Decisions about life-sustaining treatment are often ethically challenging for patients, surrogate decision-makers, and health care professionals. Providing safe, effective, and compassionate care near the end of life is a priority for health care organizations. In times of uncertainty, crisis, or reflection, and in efforts to improve health care for seriously ill patients, guidelines can help. This is the first updated, expanded edition of The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying, which shaped the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. The new edition, the product of an authoritative consensus process, incorporates 25 years of research, innovation, and developments in law and policy. It summarizes the current framework for making good decisions about treatment and care and identifies educational and organizational goals for health care systems. It covers care planning, decision-making for adults and for children, care transitions, the determination of death, and the policies and processes that support good care at the bedside. It also addresses the psychological and social dimensions of care near the end of life, with attention to effective communication with patients and loved ones and among team members. This book is written for physicians, nurses, and other clinicians in hospitals, nursing homes, home care, and hospice. It is structured for ease of reference during difficult clinical situations and includes extensive practical recommendations supported by print and online resources. This book is also essential reading for clinical ethicists, ethics committee members, health lawyers, and medical and nursing directors. As the U.S. confronts the challenges of health care reform, an aging population, increasing technological capacity to extend life, and serious cost implications, The Hastings Center Guidelines are invaluable to educators, scholars, and policymakers.

What happens when Cinderella wears shoes she's made from recycled materials to the ball? Tap into students' sense of humor with five lively plays that take the plots, characters, and settings of traditional fairy tales and turn them on their heads! Includes character parts written at a variety of reading levels, book links, and writing activities that help students build on traditional fairy tale structures and write in different genres. For use with Grades 3-5.

Leveller Manifestoes (1944) is a collection of primary manifestoes issued by the Levellers, the group which played an active and influential role in the English revolution of 1642-49. This book collects together rare pamphlets and tracts that are seldom available, and certainly not in one place for ease of research.

Philosophy grounds itself in factual "truth." By revising how we understand this, we make a change that has profound impact upon most world-wide systems for gaining knowledge.This shift away from factual "truth" can only occur when we correctly understand it--and distinguish it from analytical and moral truth--because truth is entrenched deeply within our outlook. With correct understanding, an emerging insight beyond old truth can transform the world and launch an authentic philosophic revolution.PHILOSOPHY THAT WORKS, 200 pages, streamlines its philosophic arguments into lively reading.

Proceedings of a Seminar in the EEC Programme of Coordinated Research on Energy in Agriculture held in Freising-Weihenstephan, FRG, November 4-6, 1986

The first edition of Richard Wolf's volume was written during the infancy of the field of evaluation. Fifteen years later, educational evaluation is now an established field which has gone through considerable changes. Enduring the test of time, the value of Wolf's ideas remains constant. This third edition is an extension and refinement of his ideas. He continues to avoid the entanglement of unwarranted ideological positions. Instead he identifies basic questions addressed in a study and the classes of information needed to answer those questions. New material, including a new chapter, act as additional layers on the same structure. Throughout, Wolf advocates an eclectic approach--using both quantitative and qualitative techniques. He has structured this volume as a text for graduate students and a handbook for professionals.

Richard Wolf's book presents a comprehensive view of educational evaluation. It covers the history of evaluation, planning and conduct of evaluation studies, analysis and interpretation of results, report preparation, and decision making. A new chapter surveys the contemporary scene in educational evaluation: the development of evaluation; the convergence and divergence in views; qualitative versus quantitative approaches; and the role of teachers in evaluation. Each chapter concludes with updated, comprehensive references and additional readings. Wolf's text "Evaluation in Education" is a classic in the field. The eclecticism of its approach is its serviceability.

This multifaceted volume artfully blends the functions of an introduction and a commentary. Without overwhelming the student with details, it discusses a wide range of issues that are important for the interpretation of Isaiah. The book consists of three parts. In the first part, Herbert Wolf discusses the more traditional introductory questions: the world of Isaiah, the theories of multiple authorship, the structure of Isaiah, and Isaiah's poetry. The second part is a detailed paragraph-by-paragraph analysis of the prophecy itself. The last part of the book discusses Isaiah's christological and eschatological emphases. Detailed footnotes and an extensive bibliography facilitate further study.

Have you ever had an idea for a book, a movie, or a TV show? Chances are that you ve had many. Today s students, who are coming of age in a world that is increasingly mediated by smartphones, pads, pods, apps, and the Internet, are even more likely to think of their lives and experiences in terms of stories. Unlocking the Moviemaking Mind explores how our innate abilities as storytellers can be used in the K-12 classroom to stimulate new approaches to learning. Relying on data collected during a multi-year research project in a variety of school settings, this book relies on story and synthesis to present tried and true methods of introducing media making practices in the classroom. Unlocking the Moviemaking Mind also offers strategies for overcoming individual and systematic barriers that educators and administrators are likely to encounter when incorporating storytelling into their curricula. Moreover, the book broaches topics that are especially germane to today s students, including literacy, motivation, and experiential learning.

