This fifth issue in the Industry and Health Care series takes a quick turn through unpredictable and only partially charted waters. The series as a whole has set out to explore the role of industry as a potential agent of change in the health care system, and to map the courses that may lead toward control of costs. One that looks possible is the effort now being made to infuse some competition into the health care industry through organized systems of care, known as HMOs. Health maintenance organizations, especially the fee-for-service variety known as IPAs (individual practice associations), have been a particular inter est of the Center for Industry and Health Care, where a national data base 'on IP A performance is being established with the aid of the Robert Wood Johnson Foundation. The Center's identity with HMOs, combined with its focus on industry and health care, has afforded us unusual access to nascent corporate thinking on the pros and cons of HMO sponsorship. We are grateful for these opportunities, and for the insights industry people have shared with us. This series draws heavily on that experience."

Close followers of the evolution of the Series on Industry and Health Care will recognize in this fourth volume some continuity and some change. The essential concept behind the series remains: here, as before, we are looking to private industry as a potential agent of change in the American health care delivery system. We have made some structural accommodations, however, to comments received from readers in industry and in health services. The original concept of a topical monograph supplemented by a separate hardbound volume of background papers has yielded to the present formula in which each volume is complete in itself. The series continues to draw much of its material from interdisciplinary working conferences convened by the Bos ton University Center for Industry and Health Care. Rather than publish confer ence proceedings, we have again undertaken to analyze the discussions and to integrate with them some timely background materials. Readers have found this format a major improvement over traditional conference reports and sum maries."

Work-related disability is an increasingly important issue to organizations, in terms of cost, competitiveness, and social and ethical issues. Changes in the nature of disability arising from the evolution of work calls for a new approach to this understudied topic. Significant developments have taken place in linking injury events with subsequent primary prevention efforts, in engaging key stakeholders in effective pre-injury prevention and post-injury disability management efforts, and in exploring company-level interventions, regulatory interventions, and economic incentives. These issues are examined and brought together to form a unique, evidence-based, state-of-the-art research work revealing what works best in preventing workplace disability. Preventing and Managing Disabling Injury at Work examines the changing nature of the workplace and work force, and includes the newest information on effective early and staged multi-modal interventions in the workplace. The text also explores psychological risk perception, and the essential linking of the workplace, clinician, insurer, and worker in the recovery process and in the prevention of subsequent disability events. This volume assembles a group of active researchers in the field of work-related disability from North America and Australia, many of whom manage interactive programs of work through HealNet, a health research network funded by Industry Canada. Well-illustrated with case studies and practical examples, much of the book focuses on the common musculoskeletal disabilities and 'regional disorders' along with other broader applications.

The Springer Series on Industry and Health Care is intended to character ize present and future ways in which industry can influence the nation's health care system in the direction of greater efficiency and effectiveness. Its potential audience includes nearly everyone interested in health care because the sys tem's future configuration is now being influenced by corporate health pro grams and the involvement of individual corporate leaders in health affairs. The first volume of the Springer Series provided a broad background on industry as a payer, provider, and consumer of health services. Unlike volumes planned for the future, it did not single out any particular aspect of corporate activity in health but rather identified and catalogued the many new involve ments of industry, both management and labor, in the health care scene. This, the second volume in the series, is designed to complement the first and to complete the process of laying the groundwork for the series as a whole. Volume two covers the same vista as volume one, but paints with a broader brush. It seemed to us, as editors of the series and authors of volume one, that the academic and somewhat distant overview we provided could be rounded out in a second volume by someone with a more immediate and practical perspective on industry's involvement in health care."

With this first monograph, Springer-Verlag launches an unusual publishing venture. The purpose of the Springer Series on Industry and Health Care is to explore in depth the current and potential future role of industry both management and labor in all private sector enterprises-as a financer of health care benefits, as a provider of health care services, and as an extremely influential "consumer" of health care. The assumption behind the series is that private industry has the capabil ity, as an alternative to increased government intervention, to effect major change in the health care delivery system and is beginning to show evidence of exercising that influence. The subject matter covered by the series crosses boundaries between disciplines and specialities-occupational medicine, medical care, public health, economics, business administration, law, public policy, medical sociology-and arises in disparate arenas-labor-manage ment relations, corporate negotiations with insurance carriers, physician patient interactions, public policy, and politics. The Springer Series will draw much of its material from interdisciplinary working conferences, will analyze and synthesize the discussions, add timely background material, and be published within no more than six months of the conferences on which they build. The series will consist of four monographs a year and two volumes of background papers."

