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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.
Clean Coal Engineering Technology, Second Edition provides
significant information on the major power generation technologies
that aim to utilize coal more efficiently, and with less
environmental impact. With increased coal combustion comes
heightened concerns about coal's impacts on human health and
climate change, so the book addresses the reduction of both carbon
footprints and emissions of pollutants, such as particulate matter,
nitrogen oxides, and mercury. Part 1 provides an essential
grounding in the history of coal use alongside coal chemical and
physical characteristics, worldwide distribution, and health and
environmental impacts. Part 2 introduces the fundamentals of the
major coal utilization technologies and examines the anatomy of a
coal-fired power plant before going on to provide an overview of
clean coal technologies for advanced power generation. Next, users
will find a group of chapters on emissions and carbon management
that have been extensively enlarged and updated for the second
edition, thus reflecting the ever-increasing importance of this
area. The final section of the book focuses on clean coal
technology programs around the world and the future role of coal in
the energy mix. This fully revised and selectively expanded new
edition is a valuable resource for professionals, including
environmental, chemical, and mechanical engineers who seek an
authoritative and thorough one-volume overview of the latest
advances in cleaner power production from coal.
Concern over the effects of airborne pollution, green house gases,
and the impact of global warming has become a worldwide issue that
transcends international boundaries, politics, and social
responsibility. The 2nd Edition of Coal Energy Systems: Clean Coal
Technology describes a new generation of energy processes that
sharply reduce air emissions and other pollutants from coal-burning
power plants. Coal is the dirtiest of all fossil fuels. When
burned, it produces emissions that contribute to global warming,
create acid rain, and pollute water. With all of the interest and
research surrounding nuclear energy, hydropower, and biofuels, many
think that coal is finally on its way out. However, coal generates
half of the electricity in the United States and throughout the
world today. It will likely continue to do so as long as it's cheap
and plentiful [Source: Energy Information Administration]. Coal
provides stability in price and availability, will continue to be a
major source of electricity generation, will be the major source of
hydrogen for the coming hydrogen economy, and has the potential to
become an important source of liquid fuels. Conservation and
renewable/sustainable energy are important in the overall energy
picture, but will play a lesser role in helping us satisfy our
energy demands today. Dramatically updated to meet the needs of an
ever changing energy market, Coal Energy Systems, 2nd Edition is a
single source covering policy and the engineering involved in
implementing that policy. The book addresses many coal-related
subjects of interest ranging from the chemistry of coal and the
future engineering anatomy of a coal fired plant to the cutting
edge clean coal technologies being researched and utilized today. A
50% update over the first edition, this new book contains new
chapters on processes such as CO2 capture and sequestration,
Integrated Gasification Combined Cycle (IGCC) systems,
Pulverized-Coal Power Plants and Carbon Emission Trading. Existing
materials on worldwide coal distribution and quantities, technical
and policy issues regarding the use of coal, technologies used and
under development for utilizing coal to produce heat, electricity,
and chemicals with low environmental impact, vision for utilizing
coal well into the 21st century, and the security coal presents.
A MISSING GIRL. AN ORPHANAGE FILLED WITH SECRETS. Hazel wants a new life. She's thirty years old, single, and her private investigation business is months away from folding. Her luck takes a turn when Madeline Hemsley, a mysterious socialite, pays Hazel a visit with an offer too enticing to resist. An orphan girl has disappeared from a children's home―The Orphanage By The Lake, as the locals call it―and Madeline wants Hazel to find her. At first glance, it appears to be a standard runaway case, but as Hazel plunges into the investigation, she finds signs of something more: unexplained blood stains, cryptic symbols, sinister figures shadowing her every move. The more she digs, the more she realizes that The Orphanage By The Lake holds terrifying secrets, and even worse… …so does Madeline.
Higher Education: Open for Business addresses a problem in higher
learning, which is newly recognized in the academic spotlight: the
overcommercialization of higher education. The book asks that you,
the reader, think about the following: Did you go to a Coke or
Pepsi school? Do your children attend a Nike or Adidas school? Is
the college in your town a Dell or Gateway campus? These questions
should not be a primary concern for students, parents or faculty in
an environment that has to allow students to freely focus on
learning. But in a time of fiscal uncertainty, can higher education
ignore the benefits of commercial ventures? It may seem foolish to
do so. However, commercialism has gotten too close to certain
aspects of academia such as the campus environment, classroom
activities, academic research, and college sports. This disturbing
encroachment of academic ground is addressed in Higher Education:
Open for Business by a diverse host of authors who are closely
involved in higher learning.