This book provides a concise, state-of-the art review of the surgical treatment of metabolic syndrome and diabetes mellitus. The volume reviews what current practices in surgery and metabolic syndrome and diabetes including the biohormonal effects of the different surgeries. Isolating the effects of the different procedures is critical to the decision tree for type of procedure selected for an individual patient. Specifically for diabetes, this textbook will provide a guide for practitioners to a tailored approach to the treatment. Areas of ongoing research that highlight the minimally invasive approach as well as incorporating what we know of the biochemical results of surgery are presented. Results of established weight loss procedures and ongoing trials are juxtaposed against some of the more novel techniques to ascertain a best practice. Metabolic Surgery and the Surgical Treatment of Diabetes serves as a very useful resource for physicians and researchers dealing with, and interested in, this rising epidemic of metabolic syndrome and diabetes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.

First Published in 1989. Routledge is an imprint of Taylor & Francis, an Informa company.

Guidebook to Community Consulting provides advice for people interested in starting or growing a career in community consulting. Drawing on the authors' years of experience as community consultants, it offers a wealth of practical guidance to anyone considering or establishing a successful career serving and empowering communities. It includes guidance about the personal qualities, values, and technical skills needed; how to start a consulting practice; how to collaborate with colleagues, and most importantly, how to collaborate with communities. Practical advice and tips are motivated by core guiding principles and goals including an understanding of consulting as a partnership between consultants and communities; decoloniality; anti-racism, and equity. The text is animated with illustrative anecdotes and lessons gained from real-world experience.

Learn all you need to know about gastrointestinal drugs and their clinical use with this one-stop, rapid reference pocket guide. Brought to you by many of the world's leading GI drug experts, Pocket Guide to Gastrointestinal Drugs provides comprehensive guidance to the pharmacological properties of drugs used to treat gastrointestinal conditions, including mechanisms of action, appropriate administration, and potential adverse effects associated with their use. Organized by class of drug and ranging from PPIs to immunosupressants, each chapter first examines the specific agents within that class and then their appropriate and judicious use across a range of specific GI disorders. Key features include: * Introduction of drug class * Basic pharmacology, including mechanism of action, bioavailability, metabolism, interactions, adverse effects, toxicity, and special considerations * Dosing information for each GI condition and on- and off-label use * Consistent use of both generic and trade names throughout * Specific reference to drug use in pediatric patients and during pregnancy Perfect for quick consultation on the wards and in the office, Pocket Guide to Gastrointestinal Drugs is the ideal tool for all those managing patients with GI conditions, including gastroenterologists, GI trainees, emergency physicians, GI specialist nurses, primary care physicians and residents, intensivists and pharmacists.

Decisions about life-sustaining treatment are often ethically challenging for patients, surrogate decision-makers, and health care professionals. Providing safe, effective, and compassionate care near the end of life is a priority for health care organizations. In times of uncertainty, crisis, or reflection, and in efforts to improve health care for seriously ill patients, guidelines can help. This is the first updated, expanded edition of The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying, which shaped the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. The new edition, the product of an authoritative consensus process, incorporates 25 years of research, innovation, and developments in law and policy. It summarizes the current framework for making good decisions about treatment and care and identifies educational and organizational goals for health care systems. It covers care planning, decision-making for adults and for children, care transitions, the determination of death, and the policies and processes that support good care at the bedside. It also addresses the psychological and social dimensions of care near the end of life, with attention to effective communication with patients and loved ones and among team members. This book is written for physicians, nurses, and other clinicians in hospitals, nursing homes, home care, and hospice. It is structured for ease of reference during difficult clinical situations and includes extensive practical recommendations supported by print and online resources. This book is also essential reading for clinical ethicists, ethics committee members, health lawyers, and medical and nursing directors. As the U.S. confronts the challenges of health care reform, an aging population, increasing technological capacity to extend life, and serious cost implications, The Hastings Center Guidelines are invaluable to educators, scholars, and policymakers.

Guidebook to Community Consulting provides advice for people interested in starting or growing a career in community consulting. Drawing on the authors' years of experience as community consultants, it offers a wealth of practical guidance to anyone considering or establishing a successful career serving and empowering communities. It includes guidance about the personal qualities, values, and technical skills needed; how to start a consulting practice; how to collaborate with colleagues, and most importantly, how to collaborate with communities. Practical advice and tips are motivated by core guiding principles and goals including an understanding of consulting as a partnership between consultants and communities; decoloniality; anti-racism, and equity. The text is animated with illustrative anecdotes and lessons gained from real-world experience.

