Fragile Blood
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| Author | : World Health Organization |
| Publisher | : |
| Total Pages | : 114 |
| Release | : 2016-06-24 |
| Genre | : Medical |
| ISBN | : 9789241548557 |
Individuals who donate their blood provide a unique and precious gift in an act of human solidarity. In order to donate blood, prospective donors should be in good health and free from any infections that can be transmitted through transfusion. Most blood donors perceive themselves to be healthy, but some are unsuitable to donate blood due to the potential risk of compromising or worsening their own health or the risk of transmission of infections to patients. Blood transfusion services (BTS) have a duty of care towards blood donors as well as to the recipients of transfusion. This duty of care extends to prospective donors who are deferred from donation--whether on a temporary or permanent basis--as well as those who donate blood and are subsequently found to have unusual or abnormal test results. BTS have a responsibility to confirm test results and provide information, counseling and support to enable these individuals to understand and respond to unexpected information about their health or risk status. Counseling is part of the spectrum of care that a BTS should be able to provide to blood donors--including referral to medical practitioners or specialist clinical services. Pre-donation counseling was recognized as one element of the strategy to reduce and, if possible, prevent the donation of blood by individuals who might be at risk for HIV and other TTI including hepatitis B and C viruses as well as to inform the donor of the donation process and testing of blood for HIV. Post-donation counseling was acknowledged to be a necessary element of donor management as an adjunct to informing donors of unusual or abnormal test results. Blood donor counseling by trained specialist staff is now considered to be a key component of the blood system in most countries with a well-developed blood transfusion service. It may be required at a number of stages in the blood donation process or following blood screening and should be available at any point at which the BTS has an interface with donors. In many countries, however, blood donor counseling is not yet available in a structured way. Blood Donor Counselling: Implementation Guidelines has therefore been developed to provide guidance to blood transfusion services that have not yet established donor counseling programs.
| Author | : Karen Hertz |
| Publisher | : Springer |
| Total Pages | : 169 |
| Release | : 2018-06-15 |
| Genre | : Medical |
| ISBN | : 3319766813 |
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
| Author | : Lisa Unger |
| Publisher | : Crown |
| Total Pages | : 338 |
| Release | : 2010-08-03 |
| Genre | : Fiction |
| ISBN | : 0307592340 |
A thrilling novel from New York Times bestselling author Lisa Unger about the hunt for a missing girl and one community’s intricate yet fragile bonds. “[A] nail-biting nuanced whodunit.”—People Everybody knows everybody in The Hollows, a quaint, charming town outside of New York City. It’s a place where neighbors keep an eye on one another’s kids, where people say hello in the grocery store, and where high school cliques and antics are never quite forgotten. As a child, Maggie found living under the microscope of small-town life stifling. But as a wife and mother, she has happily returned to The Hollows’s insular embrace. As a psychologist, her knowledge of family histories provides powerful insights into her patients’ lives. So when the girlfriend of her teenage son, Rick, disappears, Maggie’s intuitive gift proves useful to the case—and also dangerous. Eerie parallels soon emerge between Charlene’s disappearance and the abduction of another local girl that shook the community years ago when Maggie was a teenager. The investigation has her husband, Jones, the lead detective on the case, acting strangely. Rick, already a brooding teenager, becomes even more withdrawn. In a town where the past is always present, nobody is above suspicion, not even a son in the eyes of his father. As she tries to reassure him that Rick embodies his father in all of the important ways, Maggie realizes this might be exactly what Jones fears most. Determined to uncover the truth, Maggie pursues her own leads into Charlene’s disappearance and exposes a long-buried town secret—one that could destroy everything she holds dear.
| Author | : Adam Wolfberg, MD |
| Publisher | : Beacon Press |
| Total Pages | : 193 |
| Release | : 2012-02-07 |
| Genre | : Medical |
| ISBN | : 0807095516 |
This is a gripping medical narrative that brings readers into the complex world of newborn intensive care, where brilliant but imperfect doctors do all they can to coax life into their tiny, injured patients. Dr. Adam Wolfberg--journalist, physician specializing in high-risk pregnancies, and father to a child born weighing under two pounds--describes his daughter Larissa's precipitous birth at six months, which left her tenuously hanging on to life in an incubator. Ultrasound had diagnosed a devastating hemorrhage in her brain that doctors reasoned would give her only a 50 percent chance of having a normal IQ. With the knowledge that their daughter could be severely impaired for life, Adam and his wife, Kelly, consider whether to take Larissa off life-support. As they make decisions about live-saving care in the first hours of a premature infant's life, doctors and parents must grapple with profound ethical and scientific questions: Who should be saved? How aggressively should doctors try to salvage the life of a premature baby, who may be severely neurologically and physically impaired? What will that child's quality of life be like after millions of dollars are spent saving him or her? Wolfberg explores the fits and starts of physicians, government policy makers, and lawyers who have struggled over the years to figure out the best way to make these wrenching decisions. Through Larissa's early hospital course and the struggle to decide what is best for her, Wolfberg examines the limitations of newborn intensive-care medicine, neuroplasticity, and decision making at the beginning of life. Featuring high-profile scientific topics and explanatory medical reporting, this is the first book to explore the profound emotional and ethical issues raised by advancing technology that allows us to save the lives of increasingly undeveloped preemies.
