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Against-Medical-Advice Discharges from the Hospital : Optimizing Prevention and Management to Promote High Quality, Patient-Centered Care

https://libcat.nshealth.ca/en/permalink/provcat42894
edited by David Alfandre. --Cham: Springer , c2018.
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This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced acce…
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Other Authors
Alfandre, David
Responsibility
edited by David Alfandre
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xii, 181 p.) : 4 illus., 2 illus. in color
ISBN
9783319751306
9783319751290 (print ed.)
9783319751313 (print ed.)
Subjects (MeSH)
Patient Compliance
Patient Discharge
Patient Dropouts - psychology
Patient-Centered Care
Physician-Patient Relations
Quality of Health Care
Specialty
Health Services Administration
Patient Care
Abstract
This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.
Contents
Part I -- 1. Introduction -- 2. Discharges Against Medical Advice: Prevalence, Predictors, and Populations -- 3. Legal Considerations of Patient Refusals of Treatment Against Medical Advice -- 4. Ethical Considerations in Against Medical Advice Discharges: Values Conflicts over Patient Autonomy and Best Interests -- 5. Reframing the Phenomenon of Discharges Against Medical Advice: A Sociologist's Perspective -- 6. Social Justice and the Ethics of Care: A Nursing Perspective -- Part II -- 7. Bedside Management of Discharges Against Medical Advice -- 8. Against Medical Advice Discharges from the Emergency Department -- 9. To Thy Own Self Be True: Contributions from Consultation-Liaison Psychiatry -- 10. Against Medical Advice Discharges: Pediatric Considerations -- 11. Against Medical Advice Discharges: Considerations in the Psychiatric Population.
Format
e-Book
Location
Online
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An International Perspective on Disasters and Children's Mental Health

https://libcat.nshealth.ca/en/permalink/provcat44638
Christina W. Hoven, Lawrence V. Amsel, Sam Tyano, editors. --Cham: Springer , 2019.
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This book provides a broad international perspective on the psychological trauma faced by children and adolescents exposed to major disasters, and on the local public health response to their needs. An outstanding quality of the book is that it draws upon the experience of local researchers, clinicians, and public mental health practitioners who dedicated themselves to these children in the wake of overwhelming events. The chapters address exemplary responses to a wide variety of trauma types, …
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Other Authors
Hoven, Christina W.
Amsel, Lawrence V.
Tyano, Sam
Other Authors
World Psychiatric Association
Responsibility
Christina W. Hoven, Lawrence V. Amsel, Sam Tyano, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xxxi, 439 p.) : 36 illus., 27 illus. in color
Series Title
Integrating psychiatry and primary care
ISBN
9783030158729
9783030158712 (Print ed.)
9783030158736 (Print ed.)
9783030158743 (Print ed.)
ISSN
2522-5693
Subjects (MeSH)
Adolescent
Armed Conflicts
Child
Disasters
Emergency Services, Psychiatric
Mental Health Services
Psychological Trauma - therapy
Stress Disorders, Post-Traumatic - prevention & control
Specialty
Disaster Medicine
Mental Health Services
Pediatrics
Abstract
This book provides a broad international perspective on the psychological trauma faced by children and adolescents exposed to major disasters, and on the local public health response to their needs. An outstanding quality of the book is that it draws upon the experience of local researchers, clinicians, and public mental health practitioners who dedicated themselves to these children in the wake of overwhelming events. The chapters address exemplary responses to a wide variety of trauma types, including severe weather, war, industrial catastrophes, earthquakes, and terrorism. Because disasters do not recognize geographic, economic, or political boundaries, the chapters have been selected to reflect the diverse global community’s attempt to respond to vulnerable children in the most challenging times. The book, thus, examines a diverse range of healthcare systems, cultural settings, mental health infrastructure, government policies, and the economic factors that have played an important role in responses to traumatic events. The ultimate goal of this book is to stimulate future international collaborations and interventions that will promote children’s mental health in the face of disaster.
Contents
Part I. Children in Disasters: An Overview -- 1. The Impact of Trauma on the Fetus, the Infant, and the Child -- 2. Public Health Responses and Therapeutic Interventions -- Part II. Terrorism -- 3. Boko Haram Insurgency and Nigeria’s Mental Health Response -- 4. The Army Public School Massacre in Peshawar, Pakistan -- 5. Children’s Mental Health After 9/11 and the Boston Marathon Bombing -- Part III. Earthquakes and Tsunamis -- 6. Chilean Children 7 Years After the 2010 Earthquake and Tsunami -- 7. Children’s Exposure to China’s Wenchuan Earthquake: Mental Health Sequelae -- 8. Children’s Mental Health Following the Haiti 2010 Earthquake -- Part IV. Nuclear Events -- 9. Japan’s Fukushima Daiichi Nuclear Power Plant Accident -- 10. Responses to Children’s Mental Health Needs Following the Chernobyl Disaster -- 11. Child and Adolescent Suicide Risk Following the Chernobyl Disaster -- Part V. Extreme Weather and Geography -- 12. Psychopathology in Children and Their Caregivers Following America’s Hurricane Katrina -- 13. Use of Geographic Information Systems in Trauma Research -- Part VI. Parents and Children in Times of War -- 14. The Armenian Genocide and Its Intergenerational Effects -- 15. Promoting Mental Health for Children and Their Caregivers Affected by the Syrian Conflict -- 16. The Intergenerational Aftermath of War Captivity: The Israeli Experience -- Part VII. Refugees and Human Rights -- 17. Children Seeking Asylum: Mental Health and Human Rights -- 18. Children and Armed Conflict: A Child Rights-based Approach to Prevention and Mitigation -- Part VIII. Future Approaches -- 19. Preventing Future Terrorism: Intervening on Youth Radicalization -- 20. Mass Disasters and Children’s Mental Health: How General Systems Theory and Behavioral Economics Can Help.
Format
e-Book
Location
Online
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Bariatric Therapy : Alliance between Gastroenterologists and Surgeons

