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Pediatric Palliative Care

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ISBN: 9783038973508 / 9783038973515 Year: Pages: 252 DOI: 10.3390/books978-3-03897-351-5 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Pediatrics --- Medicine (General)
Added to DOAB on : 2019-02-08 09:55:16
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At least 20 million children worldwide would benefit from Pediatric Palliative Care (PPC) annually, and eight million children would need specialized PPC services. In the USA alone, more than 42,000 children, 0–19 years, die annually; fifty-five percent of them are infants younger than one year old. Interdisciplinary PPC is about matching treatment to patient goals and is considered specialized medical care for children with a serious illness. It is focused on relieving pain, distressing symptoms, and stress from a serious illness and is appropriate at any age and at any stage, together with curative treatment. The primary PPC goal is to improve the quality of life both for the child and for his/her family.Sadly, advances in the control of symptoms in children dying of life-limiting diseases have often not kept pace with treatment directed at curing the underlying disease. Data reveal that the majority of distressing symptoms in children with an advanced serious illness (such as pain, dyspnea and nausea/vomiting) are not treated, and, when treated, therapy is commonly ineffective. Emerging evidence shows that palliative care involvement results in improved quality of life, as well as prolongation of life.High-quality pediatric palliative care for children with serious illnesses is now an expected standard of medical care. However, there still remain significant barriers to achieving optimal care, related to lack of formal education, reimbursement issues, the emotional impact of caring for a dying child, and most importantly, the lack of interdisciplinary PPC teams with sufficient staffing.Fortunately, considerable advances have been made in recent years providing PPC around the globe both in resource-poor and resource-rich countries through care provided at children’s hospitals, outpatient palliative care clinics, palliative home care, and free-standing children’s hospice houses. This book, authored by leading authorities in the field, is dedicated to describing existing gaps, as well as the achievements made in clinical care, education, training, and research.

Life Cycle Assessment on Green Building Implementation

ISBN: 9783038422563 9783038422570 Year: Pages: XIV, 214 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Environmental Engineering
Added to DOAB on : 2016-09-02 17:52:30
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Greenhouse-gas emissions have become one of the most impacting environmental issues in today’s society. A rapidly increasing trend in global CO2emissions particularly since the early nineties (23.64% since 1990) has led to the generation of about 50,000 million tons of CO2–equivalent (eqv) worldwide in 2010. According to mainstream climate experts, the increasing concentration of greenhouse-gases is having a warming effect on the world climate. To slow down global warming, there is a global focus on reducing greenhouse-gas emissions. Life cycle assessment in green building implementation is the focus of this Special Issue.

The Challenges of the Humanities, Past, Present, and Future

ISBN: 9783038420545 9783038420552 Year: Pages: 244 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Added to DOAB on : 2015-10-22 07:25:39
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Family Communication at the End of Life

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ISBN: 9783038425199 9783038425182 Year: Pages: X, 156 DOI: 10.3390/books978-3-03842-519-9 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Gender Studies --- Public Health
Added to DOAB on : 2017-09-25 09:19:08
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Scholars contributing to this special issue on “Family Communication at the End of Life” have provided evidence that communication is vital for terminally ill individuals, family members, and healthcare/palliative care specialists. Overall, the fifteen articles in this special issue focus on five questions: First, what are the trends regarding different approaches for beginning the conversation about death and dying earlier rather than later? Second, who is making the end of life decisions and how are they made? Third, how does age and disease impact the way that families communicate at the end of life? Fourth, how does good communication (i.e., satisfying for all participants, effective for addressing needs, fulfilling goals) impact the myriad of complex issues at the end of life? Fifth, what is the significance of exploring and valuing the perspective of the family members’ experiences and recollections of their communication at the end of life with their terminally ill family member as well as with the healthcare providers? Overall, the scholars emphasize that focusing on family communication at the end of life is crucial for improving medical, psychological, and relational outcomes for those dealing with the death and dying process.

Vitamin C: Current Concepts in Human Physiology

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ISBN: 9783038972945 9783038972952 Year: Pages: 148 DOI: 10.3390/books978-3-03897-295-2 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Therapeutics --- Biology
Added to DOAB on : 2018-11-05 12:11:11
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ca. 200 words; this text will present the book in all promotional forms (e.g. flyers). Please describe the book in straightforward and consumer-friendly terms.[Vitamin C is synthesized by almost all animals. However, for humans, it is a vitamin that needs constant replenishment in the diet. While its role as an anti-oxidant and for preventing scurvy have been known for a long time, novel functions and unrecognized associations continue to be identified for this enigmatic molecule. In the past decade, new details have emerged regarding differences in its uptake by oral and intravenous modes. While vitamin C deficiency remains largely unknown and poorly addressed in many segments of the population, novel pharmacological roles for high-dose, intravenous vitamin C in many disease states have now been postulated and investigated. This has shifted its role in health and disease from the long-perceived notion as merely a vitamin and an anti-oxidant to a pleiotropic molecule with a broad anti-inflammatory, epigenetic, and anti-cancer profile.This Special Issue comprises original research papers and reviews on vitamin C metabolism and function that relate to the following topics: understanding its role in the modulation of inflammation and immunity, therapeutic applications and safety of pharmacological ascorbate in disease, and the emerging role of vitamin C as a pleiotropic modulator of critical care illness and cancer.]