Protecting Endangered Species in the United States is a collection of original papers by economists, biologists and political scientists with a common theme--protecting species at risk while safeguarding social order is a policy challenge that entangles biology, politics, and economics. The volume begins by assessing the biological needs that define the endangered species problem. The authors then explore the political realities that delimit the debate--who pays the costs and receives the benefits, and how interest groups affect species protection. The book addresses the economic choices that must be confronted for effective protection strategies including incentive schemes to promote preservation on public and private land.

Human African Trypaniosomiasis (HAT) or sleeping sickness is an old disease to be now considered as reemergent. HAT is endemic in 36 sub-Saharan African countries, in areas where tsetse flies are found. The public health importance of HAT is underestimated, but the disease causes severe social disruption in many rural areas. Along the past fifteen years, numerous studies were made, and now, the mechanisms involved in the disease pathogenesis and in the characteristics of sleep-wake disruption become to be better understood. But, since 50 years, when current drugs were introduced, problems regarding HAT chemotherapy have not been solved. Nevertheless, in-depth studies about trypanosome metabolism have permitted to discover new drug targets. Written by specialists who are very experienced in their respective fields, the contributions provide an indispensable tool for practitioners and scientists.

Significantly revised and updated, the fourth edition of this popular AAP policy manual helps you identify, prevent, and treat pediatric environmental health problems. This comprehensive guide puts critical children's health information and answers to parents' questions at your fingertips. From asbestos to radiation, ultraviolet rays, pesticides, asthma, lead, tobacco, and child care and school environments-current information on an exhaustive range of environmental health issues is included. Most chapters on chemical and physical hazards are organized in sections that describe the pollutant, routes of exposure, systems affected, clinical effects, diagnostic methods, treatment, and prevention of exposure and include suggested responses to questions that parents may ask. Topics include Addressing Environmental Health in Primary Care Food and Water Chemical and Physical Exposures Public Health Aspects of Environmental Health Emerging Technologies And more

In the search for snakebite antidotes, the ecology and evolution of venomous snakes is of critical importance. This book presents a multidisciplinary approach to venomous snake research, as well as focusing on the medical aspects of snake venoms and the effects of snakebites. Herpetology is a growing subject, and this book will appeal to the ever-increasing number of amateur snake enthusiasts. The book will also be an essential reference work for researchers involved in any aspect of venomous snake research, as well as those interested in the broader fields of ecology and evolution.

Frontiers in Molecular Biology is a series of books designed to report on rapidly evolving, key areas of research in molecular biology. Individual chapters are written by leading researchers who are specialists in their fields. Each book is carefully organized to provide an integrated analysis of current progress in the area covered. Parasitic protozoa cause major infectious diseases of humans and domestic animals. In recent years, new techniques in molecular biology have allowed tremendous advances in our understanding of these parasites. Molecular Biology of Parasitic Protozoa covers this fast-moving field at an advanced level for which there is no other up-to-date book. Topics covered include trypanosomatid and Toxoplasma genetics, structure and replication of kinetoplast DNA, regulation of gene expression in trypanosomes, trans-splicing, RNA editing, the three genomes of Plasmodium, mechanisms of drug resistance, biogenesis of glycosomes and hydrogenosomes, glycosylphosphatidylinositols and the surface architecture of parasitic protozoa. Molecular Biology of Parasitic Protozoa is a unique compendium of current research findings in this important area. It contains over 900 references and provides a comprehensive review of the field as well as valuable insights and predictions of future progress by leading researchers.

Assessment of freshwater sediments can determine whether chemical concentrations are sufficient to cause adverse effects on aquatic organisms or organisms higher in the food chain, including humans. This book presents methods for assessing sediments and includes an integration of physical, chemical, and biological information. It examines the elements of quality assurance and control programs, considerations for the conduct of field surveys, screening-level analyses, chemical analyses, toxicity tests for assessing biological impacts, assessments of benthic invertebrate community structure, surveys of fish tumors and abnormalities, and data presentation and interpretation techniques.

The Guts of the Matter is a study of our oldest ecological problem: the transmission of infectious intestinal disease from human waste. Spanning the early hominin era to the present, this book explores the evolution of human waste disposal practices, the use of faeces and urine as fertilizer, and the changing patterns of transmission of intestinal pathogens and parasites. Chapters trace the spread of viral, bacterial, and helminthic infections through the early processes of globalization and track the uneven successes of the sanitation revolution in recent centuries. The book also provides an overview of the cultural practices that influence the transmission of infectious intestinal disease and the impacts of biomedical advances such as oral rehydration therapy and vaccination. Webb's impressive breadth and meticulous research is invaluable for students of public health, environmental history, global history, and medicine.