https://libcat.nshealth.ca/en/permalink/provcat42736
Elisabeth M.H. Mathus-Vliegen, Jérôme Dargent. --Cham: Springer , c2018.
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This book aims to deepen collaboration between gastroenterologists and surgeons by providing endoscopists and gastroenterologists with a clear understanding of the anatomic alterations likely to be observed after bariatric surgery and acquainting bariatric surgeons with the possibilities offered by endoscopic treatment of obesity itself and of the complications associated with bariatric surgery. The treatment approach in patients with obesity and morbid obesity is usually stepwise, starting wit…
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Author
Mathus-Vliegen, Elisabeth M.H
Other Authors
Dargent, Jérôme
Responsibility
Elisabeth M.H. Mathus-Vliegen, Jérôme Dargent
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xii, 535 p.) : 75 illus., 61 illus. in color
ISBN
9783319900742
9783319900735 (print ed.)
9783319900759 (print ed.)
Subjects (MeSH)
Bariatric Surgery
Endoscopy, Gastrointestinal
Interprofessional Relations
Specialty
Bariatric Medicine
Abstract
This book aims to deepen collaboration between gastroenterologists and surgeons by providing endoscopists and gastroenterologists with a clear understanding of the anatomic alterations likely to be observed after bariatric surgery and acquainting bariatric surgeons with the possibilities offered by endoscopic treatment of obesity itself and of the complications associated with bariatric surgery. The treatment approach in patients with obesity and morbid obesity is usually stepwise, starting with dietary measures, exercise, and behavioral therapy, followed by pharmaceutical therapies, endoscopic bariatric therapy, and, finally, bariatric surgery. Endoscopists and gastroenterologists are involved first because the gastrointestinal tract is affected by obesity-related co-morbidity and second because it provides access for a range of treatment modalities involving endoscopy. Bariatric surgeons may need the assistance of endoscopists and gastroenterologists in the preoperative work-up of patients, in the perioperative period, when acute complications may require an endoscopic intervention, or in the late follow-up period, when complications or insufficient weight loss may be present. This book will be of value for both groups of specialists, enabling them to optimize their cooperation to the benefit of patients.
Contents
1. Epidemiology and Comorbidities -- 2. Current Endoscopic/Laparoscopic Bariatric Procedures -- 3. Bariatric Surgery -- 4. Endoscopists and Surgeons Playing in the Same Team: The Multidisciplinary Approach in Screening and Preoperative Workup -- 5. When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intraoperative and Early Post-operative Period -- 6. When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intermediate and Late Post-operative Period -- 7. Perioperative and Postoperative Guidance of the Bariatric Patient -- 8. When the Endoscopist Needs the Surgeon -- 9. Input of New Ways of Reasoning -- 10. When Surgeons and Endoscopists Should or Could “Act as One” Regardless of Their Conflicts of Interest -- 11. When Surgeons and Endoscopists Are Possible Opponents.
Format
e-Book
Location
Online
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Biomedical Research : An Insider's Guide

https://libcat.nshealth.ca/en/permalink/provcat39724
Seward B. Rutkove. --New York, NY: Springer , c2016.
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This comprehensive yet concise book introduces people at all levels of training--undergraduate, graduate, and medical students, residents, fellows, and junior faculty--to the basic joys and challenges of biomedical research. By discussing many key research issues, would-be and early-stage academics will not only be better informed about the world of biomedical research, but will learn a basic set of instructions to help jumpstart their careers. Biomedical Research: An Insider's Guide is divided…
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Author
Rutkove, Seward B
Responsibility
Seward B. Rutkove
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xvii, 299 p.)
ISBN
9781493936557
9781493936533 (print ed.)
Subjects (MeSH)
Biomedical Research - methods
Research Design
Abstract
This comprehensive yet concise book introduces people at all levels of training--undergraduate, graduate, and medical students, residents, fellows, and junior faculty--to the basic joys and challenges of biomedical research. By discussing many key research issues, would-be and early-stage academics will not only be better informed about the world of biomedical research, but will learn a basic set of instructions to help jumpstart their careers. Biomedical Research: An Insider's Guide is divided into five sections. The first focuses on decision points regarding whether or not to enter research and if so what type: basic, clinical, or translational. The second section focuses on the practicalities of pursuing medical research, including institutional review boards and animal care committees as well general suggestions regarding idea generation and collaboration. The third section covers a core aspect of research: writing--detailing the evolution of both grants and papers. The fourth section addresses a range of issues, including conferencing to patents to working with industry to obtaining philanthropic support. The final section deals with all-important broader life issues from job choices to being a mentor to thoughts on how to keep the big picture front and center. An invaluable resource that offers insightful, practical advice, Biomedical Research: An Insider's Guide reveals how biomedical research can be both challenging and truly rewarding.
Contents
Part 1: Basic considerations -- 1. So do you really want to pursue research? -- 2. What's in store: The brighter side of medical research -- 3. What's in store: The darker side of medical research -- 4. One degree of separation -- 5. Choosing and working with a mentor -- 6. Identifying a research niche you can call your own -- 7. Useful Definitions -- Part 2: Research Foundations and Structures -- 8. The Institutional Review Board: Do's, Don'ts, and Nevers -- 9. Animal Care and Use Committees -- 10. Research beyond humans and vertebrates -- 11. Hiring Research Staff -- 12. Strategy and Tactics: Running a Successful Laboratory -- 13. Everything you ever wanted to know about collaboration -- Part 3: Successful Paper and Grant Writing -- 14. Writing a successful research paper. I. Up to the point of submission -- 15. Writing a successful research paper. II Revising, resubmitting, and post-acceptance tasks -- 16. Funding: An overview -- 17. Where to apply for funding: making the right choices -- 18. Writing a winning grant application -- 19. Grant budgeting -- 20. Grant writing: Pearls and lumps of coal -- 21. Research Training, Fellowship, and Career grants -- 22. Grant review from the inside -- 23. Interpreting your reviews -- 24. To resubmit or not resubmit and how to do it -- Part 4: Good presentations, conferencing, networking, and other useful tools -- 25. The art of good presentation -- 26. Effective conferencing -- 27. Networking in the 21st century -- 28. Conflicts of interest -- 29. Scientific conduct and misconduct: what is right and proper, what is not, and what is somewhere in the middle -- 30. Article review and reading: being efficient and as thorough as you need to be -- 31. Patents -- 32. Working with industry -- Part 5: Career choices and life lessons -- 33. Jobs in biomedical science: seeking, landing, and changing -- 34. Academic Promotion and Titles -- 35. On being a mentor -- 36. Yardsticks of success -- 37. Research Life Lesson #1: Everything takes longer than you think, so plan for it -- 38. Research life lesson #2: A person's research is endlessly important to them -- 39. Research Life lesson #3: Balance, timing, cycles and seeing the big picture -- 40. Research Life Lesson #4: Your career is an ultramarathon, not a sprint -- 41. Conclusion: Nothing satisfies like meaningful work.
Format
e-Book
Location
Online
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Burnout in Women Physicians : Prevention, Treatment, and Management