The use of human beings as research subjects poses distinctive
ethical issues. Subjects of medical research are exposed to risks
of harm for the sake of generating scientific knowledge that can
benefit future patients and society. Ethical analysis of the
challenges posed by research involving human subjects requires
careful attention to the contextual details of scientific
experimentation. This book contains 22 essays by Franklin G. Miller
on research ethics written over a 15-year period. With the
exception of the first essay, all have been previously published in
bioethics and medical journals. The book is arranged into four
parts. Part One addresses a general ethical perspective on the
protection of human subjects in clinical research, including
paternalism in research regulation and acceptable limits to
research risks. The essays in Part Two examine ethical issues in
study design. It includes ethical analyses of controversial types
of medical experimentation-studies that provoke psychiatric
symptoms, induce infections, provide patients with placebos that
withhold proven effective treatments or administer fake invasive
procedures, test experimental treatments in cancer patients who
have exhausted all standard treatment options, and employ the use
of deception to generate scientifically valid data. Part Three
offers a systematic critique of "the therapeutic orientation" to
clinical trials and the principle of clinical equipoise, which is
widely regarded as a fundamental norm for randomized treatment
studies. Part Four takes up a range of ethical issues relating to
informed consent for research participation, including examination
of "the therapeutic misconception" and presentation of a novel
approach to the validity of consent: "the fair transaction model."
An abiding theme, developed in many of the essays is that the
ethics of clinical research is importantly different from the
ethics of medical care.
Within the past decade, there has been an intensified concern about
pervasive and serious harmdoing that has drawn the attention of
researchers. The primary objective of this special issue is to
consider the contributions of social and personality psychology
toward understanding the perception of sustained harmdoing and to
assess the implications (theoretical, methodological, and
philosophical) for the field of undertaking research in this area.
The authors represented in this issue have each made significant
contributions to the study of harmdoing and evil, and their
articles deal with a variety of conceptual and empirical
perspectives on harmdoing.
Prominent bioethicists whose work is rooted in philosophy,
religion, medicine, nursing, literature, history, and policy
analysis join together to discuss their methods and professional
insights, as well as to better define the field and its future
development. Writing from the perspective of their own specialties,
the authors: review just how their personal disciplines have
contributed to bioethics, debate the current and future bioethical
issues they face, and identify the most significant strengths and
weaknesses in the current practice of bioethics. Seeking a sound
foundation for the discipline, they also consider what basic
knowledge and skills are necessary to be competent in bioethics,
what methods and theoretical approaches are most promising for its
future development, and what issues or perspectives have been
neglected.
An expert guide to emission control technologies and applications,
Fossil Fuels Emissions Control Technologies provides engineers with
a guide to link emission control strategies to available
technologies, allowing them to choose the technology that best
suits their individual need. This includes reduction technologies
for Nitrogen Oxides, Sulfur Oxides, Mercury and Acid Gases. In this
reference, the author explains the most critical control
technologies and their application to real-world regulatory
compliance issues. Numerous diagrams and examples emphasizing
pollution formation mechanisms, key points in pollutant control,
and design techniques are also included.
If your mentally ill patient dies, are you to blame? For Dr.
Francoise Davoine, a Parisian psychoanalyst, this question becomes
disturbingly real as one of her patients commits suicide on the eve
of All Saints' Day. She herself has a crisis, as she reflects on
her thirty-year career and questions whether she should ever return
to the hospital. But return she does, and thus commences a strange
voyage across several centuries and countries, in which patients,
fools, and the actors of medieval farces rise up from the past
along with great thinkers who represent the author's own
philosophical and literary sources: the humanist Erasmus,
mathematician Rene Thom, writer Antonin Artaud, philosopher Ludwig
Wittgenstein, and physicist Edwin Schrodinger, to name a few.
Imaginary dialogues ensue as the analyst conjures up an
interconnected world, where apiculture, wondrous rituals, theater,
and language games illuminate her therapeutic practice as well as
her personal history. Deeply affected by her voyage of discovery,
the author becomes capable of implementing the teachings of
psychotherapist Gaetano Benedetti, a mentor she visits at carnival
time on a final fictional stopover in Switzerland. His advice, that
the analyst become the equal of her patients and immerse herself in
their madness so as to open up a space for treatment, is premised
on the belief that individual illness is a reflection and result of
severe historical trauma. "Mother Folly," which ends on a positive
note, is an important intervention in the debate about how to treat
the mentally ill, particularly those with psychosis. A practicing
analyst and a skilled reader of literary and philosophical texts,
Davoine provides a humane antidote to our increasingly mechanized
and drug-reliant system of dealing with "fools and madmen."
If your mentally ill patient dies, are you to blame? For Dr.
Francoise Davoine, a Parisian psychoanalyst, this question becomes
disturbingly real as one of her patients commits suicide on the eve
of All Saints' Day. She herself has a crisis, as she reflects on
her thirty-year career and questions whether she should ever return
to the hospital. But return she does, and thus commences a strange
voyage across several centuries and countries, in which patients,
fools, and the actors of medieval farces rise up from the past
along with great thinkers who represent the author's own
philosophical and literary sources: the humanist Erasmus,
mathematician Rene Thom, writer Antonin Artaud, philosopher Ludwig
Wittgenstein, and physicist Edwin Schrodinger, to name a few.
