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Author: David J. Rothman
Publisher: Routledge
ISBN: 135148804X
Category : Medical
Languages : en
Pages : 416
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Book Description
David Rothman gives us a brilliant, finely etched study of medical practice today. Beginning in the mid-1960s, the practice of medicine in the United States underwent a most remarkable--and thoroughly controversial--transformation. The discretion that the profession once enjoyed has been increasingly circumscribed, and now an almost bewildering number of parties and procedures participate in medical decision making. Well into the post-World War II period, decisions at the bedside were the almost exclusive concern of the individual physician, even when they raised fundamental ethical and social issues. It was mainly doctors who wrote and read about the morality of withholding a course of antibiotics and letting pneumonia serve as the old man's best friend, of considering a newborn with grave birth defects a "stillbirth" thus sparing the parents the agony of choice and the burden of care, of experimenting on the institutionalized the retarded to learn more about hepatitis, or of giving one patient and not another access to the iron lung when the machine was in short supply. Moreover, it was usually the individual physician who decided these matters without formal discussions with patients, their families, or even with colleagues, and certainly without drawing the attention of journalists, judges, or professional philosophers. The impact of the invasion of outsiders into medical decision-making, most generally framed, was to make the invisible visible. Outsiders to medicine--that is, lawyers, judges, legislators, and academics--have penetrated its every nook and cranny, in the process giving medicine exceptional prominence on the public agenda and making it the subject of popular discourse. The glare of the spotlight transformed medical decision making, shaping not merely the external conditions under which medicine would be practiced (something that the state, through the regulation of licensure, had always done), but the very substance of medical pract
Author: David J. Rothman
Publisher: Routledge
ISBN: 135148804X
Category : Medical
Languages : en
Pages : 416
Get Book Here
Book Description
David Rothman gives us a brilliant, finely etched study of medical practice today. Beginning in the mid-1960s, the practice of medicine in the United States underwent a most remarkable--and thoroughly controversial--transformation. The discretion that the profession once enjoyed has been increasingly circumscribed, and now an almost bewildering number of parties and procedures participate in medical decision making. Well into the post-World War II period, decisions at the bedside were the almost exclusive concern of the individual physician, even when they raised fundamental ethical and social issues. It was mainly doctors who wrote and read about the morality of withholding a course of antibiotics and letting pneumonia serve as the old man's best friend, of considering a newborn with grave birth defects a "stillbirth" thus sparing the parents the agony of choice and the burden of care, of experimenting on the institutionalized the retarded to learn more about hepatitis, or of giving one patient and not another access to the iron lung when the machine was in short supply. Moreover, it was usually the individual physician who decided these matters without formal discussions with patients, their families, or even with colleagues, and certainly without drawing the attention of journalists, judges, or professional philosophers. The impact of the invasion of outsiders into medical decision-making, most generally framed, was to make the invisible visible. Outsiders to medicine--that is, lawyers, judges, legislators, and academics--have penetrated its every nook and cranny, in the process giving medicine exceptional prominence on the public agenda and making it the subject of popular discourse. The glare of the spotlight transformed medical decision making, shaping not merely the external conditions under which medicine would be practiced (something that the state, through the regulation of licensure, had always done), but the very substance of medical pract
Author: Kirk Jeffrey
Publisher: JHU Press
ISBN: 0801876168
Category : Medical
Languages : en
Pages : 387
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Book Description
Today hundreds of thousands of Americans carry pacemakers and implantable cardioverter-defibrillators (ICDs) within their bodies. These battery-powered machines—small computers, in fact—deliver electricity to the heart to correct dangerous disorders of the heartbeat. But few doctors, patients, or scholars know the history of these devices or how "heart-rhythm management" evolved into a multi-billion-dollar manufacturing and service industry. Machines in Our Hearts tells the story of these two implantable medical devices. Kirk Jeffrey, a historian of science and technology, traces the development of knowledge about the human heartbeat and follows surgeons, cardiologists, and engineers as they invent and test a variety of electronic devices. Numerous small manufacturing firms jumped into pacemaker production but eventually fell by the wayside, leaving only three American companies in the business today. Jeffrey profiles pioneering heart surgeons, inventors from the realms of engineering and medical research, and business leaders who built heart-rhythm management into an industry with thousands of employees and annual revenues in the hundreds of millions. As Jeffrey shows, the pacemaker (first implanted in 1958) and the ICD (1980) embody a paradox of high-tech health care: these technologies are effective and reliable but add billions to the nation's medical bill because of the huge growth in the number of patients who depend on implanted devices to manage their heartbeats.
Author: Graham Greene
Publisher: Random House
ISBN: 144816480X
Category : Fiction
Languages : en
Pages : 265
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Book Description
On its first appearance in 1957, Hugh and Graham Greene's The Spy's Bedside Book provoked a storm of interest, and, perhaps unsurprisingly, 100 copies were bought by East German Intelligence. This classic anthology, with a new introduction by the former head of MI5, Stella Rimington, includes stories by some of the great writers on spying and many practitioners, including Ian Fleming and John Buchan, Sir Robert Baden-Powell and Belle Boyd, Walter Schellenberg and Major André, Sir Paul Dukes and Vladimir Petrov, and. from the golden age of mystery and suspense, William Le Queux and E. Phillips Oppenheim. There are also some unexpected figures: William Blake, D.H. Lawrence and Thomas Mann, all suspected of spying in three great wars. How can you hide messages in a boiled egg? Why should you always put pepper in your vodka when in Russia? Answers to these questions and much more can be found in this thrilling collection, which will enthral readers once again with its tales of espionage from a bygone era.