https://libcat.nshealth.ca/en/permalink/provcat45593
Cynthia M. Stonnington, Julia A Files, editors. --Cham: Springer , c2020.
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This book is the first to dissect the factors contributing to burnout that impact women physicians and seeks to appropriately address these issues. The book begins by establishing the differences in epidemiology between female physicians and their male counterparts, including rates of burnout, depression and suicide, chosen fields, caregiving responsibilities at home, career tradeoffs in dual physician marriages, patient satisfaction and outcomes, academic rank, leadership positions, salary, an…
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Other Authors
Stonnington, Cynthia M.
Files, Julia A.
Responsibility
Cynthia M. Stonnington, Julia A Files, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xxvi, 618 p.) : 11 illus., 8 illus. in color
ISBN
9783030444594
9783030444587 (Print ed.)
9783030444600 (Print ed.)
Subjects (MeSH)
Burnout, Professional - etiology
Burnout, Professional - prevention & control
Physicians, Women - psychology
Sex Factors
Specialty
Mental Health
Physicians
Psychology
Abstract
This book is the first to dissect the factors contributing to burnout that impact women physicians and seeks to appropriately address these issues. The book begins by establishing the differences in epidemiology between female physicians and their male counterparts, including rates of burnout, depression and suicide, chosen fields, caregiving responsibilities at home, career tradeoffs in dual physician marriages, patient satisfaction and outcomes, academic rank, leadership positions, salary, and turnover. The second part of the book explores the drivers of physician burnout that disproportionately affect women, each chapter beginning with a case vignette. This section covers many issues that often go unrecognized including unconscious bias, sexual harassment, gender role conflicts, domestic responsibilities, depression, addiction, financial stress, and the impact related to reproductive health such as pregnancy and breastfeeding. The book concludes by focusing on strategies to prevent and/or mitigate burnout among individual women physicians across the career lifespan.This section also includes recommendations to change the culture of medicine and the systems that contribute to burnout. Burnout in Women Physicians is an excellent resource for physicians across all specialties who are concerned with physician wellness and burnout, including students, residents, fellows, and attending physicians.
Contents
Part I. How Do Women Physicians Differ from Their Male Counterparts? -- 1. Sex, Gender, and Medicine -- 2. Patient Satisfaction and Outcomes -- 3. Rates of Burnout, Depression, Suicide, and Substance Use Disorders -- 4. Domestic Responsibilities and Career Advancement -- Part II. Drivers of Burnout That Disproportionately Affect Women and Their Potential Solutions -- 5. Gender Stereotypes -- 6. Sexual Harassment -- 7. Work-Life Conflicts -- 8. Isolation, Lack of Mentorship, Sponsorship, and Role Models -- 9. Going It Alone: The Single, Unmarried, Unpartnered, Childless Woman Physician -- 10. Navigating a Traditionally Male-Dominated Specialty as a Woman -- 11. Mind the Gap: Career and Financial Success for Women in Medicine -- 12. Depression, Suicide, and Stigma -- 13. Addictions -- 14. Influence of Hormonal Fluctuations, Pregnancy, and the Postpartum Period on the Career of the Female Physician -- Part III. Empowering the Next Generation of Women Physicians -- 15. Synthesizing Solutions across the Lifespan: Early Career Solutions -- 16. Synthesizing Solutions Across the Lifespan: Mid-Career -- 17. Late Career Solutions. Transitional Zone – Retire or Retread -- 18. Changing the Culture and Managing Imposter Syndrome -- 19. Changing the System.
Format
e-Book
Location
Online
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Cancer Care in Countries and Societies in Transition : Individualized Care in Focus

https://libcat.nshealth.ca/en/permalink/provcat39896
Michael Silbermann, editor. (1st ed.) --Cham: Springer , c2016.
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This is a rare compilation of clinically focused chapters on the practice of oncology in more than 25 countries and areas around the world that experience ongoing or intensifying ethnic, religious, and nationalistic conflict. Each chapter is written by an internationally respected local physician or nurse. Topics include the relationship between local culture and the local practice of mainstream modern medicine, critical clinical issues faced by local physicians, and options for when and how to…
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Other Authors
Silbermann, Michael
Responsibility
Michael Silbermann, editor
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xxviii, 505 p. : 75 illus., 72 illus. in color)
ISBN
9783319229126
9783319229119 (print ed.)
Subjects (MeSH)
Armed Conflicts
Developing Countries
Emigrants and Immigrants
Medical Oncology - economics
Medical Oncology - methods
Refugees
Socioeconomic Factors
Abstract
This is a rare compilation of clinically focused chapters on the practice of oncology in more than 25 countries and areas around the world that experience ongoing or intensifying ethnic, religious, and nationalistic conflict. Each chapter is written by an internationally respected local physician or nurse. Topics include the relationship between local culture and the local practice of mainstream modern medicine, critical clinical issues faced by local physicians, and options for when and how to incorporate palliative care. The book ends with chapters on the United States' current initiatives on promoting cancer care training in these regions, and another on clinical concepts for Western clinicians undertaking oncology practice in emerging countries. The audience includes oncologists around the world: those practicing medicine in similarly extreme circumstances; Western oncologists organizing or preparing for medical missions; and Western oncologists who wish to learn from the experiences of oncologists who practice under radically different conditions.
Contents
Medical Care in Countries in Transition -- How to Prioritize Cancer Care for Countries in Transition -- Cancer Trends and Risk Factors in Morocco -- The Magic of Dreams: Conflicts and Quandaries Within Multicultural Societies in Transition -- Modeling Integrative Oncology for the Arab Population in Northern Israel -- Cancer Care in Palestine -- Influx of Foreign Refugees to Jordan and its Overall Burden on Cancer Care -- Caring For Children With Cancer In A Country Conflicted With Massive Refugee Migration: Jordan as an Example -- Challenges and Future Trends for Cancer Care in Egypt -- Cancer Care in Lebanon, New Trends and Challenges -- Cancer Care in an economically torn country: Cyprus -- Cancer Care in a Country Undergoing Transition: Turkey, Current Challenges and Trends for the Future -- Cancer Care in Sudan: Current Situation and Challenges -- Cancer care in Countries in Transition in Africa; the case of Uganda -- Cancer Care in Pakistan -- Cancer Care in India -- Cancer Care in Afghanistan -- Kazakhstan -- An overview of cancer care in societies in transition: Global perspectives--UAE Experience -- Cancer care in countries in transition: The Islamic Republic of Iran -- Cancer Care in Regions/Societies in Transition in the Gulf States: Sultanate of Oman -- Challenges and prospects in cancer care in Georgia -- Romania: Attempting to Catch up the European standards of care for cancer patients -- Recent challenges and achievements in cancer care in Latin American societies -- Caring for Refugees with Cancer: A Case for Training of US Oncology Professionals -- University of Texas MD Anderson Cancer Center Experience caring for patients from countries undergoing political-social conflict -- Forty Years Fast Forward: Vietnamese Refugees in the United States with Comments on their Cancer Care -- The current state of cancer care in North America -- Application of genetic testing for childhood cancers in emerging countries -- Cancer Care among Immigrants to North America -- Promoting Cancer Nursing Education, Training and Research in Countries in Transition.
Format
e-Book
Location
Online
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Timothy M. Pawlik, Julie A. Sosa, editors. (Second edition) --Cham: Springer , c2020.
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This extensively revised second edition is a unique and portable handbook focusing on clinical trials in surgery. It includes new educational materials addressing the rapid evolution of novel research methodologies in basic science, clinical and educational research. The underlying principles of clinical trials, trial design, the development of a study cohort, statistics, data safety, data monitoring, and trial publication for device and drug trials are also discussed. Clinical Trials provides …
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Other Authors
Pawlik, Timothy M.
Sosa, Julie A.
Responsibility
Timothy M. Pawlik, Julie A. Sosa, editors
Edition
Second edition
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (vi, 258 p.) : 26 illus., 16 illus. in color
Series Title
Success in academic surgery
ISBN
9783030354886
9783030354879 (Print ed.)
9783030354893 (Print ed.)
ISSN
2194-7481
Subjects (MeSH)
Clinical Trials as Topic
General Surgery
Specialty
Research
General Surgery
Abstract
This extensively revised second edition is a unique and portable handbook focusing on clinical trials in surgery. It includes new educational materials addressing the rapid evolution of novel research methodologies in basic science, clinical and educational research. The underlying principles of clinical trials, trial design, the development of a study cohort, statistics, data safety, data monitoring, and trial publication for device and drug trials are also discussed. Clinical Trials provides a comprehensive resource on clinical trials in surgery and describes all the stages of a clinical trial from generating a hypothesis through to trial publication and is a valuable resource for all practicing and trainee academic surgeons.
Contents
1. The History of Clinical Trials -- 2. Ethics (Informed Consent and Conflicts of Interest) -- 3. Generating a Testable Hypothesis and Underlying Principles of Clinical Trials -- 4. Trial Design: Overview of Study Designs -- 5. Defining the Study Cohort: Inclusion and Exclusion Criteria -- 6. Pragmatic Trials and Approaches to Transforming Care -- 7. Clinical Trials: Ensuring Quality and Standardization -- 8. Steps in Device and Drug Pathway Development: Clinical Trials, Similarities, and Differences -- 9. Statistics: Setting the Stage -- 10. Clinical Trials: Handling the Data -- 11. Data Safety Monitoring Boards -- 12. Planning for Data Monitoring and Audits -- 13. The Budget -- 14. Regulatory Considerations in Human Subjects Research -- 15. Publishing Your Clinical Trial -- 16. Pragmatic Clinical Trials -- 17. Cooperative Clinical Trials -- 18. International Trials: Surgical Research Networks -- 19. Inclusion of Patient-Reported Outcomes in Clinical Trials -- 20. Participation in Clinical Trials as a Clinical Trialist for the Community Surgeon.
Format
e-Book
Location
Online
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Clinical Trials in Latin America : Where Ethics and Business Clash

