Environmental chemical hazards are a highly contentious topic in modern life. Nearly every nation on earth has faced its own environmental crises, and also shares perspectives on the possibility of global catastrophes. Of the many global concerns we face, the environmental issue is unique in many ways. The greatest of these is the fundamental scientific nature of the issue, and the extent to which our opinions are formed based on high-level scientific inquiry and assessment. The two key fields of study on this issue, environmental epidemiology and exposure assessment, are still given separate names because of their separate historical roots and scientific traditions, but are seen increasingly as inseparable aspects of the same basic investigation. In this book, Thomas J. Smith and David Kriebel assert that important advances in the quantification of environmental risks can only come through a true synthesis of the two fields. They have built a common biologic model of exposure, physiologic response, and disease, a synthesis of the various existing models which serves to both simplify and improve the application of environmental epidemiology and exposure assessment to current and future environmental chemical risks. When exposure assessor and epidemiologist agree from the start on the model for their study, the conceptual framework for the study they design and the analyses they carry out are much more likely to yield useful exposure-risk information. An explicit biologic model of the apparent processes linking exposure to disease should form the basis for any study seeking to quantify risk from environmental chemicals.

For readers of Mary Roach and Jared Diamond, an innovative look at the histories of different epidemics and what it meant for society, alongside what lessons different diseases have to teach us as society battles the novel coronavirus. Throughout history, there have been numerous epidemics that have threatened mankind with destruction. Diseases have the ability to highlight our shared concerns across the ages, affecting every social divide from national boundaries, economic categories, racial divisions, and beyond. Whether looking at smallpox, HIV, Ebola, or COVID-19 outbreaks, we see the same conversations arising as society struggles with the all-encompassing question: What do we do now? In "poignant yet relevant detail" (Niki Kapsambelis, author of The Inheritance), Quarantine Life from Cholera to COVID-19 demonstrates that these conversations have always involved the same questions of individual liberties versus the common good, debates about rushing new and untested treatments, considerations of whether quarantines are effective to begin with, what to do about healthy carriers, and how to keep trade circulating when society shuts down. This vibrant social and medical history tracks different diseases and outlines their trajectory, what they meant for society, and societal questions each disease brought up, along with practical takeaways we can apply to current and future pandemics--so we can all be better prepared for whatever life throws our way.

This book describes how epigenetic context, in a large sense, affects gene expression and the development of an organism, using the asymptotic limit theorems of information theory to construct statistical models useful in data analysis. The approach allows deep understanding of how embedding context affects development. We find that epigenetic information sources act as tunable catalysts, directing ontogeny into characteristic pathways, a perspective having important implications for epigenetic epidemiology. In sum, environmental stressors can induce a broad spectrum of developmental dysfunctions, and the book explores a number of pandemic chronic diseases, using U.S. data at different scales and levels of organization. In particular, we find the legacy of slavery has been grossly compounded by accelerating industrial decline and urban decay. Individual chapters are dedicated to obesity and its sequelae, coronary heart disease, cancer, mental disorders, autoimmune dysfunction, Alzheimer's disease, and other conditions. Developmental disorders are driven by environmental factors channeled by historical trajectory and are unlikely to respond to medical interventions at the population level in the face of persistent individual and community stress. Drugs powerful enough to affect deleterious epigenetic programming will likely have side effects leading to shortened lifespan. Addressing chronic conditions and developmental disorders requires significant large-scale changes in public policy and resource allocation.

