The patient admitted to the hospital is already an individual who is at risk because
of an underlying pathology that requires inpatient care. When patients decline,
they have evidence of clinical deterioration (hypoxia, hypotension, tachypnoea,
tachycardia, altered level of consciousness) that is often documented in the medical
record 8 to 48 hours prior to a crisis being detected
Information contained on this form which would permit identification of any individual or establishment has been collected with a guarantee that it will be held in strict confidence by NORC at the University of Chicago and CDC, will be used only for purposes stated in this study, and will not be disclosed or released to anyone other than authorized staff of CDC without the consent of the individual or establishment in accordance with Section 308(d) of the Public Health Service Act (42 U.CHILD 242)....
In 1978 the Conference of Alma Ata stated in Section VI: “Primary health care is essential
health care based on practical, scientifically sound and socially acceptable methods and
technology made universally accessible to individuals and families in the community through
their full participation and at a cost that the community and country can afford to maintain at
every stage of their development in the spirit of self-reliance and self-determination.
Evidence-based medicine (EBM) has been famously characterized by
David Sackett as the “conscientious, explicit, and judicious use of current
best evidence in making decisions about individual care.” The central
in EBM of the importance of integrating individual clinical expertise
with the best available external evidence provides a helpful framework for
providers navigating the uncertainty inherent in patient care.
We come across an era of strong and even more unusual individual claims, while the solution to often conflicting demands becomes increasingly elusive and parochial. One of the most intriguing philosophical questions is how to link human responsibility to those consequences of action which no one can fully foresee but, nevertheless, which no one can afford to neglect. Many biotechnological challenges are of this nature.
Professional ethics is now acknowledged as a field of study in its own
right. Much of its recent development has resulted from rethinking
traditional medical ethics in the light of new moral problems arising
out of advances in medical science and technology. Applied
philosophers, ethicists and lawyers have devoted considerable energy
to exploring the dilemmas emerging from modern health care practices
and their effects on the practitioner-relationship.
It is innately human to comfort and provide care to those suffering
from cancer, particularly those close to death. Yet what seems self-evident
at an individual, personal level has, by and large, not guided policy at the
level of institutions in this country. There is no argument that palliative
care should be integrated into cancer care from diagnosis to death.
This grim statistical list could go on and on. The world has not managed its natural
resources well and the problem will almost certainly get worse before it gets better.
Furthermore, though the poorest and most marginalised have the smallest «footprints»
when it comes to using the world’s resources, they are also those who are and will be
effected first and worst.
This report explores the wealth of evidence that mental health influences a very wide range of
outcomes for individuals and communities. These include healthier lifestyles; better physical health;
improved recovery from illness; fewer limitations in daily living; higher educational attainment;
greater productivity, employment and earnings; better relationships with adults and with children;
more social cohesion and engagement and improved quality of life.
In its broadest sense, restraint is about preventing individuals from doing
something they wish to do, including placing limits on people’s will or
ability. There are a host of issues and perspectives to consider if we are to
have an intelligent debate about the use of restraint. The practice tends to
grab the media spotlight and it is not uncommon for coverage to centre on
the abuse of an individual or group of older people, typically living in care
or nursing homes, or during a stay in hospital. When we hear or read about
the restraint of older people strong feelings can be raised....
What is the book about? Basic science texts deal with
anatomy, physiology and pathology. Clinical textbooks
deal in a systematic manner with guidance on managing
individual patients. We have attempted to create a bridge
between the basic sciences and their incorporation into
clinical practice. In the past general surgery dominated
teaching and postgraduate surgical examinations, but
many of the included subjects have successively been
separated into specialities.
The vast amount of information available on the Internet, coupled with the diversity
of user information needs, have urged the development of personalized systems that
are capable of distinguishing one user from the other in order to provide content, services
and information tailored to individual users. Recommender Systems (RS) form
a special category of such personalized systems and aim to predict user’s preferences
based on her previous behavior.
An asylum seeker is someone who has made a claim under the Refugee Convention and is
awaiting a decision on their case.
On the whole, asylum seekers are only entitled to apply to NASS (National Asylum Support
Service) for support and accommodation. They are not allowed to work while their claim is
being decided. Refugees are able to work and they are covered by housing and community
care law. They are also entitled to apply for mainstream welfare benefits and family reunion.
Until April 2003 applicants whose circumstances did not merit a grant of asylum under...
Diabetes mellitus and its complications are clinical conditions of growing
importance both from the clinical as well as epidemiological standpoint. The
relevance of diabetes at clinical and individual level is given by its lifethreatening
acute complications and, especially, by its chronic complications
affecting several organs and systems, with increased risk for ocular, renal,
cardiac, cerebral, nervous and peripheral vascular diseases.
The eleventh edition welcomes the new Millenium.
Progress in basic and clinical hepatology remains exponential.
Since 1997, the advances have been wideranging,
with those in molecular and cellular biology,
and in diagnosis and treatment, leading the way. In a
world in which information technology gives all too
ready access to individual publications, the eleventh
edition sets the new within established knowledge and
and to make other personal use of the work. Any republication, referencing or personal use of the work must explicitly identify the original source. Statements and opinions expressed in the chapters are these of the individual contributors and not necessarily those of the editors or publisher.
The area of gastrointestinal oncology is an active one. Both clinical research and basic
research have come together and changed the diagnostic and treatment protocols for a
number of deadly malignancies. A multidisciplinary approach to the diagnosis and treatment
appears to be the best paradigm; it allows for each individual medical specialty to
apply their knowledge and expertise in an expeditious and effective manner.
As the global epidemic of diabetes continues to expand, the prevalence of type 2 diabetes is predicted to double in
the next 20 years. Continued population growth, increasing age, and worldwide globalization leading to changes in
diet and patterns of physical inactivity have resulted in staggering numbers of individuals affected by the disease.
A haphazard approach to treatment for a problem of this magnitude could easily overburden the healthcare system,
particularly in areas of the world with limited resources.
Other peculiarities of the sites are
that the systems are updated frequently, that advertising is not a source for funding and that the
Publication of personal information is dependent from a personal written agreement, for example, for
the member list of AIG. The principles of the Health-On-the-Net-Foundation (HON) are implemented
by both websites.
The object of this book is to approach gastroenterology in the
way that patients present, rather than in traditional organ based
physiology and pathology. Both approaches have drawbacks,
and diseases do not necessarily fit cleanly into either grouping.
We have attempted to cover topics in two-page 'learning units'
but of necessity some require more extensive coverage and this
has been given. In keeping with other books in this series, the
format uses individually designed double page spreads, generously
illustrated with photographs, line drawings and tables....