https://libcat.nshealth.ca/en/permalink/provcat39618
Nuria Homedes, Antonio Ugalde, editors. --Cham: Springer , c2014.
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The outsourcing of clinical trials to Latin America by the transnational innovative pharmaceutical industry began about twenty years ago. Using archival information and field work in Argentina, Brazil, Costa Rica, Mexico and Peru, the authors discuss the regulatory contexts and the ethical dimensions of human experimentation in the region. More than 80% of all clinical trials in the region take place in these countries, and the European Medicines Agency has defined them as priority countries in…
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Other Authors
Homedes, Nuria
Ugalde, Antonio
Responsibility
Nuria Homedes, Antonio Ugalde, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xvi, 291 p. : 9 illus.)
Series Vol.
2
Series Title
Research ethics forum
ISBN
9783319013633
9783319013626 (print ed.)
ISSN
2212-9529
Subjects (MeSH)
Clinical Trials as Topic - ethics
Drug Industry - ethics
Human Experimentation - ethics
Human Rights Abuses
Other Subjects
Latin America
Abstract
The outsourcing of clinical trials to Latin America by the transnational innovative pharmaceutical industry began about twenty years ago. Using archival information and field work in Argentina, Brazil, Costa Rica, Mexico and Peru, the authors discuss the regulatory contexts and the ethical dimensions of human experimentation in the region. More than 80% of all clinical trials in the region take place in these countries, and the European Medicines Agency has defined them as priority countries in Latin America. The authors raise questions about the quality of data obtained from the trials and the violation of human rights during their implementation. Their findings are presented in this volume, the first in-depth analysis of clinical trials in the region.
Contents
1. Introduction -- 2. A Review and Critique of International Ethical Principles -- 3. Globalization and Clinical Research in Latin America -- 4. The Regulatory Framework and Case Studies from Argentina -- 5. Politics and Clinical Trials in the Province of Cordoba -- 6. Brazil: The System for the Protection of Voluntary Participants in Research -- 7. Progress and Challenges of Clinical Research with New Medications in Brazil -- 8. A Small Country for Big Pharma: Costa Rica -- 9. Cervical Cancer and the Development of HPV Vaccines in Guanacaste, Costa Rica -- 10. Ethical Guidelines for Clinical Trials in Mexico: Theory and Practice -- 11. Who Decides? Informed Consent for Cancer Patients in Mexico -- 12. A View from Inside: Regulation and Ethical Conflicts in Peru -- 13. Conclusion.
Format
e-Book
Location
Online
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Cochrane handbook for systematic reviews of interventions

https://libcat.nshealth.ca/en/permalink/provcat43989
edited by Julian P.T. Higgins [et al.]. (Second edition) --Chichester, UK: John Wiley & Sons , c2019.
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The second edition of The Cochrane Handbook for Systematic Reviews of Interventions contains essential guidance for preparing and maintaining Cochrane Reviews of the effects of health interventions. Designed to be an accessible resource, the Handbook will also be of interest to anyone undertaking systematic reviews of interventions outside Cochrane, and many of the principles and methods presented are appropriate for systematic reviews addressing research questions other than effects of interve…
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Corporate Author
Cochrane Collaboration
Other Authors
Higgins, Julian P.T.
Responsibility
edited by Julian P.T. Higgins [et al.]
Edition
Second edition
Place of Publication
Chichester, UK
Publisher
John Wiley & Sons
Date of Publication
c2019
Physical Description
1 online resource (xxviii, 694 pages) : illustrations
Series Title
Cochrane book series
ISBN
9781119536604
9781119536628 (print ed.)
Subjects (MeSH)
Evidence-Based Medicine - methods
Meta-Analysis as Topic
Outcome and Process Assessment (Health Care)
Review Literature as Topic
Research Design
Specialty
Evidence-Based Medicine
Research
Abstract
The second edition of The Cochrane Handbook for Systematic Reviews of Interventions contains essential guidance for preparing and maintaining Cochrane Reviews of the effects of health interventions. Designed to be an accessible resource, the Handbook will also be of interest to anyone undertaking systematic reviews of interventions outside Cochrane, and many of the principles and methods presented are appropriate for systematic reviews addressing research questions other than effects of interventions. This fully updated edition contains extensive new material on systematic review methods addressing a wide-range of topics including network meta-analysis, equity, complex interventions, narrative synthesis, and automation.
Contents
Part One: Core methods -- Starting a review -- Determining the scope of the review and the questions it will address -- Defining the criteria for including studies and how they will be grouped for the synthesis -- Searching for and selecting studies -- Collecting data -- Choosing effect measures and computing estimates of effect -- Considering bias and conflicts of interest among the included studies -- Assessing risk of bias in a randomized trial -- Summarizing study characteristics and preparing for synthesis -- Analysing data and undertaking meta-analyses -- Undertaking network meta-analyses -- Synthesizing and presenting findings using other methods -- Assessing risk of bias due to missing results in a synthesis -- Completing 'Summary of findings' tables and grading the certainty of the evidence -- Interpreting results and drawing conclusions -- Part Two: Specific perspectives in reviews -- Equity and specific populations -- Intervention complexity -- Patient-reported outcomes -- Adverse effects -- Economics evidence -- Qualitative research and Cochrane Reviews -- Part Three: Further topics -- Prospective approaches to accumulating evidence -- Including variants on randomized trials -- Including non-randomized studies on intervention effects -- Assessing risk of bias in a non-randomized study -- Individual participant data.
Format
e-Book
Location
Online
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Complicated War Trauma and Care of the Wounded : The Israeli Experience in Medical Care and Humanitarian Support of Syrian Refugees

