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In the decade-and-a-half since I coedited Transsexualism and Sex
Reassignment (Green & Money, 1969), remarkable changes have
occurred with Harry Ben jamin's "transsexual phenomenon" (1966).
Formerly, when writing about this condition in scientific journals,
it was necessary to define the term transsex ualism. Now the lay
public recognizes it. Even the American Psychiatric Asso ciation
acknowledges it as a "disorder," with its inclusion in the Third
Edition of its Diagnostic and Statistical Manual (1980). Although
this "elevation" to the status of mental illness may seem a Pyrrhic
victory, it is a recognition of the legitimacy of transsexual ism
as a source of human suffering. The controversy that surrounded the
decisions in the early patient cases to perform sex-change surgery
has largely dissipated. The cries of "collusion with delusion,"
principally from psychoanalysts, have quieted. The dire predictions
of psychosis and/or suicide following surgery as the "last psychic
defenses are cut away" have almost never been realized. By
contrast, many postoperative patients consider the surgery to have
been life-saving. Medical centers worldwide have incorporated
programs for evaluating and treating persons requesting sex reas
signment. Elaborate guidelines for patient management have been
developed by an international organization of health care
professionals (Harry Benjamin Inter national Gender Dysphoria
Association, 1981). Harry Benjamin's child has come of age."
Disintegration of kidney and gall stones by intense laser radiation
is becoming increasingly important as a complementary technique to
extracorporeal shockwave treatment. This book gives for the first
time a complete overview of laser lithotripsy combining a critical
comparison of the methods and a thorough evaluation of instrumental
developments and clinical applications. Readers from the medical as
well as from the engineering side will find it a stimulating source
of information on all aspects of laser-stone interaction.
Ethical rational, facts, and center techniques for choosing kidney
donors all in one volume. This is the first book of its kind,
devoted solely to preoperative issues for living kidney donors and
those who counsel them. The eight chapters are devoted to vital
areas that are comprehensively addressed by experienced
professionals. The book presents a unified ethical and factual
approach that is essential for all transplant centers to
understand. It is a readable and understandable ethical foundation
for living kidney donation that is free of jargon. It includes
balanced, hard to find factual summaries that are essential for
acceptable kidney donor counseling. As transplant centers
increasingly turn to living kidney donors, this book is an
essential step forward in the field.
The book will appeal to transplant physicians and surgeons,
transplant coordinators and social workers, nephrologists who have
patients on dialysis or who evaluate potential living kidney donors
and to potential living kidney donors and their recipients. As a
practical application of medical ethics to an important field, it
will be of interest to medical ethicists as well.
Ethical rational, facts, and center techniques for choosing kidney
donors all in one volume. This is the first book of its kind,
devoted solely to preoperative issues for living kidney donors and
those who counsel them. The eight chapters are devoted to vital
areas that are comprehensively addressed by experienced
professionals. The book presents a unified ethical and factual
approach that is essential for all transplant centers to
understand. It is a readable and understandable ethical foundation
for living kidney donation that is free of jargon. It includes
balanced, hard to find factual summaries that are essential for
acceptable kidney donor counseling. As transplant centers
increasingly turn to living kidney donors, this book is an
essential step forward in the field.
The book will appeal to transplant physicians and surgeons,
transplant coordinators and social workers, nephrologists who have
patients on dialysis or who evaluate potential living kidney donors
and to potential living kidney donors and their recipients. As a
practical application of medical ethics to an important field, it
will be of interest to medical ethicists as well.
Cancer of the head and neck continues to be a challenge. Increasing
incidence has pushed malignancy of the upper aerodigestive tract
into the first rank of cancer. In some countries it follows
bronchial carcinoma in frequency and is more common than
gastro-intestinal and gynaecological cancer. This increasing
incidence makes it difficult to train enough highly specialised
staffwho are also responsible for the care of many other patients,
requiring sophisticated microsurgery of the ear and nose. The
question of quality is even more difficult. Oncological success in
the treat ment of head and neck cancer is bought at the price of
crippling of vital functions such as eating, breathing, voice and
sight and furthermore of striking aesthetic de formity. Mutilation
of this highly functional collection of organs is more keenly felt
than that of any other region of the body. It is vital, therefore,
that the surgeon keeps up with the recent achievements of
functional surgery in order to offer the best ser vice to his
patients. Cancer of the larynx is no exception. Despite newer
techniques of radiotherapy and chemotherapy, surgery still gives
the best oncological results. This requires a wide spectrum of
operations varying from minimal ablation to total laryngectomy."
Die Psychoakustik beschaftigt sich mit den Zusammenhangen zwischen
psychologischen Prozessen (Wahrnehmung, Empfindung) und akustischen
Parametern und hat Methoden zur empfindungsproportionalen
Larmbewertung entwickelt. In OEsterreich sieht eine Reihe von
Gesetzen fur den Schutz der Anrainer vor Larm keine
Schallpegelgrenzwerte vor, sondern die viel weiter reichende
Verpflichtung zur Vermeidung unzumutbarer oder
gesundheitsgefahrdender Larmimmissionen. In der Praxis werden
jedoch mangels entsprechender Regelwerke noch immer
Beurteilungsgroessen verwendet, welche nicht immer
empfindungsproportionale Kennwerte liefern. Das Taschenbuch der
angewandten Psychoakustik beinhaltet eine umfassende,
interdisziplinare Darstellung der psychoakustischen Grundlagen fur
die Anwendung im Behoerdenverfahren. Ausgehend von den rechtlichen
Rahmenbedingungen in OEsterreich und Deutschland fur die Verwendung
psychoakustischer Methoden wird ein Basiswissen uber die
physiologischen und psychologischen Wirkungen von Larm vermittelt.
Ein ausfuhrlicher technischer Abschnitt, in dem die Methoden der
Psychoakustik dargestellt werden bildet den Hauptteil des Werkes.
Ein Glossar sowie Beispiele, welche anhand realer Falle und
Situationen die Verwendung psychoakustischer Methoden bei der
Larmbeurteilung in der Praxis zeigen, erganzen den Band. Die
Psychoakustik beschaftigt sich mit den Zusammenhangen zwischen
psychologischen Prozessen und akustischen Parametern und hat
Methoden zur empfindungsproportionalen Larmbewertung entwickelt.
Eine Reihe von Gesetzen fur den Anrainerschutz sieht keine
Schallpegelgrenzwerte vor, sondern die weiter reichendere
Verpflichtung zur Vermeidung unzumutbarer oder
gesundheitsgefahrdender Larmimmissionen. In der Praxis werden
jedoch noch immer Beurteilungsgroessen verwendet, welche nicht
immer empfindungsproportionale Kennwerte liefern. Umfassend und
interdisziplinar werden hier die psychoakustischen Grundlagen fur
die Anwendung im Behoerdenverfahren dargestellt. Neben den
rechtlichen Rahmenbedingungen in OEsterreich und Deutschland, wird
ein Basiswissen uber die physiologischen und psychologischen
Wirkungen von Larm vermittelt. Der technische Abschnitt, in dem die
Methoden der Psychoakustik dargestellt werden, bildet den Hauptteil
des Werkes, das durch ein Glossar sowie eine Reihe von Beispielen,
welche anhand realer Falle und Situationen die Verwendung
psychoakustischer Methoden bei der Larmbeurteilung in der Praxis
zeigen, erganzt wird.
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