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The Political Framework of Bioethics Decision Making
Issues concerning patients' rights are at the center of bioethics, but the political basis for these rights has rarely been examined. In Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making, Thomas May offers a compelling analysis of how the political context of liberal constitutional democracy shapes the rights and obligations of both patients and health care professionals. May focuses on how a key feature of liberal society—namely, an individual's right to make independent decisions—has an impact on the most important relational facets of health care, such as patients' autonomy and professionals' rights of conscience. Although a liberal political framework protects individual judgments, May asserts that this right is based on the assumption of an individual's competency to make sound decisions. May uses case studies to examine society's approach to medical decision making when, for reasons ranging from age to severe mental disorder, a person lacks sufficient competency to make independent and fully informed choices. To protect the autonomy of these vulnerable patients, May emphasizes the need for health care ethics committees and ethics consultants to help guide the decision-making process in clinical settings. Bioethics in a Liberal Society is essential reading for all those interested in understanding how bioethics is practiced within our society.
Tortoises, those unmistakable turtles, evolved from a lineage that split off from the familiar pond turtles roughly 100 million years ago. Over time, these plant-eating land turtles spread around the world, growing to an enormous size (depending on the species) and living so long that they have become the stuff of legends. By most accounts, they are indeed the longest-lived of the turtles, with good records suggesting individuals may live as long as 180 years (anecdotal records suggest that some reach ages of 200 years or more). Providing the first comprehensive treatment of North America’s tortoises, Biology and Conservation of North American Tortoises brings together leading experts to give an overview of tortoise morphology, taxonomy, systematics, paleontology, physiology, ecology, behavior, reproduction, diet, growth, health, and conservation. The contributors carefully combine their own expertise and observations with results from studies conducted by hundreds of other researchers. The result is a book that belongs in the library of every herpetologist. Contributors Gustavo Aguirre L. Linda J. Allison Matthew J. Aresco Roy C. Averill-Murray Joan E. Berish Kristin H. Berry Dennis M. Bramble K. Kristina Drake Taylor Edwards Todd C. Esque Richard Franz Craig Guyer J. Scott Harrison Sharon M. Hermann J. Howard Hutchison Elliott R. Jacobson Valerie M. Johnson Richard T. Kazmaier Earl D. McCoy Philip A. Medica Robert W. Murphy Henry R. Mushinsky Kenneth E. Nussear Michael P. O’Connor Thomas A. Radzio David C. Rostal Lora L. Smith James R. Spotila Craig B. Stanford C. Richard Tracy Tracey D. Tuberville Michael Tuma Thane Wibbels
Digitizing Life in the United States
Imagine biology and medicine today without computers. What would laboratory work be like without electronic databases and statistical software? Would disciplines like genomics even be feasible without the means to manage and manipulate huge volumes of digital data? How would patients fare in a world without CT scans, programmable pacemakers, and computerized medical records? Today, computers are a critical component of almost all research in biology and medicine. Yet, just fifty years ago, the study of life was by far the least digitized field of science, its living subject matter thought too complex and dynamic to be meaningfully analyzed by logic-driven computers. In this long-overdue study, historian Joseph A. November explores the early attempts, in the 1950s and 1960s, to computerize biomedical research in the United States. Computers and biomedical research are now so intimately connected that it is difficult to imagine when such critical work was offline. Biomedical Computing transports readers back to such a time and investigates how computers first appeared in the research lab and doctor's office. November examines the conditions that made possible the computerization of biology—including strong technological, institutional, and political support from the National Institutes of Health—and shows not only how digital technology transformed the life sciences but also how the intersection of the two led to important developments in computer architecture and software design. The history of this phenomenon is only vaguely understood. November's thoroughly researched and lively study makes clear for readers the motives behind computerizing the study of life and how that technology profoundly affects biomedical research even today.
This comprehensive volume is the first to offer guidance to clinicians and researchers treating or studying bipolar disorder in older adults. Growing numbers of elderly people are affected by this serious mental illness. Presenting the most recent information, experts in the fields of bipolar disorder, geriatrics, and mental health services research cover late-life bipolar disorder in four major domains: epidemiology and assessment, treatment, complexity and comorbidity, and specialized care delivery. Revealing the effect of the aging process on the disease, they address diagnosis patterns over the life course, rating scales of assessment, pharmacologic and psychological therapies, adherence to treatment, effects of cultural factors, assessing the quality of care, and legal and ethical issues. An important tool for clinicians, this book will serve as a springboard for further research into this complex disorder.
How did people learn to distinguish between past and present? How did they come to see the past as existing in its own distinctive context? Zachary Sayre Schiffman explores these questions in The Birth of the Past, his sweeping survey of historical thinking in the Western world. Today we automatically distinguish between past and present, labeling things taken out of context as "anachronisms." Schiffman shows how this tendency did not always exist, and how the past as such was born of the perceived difference between past and present. Schiffman takes readers on a grand tour of historical thinking from antiquity to modernity. He shows how ancient historians could not distinguish between past and present because they conceived of multiple pasts. Christian theologians coalesced these multiple pasts into a single temporal space where past merged with present and future. Renaissance humanists began to disentangle these temporal states in their desire to resurrect classical culture, creating a "living past." French enlighteners killed off this living past when they engendered a form of social scientific thinking that measured the relations between historical entities, thus sustaining the distance between past and present and relegating each culture to its own distinctive context. Including a foreword by the eminent historian Anthony Grafton, this fascinating book draws upon a diverse range of sources—ancient histories, medieval theology, Renaissance art, literature, legal thought, and early modern mathematics and social science—to uncover the very meaning of the past and its relationship to the present.