https://libcat.nshealth.ca/en/permalink/provcat41718
Salman Zarka, Alexander Lerner, editors. --Cham: Springer , 2017.
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This book presents carefully selected case reports that document some of the most important lessons learned at Ziv Medical Center, the northernmost Israeli hospital responsible for the medical care and support of wounded and patients from the Syrian civil war. The aim is to provide practitioners with new knowledge on effective ways of dealing with the emergencies encountered in the context of such conflicts. The case reports cover in particular the specialties of Trauma and Critical Care, Ortho…
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Other Authors
Zarka, Salman
Lerner, Alexander
Responsibility
Salman Zarka, Alexander Lerner, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xi, 126 pages) : 101 illus., 63 illus. in color
ISBN
9783319533391
9783319533384 (print ed.)
Subjects (MeSH)
Military Medicine
Refugees
Relief Work
War-Related Injuries - surgery
Other Subjects
Israel
Syria
Abstract
This book presents carefully selected case reports that document some of the most important lessons learned at Ziv Medical Center, the northernmost Israeli hospital responsible for the medical care and support of wounded and patients from the Syrian civil war. The aim is to provide practitioners with new knowledge on effective ways of dealing with the emergencies encountered in the context of such conflicts. The case reports cover in particular the specialties of Trauma and Critical Care, Orthopedics, and Surgery, but also relate to Internal Medicine, Ophthalmology, Obstetrics and Gynecology, and Psychiatric Care. Some of the cases of trauma are of a nature not previously encountered by Western medicine, and include instances in which multidisciplinary care played a vital role. Featuring many informative illustrations, the book will be of value for all who work in emergency and military medicine and related disciplines, from novices to the more experienced.
Format
e-Book
Publication Type
Case Reports
Location
Online
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Conflict and catastrophe medicine : a practical guide

https://libcat.nshealth.ca/en/permalink/provcat33248
James M. Ryan, Adriaan P.C.C. Hopperus Buma, Charles W. Beadling, Aroop Mozumder, David M. Nott, editors ; Norman M. Rich, consulting editor ; Walter Henny, David MacGarty, specialist editors ; foreword by Larry W. Laughlin. (Third edition) --London: Springer , c2014.
Available Online
View e-Book
Location
Online
Conflict and Catastrophe Medicine: A Practical Guide 3rd edition follows its successful predecessors in providing a framework for use by health professionals visiting a resource-constrained environment. Aimed at health professionals, Conflict and Catastrophe Medicine: A Practical Guide 3rd edition encompasses problems brought about by local conflict or natural disasters. It covers preparation, organisation, logistics, treatment of major trauma and medical emergencies, and the special problems o…
Available Online
View e-Book
Other Authors
Ryan, James M
Responsibility
James M. Ryan, Adriaan P.C.C. Hopperus Buma, Charles W. Beadling, Aroop Mozumder, David M. Nott, editors ; Norman M. Rich, consulting editor ; Walter Henny, David MacGarty, specialist editors ; foreword by Larry W. Laughlin
Edition
Third edition
Place of Publication
London
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xxxii, 964 pages)
ISBN
9781447129271 (electronic bk.)
9781447129264
Subjects (MeSH)
Disaster Medicine - methods
Disaster Planning
Emergency Medical Services
Health Services Accessibility
War
Subjects (LCSH)
Disaster medicine - Handbooks, manuals, etc
Disaster medicine - Safety measures - Handbooks, manuals, etc
Disaster Medicine - methods
Disaster Planning
Emergency Medical Services
Health Services Accessibility
Abstract
Conflict and Catastrophe Medicine: A Practical Guide 3rd edition follows its successful predecessors in providing a framework for use by health professionals visiting a resource-constrained environment. Aimed at health professionals, Conflict and Catastrophe Medicine: A Practical Guide 3rd edition encompasses problems brought about by local conflict or natural disasters. It covers preparation, organisation, logistics, treatment of major trauma and medical emergencies, and the special problems of delivering medicine in a hostile environment. This book will provide the reader with a mix of theory, opinion and practical advice to guide him through areas of conflicts, catastrophes and remote locations.
Format
e-Book
Location
Online
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Couple and family therapy : an integrative map of the territory

https://libcat.nshealth.ca/en/permalink/provcat34109
Jay L. Lebow. --Washington, DC: American Psychological Association , c2014.
Available Online
View e-Book
Location
Online
When selecting treatment for their clients, couple and family therapists are faced with a bewildering array of competing models. On closer inspection, the most effective of these approaches share common elements. This book surveys the state of the science and practice of today's couple and family therapy, looking beyond single models of treatment to instead present an integrative view of the field and its methods of practice. In describing how the field has evolved over the years, Jay Lebow a…
Available Online
View e-Book
Author
Lebow, Jay L
Responsibility
Jay L. Lebow
Place of Publication
Washington, DC
Publisher
American Psychological Association
Date of Publication
c2014
Physical Description
1 online resource (322 p.)
ISBN
9781433813634
1433813637 (electronic bk)
Subjects (MeSH)
Couples Therapy
Family Therapy
Marital Therapy
Subjects (LCSH)
Family psychotherapy
Marital psychotherapy
Family therapists - Professional ethics
Abstract
When selecting treatment for their clients, couple and family therapists are faced with a bewildering array of competing models. On closer inspection, the most effective of these approaches share common elements. This book surveys the state of the science and practice of today's couple and family therapy, looking beyond single models of treatment to instead present an integrative view of the field and its methods of practice. In describing how the field has evolved over the years, Jay Lebow articulates a core set of shared elements from which therapists can shape their own best methods of practice. His pragmatic view assumes that family functioning and problems are multilayered, and he advocates an individualized approach to each family based on what is occurring in the system. Areas of disagreement among couple and family therapists are described; so too are some of the ethical questions and areas of value conflicts that arise in this field of therapy. Readers will come away from this book with a clear sense of when couple and family therapy is the treatment of choice, what is known to work in therapy, and what is still debated.
Format
e-Book
Location
Online
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Dermatoethics : Contemporary Ethics and Professionalism in Dermatology

