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Pulmonary Tuberculosis and Its Prevention
Every year, 10 million people fall ill with tuberculosis (TB) in the world, and of those, 1.5 million people die even though it is a preventable and curable disease. As a result, TB remains the world’s leading infectious cause of death. On the other hand, in industrialized countries, the TB incidence has fallen to a historic low, and clinicians’ experience with TB diminished significantly in recent years. Additional challenges for clinicians include atypical presentation of TB in the immunocompromised, especially among the elderly, and an increasing number of patients with drug-resistant TB. Delayed diagnosis of TB leads to the spread of TB including nosocomial transmission because TB is...
Dysthanasia
The impressive advances in medical technology in the last half-century have helped to save thousands of lives that would have been lost due to organ failures. However, the use of this technology in clinically irreversible settings can result in the undue delay of the death process. Throughout its chapters, this book highlights the various facets of the controversial ethical dilemma of the end of life. It provides a historical background to this discussion, its philosophical underpinnings, and the perspectives of various religions on this journey along treatment obstinacy. The book helps the reader to see and understand this problem from a holistic perspective, and to apprehend other major questions about life and death. It is a book to be read by all those who are concerned with death in modern societies and particularly with medical ethics and professional conduct.
Dying with Ease
Death may be inevitable, but fearing the end-of-life is avoidable. Learn how to put your fear of your final days to rest. We all know we are going to die, but live as though we don’t believe it. Rather than explore our options and consider the possibilities that can impact our final days, we ignore the idea altogether out of fear. By avoiding the topic of death, we increase the pain and grief we experience at the end of life, and the suffering of those left behind. After three decades of caring for the dying, Dr. Jeff Spiess argues that if we honestly face our mortality, we will make wiser decisions, die with less distress, and live the remainder of our lives, whether days or decades, more...
Igiene, epidemiologia e organizzazione sanitaria orientate per problemi
Igiene, epidemiologia e organizzazione sanitaria orientate per problemi è uno strumento didattico che offre nuovi spunti di riflessione e di approfondimento su una materia di studio che in questi ultimi anni ha subito numerosi cambiamenti nel panorama scientifico sia nazionale sia internazionale.
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In dubio pro vita?
Über das Spannungsverhältnis zwischen Lebensschutz und Selbstbestimmungsrecht am Lebensende wird seit Jahrzenten diskutiert. Auch heute noch muss aber in den Fällen über den Beginn oder die Aufrechterhaltung lebenserhaltender Therapie entschieden werden, in denen der Patientenwille unbekannt ist. Diese Arbeit untersucht, wann die für die Lebenserhaltung der Betroffenen notwendigen Eingriffe medizinisch indiziert sind. Die Untersuchung zeigt, dass die medizinische Indikation eine bedeutende Säule der Rechtmäßigkeit medizinischer Eingriffe auch am Lebensende darstellt. Wird die Indikation jedoch verneint, kann dies zu Konflikten mit dem Lebensschutz führen. Diese könnten nach dem Grundsatz "dubio pro vita" in der Weise gelöst werden, dass bei Unkenntnis über den Patientenwillen stets der Lebensverlängerung der Vorrang einzuräumen sei. Neben grundlegenden Ausführungen zur Bedeutung und zum Inhalt der Indikation stellt der Autor diesem Grundsatz ein Modell entgegen, wonach sich die Therapieentscheidung nach der medizinischen Indikation zu richten hat, bei deren Stellung subsidiär auch "allgemeine Wertvorstellungen" zu berücksichtigen sind.
Saúde Coletiva
No Brasil, a atuação da saúde coletiva, pelo menos como a conhecemos hoje, sempre foi discreta e direcionada a públicos específicos. Sob a máxima "A saúde é direito de todos e dever do Estado", a Constituição, o Sistema Único de Saúde e a Lei Orgânica da Saúde elevaram a saúde coletiva a outro patamar. O Programa/Estratégia Saúde da Família foi o eixo estruturante da Atenção Primária, na tentativa de consolidar a nova configuração da saúde no cenário brasileiro. A Unidade Básica de Saúde passou a ser a porta de entrada dos serviços e a família, o objeto das ações de prevenção de agravos e promoção à saúde. Com a expansão da Estratégia Saúde da Família...