This book provides a concise, state-of-the art review of the surgical treatment of metabolic syndrome and diabetes mellitus. The volume reviews what current practices in surgery and metabolic syndrome and diabetes including the biohormonal effects of the different surgeries. Isolating the effects of the different procedures is critical to the decision tree for type of procedure selected for an individual patient. Specifically for diabetes, this textbook will provide a guide for practitioners to a tailored approach to the treatment. Areas of ongoing research that highlight the minimally invasive approach as well as incorporating what we know of the biochemical results of surgery are presented. Results of established weight loss procedures and ongoing trials are juxtaposed against some of the more novel techniques to ascertain a best practice. Metabolic Surgery and the Surgical Treatment of Diabetes serves as a very useful resource for physicians and researchers dealing with, and interested in, this rising epidemic of metabolic syndrome and diabetes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.

A look at one of the first feminist artists, Pictorialist photographer Anne Brigman, best known for her iconic landscape photographs made in the early 1900s depicting female nudes outdoors in rugged northern California. This main volume of a previously published slipcased edition is the catalogue of the major retrospective exhibition that took place in 2018 at the Nevada Museum of Art, and remains the first comprehensive book to chronicle the photography of Anne W. Brigman (1869-1950), one of the most important of all American women photographers. This monumental publication rediscovers and celebrates the work of Brigman, whose photography was considered radical for its time. For Brigman to objectify her own nude body as the subject of her photographs in the turn of the 20th century was groundbreaking; to do so outdoors in a near-desolate wilderness setting was revolutionary. Brigman's significance spanned both coasts: in northern California, where she lived, she was known as a poet, a critic, and a member of the Pictorialist photography movement, whose practitioners employed various methods of manipulation to achieve images that were considered beautiful and romantic. On the east coast, her work was promoted by Alfred Stieglitz, who published her photographs in Camera Work and elected her as a Fellow of the prestigious Photo-Secession. The beautifully produced large-format book is devoted to Brigman's entire career, covering such topics as Brigman's work within the contexts of the California Arts & Crafts movement and New York Modernism; her relationship to High Sierra mountaineering and early 20th-century poetry; and the relevance of her work to contemporary conversations regarding gendered landscapes of the American frontier.

"Der wichtigste Schritt in der Fortentwicklung aller Naturwissenschaften ist mit der Einfuhrung der Messung von Grossen gemacht worden. " (J. C. MAXWELL, Theorie der Warme, Dt. uber- setzung nach der 4. Aufl. , 1877) Die Analyse des Elektrolyt- und Wasserhaushaltes bei Patienten mit generali- sierten Odemen hat ergeben, dass die Unfahigkeit des Organismus, die mit der Nahrung zugefuhrten Natriumionen quantitativ zu eliminieren, ein gemeinsames Merkmal dieser Erkrankungen ist. Die Ansammlung von Wasser im extracellularen Raum ist lediglich die Folge dieser Natriumretention. Der Anteil der Niere an der Entstehung solcher Storungen des Elektrolyt- und Wasserhaushalts beruht auf der I mbalance glomerular-tubularer Funktionen, die renale und extrarenale Ursachen haben kann. Die Minderung der glomerularen Filtration ist fur die Entstehung der Odeme sicher von geringerer Bedeutung als die zu intensive Ruckgewinnung des Primarharns unter den pathologischen Bedingungen, die den Ausgleich der gestorten Salz- und Wasserbilanz verhindert. Prinzipiell kann eine Vermehrung der Harnausscheidung sowohl durch Ver- grosserung der glomerularen Filtration als auch durch Hemmung der tubularen Ruckgewinnung des Primarharns erreicht werden. Die heute gebrauchlichen Diuretica verandern ganz uberwiegend tubulare Funktionen und beeinflussen daher den an zweiter Stelle genannten Prozess.

Bioethics tackles the most vexing problems in health care and the biological sciences: from reproductive technologies to euthanasia, the AIDS epidemic, mapping the human genome, human subjects research, and health care reform. Yet surprisingly little attention has been paid to the special problems faced by women and to feminist analyses of current health care issues other than reproduction. This breakthrough volume of original essays authored by leading figures in bioethics and feminist theory moves beyond the areas of reproduction and nursing, taking bioethics into new territory. The book starts with an investigation of the relationship between feminism and bioethics and introduces different approaches to the problem. These chapters stress the importance of liberal feminism that prefers feminist over feminine analysis, integrates the experience of women of color, draws from the women's self-help movement, and uses the feminist stand-point theory. In the second part of the book, the authors apply the feminist perspective to different bioethics problems: euthanasia, AIDS, the definition of health, doctor-patient communication, the Human Genome Project, the conduct of biomedical research, and health care reform. They demonstrate the gain and benefit that results when bioethics pays attention to gender and feminism. This volume will change the way bioethicists, students, patients, and the public think about these profoundly challenging problems.