Consideration of Abiotic Natural Resources in Life Cycle Assessments

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ISBN: 9783038975458 / 9783038975465 Year: Pages: 174 DOI: 10.3390/books978-3-03897-546-5 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Environmental Sciences
Added to DOAB on : 2019-01-28 11:06:31
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The book contains a collection of articles dealing with how the extraction of mineral resources can be considered in environmental analyses such as Life Cycle Assessment (LCA). The consumption of resources, e.g., metals, is increasing strongly worldwide. This is associated with more energy use; environmental pollution; and social, economic, and political consequences. An increase is also expected for the coming decades. At the same time, modern products and technologies, even in the field of renewable energies, require a large number of critical raw materials. A crucial question here is the exhaustibility of natural resources. What is the relevance of resource depletion today? Must a geological shortage of metals be expected in the foreseeable future? How could such a thing be considered in the LCA of products and weighed against other environmental aspects? The articles in question have been written over the past three years by leading experts in both geology and environmental sciences and show the breadth of the controversial discussion.

Wound Care

ISBN: 9783038420446 9783038420453 Year: Volume: 1 Pages: 192 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Added to DOAB on : 2015-10-22 06:51:13
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Wounds and the many associated problems have challenged health care providers for centuries and today, despite the wealth of knowledge available, neither the incidence nor prevalence of wounds is reducing. Furthermore, in view of our changing demographic profile and the projected increase in the older population it is likely that wound management will become an ever increasing burden to the individual, health care services and society as a whole. The annual incidence of wounds in the EU-27 is approximately 4 million, and between 25% and 50% of acute hospital beds are occupied by patients with a wound, with up to 60% of these representing non-healing wounds (infected surgical wounds, pressure ulcers, leg/foot ulcers) The increasing prevalence and incidence of non-wounds healing is closely linked with quality of care and, as such, these rising figures reduce society’s confidence in the health service’s ability to deliver care that is timely, appropriate and effective. Thus, for those involved in this specialist area of clinical practice, the fundamental goal is to improve clinical outcomes, reduce the burden of wounds and improve health related quality of life.In this Special Issue “Wound Care” in Healthcare, we invited submission of manuscripts exploring contemporary issues in wound care. By devoting a special issue to wound care, we endeavoured to provide readers with a comprehensive reference source, outlining key areas of interest in this important aspect of clinical practice. The response to the call for manuscripts was fantastic and, as a result, we were able to include both original qualitative and quantitative research papers in addition to review papers, thereby providing readers with a wealth of valuable information pertinent to wound care.

Design and Engineering of Microreactor and Smart-Scaled Flow Processes

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ISBN: 9783038420385 9783038420392 Year: Pages: 252 DOI: 10.3390/books978-3-03842-039-2 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Added to DOAB on : 2015-10-22 07:00:06
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Microreactors are small devices with sub-millimeter internals which have superb mass and heat transfer. Initially, they were used for reactions with very high demands on the latter, e.g. very exothermic reactions, gas-liquid reactions with interfacial transport issues, reactions with very fast kinetics which demands even faster mixing, and more. In this way, the processing window was opened widely and, also due to the minute volumes only present in the reaction zone, safe processing under otherwise hazardous conditions was enabled. This includes processing of reactions which are prone to thermal runaway and in the explosive regime. Scale-up of promising reactions and products which was hindered with conventional technology is now possible using the new equipment. This has widened the process development possibilities in chemical industry.In the last years, micro process technology was not only used for the very problematic synthetic issues which formerly had a dead-end position in industry’s process development. Rather, the scope of chemical reactions to be processed in microreactors was considerably widened by exploring new process conditions with regard to temperature, pressure, concentration, solvents, and more. This is commonly referred to as flow chemistry. This allowed to reduce the processing time-scale for many reactions to the minute range or even below which fits well to the residence times of microreactors. In addition, the process integration of several reactions in one flow to a multi-step synthesis has opened a new door in molecular diversity as well as system and process complexity. The same holds for the combination of reactions and separations in micro-flow. To achieve throughputs relevant for industrial production, smart scale-out to milli-flow units has established and supplemented the num­bering-up concept (parallelization of microchannels/-reactors operated under equal conditions).New innovations and enabling technologies need anyhow evaluation and benchmarking with conventional technology on the full-system level. Yet, microreactor technology has in the last years deepened so much into process intensification on a holistic scale that the focus increasingly is given towards the process dimension—to process design and automation, real-case applications, cost analysis, life-cycle assessment, and more. The impact on cost competitiveness and sustainability becomes well assessed.Facing this very recent scientific achievement, the special issue “Design and Engineering of Microreactor and Smart-Scaled Flow Processes” of the journal Processes aims to cover recent advances in the development of microreactor and smart-scaled flow processes towards the process level — in the sense as given above.

Current Studies in the Sociology of Religion

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ISBN: 9783038420170 9783038420187 Year: Pages: 348 DOI: 10.3390/books978-3-03842-018-7 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Added to DOAB on : 2015-10-22 07:44:31
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The study of religion as an academic discipline is a rather recent development in colleges anduniversities in the United States and abroad. Although French sociologist Émile Durkheim wrote extensively about the role of religion in public life in the early 1900s, it was not until the 1960s that researchers from social science backgrounds, predominately sociology, began the formal, empirical study of religion as a social force that may impact a wide range of individual and societal outcomes. This special issue of Religions brings together scholars from around the world who use diverse methodologies to study the impact of religion on a broad range of outcomes. The issue thus provides a unique snapshot of current work being done in the sociology of religion. In these 18 articles, readers will find a great mix of data-driven studies (both quantitative and qualitative) and conceptual/review papers. The articles also reflect a diversity of authors, locations, topics, and faith traditions. I am pleased that many of the papers include undergraduate and graduate students as co-authors. These collaborations are important for maintaining the continuity of high-quality research over time.

Extremophiles and Extreme Environments

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ISBN: 9783038421771 9783038421788 Year: Pages: 438 DOI: 10.3390/books978-3-03842-178-8 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Added to DOAB on : 2016-06-07 11:29:03
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