Features modern research and methodology on the spread of infectious diseases and showcases a broad range of multi-disciplinary and state-of-the-art techniques on geo-simulation, geo-visualization, remote sensing, metapopulation modeling, cloud computing, and pattern analysis Given the ongoing risk of infectious diseases worldwide, it is crucial to develop appropriate analysis methods, models, and tools to assess and predict the spread of disease and evaluate the risk. Analyzing and Modeling Spatial and Temporal Dynamics of Infectious Diseases features mathematical and spatial modeling approaches that integrate applications from various fields such as geo-computation and simulation, spatial analytics, mathematics, statistics, epidemiology, and health policy. In addition, the book captures the latest advances in the use of geographic information system (GIS), global positioning system (GPS), and other location-based technologies in the spatial and temporal study of infectious diseases. Highlighting the current practices and methodology via various infectious disease studies, Analyzing and Modeling Spatial and Temporal Dynamics of Infectious Diseases features: * Approaches to better use infectious disease data collected from various sources for analysis and modeling purposes * Examples of disease spreading dynamics, including West Nile virus, bird flu, Lyme disease, pandemic influenza (H1N1), and schistosomiasis * Modern techniques such as Smartphone use in spatio-temporal usage data, cloud computing-enabled cluster detection, and communicable disease geo-simulation based on human mobility * An overview of different mathematical, statistical, spatial modeling, and geo-simulation techniques Analyzing and Modeling Spatial and Temporal Dynamics of Infectious Diseases is an excellent resource for researchers and scientists who use, manage, or analyze infectious disease data, need to learn various traditional and advanced analytical methods and modeling techniques, and become aware of different issues and challenges related to infectious disease modeling and simulation. The book is also a useful textbook and/or supplement for upper-undergraduate and graduate-level courses in bioinformatics, biostatistics, public health and policy, and epidemiology.

As economic and demographic conditions change, and technology advances, world leaders are becoming increasingly concerned with the future of health care. This comprehensive volume brings together North American and European experts in demographics, public administration, management, and health sciences to examine the challenges confronting health care personnel and systems in the industrialized countries. Following an overview of the general problems and methods of health care planning, contributors discuss such crucial topics as changes in the health status of populations; the impact of an aging population on health care systems; the prospects for reorganizing health care systems; the effects of new technology and drugs on health care; and the future of health care financing.

This book is a compilation of some of the most remarkable contributions made by scientists currently working in Latin America to the understanding of virus biology, the pathogenesis of virus-related diseases, virus epidemiology, vaccine trials and antivirals development. In addition to recognizing the many fine virologists working in Latin America, Human Virology in Latin America also discusses both the state-of-the-art research and the current challenges that are being faced in the region, in hopes of inspiring young scientists worldwide to become eminent virologists.

This issue of the Surgical Oncology Clinics of North America, Guest Edited by Dr. William G. Cance, is devoted to Translational Cancer Research for Surgeons. Translational Cancer research aims to move bench research to the bedside by applying basic science toward potential therapies. This issue will present the concepts of translational research and development of targeted therapeutics, and its implications for surgeons. It will show clinical applications for surgeons regarding sarcoma/GIST, melanoma, colorectal cancer, breast cancer, and endocrine cancer.

This unique book provides a retrospective analysis of the changes in survival outcomes at the University of Texas, M.D. Anderson Cancer Center over the past six decades. Since opening its doors in 1944, M.D. Anderson has kept a continuous, uninterrupted data repository of the treatment and outcomes of each of its patients. It is this visionary database from the center s tumor registry which makes this groundbreaking book possible. Tracking results across time, this book shows radical shifts in outcomes trends, where great progress has been made, and where there is still a long way to go, and offers a snapshot into the parallel history of developments in care. Such data is crucial to informing how patients are counseled, how treatment decisions are determined, and how prognoses are made.

"60 Years of Survival Outcomes at the University of Texas, M.D. Anderson Cancer Center" is the only book to concurrently present longitudinal data on survival outcomes across the spectrum of rare and common cancers. Each chapter deals with a specific disease site, discussing current management approaches and presenting key data replete with illustrative charts, graphs, and tables. With the resources available only to the practitioners at this inimitable institution, this book heralds a cornerstone moment in the study of survival outcomes and the depth of our knowledge of cancer care. "

This stimulating volume uses multiple lenses to analyze the complex causes of health disparities affecting minorities, in particular African Americans, and explains how this knowledge can be used to reduce their destructive effects. Pinpointing genetic, non-genetic, and epigenetic factors underlying health conditions common to the population-including heart disease, hypertension, diabetes, and cancer-the author traces intricate links among these factors in the current environmental and social context. The section on non-genetic factors in health disparities, such as social determinants and health behaviors, adds depth to the ongoing discourse on public health and health policy objectives. And the chapters on gene/environment interactions outline the vast potential for developing new multidisciplinary frontiers in shrinking health inequities and personalizing care. Included in the coverage: The African diaspora and disease-specific disparities The genetic basis to health disparities The role of epigenetics Economic factors and health Psychological issues and how they affect disparities Gene-environment interactions in health disparities Race, a biological or social concept Compelling and accessible, Health Outcomes in a Foreign Land will challenge and inspire medical students, epidemiologists, public health professionals, biomedical research scientists, and social scientists to go farther in their work. A wider audience would include policymakers, government officials, nurses, physicians, lawyers, economists, community outreach investigators, and interested general readers.