The increase in environmentally induced diseases and the loosening of regulation and safety measures have inspired a massive challenge to established ways of looking at health and the environment. Communities with disease clusters, women facing a growing breast cancer incidence rate, and people of color concerned about the asthma epidemic have become critical of biomedical models that emphasize the role of genetic makeup and individual lifestyle practices. Likewise, scientists have lost patience with their colleagues' and government's failure to adequately address environmental health issues and to safeguard research from corporate manipulation.

Focusing specifically on breast cancer, asthma, and Gulf War-related health conditions-"contested illnesses" that have generated intense debate in the medical and political communities-Phil Brown shows how these concerns have launched an environmental health movement that has revolutionized scientific thinking and policy. Before the last three decades of widespread activism regarding toxic exposures, people had little opportunity to get information. Few sympathetic professionals were available, the scientific knowledge base was weak, government agencies were largely unprepared, laypeople were not considered bearers of useful knowledge, and ordinary people lacked their own resources for discovery and action.

Brown argues that organized social movements are crucial in recognizing and acting to combat environmental diseases. His book draws on environmental and medical sociology, environmental justice, environmental health science, and social movement studies to show how citizen-science alliances have fought to overturn dominant epidemiological paradigms. His probing look at the ways scientific findings are made available to the public and the changing nature of policy offers a new perspective on health and the environment and the relationship among people, knowledge, power, and authority.

The advent of tropical medicine was a direct consequence of European and American imperialism, when military personnel, colonial administrators, businessmen, and settlers encountered a new set of diseases endemic to the tropics. Professor Farley describes how governments and organizations in Britain, the British colonies, the United States, Central and South America, South Africa, China, and the World Health Organization faced one particular tropical disease, bilharzia or schistosomiasis. Bilharzia is caused by a species of blood vessel-inhabiting parasitic worms and today afflicts over 200 million people in seventy-four countries. John Farley demonstrates that British and American imperial policies and attitudes largely determined the nature of tropical medicine. Western medical practitioners defined the type of medical system that was imposed on the indigenous populations; they dictated which diseases were important and worthy of study, which diseases were to be controlled, and which control methods were to be used.

Laboratory Experiments in Trace Environmental Quantitative Analysis is a collection of student-tested experiments that introduce important principles that underlie various laboratory techniques in the field of trace environmental organics and inorganics quantitative analysis. It crosses the more traditional academic disciplines of environmental science and analytical chemistry. The text is organized to begin with minimally rigorous session/experiments and increase in rigor as each session/experiment unfolds. Each experiment features learning objectives, expected student outcomes, and suggestions for further study. Additional features include: Students are introduced to the principles and laboratory practice of instrumental analysis (determinative techniques) that are clearly presented. Students are carefully taken through various ways to prepare samples for trace quantitative analysis (sample prep techniques). Safety warnings are listed within each experiment. Students are introduced to all three types of instrument calibration: external, internal and standard addition. Instructors who are responsible for laboratory courses in analytical chemistry with potential application to environmental sample matrices will find this textbook of value. Graduate programs in environmental science and engineering will also greatly benefit from the content.

Following the success of the fourth edition, which was highly commended in the primary health care category for the 2018 British Medical Association (BMA) Medical Book Awards, this fifth edition has been substantially revised and updated to reflect significant changes in health care practice and to incorporate the explosion of information since the advent of the fourth industrial revolution and the COVID-19 pandemic. As before, the book covers target organ systems that can be affected by hazardous exposures in traditional industries and modern workplaces, both of which coexist in different parts of the world and present unique occupational health challenges for the medical practitioner. To this end, this reference textbook focuses on the clinical presentations, investigations, and medical and work-centric management of affected individuals. We have retained consideration of some special issues relevant to occupational medicine practice in this new edition and included a new section relating to the multidisciplinary nature of occupational health practice.The main emphasis continues to be prevention of disease and early detection of health effects caused by work exposures. This edition of the book has been updated to include new information and references. We have kept some of the previous case studies and illustrations, and introduced several new ones, some of which reflect the changes of practice due to the COVID-19 pandemic - for example, in risk communication, recognition and management of the risks of health care and frontline work. We have again asked international experts in occupational medicine and cross-disciplinary medical specialties to jointly author many of the chapters. Some of the authors are from Asia, and others from Europe, the United States, United Kingdom and Australia. All the authors have either clinical and/or academic experience in, or related to occupational medicine practice.The book is targeted at all those who are interested in the interaction between work and health, and how occupational diseases and work-related disorders may present and be managed. It will be of interest to medical practitioners, especially those in primary care and doctors intending to pursue a career in occupational medicine. It would also be relevant for allied health and safety professionals wanting to know more about health effects resulting from occupational exposures. Other groups who may find this edition useful as a ready reference are medical students, occupational health nurses, or clinical specialists in diverse fields such as dermatology, respiratory medicine, infectious diseases or toxicology.

