In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors.
In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation.
Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.

Ever since the discovery of blood types early in the last century, transfusion medicine has evolved at a breakneck pace. This second edition of Blood Banking and Transfusion Medicine is exactly what you need to keep up. It combines scientific foundations with today's most practical approaches to the specialty. From blood collection and storage to testing and transfusing blood components, and finally cellular engineering, you'll find coverage here that's second to none. New advances in molecular genetics and the scientific mechanisms underlying the field are also covered, with an emphasis on the clinical implications for treatment. Whether you're new to the field or an old pro, this book belongs in your reference library. Integrates scientific foundations with clinical relevance to more clearly explain the science and its application to clinical practice. Highlights advances in the use of blood products and new methods of disease treatment while providing the most up-to-date information on these fast-moving topics Discusses current clinical controversies, providing an arena for the discussion of sensitive topics. Covers the constantly changing approaches to stem cell transplantation and brings you the latest information on this controversial topic.

This accessibly written book examines the most commonly used substances and techniques for managing pain, exploring why they work (or don't), their risks and benefits, and key research findings regarding their use. No one is a stranger to pain. From sudden injuries to post-operative discomfort to nagging aches and stiffness, pain is an unwelcome but familiar part of life. There are numerous methods for managing pain, but it can be difficult to know which is the best fit and to separate truth from hype. Pain Management: Fact versus Fiction examines 30 well-known options for combating pain, whether acute or chronic. Utilizing a standardized structure, each entry discusses a particular substance or technique's origins and underlying principles, how and in what context it's used, and its advantages and disadvantages. Summaries of key research studies are included to help readers better determine which treatments may be a good choice for them. Introductory materials give readers a foundational understanding of what pain is, how it's categorized and measured, and the impact it can have on individuals' physical and psychological well-being. A Further Reading section at the end of each entry points readers toward additional resources to expand and deepen their knowledge. Provides unbiased, evidence-based information to help readers make better decisions about how to manage their pain Summarizes and contextualizes key research findings in easy-to-understand language Utilizes a standardized structure to make it easy for readers to find the exact information they're looking for Covers allopathic therapies as well as complementary and alternative treatments

Forensic pathologist Ryan Blumenthal works in a world few people are ever exposed to . . . the mortuary. He spends his days among the dead, uncovering how they died and whether a crime was committed.

To date, he has performed over 13 000 autopsies.

In Trace, Ryan takes readers behind the scenes of some of the strange death scenes he has attended, such as a shallow grave beside a river where a body was found with an amputated finger. He also shares rare and unusual cases, including a man who may have died from autoerotic asphyxia and a suspected poisoning that turned out to be a shooting. His work has brought him face to face with many kinds of unnatural deaths, including those caused by lightning strikes, wild animals, muti killings, and even a solitary wasp sting.

Through it all, Ryan sees himself as a voice for the voiceless, striving to bring justice to the dead and truth to their loved ones.

This fourth edition of Huntington's Disease presents a comprehensive summary of the current knowledge of this disease, including the major scientific and clinical advances that have occurred since publication of the third edition in 2002. Completely updated and expanded, chapters in this volume are organized in five sections: * Clinical aspects of Huntington's disease, including updated chapters on historical perspectives, neurological, neuropsychiatric, and neuropsychological aspects, and new chapters on juvenile Huntington's and the premanifest and early stages * The genetics of Huntington's disease, including new information on its epidemiology discussions of new testing guidelines * Neurobiology, including recent insights into correlations between pathology and symptoms and a new chapter on neuronal circuitry * The molecular biology of Huntington's disease, including new chapters on the normal function of huntingtin, the molecular pathogenesis of Huntington's disease and the peripheral pathology of the disorder, and an extensively updated chapter on its structural biology * An updated description of the comprehensive care for Huntington's disease, featureing a new chapter on preclinical therapeutics and a completely rewritten chapter on the state of the art of experimental therapeutics and clinical trials.