Author:
Publisher:
ISBN:
Category : Homeopathy
Languages : en
Pages : 1678
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Book Description
Author: Maureen A. Coombs
Publisher: Routledge
ISBN: 1134416474
Category : Medical
Languages : en
Pages : 167
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Book Description
Through observations in three intensive care units, this book draws on the reality of practice to explore how nurses and doctors work in intensive care settings. It examines: · the power held by the competing knowledge bases · the roles of the different professions · the decision-making process · the sources of conflict · the need for change. Drawing together sociological theories and clinical practice, Power and Conflict Between Doctors and Nurses explores the role of nurses in delivering contemporary health care. It makes a strong case for interdisciplinary working and is particularly timely when health care policy is challenging work boundaries in health care.
Author: Jessica Barksdale Inclan
Publisher: Zebra Books
ISBN: 9780821780800
Category : Fiction
Languages : en
Pages : 340
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Book Description
On the run from three ruthless killers, San Francisco poet Miranda Stead unwittingly enters into a strange and secret realm where she is drawn to Sariel Valasay, a magical telepath and healer who, after one night of undeniable passion, must make her forget his world and his people.
Author: Guy Lautard
Publisher: Little Lake Technology
ISBN: 9781953439130
Category : Technology & Engineering
Languages : en
Pages : 0
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Book Description
The 3 books in The Machinist's Bedside Reader series are among the most popular books ever written for machinists! Written in a relaxed style, you'll actually enjoy reading technical information. The subtitle of the first book says it all: Projects, hints, tips and anecdotes of the trade. These books include detailed instructions and fully dimensioned working drawings for numerous tools and accessories you will want to make for use in your shop. (Even if you're a novice, you'll find the instructions easy to follow and very detailed.) They also contain much useful and timesaving shop know-how, some of which is extremely difficult, if not impossible, to find elsewhere. The information in these books has been gleaned from many and varied sources, including experienced machinists (and home shop guys) who are willing to share what they know. Like the first book, TMBR#2 is filled with more hints, tips, and projects. The Second Bedside Reader contains full plans for: an elegant between-centers boring bar a poor man's jig borer an overhead drive for your milling spindle a toolpost fixture for rounding the ends of small parts a fixture for cutting multiple-start threads a simple shop-made sine bar and sine fixture for your milling machine ..... and much more! Topics include: Cutting Multiple Start Threads How to Make a Square Hole Sleeve A Useful Accessory for Cutting Tapers in the Lathe How to Design Self-Holding and Self-Releasing Tapers Between-Centers Boring Bars Portable Powered Boring Bars for Boring large Cylinders A Vise Accessory for Holding Flat Work Why own more than one Hacksaw? Shop made Angle Plates Radiusing the End of a Part Filing Buttons A Fixture for Rounding the Ends of Small Parts A Lathe Tracing Attachment A Simple Stamping Fixture Simple Sheet Metal Bending Devices A Tool to Aid Nicely Finished Lathe Cut Threads Balancing Grinding Wheel Flanges and many other miscellaneous hints, methods, and other goodies. Also included in full is The Bullseye Mixture, Guy's story about precision metalworking, rifle making, friendship, and the recipe for case hardening that may not be the only Bullseye Mixture in life.
Author: Anselm Leonard Strauss
Publisher: Transaction Publishers
ISBN: 9781412834391
Category : Medical
Languages : en
Pages : 330
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Book Description
Today we face the painful reality of the prevalence of chronic, rather than acute, diseases. The technologies developed to manager long-term, incurable illnesses have radically and irrevocably altered the organizational structure of health care, presenting us with a frequently bewildering array of medical specialties. Social Organization of Medical Work offers essential insight into this new era of health care. Through richly documented, often gripping case studies, Anselm Strauss and his co-authors show us exactly how health workers are confronting the problems created by chronic disease and coping with today's highly technologized hospitals. They guide us through the various hospital work sites, describing in detail the kinds of tasks performed by medical personnel, the interactions of staff members with each other and with patients, and the overall resulting patient treatment and response. Focusing on the concept of illness trajectory, the authors vividly illustrate the complex, contingent nature of modern medical work. For example, open heart surgery keeps ill persons alive and may even improve them symptomatically, but those who do survive must face an uncertain future in terms of the physiological consequences of the surgery and the drugs required. They also have to adjust t altered lifestyles. In the new introduction, Anselm Strauss discusses the continuing importance of this work to sociologists, medical scholars, and medical professionals.
Author: Justin Barr
Publisher:
ISBN: 1580469663
Category : Medical
Languages : en
Pages : 304
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Book Description
Examining the history of arterial repair, Of Life and Limb investigates the process of surgical innovation by exploring the social, technological, institutional, and martial dynamics shaping the introduction and adoption ofa new operation.
Author: United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 190
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Book Description