The potential health hazards that might arise from the presence of organic substances in water are a matter of increasing concern to the water industry, environmentalists and the general public alike. This comprehensive reference draws together and systematises the vast body of information available on the occurrence and determination of organic substances in natural waters. Organic Compounds in Natural Waters provides a comprehensive description of organic substances in waters. Methods are provided in broad outline, with guidance on their applicability, their comparative advantages and disadvantages, possible interferences, sensitivity and detection levels. The book is an essential reference for analytical chemists working in industry, water utilities, government, non government organisations and regulatory agencies and environmental/analytical consultants.

The four Primary Surgery volumes are manuals written for the non-specialist doctor and medical students. Two other volumes Trauma and Primary Anaesthesia have already been published and a fourth, Primary Mother Care is in preparation. The manuals describe what a doctor can do if s/he cannot refer a patient, both in emergency and for cold surgery'. Surgery has become fragmented into many specialties, and these manuals select methods of which the generalist can make good use. Although common problems such as Caesarean section, the resection of dead gut, and the release of pus from infected bones are highlighted, it is recognized that rare problems are fairly common, and thus the manuals aim to be comprehensive. The organization and equipment found within an operating theatre is described, and an extensive equipment list is provided. The previous volumes have been well-received, as a reader from Africa testifies: With the volume on Trauma (which never leaves the theatre) open, my colleagues and I have done several operations successfully, which we previously knew nothing about. I was especially impressed with the descriptions of how to make burr holes for intracranial bleeding. Foll

This book's main objective is to decipher for the reader the main processes in the atmosphere and the quantification of air pollution effects on humans and the environment, through first principles of meteorology and modelling/measurement approaches. The understanding of the complex sequence of events, starting from the emission of air pollutants into the atmosphere to the human health effects as the final event, is necessary for the prognosis of potential risk to humans from specific chemical compounds and mixtures of them. It fills a gap in the literature by providing a solid grounding in the first principles of meteorology and air pollution, making it particularly useful for undergraduate students. Its broad scope makes it a valuable text in many related disciplines, containing a comprehensive and integrated methodology to study the first principles of air pollution, meteorology, indoor air pollution, and human exposure. Problem-solving exercises help to reinforce concepts.

"Networks in Tropical Medicine" explores how European doctors and scientists worked together across borders to establish the new field of tropical medicine in the late nineteenth and early twentieth centuries. The book shows that this transnational collaboration in a context of European colonialism, scientific discovery, and internationalism shaped the character of the new medical specialty. Even in an era of intense competition among European states, practitioners of tropical medicine created a transnational scientific community through which they influenced each other and the health care that was introduced to the tropical world. One of the most important developments in the shaping of tropical medicine as a specialty was the major sleeping sickness epidemic that spread across sub-Saharan Africa at the turn of the century. The book describes how scientists and doctors collaborated across borders to control, contain, and find a treatment for the disease. It demonstrates that these medical specialists' shared notions of "Europeanness," rooted in common beliefs about scientific, technological, and racial superiority, led them to establish a colonial medical practice in Africa that sometimes oppressed the same people it was created to help.

The European School of Oncology came into existence to respond to a need for information, education and training in the field of the diagnosis and treatment of cancer. There are two main reasons why such an initiative was considered necessary. Firstly, the teaching of oncology requires a rigorously multidisciplinary approach which is difficult for the Universities to put into practice since their system is mainly disciplinary orientated. Secondly, the rate of technological development that impinges on the diagnosis and treatment of cancer has been so rapid that it is not an easy task for medical faculties to adapt their curricula flexibly. With its residential courses for organ pathologies and the seminars on new techniques (laser, monoclonal antibodies, imaging techniques etc.) or on the principal therapeutic controversies (conservative or mutilating surgery, primary or adjuvant chemotherapy, radiotherapy alone or integrated), it is the ambition of the European School of Oncology to fill a cultural and scientific gap and, thereby, create a bridge between the University and Industry and between these two and daily medical practice. One of the more recent initiatives of ESO has been the institution of permanent study groups, also called task forces, where a limited number of leading experts are invited to meet once a year with the aim of defining the state of the art and possibly reaching a consensus on future developments in specific fields of oncology.

