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February issue includes Appendix entitled Directory of United States Government periodicals and subscription publications; September issue includes List of depository libraries; June and December issues include semiannual index
The story of Father Ed Dowling, S.J., the Jesuit priest who served for twenty years as sponsor and spiritual guide to Bill Wilson, the co-founder of Alcoholics Anonymous. An icy evening in December 1940 saw the first meeting of two extraordinary spiritual leaders. Father Ed said that the graces he received from meeting Bill Wilson were as great as those he had received from his ordination as a priest, and Bill in turn described encountering the Jesuit as being like a second conversion experience, where he could feel the transcendent presence of God filling the entire room with grace. The good priest taught Wilson about St. Ignatius Loyolas Spiritual Exercises, about the eternal battle between good and evil which the Spanish saint described in that book, and explained the Jesuit understanding of the way we can use our deepest emotions to receive guidance from God while serving on that battlefield. The co-founder of the twelve step movement in turn supplied Father Ed with some of the most valuable tools he possessed for carrying out small group therapy on a wide range of different kinds of troubled people. Together the two men discussed Poulains Graces of Interior Prayer and Bills attempts to make spiritual contact with both spooks and saints, and explored the world of LSD experiences and the teachings of the Catholic, Hindu, and Buddhist mystics in Aldous Huxleys Perennial Philosophy. And we will see how Father Ed, with his deep social conscience, helped Bill W. turn his book on the Twelve Traditions into a Bill of Rights for the twelve step movement, and how he laid out his own spiritual vision of Alcoholics Anonymous at the A.A. International in St. Louis in 1955.
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
In the past few years an increasing number of colleges and universities have added courses in biomedical ethics to their curricula. To some extent, these additions serve to satisfy student demands for "relevance. " But it is also true that such changes reflect a deepening desire on the part of the academic community to deal effectively with a host of problems which must be solved if we are to have a health-care delivery system which is efficient, humane, and just. To a large degree, these problems are the unique result of both rapidly changing moral values and dramatic advances in biomedical technology. The past decade has witnessed sudden and conspicuous controversy over the morality and legality of new practices relating to abortion, therapy for the mentally ill, experimentation using human subjects, forms of genetic interven tion, suicide, and euthanasia. Malpractice suits abound and astronomical fees for malpractice insurance threaten the very possibility of medical and health-care practice. Without the backing of a clear moral consensus, the law is frequently forced into resolving these conflicts only to see the moral issues involved still hotly debated and the validity of existing law further questioned. In the case of abortion, for example, the laws have changed radically, and the widely pub licized recent conviction of Dr. Edelin in Boston has done little to foster a moral consensus or even render the exact status of the law beyond reasonable question.
This practically oriented book provides an up-to-date overview of all significant aspects of the pathogenesis of sepsis and its management, including within the intensive care unit. Readers will find information on the involvement of the coagulation and endocrine systems during sepsis and on the use of biomarkers to diagnose sepsis and allow early intervention. International clinical practice guidelines for the management of sepsis are presented, and individual chapters focus on aspects such as fluid resuscitation, vasopressor therapy, response to multiorgan failure, antimicrobial therapy, and adjunctive immunotherapy. The closing section looks forward to the coming decade, discussing novel trial designs, sepsis in low- and middle-income countries, and emerging management approaches. The book is internatio nal in scope, with contributions from leading experts worldwide. It will be of value to residents and professionals/practitioners in the fields of infectious diseases and internal medicine, as well as to GPs and medical students.