Bringing the hard-to-quantify aspects of lived experience to analysis, and emphasizing what might be lost in interventions if cultural insights are absent, this book includes case studies from across the Asia and Pacific regions -Bangladesh, Malaysia, New Guinea, Indonesia, Thailand, South Korea, Australia, New Zealand, Tuvalu and the Cook Islands. When Culture Impacts Health offers conceptual, methodological and practical insights into understanding and successfully mediating cultural influences to address old and new public health issues including safe water delivery, leprosy, Attention Deficit Hyperactivity Disorder and body image. It contains useful methodological tools - how to map cultural consensus, measure wealth capital, conduct a cultural economy audit, for example. It provides approaches for discerning between ethnic and racial constructs and for conducting research among indigenous peoples. The book will be indispensible for culture and health researchers in all regions.
Discusses global application of case descriptionsDemonstrates how a cultural approach to health research enriches and informs our understanding of intractable public health problemsCovers methods and measurements applicable to a variety of cultural research approaches as well as actual research resultsCase studies include medical anthropology, cultural epidemiology, cultural history and social medicine perspectives

This book examines the toxicological and health implications of environmental epigenetics and provides knowledge through an interdisciplinary approach. Included in this volume are chapters outlining various environmental risk factors such as phthalates and dietary components, life states such as pregnancy and ageing, hormonal and metabolic considerations and specific disease risks such as cancer cardiovascular diseases and other non-communicable diseases. Environmental Epigenetics imparts integrative knowledge of the science of epigenetics and the issues raised in environmental epidemiology. This book is intended to serve both as a reference compendium on environmental epigenetics for scientists in academia, industry and laboratories and as a textbook for graduate level environmental health courses. Environmental Epigenetics imparts integrative knowledge of the science of epigenetics and the issues raised in environmental epidemiology. This book is intended to serve both as a reference compendium on environmental epigenetics for scientists in academia, industry and laboratories and as a textbook for graduate level environmental health courses.

This book attempts to set communicable diseases and the efforts to control them in a social and historical context. The primary focus is on England with its particular history, culture and traditions. The timescale covered is extensive and ambitious, and the many strands that came together in the nineteenth century to form the English public health service are clearly highlighted. However the main emphasis of the narrative is on developments from the Second World War onwards, in some of which the author has had a degree of personal involvement as a schoolchild, medical student, hospital doctor, Army doctor and public health physician. The work as a whole reveals the persisting nature of communicable diseases throughout history and strongly argues that, although the relevant importance of individual infections may vary over time, man's struggle against the microbiological world can never be relaxed. How England has been affected is described in detail and evidence is put forward to suggest that complacency (or at least misjudgement) concerning the ever-present risks of emerging and re-emerging infections, led unwisely to the dismantling in 1974 of its established arrangements for their control, along with the subsequent need, frequently repeated, to create new structures for this purpose. This book will appeal strongly to all students and practitioners of public health along with those interested in English social history.

This innovative reference examines how consumer health informatics (CHI) can transform healthcare systems stressed by staffing shortages and budget constraints and challenged by patients taking a more active role in their care. It situates CHI as vital to upgrading healthcare service delivery, detailing the relationship between health information technologies and quality healthcare, and outlining what stakeholders need to learn for health IT systems to function effectively. Wide-ranging content identifies critical issues and answers key questions at the consumer, practitioner, administration, and staff levels, using examples from diverse conditions, countries, technologies, and specialties. In this framework, the benefits of CHI are seen across service domains, from individual patients and consumers to healthcare systems and global health entities. Included in the coverage: Use of video technology in an aged care environment A context-aware remote health monitoring service for improved patient care Accessibility issues in interoperable sharing of electronic health records: physician's perspective Managing gestational diabetes with mobile web-based reporting of glucose readings An organizing vision perspective for developing and adopting e-health solutions An ontology of consumer health informatics Contemporary Consumer Health Informatics combines blueprint and idea book for public health and health informatics students, healthcare professionals, physicians, medical administrators, managers, and IT practitioners.