This is a comprehensive text for nurse practitioners that integrates the required clinical skills with professional and theoretical issues in one book. It uses a systems approach to cover the most frequently presenting problems that the nurse practitioner will encounter. The scope of the book then widens to include psychological and emotional problems as well as the special needs of children and those patients with chronic health problems. Using a practical approach the content is based on current best evidence. The book has been derived from the editors' experience as a course team running the RCN Institute BSc Nurse Practitioner course in Lancaster and Carlisle. Nurse practitioners is an essential purchase for all nurse practitioners and nurse practitioner students. It is relevant to both primary and secondary care, and fulfils the needs of those nurses working towards a higher level of autonomous practice. Comprehensive coverage of the new clinical skills that NPs will need in their expanding roles will give them confidence and enable them to pass their courses Highly illustrated with clear line drawings to aid understanding and learning Subject experts have contributed to various chapters to ensure that best practice is given throughout End of chapter summaries aid revision Reference lists facilitate further study Fully updated in line with clinical and policy developments and includes new material in the form of research studies and literature The pharmacology content of each chapter has been increased to reflect the development of nurse prescribing and the growth of patient group directives New chapters on: Blood Disorders, Endocrine Disorders, Common Paediatric Problems, Common Mental Problems New user friendly page design and layout

This is the only in-depth, single author survey of heart development. It will provide a more systematic, up-to-date synthesis of the subject than any other volume, spanning the range from classical anatomical studies to recent findings in molecular biology. It also covers topics that are often omitted from discussions of heart development, such as myocardial function, cardiac innervation, and conduction development and clinical correlates will be discussed throughout. The book is beautifully illustrated by Karen Waldo, an artist who has collaborated with Dr. Kirby for many years.

The first comprehensive examination of the relationship between war and public health, this book documents the public health consequences of war and describes what health professionals can do to minimise these consequences. It explores the effects of war on health, human rights, and the environment. The health and environmental impact of both conventional weapons and weapons of mass destruction (nuclear, chemical, and biological weapons) is described in chapters that cover the consequences of their production, testing, maintenance, use, and disposal. Separate chapters cover especially vulnerable populations, such as women, children, and refugees. In-depth descriptions of specific military conflicts, including the Vietnam War, the Persian Gulf War, and wars in Central America provide striking illustrations of the issues covered in other chapters. A series of chapters explores the roles of health professionals and of organisations during war, and in preventing war and its consequences. This revised second edition includes seven new chapters, including one on landmines by the Nobel Prize-winning founding director of the International Campaign to Ban Landmines.

This book is an immersive experience into the delights of foraging in Spring, written by one of Britain's most respected foragers. Forage In Spring celebrates the top fifteen edible and medicinal wild plants found in March, April and May. It's a comprehensive exploration of their past and present uses as food and medicine. An invaluable addition to any forager, herbalist, gardener, horticulturist or naturalist's library, providing plant-lovers with a much-needed resource to understanding nature's most useful wild plants. Inside, you'll discover the forgotten story of Alexanders, Brooklime, Cleavers (Goosegrass), Dandelion, Garlic Mustard, Ground Elder, Ground Ivy, Plantain, Primrose, Ramsons (Wild Garlic), Sea Beet, Sorrel, Sowthistle, Stinging Nettle and Violet. Plants have stories that reconnect us to the Land and the rest of Nature. As our society becomes ever more disconnected, there is a revivalist movement flourishing like a rhizome. This ancient path of the forager reconnects us to the vital, to wildness, to creation, to what is in effect the very pulse of life itself. One of the most direct ways to experience this is to consume this wildness. Take it into our bodies, where like a sleeper agent, it lies dormant until you have eaten enough to change the structure of your blood, thereby changing your brain and how you relate to the non-human world. For it is this simple act. The act of taking wild food and medicine into our body, that in time becomes so transformative. Forage In Spring is not a harking back to some naive, romantic vision of how we might once have lived. Instead, these plants' stories are a way to help you sense into the future and understand our ecological function (as a species) within the world.

Covers forty eight wild edible and medicinal plants of Britain and Ireland.

Includes multiple full-colour photographs of each plant to help make identification easy.

I wrote this book to help you rediscover our forgotten plant heritage. To learn how to use wild plants as food and medicine. Knowledge that was once common to everyone.