https://libcat.nshealth.ca/en/permalink/provcat30875
Lionel Bercovitch, Clifford Perlis. --London: Springer , c2012.
Available Online
View e-Book
Location
Online
There has been a sea-change in dermatology in the last three decades. Electronic communication, social networking, healthcare reform, the changing reimbursement scene, consumerism and the business of medicine, cosmetic dermatology and medical spas, and advances in genetic technology, all give rise to new ethical concerns. These developments combined with the frailties of human nature, to which physicians are not exempt, underscore the need for ongoing teaching and dialogue on contemporary issue…
Available Online
View e-Book
Other Authors
Bercovitch, Lionel
Perlis, Clifford
Responsibility
Lionel Bercovitch, Clifford Perlis
Place of Publication
London
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (xviii, 246 p. : 2 ill. in color)
ISBN
9781447121916
Subjects (MeSH)
Dermatology - ethics
Ethics, Medical - Case Reports
Subjects (LCSH)
Dermatology
Practice of medicine
Medical ethics
Abstract
There has been a sea-change in dermatology in the last three decades. Electronic communication, social networking, healthcare reform, the changing reimbursement scene, consumerism and the business of medicine, cosmetic dermatology and medical spas, and advances in genetic technology, all give rise to new ethical concerns. These developments combined with the frailties of human nature, to which physicians are not exempt, underscore the need for ongoing teaching and dialogue on contemporary issues in dermatologic ethics and professionalism. The public, accrediting organizations, and physicians themselves recognize the need for training resources in dermatology ethics and professionalism. Dermatoethics; Contemporary Ethics and Professionalism in Dermatology represents an analysis of real-life case scenarios that is both practical and scholarly. Each chapter deals with a specific topic by presenting one or more case vignettes pertinent to that topic. These topics are relevant for those teaching in ethics, dermatology trainees and practicing dermatologists in academia. The vignettes are followed by a detailed analysis by the chapter author identifying relevant contemporary trends as well as pertinent ethical principles. This book is readable, contemporary, and thought-provoking, yet scholarly and authoritative.
Contents
INTRODUCTORY CHAPTER -- Basics of bioethics and ethical analysis -- Codes of professional ethics -- CLINICAL ETHICS -- Medical errors -- Refusal of treatment -- Care of minors -- Privacy and confidentiality -- Electronic communications and teledermatology-ethics in cyberdermatology -- Unsolicited diagnosis -- Fictional illness and psychodermatology -- RESEARCH AND PUBLICATION ETHICS -- Human subjects research and IRBs in dermatology -- Ethical issues in dermatologic genetics-genetic testing, gene patents -- Publication ethics- Ethical issues for writers, editors, and reviewers -- SUBSPECIALTY ETHICAL ISSUES -- Ethical issues in surgical dermatology -- Ethical issues in cosmetic dermatology, including office dispensing, advertising and promotion, ethics of medispas, the dermatologist as entrepreneur -- Ethical issues in dermatopathology -- Ethical issues in industrial dermatology and contact dermatitis -- PROFESSIONAL ETHICS -- Ethical Issues in Specialty Training including: relationship to faculty and patients, the residency match, trainee-industry relationships -- Lying for patients, "gaming the system" and other challenges to honesty -- Professional boundaries -- The impaired or incompetent dermatologist -- Gifts to physicians -- Conflicts of interest and dual loyalties -- Dermatologist-Industry relationships -- Access to care and manpower issues.
Format
e-Book
Location
Online
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Essentials of clinical research

https://libcat.nshealth.ca/en/permalink/provcat33263
Stephen P. Glasser, editor. (Second edition) --Cham, Switzerland: Springer , c2014.
Available Online
View e-Book
Location
Online
In its extensively revised and updated Second Edition, this book provides a solid foundation for readers interested in clinical research. Discussion encompasses genetic, pharmacoepidemiologic and implementation research. All chapters have been updated with new information and many new tables have been added to elucidate key points. The book now offers discussion on how to handle missing data when analyzing results, and coverage of Adaptive Designs and Effectiveness Designs and new sections on C…
Available Online
View e-Book
Other Authors
Glasser, Stephen P
Responsibility
Stephen P. Glasser, editor
Edition
Second edition
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (vi, 461 pages)
ISBN
9783319054704 (electronic bk.)
9783319054698
Subjects (MeSH)
Biomedical Research - methods
Clinical Trials as Topic - methods
Statistics as Topic - methods
Abstract
In its extensively revised and updated Second Edition, this book provides a solid foundation for readers interested in clinical research. Discussion encompasses genetic, pharmacoepidemiologic and implementation research. All chapters have been updated with new information and many new tables have been added to elucidate key points. The book now offers discussion on how to handle missing data when analyzing results, and coverage of Adaptive Designs and Effectiveness Designs and new sections on Comparative Effectiveness Research and Pragmatic Trials. Chapter 6 includes new material on Phase 0 Trials, expanded coverage of Futility Trials, a discussion of Medical Device approval, Off Label Drug use and the role of the FDA in regulating advertising. Additional new information includes the role of pill color and shape in association with the placebo effect and an examination of issues surrounding minority recruitment. The final chapter offers a new section on manuscript preparation along with a discussion of various guidelines being adopted by journals: CONSORT, STROBE, PRISMA, MOOSE and others; and coverage of Conflicts of Interest, Authorship, Coercive Citation, and Disclosures in Industry-Related Associations. Building on the strengths of its predecessor in its comprehensive approach and authoritative advice, the new edition offers more of what has made this book a popular, trusted resource for students and working researchers alike.
Contents
The Beginning - Historical Aspects of Clinical Research, Clinical Research: Definitions, "Anatomy and Physiology," and the Quest for "Universal Truth" -- Introduction to Clinical Research Concepts, Essential Characteristics of Clinical Research, Overview of Clinical Research Study Designs -- A Focus on Clinical Trials -- Alternative Interventional Study Designs -- Phase 4 (Postmarketing) Research -- The Role of the USA Food and Drug Administration in Clinical Research -- The Placebo and Nocebo Effect -- Recruitment and Retention in Clinical Research -- Data Safety and Monitoring Boards (DSMBs) -- Meta-analysis, Evidence-Based Medicine, and Clinical Guidelines -- Research Methods for Genetic Studies -- Research Methods for Pharmacoepidemiology Studies -- Implementation Research: Beyond the Traditional Randomized Controlled Trial -- Research Methodology for Studies of Diagnostic Tests -- Statistical Power and Sample Size: Some Fundamentals for Clinician Researchers -- Association, Cause, and Correlation -- Bias, Confounding, and Effect Modification (Interaction) -- It's All About Uncertainty -- Grant and Manuscript Writing -- The Media and Clinical Research -- Mentoring and Advising -- Presentation Skills: How to Present Research Results.
Format
e-Book
Location
Online
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Ethical conflicts in psychology

https://libcat.nshealth.ca/en/permalink/provcat23811
Bersoff, Donald N. (4th ed.) --Washington, DC: American Psychological Association , 2008.
Call Number
BF 76.4 E84 2008
Location
Halifax Infirmary
Nova Scotia Hospital
Call Number
BF 76.4 E84 2008
Author
Bersoff, Donald N
Edition
4th ed.
Place of Publication
Washington, DC
Publisher
American Psychological Association
Date of Publication
2008
Physical Description
608 p.
ISBN
9781433803536
Subjects (MeSH)
Psychology - ethics
Psychotherapy - ethics
Ethics, Professional
Format
Book
Location
Halifax Infirmary
Nova Scotia Hospital
Copies
2
Loan Period
3 weeks
Less detail

