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Maternal and Fetal Cardiovascular Disease
This book provides an excellent review of the modern management of heart disease in pregnancy, introducing related state-of-the-art research. Maternal circulatory status dynamically changes throughout pregnancy and delivery. The number of pregnancies complicated by cardiovascular disease has increased in recent years due to better outcomes for patients with congenital heart disease as a result of improved surgical techniques, newly diagnosed cardiovascular diseases such as channelopathy, and increased maternal age. Pregnancy once was a contraindication for women with cardiovascular disease; however, it has been found that many women with cardiovascular disease can tolerate pregnancy and delivery. On the other hand, cardiovascular events including maternal death do occur in some cases. Clinical knowledge and skills in both obstetrics and cardiology are required to manage pregnancy accompanied by cardiovascular disease. Seen in that light, this book provides essential reading for obstetricians, cardiologists, anesthesiologists, and all medical personnel involved in the care of pregnant women with heart disease and congenital cardiac disease.
The Demographic Challenge
This handbook explores the challenges demographic change pose twenty-first century Japan. The first part gives the fundamental data involved, and the subsequent parts address the social, cultural, political, economic and social security aspects of Japan's demographic change.
Xavier's Legacies
Japan has had three Catholic prime ministers, and its current empress was raised and educated in the faith. How did a non-Christian nation come to foster more Catholic leaders than the United States, particularly when Protestantism is said to define Christianity in Japan and Catholicism is believed to be but a fleeting element of Japan’s so-called Christian century? Far from being a relic of the past – something brought to Japan by sixteenth-century missionaries such as Francis Xavier and then forgotten – Catholicism offered, and continues to provide, an authentic way for Japanese believers to shape their cultural identities. This volume documents the appeal of Catholicism, not only among farmers and fishers but also among scientists, diplomats, novelists, and members of the imperial household who have found in Catholicism an alternative way to keep “tradition” and negotiate modernity since the late nineteenth century.
Fertility and Pleasure
As their ubiquitous presence in Tokugawa artwork and literature suggests, images of bourgeois wives and courtesans took on iconic status as representations of two opposing sets of female values. Their differences, both real and idealized, indicate the full range of female roles and sexual values affirmed by Tokugawa society, with Buddhist celibacy on the one end and the relatively free sexual associations of the urban and rural lower classes on the other. The roles of courtesan and bourgeois housewife were each tied to a set of value-based behaviors, the primary institution to which a woman belonged, and rituals that sought to model a woman’s comportment in her interactions with men and fi...
Taking Action Against Clinician Burnout
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Multiethnic Japan
Multiethnic Japan challenges the received view of Japanese society as ethnically homogeneous. Employing a wide array of arguments and evidence--historical and comparative, interviews and observations, high literature and popular culture--John Lie recasts modern Japan as a thoroughly multiethnic society.
Clinical Diagnosis of Atherosclerosis
This volume is the product of a February 1982 conference, cosponsored by the American Heart Association, the National Institutes of Health, and the Bowman Gray School of Medicine, which examined techniques for delineating quantitatively the natural history of atherosclerosis. Against the background of current pathologic and clinical knowledge of atherosclerosis, invasive and noninvasive evaluative methods now in use and under development are surveyed in depth. Correlative clinicopathologic studies of atherosclerosis pose special questions with respect to both luminal and plaque characteristics that are addressed in this volume. An old observa tion, based on the examination of arterial casts,...