This research monograph provides a synthesis of a number of statistical tests and measures, which, at first consideration, appear disjoint and unrelated. Numerous comparisons of permutation and classical statistical methods are presented, and the two methods are compared via probability values and, where appropriate, measures of effect size. Permutation statistical methods, compared to classical statistical methods, do not rely on theoretical distributions, avoid the usual assumptions of normality and homogeneity of variance, and depend only on the data at hand. This text takes a unique approach to explaining statistics by integrating a large variety of statistical methods, and establishing the rigor of a topic that to many may seem to be a nascent field in statistics. This topic is new in that it took modern computing power to make permutation methods available to people working in the mainstream of research. lly-informed="" audience,="" and="" can="" also="" easily="" serve="" as="" textbook="" in="" graduate="" course="" departments="" such="" statistics,="" psychology,="" or="" biology.="" particular,="" the="" audience="" for="" book="" is="" teachers="" of="" practicing="" statisticians,="" applied="" quantitative="" students="" fields="" medical="" research,="" epidemiology,="" public="" health,="" biology.

The book is the first one published exclusively on the field of nutritional epidemiology of breast cancer. It summarizes the currently existing knowledge, with an updated and comprehensive international bibliography (~ 1.000 references). The authors also performed a review on the epidemiological studies on nutrition and breast cancer carried out in Uruguay between 1994 and 2011, which allowed exploring and identifying the main risk and protective factors for the disease in this high-risk country. Epidemiologists, Nutritionists, Public Health managers and breast specialists -from the prevention to the treatment fields - will find in this book a unique source of technical information, which will contribute in expanding their knowledge and view of the disease.

The Geographical Structure of Epidemics is an accessible and in-depth examination of the ways in which geographical and environmental concepts can enhance our knowledge of the ways in which epidemics spread through human populations, written by a leading expert with over 30 years' experience in the field.

Societies in transition are often faced with new settings and/or new diseases that require a response in order for the affected group to thrive or survive. A lack of effective response by a transitional population to a new pathogen can lead to the group's disintegration. A stark example of this, historically, is the decline of Native American civilizations with the arrival of European colonists in the sixteenth and seventeenth centuries. The transitional response mechanism has been a neglected topic in anthropology until the publication of this book. In a broad selection of nineteen essays by distinguished researchers, the epidemiology and health status of prehistoric, historical, and present day populations in transition are thoroughly explored.

Different models--biomedical, ethnomedical, ecological, and politicoeconomic--are used to illustrate the effects of transition on the health of human populations throughout the world. Swedlund and Armelagos have compiled and arranged these essays into three parts: genetic and evolutionary perspectives; infectious disease and nutrition in temporal perspective; and social epidemiology. Some of the topics studied in the essays include: disease and evolution in Amerindian populations; health and disease in prehistoric transitional peoples; mortality and morbidity consequences of nutritional variation in early child growth; and social support and mortality in post-transition populations. This insightful book will provide a vital perspective for medical anthropologists, development specialists, epidemiologists, and health professionals, as well as for graduate students in related course areas.

This book provides a groundbreaking introduction to the likelihood inference for correlated survival data via the hierarchical (or h-) likelihood in order to obtain the (marginal) likelihood and to address the computational difficulties in inferences and extensions. The approach presented in the book overcomes shortcomings in the traditional likelihood-based methods for clustered survival data such as intractable integration. The text includes technical materials such as derivations and proofs in each chapter, as well as recently developed software programs in R ("frailtyHL"), while the real-world data examples together with an R package, "frailtyHL" in CRAN, provide readers with useful hands-on tools. Reviewing new developments since the introduction of the h-likelihood to survival analysis (methods for interval estimation of the individual frailty and for variable selection of the fixed effects in the general class of frailty models) and guiding future directions, the book is of interest to researchers in medical and genetics fields, graduate students, and PhD (bio) statisticians.

This title critically reviews old and new literature, help to create greater awareness of the disease in the US and helps in the evaluation of certain epidemiological and public health issues.

During the first half of the 20th century, Chagas disease was assumed to be absent from the U.S. and considered an exotic disease, until the first two indigenous cases were discovered, almost simultaneously, in Texas, 1955. Since that time four indigenous cases have been documented in several places in the country. Although the disease is still considered uncommon in the US, this disease is not longer an exclusive Latin American illness.

