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  • Book
    Philip C. Doyle, editor.
    Summary: This text provides a comprehensive grounding in the contemporary rehabilitation, management, and clinical care of patients following treatment of head and neck cancer (HNCa). It provides the diagnostic and clinical information necessary to successfully manage patients with HNCa, and aids clinical health trainees and professionals in identifying, acknowledging, and addressing a wide range of problems that may occur post treatment, such as abnormalities in voice and speech production, eating, and swallowing. In addition, the book explores the physical, psychological, communicative, and social aspects that form essential components of cancer rehabilitation programs that seek to restore multiple areas of functioning which are disrupted secondary to treatment. Post-treatment changes in breathing, nutrition, physical capabilities, disfigurement, mood, and body image are also covered.

    Contents:
    Section I: Head and Neck Cancer and Its Treatment
    General Principles of Head and Neck Cancer Treatment
    Surgical Reconstruction for Cancer of the Oral Cavity
    Complications Following Total Laryngectomy
    Human Papilloma Virus: Related Head and Neck Cancer
    Distress as a Consequence of Head and Neck Cancer
    Optimizing Clinical Management of Head and Neck Cancer
    Section II: Treatment Related Changes: Breathing, Voice, Speech, and Swallowing
    Postlaryngecdtomy Respiratory System and Speech Breathing
    Clinical Intervention for Airway Improvement: Establishing a New Nose
    Elements of Clinical Training with the Electrolarynx
    Teaching Esophageal Speech: A Process of Collaborative Instruction
    Voice Restoration with the Tracheoesophageal Voice Prosthesis: The Current State of the Art
    Clinical Problem-Soliving in Tracheoesophageal Puncture Voice Restoration
    Alaryngeal Speech Aerodynamics: Lower and Upper Airway Considerations
    Intelligibility in Postlaryngectomy Speech
    Communication Support Before, During, and After Treatment for Head and Neck Cancer
    Speech Deficits Associated with Oral and Oropharyngeal Carcinomas
    Documenting Voice and Speech Outcomes in Alaryngeal Speakers
    Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer
    Dysphagia Management of Head and Neck Cancer Patients: Oral Cavity and Oropharynx
    Section III: Special Factors in Head and Neck Cancer
    Acute and Long-Term Effects of Chemoradiation Therapy in Head and Neck Cancer
    Oral Considerations for the Head and Neck Cancer Patient
    Lymphedema in Head and Neck Cancer
    Shoulder Dysfunction and Disability Secondary to Treatment for Head and Neck Cancer
    Factors Influencing Adherence to Treatment of Head and Neck Cancer
    The Role of the Clinical Nurse Specialist in Head and Neck Oncology
    The Acquisition of Practice Knowledge in Head and Neck Cancer Rehabilitation
    Well-being and Quality of Life in Head and Neck Cancer
    The Impact of Postlaryngectomy Audiovisual Changes on Verbal Communication
    Communicative Participation after Head and Neck Cancer.
    Digital Access Springer 2019
  • Article
    Brandt AM.
    Int J Health Serv. 1978;8(2):257-70.
    This paper is an historical account of the discovery, testing, and early distribution of the Salk polio vaccine. The discovery posed fundamental dilemmas of medical research, pharmaceutical production, and public health. This paper assesses the ethical problems which arose, and examines critically their resolution. The National Foundation for Infantile Paralysis (March of Dimes) financed and directed the discovery of the vaccine, subsequent field trials, and early distribution. The Foundation's role is analyzed with special attention to the conflicts between its philanthropic and scientific functions. The reat public demand which the discovery of the vaccine generated created a need for federal control which was only partly met. The federal government did not have sufficient institutional and legal mechanisms to assure the safety of the vaccine and protect the public. This discussion illustrates the failure of the government to keep pace with medical technology.
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