Each individual plant profile includes:

• common name
• scientific name
• family
• an easy to understand botanical description
• multiple full colour photos of each plant
• when the plant flowers
• where it is found
• a historical summary
• which parts of the plant to use
• how the plant is used as food
• its nutritional profile
• its traditional folk medicine uses
• and finally, safety notes

This invaluable text covers the successful management of dry eye conditions very succinctly and in a way relevant for the modern practitioner or student. Setting goals and treatment objectives, and brimming with sound practical advice, it adopts a clinical decision-making approach to the subject. Management and treatment options are prioritised and evidence-based. An essential pocket reference for all students and practitioners treating dry eye conditions including ophthalmologists, optometrists, dispensing opticians, ophthalmic nurses and all those involved in the management of these challenging conditions. Clear discussions explain how to set priorities and establish guidelines for treatment based on the patient's presenting symptoms. No other book presents a succinct, practical guide to treatment and successful management of dry eye. All factors that can cause dry eye conditions are addressed, looking beyond the most common contact lens complications to factors such as disease, the environment, and equipment worn by the patient. Clinically relevant approach makes this unique resource extremely useful in the patient-care setting. Practical advice outlines succinct methods for the most effective management of dry eye conditions. Comprehensive information is presented in a quick-reference, synoptic format that's convenient and easy-to-use. Well-referenced chapters present evidence-based information and point to original sources for further research and investigation. Both common and severe dry eye conditions are covered, prioritized so clinicians can see the treatment implications associated with each. Clear illustrations and line diagrams show key visual concepts and help readers see the real-world clinical applications.

UPDATED AND EXPANDED FOR 2022 and beyond. This clinical pocket reference provides key information that a nurse will require on placement and in practice, selected by experienced teachers/practitioners, clearly written and presented, drawn from a wide range of different sources, packaged in an easily accessible portable format suitable for pocket or mobile devices. Nursing students, assessors, practice educators and preceptees will find that this resource enables the move into real life practice, supporting safe, confident, patient centred nursing. The fourth edition has now been thoroughly updated and extended. New material includes new Mental Capacity Act overview and guidelines, updated infection control (including donning and doffing PPE) and End of Life care sections, and latest Resuscitation Guidelines. This edition is built around the new pre-registration nursing education standards released by the NMC (Nursing & Midwifery Council) in early 2019, allowing it to support all nursing practitioners throughout their years of practice. The authors, all experienced teacher/practitioners have looked at latest teaching trends and national objectives, including the new NMC standards, to provide coverage of the widening range of competencies a nurse needs to display in today's healthcare environment. This resource provides rapid access to key information that a nurse will need to provide effective holistic care of the adult patient. For the student on clinical placement it provides a valuable aide memoire for recently learnt key information. For the newly qualified nurse it assists review, reflection, and revalidation.

Eureka: Biochemistry & Metabolism is an innovative book for medical students that fully integrates core science, clinical medicine and surgery. The book benefits from an engaging and authoritative text, written by specialists in the field, and has several key features to help you really understand the subject: Chapter starter questions - to get you thinking about the topic before you start reading Break out boxes which contain essential key knowledge Clinical cases to help you understand the material in a clinical context Unique graphic narratives which are especially useful for visual learners End of chapter answers to the starter questions A final self-assessment chapter of Single Best Answers to really help test and reinforce your knowledge The book starts with a First Principles chapter which clearly explains the key concepts and mechanisms relevant to the study of medicine e.g. types of biochemical reaction, enzymes and cofactors. This is followed by a series of systems-based chapters which are introduced with an engaging clinical case which helps link the subject to the practice of medicine. Finally there is a self-assessment chapter consisting of 80 single best answer questions to test your understanding. The Eureka series of books are designed to be a 'one stop shop': they contain all the key information you need to know to succeed in your studies and pass your exams.

