Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worl...Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website （www.pubmed.gov） using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF （worse than that for many cancers）, many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.展开更多
Architectural artefacts form the identity of the cities, especially when these artifacts dated to historical times, it becomes more valuable. The importance of preserving the architectural heritage is more meaningful ...Architectural artefacts form the identity of the cities, especially when these artifacts dated to historical times, it becomes more valuable. The importance of preserving the architectural heritage is more meaningful when the building is preserved with its whole environment, with the other historical buildings around as a site protection. Preservation of historical monuments not only individually but also with their environments help the city regain its identity that it has lost. The Conservation Approach to Cultural Assets in Turkey has reached to its peek starting from 1985＇s through introducing the effects of the recent amendment on cultural heritage law and the impact of the EU integration process. The municipalities started to use this recent amendment on cultural heritage laws as a method of recovering their cities for the local identity searches. This paper will deal with the current challenges for conservation practice in Turkey, through introducing the effects of the recent amendment on cultural heritage law and the impact of the EU integration process, and examine some major promising conservation and renovation, rehabilitation projects continuing in Izmir the third biggest city of Turkey for which local solutions are being devised for problems of global context in the meaning of local identity searches for the city.展开更多
According to a document issued by the website of the Chinese government on April 5,in order to enhance the leadership and coordination of care and protection of left-behind children in rural areas and strengthen colla...According to a document issued by the website of the Chinese government on April 5,in order to enhance the leadership and coordination of care and protection of left-behind children in rural areas and strengthen collaboration and cooperation between departments,展开更多
文摘Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website （www.pubmed.gov） using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF （worse than that for many cancers）, many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.
文摘Architectural artefacts form the identity of the cities, especially when these artifacts dated to historical times, it becomes more valuable. The importance of preserving the architectural heritage is more meaningful when the building is preserved with its whole environment, with the other historical buildings around as a site protection. Preservation of historical monuments not only individually but also with their environments help the city regain its identity that it has lost. The Conservation Approach to Cultural Assets in Turkey has reached to its peek starting from 1985＇s through introducing the effects of the recent amendment on cultural heritage law and the impact of the EU integration process. The municipalities started to use this recent amendment on cultural heritage laws as a method of recovering their cities for the local identity searches. This paper will deal with the current challenges for conservation practice in Turkey, through introducing the effects of the recent amendment on cultural heritage law and the impact of the EU integration process, and examine some major promising conservation and renovation, rehabilitation projects continuing in Izmir the third biggest city of Turkey for which local solutions are being devised for problems of global context in the meaning of local identity searches for the city.
文摘According to a document issued by the website of the Chinese government on April 5,in order to enhance the leadership and coordination of care and protection of left-behind children in rural areas and strengthen collaboration and cooperation between departments,