Considered an essential resource by many in the field, Diving and Subaquatic Medicine remains the leading text on diving medicine, written to fulfil the requirements of any general physician wishing to advise their patients appropriately when a diving trip is planned, for those accompanying diving expeditions or when a doctor is required to assess and treat anyone who has been involved in a diving accident.

For this fifth edition the original author, Carl Edmonds, is joined by a new team of collaborators and the content has been entirely refreshed and updated throughout. Clinical cases, a feature popular with readers, are expanded, as is the illustrative content. Established and emerging diseases of diving medicine are all covered in full, as is the latest in types of diving, including free and indigenous diving, and associated equipment. Each medical disorder is discussed from a historical, etiological, clinical, pathological, preventative and therapeutic perspective in the informative and accessible style that has made previous editions so popular.

Table of Contents

Diving. Dysbaric Diseases: Barotraumas. Decompression Sickness. Abnormal Gas Pressures. Aquatic Disorders: The Drowning Syndromes. Other Aquatic Disorders. Specific Diving Diseases. The Diving Accident. Medical Standards for Diving. Specialized Divnig and Its Problems. Related Subject. Appendices: Decompression Tables. US Navy Recompression Therapy Tables. Recompression Therapy Options. Diving Medical Library. Diving Medical Training. Diving Medical Organizations and Contacts.

Praise for Previous Editions: "This splendid book [...]is authoritative, well written, and ably edited." - Occupational & Environmental Medicine "The book provides a logical, structured exposition of a diverse multidisciplinary speciality, employing a language and format designed to educate the novice student and seasoned practitioner alike - a vital contribution to the field." - New England Journal of Medicine Occupational and environmental contributions to the occurrence of disease and injury represent a core component of public health and health care. Factors in the workplace and the ambient environment have significant impacts on individual and community health. Occupational and Environmental Health is a comprehensive, practical textbook for understanding how work and environment influence individual and population health. Comprising 40 chapters written by national and international experts, this book combines theory and practical insights to help readers effectively recognize and prevent occupational and environmental disease and injury.

Colonial Pathologies is a groundbreaking history of the role of science and medicine in the American colonization of the Philippines from 1898 through the 1930s. Warwick Anderson describes how American colonizers sought to maintain their own health and stamina in a foreign environment while exerting control over and "civilizing" a population of seven million people spread out over seven thousand islands. In the process, he traces a significant transformation in the thinking of colonial doctors and scientists about what was most threatening to the health of white colonists. During the late nineteenth century, they understood the tropical environment as the greatest danger, and they sought to help their fellow colonizers to acclimate. Later, as their attention shifted to the role of microbial pathogens, colonial scientists came to view the Filipino people as a contaminated race, and they launched public health initiatives to reform Filipinos' personal hygiene practices and social conduct.A vivid sense of a colonial culture characterized by an anxious and assertive white masculinity emerges from Anderson's description of American efforts to treat and discipline allegedly errant Filipinos. His narrative encompasses a colonial obsession with native excrement, a leper colony intended to transform those considered most unclean and least socialized, and the hookworm and malaria programs implemented by the Rockefeller Foundation in the 1920s and 1930s. Throughout, Anderson is attentive to the circulation of intertwined ideas about race, science, and medicine. He points to colonial public health in the Philippines as a key influence on the subsequent development of military medicine and industrial hygiene, U.S. urban health services, and racialized development regimes in other parts of the world.

"Why I Became an Occupational Physician" and Other Occupational Health Stories brings together an edited collection of the short articles published in the journal Occupational Medicine between 2002 and 2018. The articles originally appeared as 'fillers', commissioned to literally 'fill' the blank spaces at the end of the main scientific papers, but they soon became a feature in their own right. Written by doctors working in occupational medicine and health, the fillers began as a series of pieces exploring the varied and often surprising reasons why the individuals chose to pursue this unique speciality, whether it was a natural career move, triggered by a specific event, or stumbled upon by chance. Over time the articles became much broader in their scope and the journal began to attract pieces from some brilliant writers: Mike Gibson, John Challenor, Nerys Williams, and of course the superlative Anthony Seaton, amongst many others. Each article offers something different: a peek into history, a humorous adventure, a quiet musing, or a thought-provoking observation, but all are tied together under the umbrella of occupational medicine, a speciality that is often little known or understood in the wider world of medicine. This book brings together over 15 years' worth of fascinating and diverse articles into one volume for the first time, giving a rare insight into the world of the occupational physician.