tools
for understanding one's own and one's clients' spiritual
orientations and goals along with interventions and practices that
foster spiritual growth in the client and the practitioner are
presented. Reflection and discussion topics are provided at the end
of each chapter. Ultimately, this book aims to help mental health
practitioners, educators and students to change their approach from
'meet the client where they are spiritually' to 'meet the client
where they are spiritually and help them develop further.'
The utilization of information and communication technologies in
almost all spheres of modern society has changed the social picture
in significant ways while simultaneously leading to tensions with
regard to traditional ethical and legal practices-particularly
given the global context of its application. Where these
technologies impact on the practice and implementation of
healthcare, it is vital to recognize the extent and nature of the
ethical and social impact both at the level of professional
practice and the patient. Ethical, Legal and Social Issues in
Medical Informatics presents a fundamental compendium of research
on the ethical, social, and legal issues facing the healthcare
industry as it adopts information technologies to provide fast,
efficient, and cost effective healthcare. An essential resource for
every reference library, this comprehensive book offers a
multidisciplinary perspective, drawing from the expertise of a wide
variety of global industries including law, ethics, medicine,
philosophy, and computer science.
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