Explore the vast range of titles available.

Hans Castorp arrives at a sanitarium high in the Swiss Alps to find himself surrounded by exponents of widely differing political and philosophical attitudes. Amid sickness and decay he is forced to explore both the meaning of love and death and the relationship of one to the other. As he does so, the pattern that emerges from his discussions with his companions, and from his own musings, becomes a symbol of the forces below - forces that would culminate in the First World War and the destruction of pre-1914 civilization.-http://www.booksinprint.com.

In the twentieth century, tuberculosis sanatorium architecture was the subject of design experimentation by leading architects, as well as a place for experimenting with modern therapeutic approaches and scientific growth. After the ‘defeat’ of the disease, the former sanatorium buildings were in many cases decommissioned but often retained their hospital function, undergoing numerous incongruous transformations and extensions that made these com-plexes difficult to recognise for their historical and architectural value and landscape significance. Starting with the case of Palermo, with a focus on the first Sicilian public sanatorium built by the physician Vincen-zo Cervello (1905-1909), the paper aims to evaluate the value of these buildings, with a series of proposals for possi-ble repurposing that, between conservation and new additions, reflect the history of the places, between past disso-nances and prospects.

The Second World War is over, a new decade is beginning but for an East End teenage brother and sister living on the edge of the law, life has been suspended. Sent away to a tuberculosis sanatorium in Kent to learn the way of the patient, they find themselves in the company of army and air force officers, a car salesman, a young university graduate, a mysterious German woman, a member of the aristocracy and an American merchant seaman. They discover that a cure is tantalisingly just out of reach and only by inciting wholesale rebellion can freedom be snatched.

Background The discovery of antibiotics in the mid-twentieth century marked a major transition in tuberculosis (TB) treatment and control. There are few studies describing the duration of TB disease and its treatment from the pre-chemotherapy era and little data on how these treatments changed in response to the development of effective antibiotics. The goal of this research is to understand how inpatient treatment for high incidence populations, the First Nations peoples of Saskatchewan, Canada, changed in response to increasing availability of antibiotics effective against TB. We expected that as treatment regimens transitioned from convalescence-only to triple antibiotic therapy, the length of inpatient treatment would shorten. Methods Analyses were performed on records of sanatoria admissions and discharges occurring between 1933 and 1959 in Saskatchewan, Canada. Year of antibiotic discovery was taken as a proxy for treatment regimen: no chemotherapy (pre-1944), mono-therapy (Streptomycin, 1944–1946), dual-therapy (Streptomycin and PAS, 1946–1952), and triple-therapy (Streptomycin, PAS, and INH 1952-). A pooled linear regression of log-transformed length of first admission as predicted by year of admission was modeled to assess the relationship between admission length and year of admission, corrected for clinical and demographic variables. Results First admission length increased 19% in the triple-therapy era as compared to the pre-chemotherapy era, from 316 days (10.4 months) to 377 days (12.4 months). After the discovery of INH (1952), we find statistically significant increases in the proportion of successfully completed therapies (0.55 versus 0.60, p  = 0.035), but also in patients who left hospital against medical advice (0.19 versus 0.29, p  < 0.0001), indicating that as hospitalizations lengthened, more patients chose to discharge without the sanction of their physician. The readmission rate increased from 10 to 50% of all admissions while the province-level TB-specific death rate fell from 63.1 per 10,000 in 1933 to 4.7 per 10,000 in 1958. Conclusion Counterintuitively, we find that the length of first admissions increased with the discovery of TB-treating antibiotics. Increasing admission volume and readmission rate indicate an intensification of inpatient TB treatment during this era. These analyses provide a novel estimate of the effect of changing treatment policy on sanatorium admissions in this population.

\"Following on the heels of her exciting and widely acclaimed A Monster's Notes, and with Sheck's characteristic brilliance of language, Island of the Mad follows the solitary, hunchbacked Ambrose A., as he sets out on a mysterious journey to Venice in search of a lost notebook he knows almost nothing about. Eventually he arrives in San Servolo, the Island of the Mad, in the Venetian Lagoon, only a few minutes' boat-ride from Venice. At the island's old, abandoned hospital which has been turned into a conference center, he discovers a mess of papers in a drawer, and among them the correspondence and notes of two of the island's former inhabitants-a woman with a rare genetic illness which causes the afflicted to gradually become unable to sleep until, increasingly hallucinatory and feverish, they essentially die of sleeplessness; and her friend, a man who experiences epileptic seizures. As the sleepless woman's eyesight fails, she wants only one thing-that her friend read to her from Dostoevsky's great novel, The Idiot, a book she loves but can no longer read herself. As Ambrose follows their strange tale, everything he has ever known or thought is called into question\"-- Provided by publisher.