Imaginary dialogues ensue as the analyst conjures up an
interconnected world, where apiculture, wondrous rituals, theater,
and language games illuminate her therapeutic practice as well as
her personal history. Deeply affected by her voyage of discovery,
the author becomes capable of implementing the teachings of
psychotherapist Gaetano Benedetti, a mentor she visits at carnival
time on a final fictional stopover in Switzerland. His advice, that
the analyst become the equal of her patients and immerse herself in
their madness so as to open up a space for treatment, is premised
on the belief that individual illness is a reflection and result of
severe historical trauma. "Mother Folly," which ends on a positive
note, is an important intervention in the debate about how to treat
the mentally ill, particularly those with psychosis. A practicing
analyst and a skilled reader of literary and philosophical texts,
Davoine provides a humane antidote to our increasingly mechanized
and drug-reliant system of dealing with "fools and madmen."
View the author's companion website for more information and extra
materials Whether they have full governance powers or are just
there in an advisory capacity, trustees on library boards need to
understand the complex issues that affect a library's ability to
provide its community with materials and services that support
lifelong learning, jobs, and quality of life. Authors Ellen G.
Miller and Patricia H. Fisher have created a strategic guide that
will help library board leaders handle important issues such as
managing risk; local values and first amendment rights; leadership
capable of achieving the library's ideal vision; getting and
growing diverse funding sources; and becoming part of the
community's leadership team. These issues are discussed in laymen's
terms designed for busy trustees and directors who have only a few
hours per month together to consider options and make decisions.
Library Board Strategic Guide: Going to the Next Level seeks to
help trustees and their directors in three broad areas:
understanding complex issues and their local impact, assessing the
trustee's role in addressing those issues, and reviewing
experiences and best practices from other libraries. With many
other uses, including use as a tool for board meeting discussions,
for self-study, or as a benchmark for assessing your board's
performance, this guide will help your library leaders reach that
next level of community support.
The case studies in this book use authentic injury assessment
examples to help readers link theory and clinical practice with the
goal of becoming competent clinicians. The situations are realistic
and present more than 130 of the injuries that athletic trainers
may encounter in the real world. The questions that accompany the
cases ask readers to identify clinical and differential diagnoses,
critique the evaluating clinician's actions, recommend treatment,
comment on ethical choices, and make many of the decisions they
will face in the field. The cases encourage readers to think and
problem solve; evidence-based answers (for select cases in the text
and for all cases in the instructor's manual) ensure that the
recommended clinical decisions are based on the best available
research, clinical expertise, and patient preferences rather than
on anecdotal practice.
Psychotherapy is not a "one size fits all approach." As author John
Miller describes in Changing Roles for a New Psychotherapy, all
theoretical orientations have their uses and merits in different
situations and with different clients. Through a varied personal
life and professional career, in which he developed a creative
psychotherapeutic approach that allows the adaptation of diverse
roles with clients, Dr. Miller has gained insights through working
in academia, the sciences, management consulting, and a state
hospital. He applies these insights, along with those he gained
working various summer jobs, to take readers beyond the standard
medical model of diagnosis and treatment by drawing on the roles of
other professionals. He examines 11 different occupations and
explores how the insights gained in each field can enhance
therapeutic possibilities. How does cooking relate to
psychotherapy? Can accounting change the way psychotherapy is
performed? Read on to find out!
Athletic and Orthopedic Injury Assessment: Case Responses and
Interpretations is a companion book that provides responses and
interpretations to the case studies in Athletic and Orthopedic
Injury Assessment: A Case Study Approach. Research, evidence-based
practices, and professional experience form the basis of these
responses and interpretations. The suggested answers for case
questions include information such as identification of
differential and clinical diagnoses, explanations of diagnostic
tests, relevant anatomical information, and more. We hope you find
this book helpful in responding to the case questions, whether you
are an instructor leading class discussions and analyzing student
work, a preprofessional preparing to interpret the case scenarios
on the BOC national certification examination, or a student seeking
to compare the suggested answers with your own analyses.
Higher Education: Open for Business addresses a problem in higher
learning, which is newly recognized in the academic spotlight: the
overcommercialization of higher education. The book asks that you,
the reader, think about the following: Did you go to a Coke or
Pepsi school? Do your children attend a Nike or Adidas school? Is
the college in your town a Dell or Gateway campus? These questions
should not be a primary concern for students, parents or faculty in
an environment that has to allow students to freely focus on
learning. But in a time of fiscal uncertainty, can higher education
ignore the benefits of commercial ventures? It may seem foolish to
do so. However, commercialism has gotten too close to certain
aspects of academia such as the campus environment, classroom
activities, academic research, and college sports. This disturbing
encroachment of academic ground is addressed in Higher Education:
Open for Business by a diverse host of authors who are closely
involved in higher learning.
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