Ethical decision making in nursing and health care : the symphonological approach

https://libcat.nshealth.ca/en/permalink/provcat13181
by James H. Husted, Gladys L. Husted. (4th ed.) --New York, NY: Springer Publishing Company , c2008.
Call Number
WY 85 H972e 2008
Location
Dickson Building
Cape Breton Regional
Yarmouth Regional Hospital
Call Number
WY 85 H972e 2008
Author
Husted, James H.
Other Authors
Husted, Gladys L.
Responsibility
by James H. Husted, Gladys L. Husted
Edition
4th ed.
Place of Publication
New York, NY
Publisher
Springer Publishing Company
Date of Publication
c2008
Physical Description
xix, 331 p. : ill.
ISBN
9780826115126 (pbk.)
0826115128
Subjects (MeSH)
Bioethical Issues
Decision Making - ethics
Ethics, Nursing
Models, Theoretical
Contents
The ethical journey -- The nurse-patient agreement -- The bioethical standards and their role as preconditions of the agreement -- The nature of the ethical context -- Practice-based ethics and the bioethical standards as lenses -- The power of analysis through extremes -- Apparent conflicts among the bioethical standards -- Elements of human autonomy -- Giants: the classic tradition -- Contemporary ethical systems -- Virtues as resources -- Advanced concepts in symphonological theory.
Format
Book
Publication Type
Case Reports
Nurses' Instruction
Location
Dickson Building
Cape Breton Regional
Yarmouth Regional Hospital
Copies
3
Less detail

Ethical Issues in Prison Psychiatry

https://libcat.nshealth.ca/en/permalink/provcat40848
Norbert Konrad, Birgit Völlm, David N. Weisstub, editors. --Dordrecht: Springer , c2013.
Available Online
View e-Book
Location
Online
Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of …
Available Online
View e-Book
Other Authors
Konrad, Norbert
Völlm, Birgit
Weisstub, David N
Responsibility
Norbert Konrad, Birgit Völlm, David N. Weisstub, editors
Place of Publication
Dordrecht
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xiii, 434 p. : ill.)
Series Vol.
v. 46
Series Title
International library of ethics, law, and the new medicine
ISBN
9789400700864
9789400700857 (print ed.)
ISSN
1567-8008
Subjects (MeSH)
Cross-Cultural Comparison
Mental Health Services - ethics
Prisoners - psychology
Prisons - ethics
Abstract
Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public. This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.
Contents
Part I. Introduction -- 1. Prison Psychiatry -- 2. Ethics Within the Prison System -- 3. Ethical Issues in Correctional Psychiatry in the United States -- 4. The Evolution of Punishment and Incarceration -- 5. Forensic Research with the Mentally Disordered Offender -- Part II. Special Problems in Different Countries -- 6. Ethical Issues in Australian Prison Psychiatry -- 7. Penitentiary Mental Health Care in Belgium -- 8. Ethical Issues in Prison Psychiatry: Forensic Mental Health Care in Brazil -- 9. Psychiatric Treatment in the Detention Systems of Quebec: Trying to Merge Prison and Therapeutic Cultures -- 10. Ethical Issues in German Prison Psychiatry -- 11. Mentally Ill Prisoners: Indian Perspective -- 12. Ethical Issues in Prison Psychiatry in Israel -- 13. Current Status of Prison Psychiatry and Its Relationship with General Psychiatry in Japan -- 14. Overcrowded Prisons and Low Psychiatric Provision: The Situation of Mentally Ill Prisoners in Kenya -- 15. Ethical Problems of Forensic and Prison Psychiatry in Latvia -- 16. Ethical Issues in Prison Psychiatry in the Netherlands -- 17. Ethical Issues in Prison Psychiatry in România -- 18. Ethical Issues of Mental Health Care in the Slovene Prison System -- 19. Quality and Ethical Problems of Mental Health Services in Prisons in Spain -- 20. Ethical Issues in Prison Psychiatry in Sweden -- 21. Prison Psychiatry in Switzerland -- 22. Current Ethical Challenges in Prison Psychiatry in England and Wales -- 23. Application of the AMA Code of Medical Ethics to Psychiatric Practice in Correctional Facilities and Access to Psychiatric Care in the U.S.A. -- Part III. Conclusion -- 24. Conclusion.
Format
e-Book
Location
Online
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Ethics in psychiatry : European contributions

https://libcat.nshealth.ca/en/permalink/provcat40976
Hanfried Helmchen, Norman Sartorius, editors. --Dordrecht: Springer , c2010.
Available Online
View e-Book
Location
Online
Available Online
View e-Book
Other Authors
Helmchen, H (Hanfried)
Sartorius, N
Responsibility
Hanfried Helmchen, Norman Sartorius, editors
Place of Publication
Dordrecht
Publisher
Springer
Date of Publication
c2010
Physical Description
1 online resource (xviii, 573 p.)
Series Vol.
45
Series Title
International library of ethics, law and the new medicine
ISBN
9789048187218
9789048187201 (print ed.)
Subjects (MeSH)
Bioethical Issues
Patient Rights
Psychiatry - ethics
Contents
Part I. The Context -- 1. Societal Framework of Psychiatry -- 2. Stigmatisation of People with Mental Illness and of Psychiatric Institutions -- 3. Economical Framework of Psychiatric Care -- 4. Conflicts of Interest -- 5. Between Legislation and Bioethics: The European Convention on Human Rights and Biomedicine -- 6. Ethics Committees for Clinical Research – The West-European Paradigm -- 7. Clinical Ethics Committees and Ethics Consultation in Psychiatry -- Part II. Principles of Ethics in Psychiatry -- 8. Ethical Principles in Psychiatry: The Declarations of Hawaii and Madrid -- 9. Informed Consent in Psychiatric Practice -- 10. Advance Directives: Balancing Patient’s Self-Determination with Professional Paternalism -- 11. Confidentiality -- 12. Justice in Access to and Distribution of Resources in Psychiatry and Mental Health Care -- Part III. The Applications of the Ethical Principles in Psychiatric Practice and Research -- 13. Ethics of Diagnosis and Classification in Psychiatry -- 14. Competence Assessment -- 15. General Overview of Ethical Issues in Psychiatric Treatment -- 16. Prevention and Early Treatment -- 17. Ethical Implications of Psychopharmacotherapy -- 18. Ethical Problems in Psychotherapy -- 19. Neuromodulation – ECT, rTMS, DBS -- 20. ‘Coercive’ Measures -- 21. Ethics of Deinstitutionalization -- 22. Ethical Issues in Forensic and Prison Psychiatry -- 23. Treatment of Substance Dependence -- 24. Dementia and End-of-Life Decisions: Ethical Issues – A Perspective from The Netherlands -- 25. Ethics of Research with Decisionally Impaired Patients -- 26. Ethical Concerns in Carrying Out Surveys of Psychiatric Morbidity -- 27. Genetics – Ethical Implications of Research, Diagnostics and Counseling -- Part IV. Non-medical Uses of Psychiatry -- 28. Political Abuse of Psychiatry -- 29. Abuse of Psychiatry for Political Purposes in the USSR: A Case-Study and Personal Account of the Efforts to Bring Them to an End -- 30. (Neuro-)Enhancement -- Part V. Teaching Ethics in Psychiatry -- 31. Teaching Ethics in Psychiatry -- Part VI. Conclusions and Summary -- 32. Summary and Conclusions.
Format
e-Book
Location
Online
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Ethics of Innovation in Neurosurgery