Background: Voice diseases occupy the third place among all of the diagnosed occupational disorders in Poland. There still exists the necessity to implement effective and economical methods of the primary and secondary prevention of voice disorders in teachers. The aim of this study was to assess the effectiveness of comprehensive voice rehabilitation in teachers, conducted within a health resort hospital. Material and Methods: The results of comprehensive voice rehabilitation in 100 teachers with job seniority of 10- 30 years (M = 17 years), conducted during 24-day-long staying in a sanatorium, are presented in this research. Phoniatrical and laryngological examinations (maximum phonation time [MPT], perceptual assessment of voice in GRBAS scale, laryngovideostroboscopy, and acoustic analysis of voice), self-assessment of voice (the Voice Handicap Index--VHI), logopedical estimation and audiometry were conducted during the first and the last day of the sanatorium stay. The therapeutic program included educational workshops on vocal hygiene, voice therapy, physiotherapy and psychotherapy. The inpatient therapy effects were also described by the teachers using a questionnaire. Results: Improvements of objective acoustic parameters, a perceptual assessment of voice, and a self-assessment of VHI and MPT were observed. Phonation style changes were confirmed in the laryngovideostroboscopic examination. Phonation closure improved significantly in 30% of the examined teachers. Moreover, 97% of the participants confirmed in the questionnaire the effectiveness and purposefulness of periodic recurrence of such rehabilitation courses. Conclusions: The results of this research as well as the positive feedback from the participants of inpatient rehabilitation confirmed the effectiveness of occupational voice disorder rehabilitation in sanatorium (inpatient) conditions. Treatment and rehabilitation in a stationary form should aim to achieve voice improvement and job continuation. Such a procedure may contribute to reducing the financial outlays related to treatment, health leaves and occupational pensions. Med Pr. 2021;72(4):399-405 Key words: rehabilitation, dysphonia, occupational voice, balneotherapy, voice disorders, health resort Wstep: Schorzenia narzadu glosu zajmuja 3 miejsce wsrod rozpoznawanych chorob zawodowych w Polsce. Nadal istnieje potrzeba wdrazania skutecznych i ekonomicznych metod prewencji pierwotnej i wtornej zaburzen glosu u nauczycieli. Celem pracy byla ocena skutecznosci kompleksowej rehabilitacji glosu u nauczycieli prowadzonej w warunkach szpitala uzdrowiskowego. Material i metody: Przedstawiono wyniki kompleksowej rehabilitacji glosu przeprowadzonej podczas 24-dniowego turnusu sanatoryjnego u 100 nauczycielek ze stazem pracy 10-30 lat (M = 17 lat). W pierwszym i ostatnim dniu turnusu wykonano badania laryngologiczne i foniatryczne [czas fonacji (maximum phonation time--MPT), ocene percepcyjna glosu w skali GRBAS, badanie laryngowideostroboskopowe, analize akustyczna glosu], wypelnienie Kwestionariusza samooceny glosu (Voice Handicap Index--VHI), ocene logopedyczna i audiometrie tonalna. W zakres programu terapeutycznego wchodzily: zajecia edukacyjne dotyczace higieny glosu, terapia glosu, fizjoterapia i psychoterapia. Efekty rehabilitacji sanatoryjnej pacjenci oceniali rowniez w badaniu ankietowym. Wyniki: Stwierdzono poprawe obiektywnych parametrow akustycznych, oceny percepcyjnej glosu, samoceny glosu VHI i MPT. Zmiany w sposobie fonacji potwierdzono w badaniu laryngowideostroboskopowym, w ktorym obserwowane zwarcie fonacyjne poprawilo sie znamiennie u 30% badanych. W ankiecie oceniajacej korzysci z sanatoryjnej rehabilitacji glosu 97% uczestnikow potwierdzilo skutecznosc i celowosc okresowego powtarzania takiej rehabilitacji. Wnioski: Wyniki przedstawionych badan i pozytywne oceny uczestnikow rehabilitacji sanatoryjnej potwierdzaja skutecznosc sanatoryjnej terapii zawodowych zaburzen glosu. Leczenie i rehabilitacja w formie stacjonarnej powinny zmierzac do poprawy glosu oraz kontynuacji pracy zawodowej. Tak ukierunkowane postepowanie moze przyczynic sie do zmniejszenia nakladow finansowych zwiazanych z leczeniem, urlopami dla poratowania zdrowia i rentami zawodowymi. Med. Pr. 2021;72(4):399-405 Slowa kluczowe: rehabilitacja, dysfonia, glos zawodowy, balneoterapia, zaburzenia glosu, uzdrowisko

The innovative treatment methodologies for tuberculosis by the German physician Hermann Brehmer (1826-1889), established in the mid-19th century, achieved significant success and may offer valuable insights for the modern treatment of cachexia in AIDS and cancer. Brehmer's approach, which included hydrotherapy, a special diet, and rigorous physical activity, demonstrated impressive patient outcomes and highlighted the potential for integrating historical methods with contemporary therapeutic strategies. This paper provides a comprehensive understanding of Brehmer's methods, their evolution, and their potential applicability to modern chronic infectious diseases and conditions associated with cachexia, ensuring that the audience is well-informed and knowledgeable. By examining the interplay between nutrition, physical activity, and immune function, a holistic approach is proposed that combines Brehmer’s principles with immunotherapy to optimize treatment outcomes for HIV, tuberculosis, and cancer patients.

The authors empirically study consumer choice behavior in the wake of a product-harm crisis, which creates consumer uncertainty about product quality. They develop a model that explicitly incorporates the impact of such uncertainty on consumer behavior, assuming that consumers are uncertain about the mean product quality level and learn about product quality through the signals contained in use experience and the product-harm crisis and also that consumers are uncertain about the precision of the signals in conveying product quality and update their perception of this precision over time. They estimate this model using a scanner panel data set that includes consumer purchase history before, during, and after a product-harm crisis that affected Kraft Foods Australia's peanut butter division in June 1996. The proposed model fits the data better than the standard consumer learning model, which assumes consumers are uncertain about product quality level but the precision of information in conveying product quality is known. This study also provides insights into consumers' behavioral choice responses to a product-harm crisis. Finally, the authors conduct counterfactual experiments based on the estimation results and provide insights to managers on crisis management.