| Author | : Marilyn J. Cipolla |
| Publisher | : Biota Publishing |
| Total Pages | : 82 |
| Release | : 2016-07-28 |
| Genre | : Medical |
| ISBN | : 1615047239 |
This e-book will review special features of the cerebral circulation and how they contribute to the physiology of the brain. It describes structural and functional properties of the cerebral circulation that are unique to the brain, an organ with high metabolic demands and the need for tight water and ion homeostasis. Autoregulation is pronounced in the brain, with myogenic, metabolic and neurogenic mechanisms contributing to maintain relatively constant blood flow during both increases and decreases in pressure. In addition, unlike peripheral organs where the majority of vascular resistance resides in small arteries and arterioles, large extracranial and intracranial arteries contribute significantly to vascular resistance in the brain. The prominent role of large arteries in cerebrovascular resistance helps maintain blood flow and protect downstream vessels during changes in perfusion pressure. The cerebral endothelium is also unique in that its barrier properties are in some way more like epithelium than endothelium in the periphery. The cerebral endothelium, known as the blood-brain barrier, has specialized tight junctions that do not allow ions to pass freely and has very low hydraulic conductivity and transcellular transport. This special configuration modifies Starling's forces in the brain microcirculation such that ions retained in the vascular lumen oppose water movement due to hydrostatic pressure. Tight water regulation is necessary in the brain because it has limited capacity for expansion within the skull. Increased intracranial pressure due to vasogenic edema can cause severe neurologic complications and death.
| Author | : Royal Society of Medicine (Great Britain) |
| Publisher | : |
| Total Pages | : 1334 |
| Release | : 1914 |
| Genre | : Medicine |
| ISBN | : |
Comprises the proceedings of the various sections of the society, each with separate t.-p. and pagination.
| Author | : Dominik Mattes |
| Publisher | : Berghahn Books |
| Total Pages | : 436 |
| Release | : 2019-08-01 |
| Genre | : Health & Fitness |
| ISBN | : 1789203228 |
Set in Tanga, a city on the Tanzanian Swahili coast, Dominik Mattes examines the implementation of antiretroviral HIV-treatment (ART) in the area, exploring the manifold infrastructural and social fragilities of treatment provision in public HIV clinics as well as patients’ multi-layered struggles of coming to terms with ART in their everyday lives. Based on extensive ethnographic fieldwork, the book shows that, notwithstanding the massive rollout of ART, providing treatment and living a life with HIV in settings like Tanga continue to entail social, economic, and moral challenges and long-term uncertainties, which contradict the global rhetoric of the “normalization of HIV”.
| Author | : Dr. Robin DiAngelo |
| Publisher | : Beacon Press |
| Total Pages | : 194 |
| Release | : 2018-06-26 |
| Genre | : Social Science |
| ISBN | : 0807047422 |
The New York Times best-selling book exploring the counterproductive reactions white people have when their assumptions about race are challenged, and how these reactions maintain racial inequality. In this “vital, necessary, and beautiful book” (Michael Eric Dyson), antiracist educator Robin DiAngelo deftly illuminates the phenomenon of white fragility and “allows us to understand racism as a practice not restricted to ‘bad people’ (Claudia Rankine). Referring to the defensive moves that white people make when challenged racially, white fragility is characterized by emotions such as anger, fear, and guilt, and by behaviors including argumentation and silence. These behaviors, in turn, function to reinstate white racial equilibrium and prevent any meaningful cross-racial dialogue. In this in-depth exploration, DiAngelo examines how white fragility develops, how it protects racial inequality, and what we can do to engage more constructively.
| Author | : James H. Jandl |
| Publisher | : Little, Brown Medical Division |
| Total Pages | : 1250 |
| Release | : 1987 |
| Genre | : Medical |
| ISBN | : |
| Author | : Stephen Westaby |
| Publisher | : Basic Books |
| Total Pages | : 271 |
| Release | : 2017-06-20 |
| Genre | : Medical |
| ISBN | : 0465094848 |
In gripping prose, one of the world's leading cardiac surgeons lays bare both the wonder and the horror of a life spent a heartbeat away from death When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be. With astonishing compassion, he recounts harrowing and sometimes hopeful stories from his operating room: we meet a pulseless man who lives with an electric heart pump, an expecting mother who refuses surgery unless the doctors let her pregnancy reach full term, and a baby who gets a heart transplant-only to die once it's in place. For readers of Atul Gawande's Being Mortal and of Henry Marsh's Do No Harm, Open Heart offers a soul-baring account of a life spent in constant confrontation with death.
