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In the past, ketamine was considered a dangerous medication with the potential for abuse as a recreational drug. Healthcare providers were warned of its dangers and taught to fear its use. With this book, we hope to eliminate any fear and misgivings associated with this drug. It can be a useful medication in many situations, some of which we describe herein. This book discusses the use of ketamine in anesthesia, pain disorders, depression, palliative care, and trauma situations. It also examines ketamine usage in developing countries.
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Ketamine, an N-methyl-D-Aspartate receptor antagonist, has been used for more than 50¬†years. From its initial potential as an anesthetic drug, its use has increased in the fields of pain medicine, psychiatry, and palliative care. It is available in different formulations, of which oral use is promising due to its active metabolite, norketamine which reaches 2,Äì3 times higher levels when administered orally in comparison with parenteral use. Oral use is also more feasible and easier to use in settings, where medical staff is not that present, such as home care or hospices. Oral solution of ketamine has not yet been officially licensed for use although there have been several reports wh...
Social diversity may affect health outcomes in situations when access to health care is limited for certain social groups. Although non-discriminatory access to healthcare service is one of the basic principles of medical ethics and health law, there are still debates regarding the implementation of this concept in practice. Barriers such as inadequate legal entitlements, language, different concepts of health and disease, socio-economic factors or attitudes of healthcare professionals can hinder equity in access to healthcare. The authors of contributions gathered in this volume analyze challenges in access to healthcare for various minority groups and propose possible solutions. With contributions by Marjana Bernot, Robert Bitterlich, Lucka Boltezar, Nuska Caks Jager, Vida Drame Orozim, Maja Ebert Moltara, Nina Fritz, Nada Gosic, Ines Gumilar, Maja Ivanetic Pantar, Igor Karnjus, Blaz Kovac, Alenka Kraigher, Sabina Licen, Mateja Lopuh, Pawel Lukow, Jana Luntz, Adrijana Martinovic, Amir Muzur, Zala Peterka, Ana Poscic, Mirko Prosen, Mojca Ramsak, Danica Rotar Pavlic, Stephanie Schierack, Tajana Tomak, Alenka Janko Spreizer, Florian Steger, Heike Vogelbusch and Erika Zelko.
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