https://libcat.nshealth.ca/en/permalink/provcat44164
Marike L. D. Broekman, editor. --Cham: Springer , 2019.
Available Online
View e-Book
Location
Online
This book covers all ethical aspects of introducing novel implants and procedures in neurosurgery in a structured way, addressing the current knowledge gap concerning ethical innovations in neurosurgery. Initially it explores the difficulties involved in defining when a procedure should be considered innovation, research, or care. To this end, it presents not only an overview of current literature, but also data from a recent survey among neurosurgeons in Europe. The book subsequently discusses…
Available Online
View e-Book
Other Authors
Broekman, Marike L. D.
Responsibility
Marike L. D. Broekman, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xviii, 167 p.) : 1 illus.
ISBN
9783030055028
9783030055011 (Print ed.)
9783030055035 (Print ed.)
Subjects (MeSH)
Ethics, Clinical
Neurosurgery - ethics
Neurosurgical Procedures - ethics
Specialty
Neurosurgery
Abstract
This book covers all ethical aspects of introducing novel implants and procedures in neurosurgery in a structured way, addressing the current knowledge gap concerning ethical innovations in neurosurgery. Initially it explores the difficulties involved in defining when a procedure should be considered innovation, research, or care. To this end, it presents not only an overview of current literature, but also data from a recent survey among neurosurgeons in Europe. The book subsequently discusses the ethical issues related to innovation. These include: informed consent (what should a surgeon tell the patient and how should he/she do so), oversight (can any surgeon simply implant a novel spinal device?), the learning curve (when should a surgeon be allowed to perform a novel procedure?), vulnerable patients (how to innovate in the pediatric population or in an emergency setting), and conflicts of interest, as well as the ethics of paying for innovative treatments. In turn, the closing chapters focus on the evaluation of neurosurgical research and innovation. Are cultural changes necessary and how could innovation benefit from (international) collaborations? Given the range of topics addressed, the book offers neurosurgeons, residents, scientists, companies and hospital administrations a valuable guide to introducing novel implants and techniques in neurosurgery.
Contents
Part I. Innovation in Neurosurgery: Key Ethical Challenges -- 1. Defining Innovation in Neurosurgery: Challenges and Implications -- 2. Informed Consent for Neurosurgical Innovation -- 3. Ethical Challenges of Current Oversight and Regulation of Novel Medical Devices in Neurosurgery -- 4. Ethics of Neurosurgical Innovation: Oversight and Regulation -- 5. The Ethics of the Learning Curve in Innovative Neurosurgery -- 6. Innovation in Pediatric Neurosurgery: The Ethical Agenda -- 7. Conflict of Interest in Neurosurgical Innovation -- Part II. Payment for and Right to Innovation in Neurosurgery -- 8. The Ethics of Funding Innovation: Who Should Pay? -- 9. Public Pressure for Neurosurgical Innovation -- 10. Surgical Innovation for Terminal Illnesses: Do Patients have a Right to Access Innovative Treatments? -- 11. Ethics Committees, Innovative Surgery, and Organizational Ethics -- Part III. Evaluation of Innovations in Neurosurgery -- 12. Evaluating Awake Craniotomies in Glioma Patients: Meeting the Challenge -- 13. Ethical Considerations of Neuro-Oncology Trial Design in the Era of Precision Medicine -- 14. The Ethics of Passive Data and Digital Phenotyping in Neurosurgery -- 15. Research Ethics: When Innovation is Clearly Research -- Part IV. Innovation in Neurosurgery: Required Culture and Team Collaboration. 16. Innovation and Team Collaboration in Neurosurgery -- 17. Culture and Attitudes Supporting Ethical Innovation in Neurosurgery -- 18. Perspective: Future of Innovation in Neurosurgery.
Format
e-Book
Location
Online
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The Ethics of Screening in Health Care and Medicine : Serving Society or Serving the Patient?

https://libcat.nshealth.ca/en/permalink/provcat40880
Niklas Juth, Christian Munthe. --Dordrecht: Springer , c2012.
Available Online
View e-Book
Location
Online
Medical or health-oriented screening programs are amongst the most debated aspects of health care and public health practices in health care and public health ethics, as well as health policy discussions. In spite of this, most treatments of screening in the research literature restrict themselves to isolated scientific aspects, sometimes complemented by economic analyses or loose speculations regarding policy aspects. At the same time, recent advances in medical genetics and technology, as wel…
Available Online
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Author
Juth, Niklas
Other Authors
Munthe, Christian
Responsibility
Niklas Juth, Christian Munthe
Place of Publication
Dordrecht
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (x, 180 p.)
Series Vol.
v. 51
Series Title
International library of ethics, law, and the new medicine
ISBN
9789400720459
9789400720442 (print ed.)
ISSN
1567-8008
Subjects (MeSH)
Mass Screening - ethics
Abstract
Medical or health-oriented screening programs are amongst the most debated aspects of health care and public health practices in health care and public health ethics, as well as health policy discussions. In spite of this, most treatments of screening in the research literature restrict themselves to isolated scientific aspects, sometimes complemented by economic analyses or loose speculations regarding policy aspects. At the same time, recent advances in medical genetics and technology, as well as a rapidly growing societal focus on public health concerns, inspires an increase in suggested or recently started screening programs. This book involves an in-depth analysis of the ethical, political and philosophical issues related to health-oriented screening programs. It explores the considerations that arise when heath care interacts with other societal institutions on a large scale, as is the case with screening: What values may be promoted or compromised by screening programs? What conflicts of values do typically arise--both internally and in relation to the goals of health care, on the one hand, and the goals of public health and the general society, on the other? What aspects of screening are relevant for determining whether it should be undertaken or not and how it should be organised in order to remain defensible? What implications does the ethics of screening have for health care ethics as a whole? These questions are addressed by applying philosophical methods of conceptual analysis, as well as models and theories from moral and political philosophy, medical ethics, and public health ethics, to a large number of ongoing and proposed screening programs which makes this book the first comprehensive work on the ethics of screening. Analyses and suggestions are made that are of potential interest to health care staff, medical researchers, policy makers and the general public.
Contents
1. Introduction -- 2. Why Screening? -- 3. Screening: What, When and Whom? -- 4. Screening: How? -- 5. Case Studies -- 6. Serving Society or Serving the Patient?
Format
e-Book
Location
Online
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