The Meaning of Francophone Sound in the Black Atlantic
Black Soundscapes White Stages explores the role of sound in understanding the African Diaspora on both sides of the Atlantic, from the City of Light to the islands of the French Antilles. From the writings of European travelers in the seventeenth century to short-wave radio transmissions in the early twentieth century, Edwin C. Hill Jr. uses music, folk song, film, and poetry to listen for the tragic cri nègre. Building a conceptualization of black Atlantic sound inspired by Frantz Fanon's pioneering work on colonial speech and desire, Hill contends that sound constitutes a terrain of contestation, both violent and pleasurable, where colonial and anti-colonial ideas about race and gender are critically imagined, inscribed, explored, and resisted. In the process, this book explores the dreams and realizations of black diasporic mobility and separation as represented by some of its most powerful soundtexts and cultural practitioners, and it poses questions about their legacies for us today. The dreams and realities of Black Atlantic mobility and separation as represented by some of its most powerful soundtexts and cultural practitioners, such as the poetry of Léon-Gontran Damas—a founder of the Négritude movement—and Josephine Baker’s performance in the 1935 film Princesse Tam Tam. As the first in Johns Hopkins’s new series of books about the African Diaspora, this book offers new insight into the legacies of these exceptional artists and their global influence.
Criticism and the Emotions
Blake’s Agitation is a thorough and engaging reflection on the dynamic, forward-moving, and active nature of critical thought. Steven Goldsmith investigates the modern notion that there’s a fiery feeling in critical thought, a form of emotion that gives authentic criticism the potential to go beyond interpreting the world. By arousing this critical excitement in readers and practitioners, theoretical writing has the power to alter the course of history, even when the only evidence of its impact is the emotion it arouses. Goldsmith identifies William Blake as a paradigmatic example of a socially critical writer who is moved by enthusiasm and whose work, in turn, inspires enthusiasm in his readers. He traces the particular feeling of engaged, dynamic urgency that characterizes criticism as a mode of action in Blake’s own work, in Blake scholarship, and in recent theoretical writings that identify the heightened affect of critical thought with the potential for genuine historical change. Within each of these horizons, the critical thinker’s enthusiasm serves to substantiate his or her agency in the world, supplying immediate, embodied evidence that criticism is not one thought-form among many but an action of consequence, accessing or even enabling the conditions of new possibility necessary for historical transformation to occur. The resulting picture of the emotional agency of criticism opens up a new angle on Blake’s literary and visual legacy and offers a vivid interrogation of the practical potential of theoretical discourse.
Hemophilia and the Unintended Consequences of Medical Progress
By the 1970s, a therapeutic revolution, decades in the making, had transformed hemophilia from an obscure hereditary malady into a manageable bleeding disorder. Yet the glory of this achievement was short lived. The same treatments that delivered some normalcy to the lives of persons with hemophilia brought unexpectedly fatal results in the 1980s when people with the disease contracted HIV-AIDS and Hepatitis C in staggering numbers. The Bleeding Disease recounts the promising and perilous history of American medical and social efforts to manage hemophilia in the twentieth century. This is both a success story and a cautionary tale, one built on the emergence in the 1950s and 1960s of an advocacy movement that sought normalcy—rather than social isolation and hyper-protectiveness—for the boys and men who suffered from the severest form of the disease. Stephen Pemberton evokes the allure of normalcy as well as the human costs of medical and technological progress in efforts to manage hemophilia. He explains how physicians, advocacy groups, the blood industry, and the government joined patients and families in their unrelenting pursuit of normalcy—and the devastating, unintended consequences that pursuit entailed. Ironically, transforming the hope of a normal life into a purchasable commodity for people with bleeding disorders made it all too easy to ignore the potential dangers of delivering greater health and autonomy to hemophilic boys and men.
Nelly Roussel and the Politics of Female Pain in Third Republic France
Nelly Roussel (1878–1922)—the first feminist spokeswoman for birth control in Europe—challenged both the men of early twentieth-century France, who sought to preserve the status quo, and the women who aimed to change it. She delivered her messages through public lectures, journalism, and theater, dazzling audiences with her beauty, intelligence, and disarming wit. She did so within the context of a national depopulation crisis caused by the confluence of low birth rates, the rise of international tensions, and the tragedy of the First World War. While her support spread across social classes, strong political resistance to her message revealed deeply conservative precepts about gender which were grounded in French identity itself. In this thoughtful and provocative study, Elinor Accampo follows Roussel's life from her youth, marriage, speaking career, motherhood, and political activism to her decline and death from tuberculosis in the years following World War I. She tells the story of a woman whose life and work spanned a historical moment when womanhood was being redefined by the acceptance of a woman's sexuality as distinct from her biological, reproductive role—a development that is still causing controversy today.
Low-Visibility Operations in American Aviation, 1918–1958
When darkness falls, storms rage, fog settles, or lights fail, pilots are forced to make "instrument landings," relying on technology and training to guide them through typically the most dangerous part of any flight. In this original study, Erik M. Conway recounts one of the most important stories in aviation history: the evolution of aircraft landing aids that make landing safe and routine in almost all weather conditions. Discussing technologies such as the Loth leader-cable system, the American National Bureau of Standards system, and, its descendants, the Instrument Landing System, the MIT-Army-Sperry Gyroscope microwave blind landing system, and the MIT Radiation Lab's radar-based Ground Controlled Approach system, Conway interweaves technological change, training innovation, and pilots' experiences to examine the evolution of blind landing technologies. He shows how systems originally intended to produce routine, all-weather blind landings gradually developed into routine instrument-guided approaches. Even so, after two decades of development and experience, pilots still did not want to place the most critical phase of flight, the landing, entirely in technology's invisible hand. By the end of World War II, the very concept of landing blind therefore had disappeared from the trade literature, a victim of human limitations.