From the best-selling author of The Hedgerow Apothecary Learn how to make the most of your common garden plants like the herbalists of the past Unlock the sustainable and ethical art of the apothecarist, and explore its rich folklore and history. Discover the hidden delights in your own garden and how to use them to make delicious edible treats, herbal cures and restorative beauty products. With photographs to help you safely identify edible plants and tips on how best to prepare and preserve your finds, this is the essential guide to enjoying the home-grown riches of your garden. Enjoy the therapeutic delights of the plants to be found in your own garden with easy-to-follow recipes. Heal dry hands with calendula balm Encourage restful sleep with cherry moon milk Get creative with a vivid blue ink made from cornflowers Try a borage infusion for tired eyes Soothe itchy skin with herbal bath tea Bake a delicious nettle and lemon sponge cake Freshen up with a rosemary mouthwash Enjoy a cool glass of red clover lemonade And much more!

Eugenic thought and practice swept the world from the late nineteenth to the mid-twentieth century in a remarkable transnational phenomenon that informed social and scientific policy across the political spectrum, from liberal welfare measures in emerging social-democratic states, to feminist ambitions for birth control, to public health campaigns, to totalitarian dreams of the "perfectibility of man." This book dispels for uninitiated readers the automatic and apparently exclusive link between eugenics and the Holocaust: the popularity of eugenics in Japan, for example, comes as a surprise. It is the first world history of eugenics and an indispensable core text for both teaching and research in what has become a sprawling but ever more important field. Eugenics has accumulated generations of interest as part of the question of how experts think about the connections between biology, human capacity and policy. In the past and the present, eugenics speaks to questions of race, class, gender and sex, evolution, governance, nationalism, disability, and the social implications of science. In the current climate, where the human genome project, stem cell research, and new reproductive technologies have proven so controversial, the history of eugenics has much to teach us about the relationship between scientific research, technology, and human ethical decision-making. This volume offers both a nineteenth-century context for understanding the emergence of eugenics and a consideration of contemporary manifestations of, and relationships to eugenics. It is the definitive text for students and researchers to consult for careful and up-to-date summaries, new substantive fields where very little work is currently available (e.g. eugenics in Iran, South Africa, and South East Asia); transnational thematic lines of inquiry; the integration of literature on colonialism; and connections to contemporary issues.

Proper nutrition is crucial for maintaining one s general health and well-being; with that in mind, you ll discover a wealth of nutritional information within this newly updated and expanded version of our best-selling Nutrition study guide. Each aspect of nutrition from carbohydrates to vitamins is comprehensively examined, with key definitions, examples, charts, and full-color illustrations provided for additional clarity.

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Renowned for its comprehensive coverage and engaging, storytelling approach, the bestselling Moore's Clinically Oriented Anatomy, 9th Edition, guides students from initial anatomy and foundational science courses through clinical training and practice. A popular resource for a variety of programs, this proven text serves as a complete reference, emphasizing anatomy that is important in physical diagnosis for primary care, interpretation of diagnostic imaging, and understanding the anatomical basis of emergency medicine and general surgery. The 9th Edition reflects the latest changes in the clinical application of anatomy as well as preparation for the USMLE while maintaining the highest standards for scientific and clinical accuracy. NEW! Sex and gender content clarifies important gender considerations and reflects an equitable focus on female as well as male anatomy. Updated medical imaging and integrated surface anatomy within each chapter clearly demonstrates the relationship between anatomy, physical examination, and diagnosis. Extensively revised Clinical Blue Boxes highlight the practical applications of anatomy, accompanied by helpful icons, illustrations, and images that distinguish the type of clinical information covered. Updated introduction establishes the foundational understanding of systemic information and basic concepts essential to success from the classroom to the dissection lab. Revised comprehensive surface anatomy photographs ensure accurate, effective physical examination diagnoses with integrated natural views of unobstructed surface anatomy and illustrations superimposing anatomical structures with landmarks for more accurate physical examination. Insightfully rendered, anatomically accurate illustrations, combined with many photographs and medical images, strengthen comprehension of anatomical concepts and retention of "mental images" of anatomical structures. Bottom Line boxes provide detailed summaries at a glance and underscore the "big-picture" perspective. Illustrated tables clarify complex information about muscles, veins, arteries, nerves, and other structures for easy study and review. Chapter outlines help students find key information quickly and efficiently.