Physicians in the US are often unaware of the characteristics of the diseases, and are likely overlooking locally acquired cases. The influx of an estimated 300,000 Latin American immigrants with the Chagas parasite means that there is an urgent need for physicians and public health officials to become aware.
Helps to create greater awareness of Chagas disease in the USAHelps to evaluate epidemiological and public health issuesFacilitates accurate and necessary future public health interventions

This books provides an essential study of communicable diseases, by integrating the diagnosis, treatment and cure of communicable diseases in developing countries with the practical aspects of delivery of these services to the public.

Biostatistics is the branch of statistics that deals with data relating to living organisms. This manual is a comprehensive guide to biostatistics for medical students. Beginning with an overview of bioethics in clinical research, an introduction to statistics, and discussion on research methodology, the following sections cover different statistical tests, data interpretation, probability, and other statistical concepts such as demographics and life tables. The final section explains report writing and applying for research grants and a chapter on 'measurement and error analysis' focuses on research papers and clinical trials. Key Points Comprehensive guide to biostatistics for medical students Covers research methodology, statistical tests, data interpretation, probability and more Includes other statistical concepts such as demographics and life tables Explains report writing and grant application in depth

This book presents the health reform experiences over the past three decades of twelve small and medium-sized nations that are not often included in international comparative studies in this field. The major conclusion of the study is that despite many similarities in policy goals, policy challenges and in the menu of policy options for countries that seek to offer universal coverage to their population, the health reforms of the nations in this book did not converge into one direction or model. However, we found several widespread policy experiences that are relevant for others, too.For example, user fees are unpopular everywhere. Governments often try to soften the consequences by exempting large groups of users, thus largely defeating the very purpose of those fees.As a second example, the introduction of new payment modes for medical care — like the shift from fee for service to case-based payment — took much longer than originally expected everywhere, and also failed to deliver their promises of improved transparency or efficiency gains A third example is that proposals are for universal coverage often ignore the challenges of implementing new financing models that elsewhere took decades if not centuries to develop.The conclusions contain both empirical findings and theoretical conclusions of interest to policy-makers and scholars of international comparison. It is accessible for academics, healthcare managers and students as well as a wider audience of readers interested in the changes in healthcare across the world.

Therearemanygoodepidemiologytextbooksonthemarket,butmostoftheseare addressedtostudentsofpublichealthorpeoplewhodoclinicalresearchwithe- demiologicmethods. Thereisaneedforashortintroductiononhowepidemiologic methodsareusedinpublichealth,geneticandclinicalepidemiology,becausehealth professionalsneedtoknowbasicepidemiologicmethodscoveringetiologicaswell asprognosticfactorsofdiseases. Theyneedtoknowmoreaboutmethodologythan introductorytextsonpublichealthhavetooffer. Insomehealthfaculties,epidemiologyisnotevenpartoftheteachingcurri- lum. Webelievethistobeaseriousmistake. Medicalstudentsarestudentsofall aspectsofdiseasesandhealth. Withoutknowingsomethingaboutepidemiologythe cliniciansandotherhealthprofessionalscannotreadagrowingpartofthesci- ti cliteratureinanyreasonablycriticalwayandcannotnavigateintheworldof "evidence-basedmedicineandevidence-basedprevention. "Withoutskillsine- demiologicmethodologytheyareinthehandsofexpertsthatmaynotonlyhavean interestinhealth. Some health professionals may believe that only common sense is needed to conductepidemiologicalstudies,butthescienti cliteratureandthepublicdebate onhealthissuesindicatethatcommonsenseisofteninshortsupplyandmaynot thrivewithoutsomeformaltraining. Epidemiologic methods play a key role in identifying environmental, social, and genetic determinants of diseases. Clinical epidemiology addresses the tr- sitionfromdiseasetohealthortowardmortalityorsocialormedicalhandicaps. Publichealthepidemiologyaddressesthetransitionfrombeinghealthytobeingnot healthy. Descriptiveepidemiologyprovidesthediseasepatternthatisneededtolook athealthinabroadperspectiveandtosettheprioritiesright. Epidemiologyisabasic scienceofmedicinewhichaddresseskeyquestionssuchas"Whobecomesill?"and "Whatareimportantprognosticfactors?"Answerstosuchquestionsprovidethe basisforbetterpreventionandtreatmentofdiseases. Many people contributed to the writing of this book: medical students in Denmark,studentsofepidemiologyattheIEAEEPEsummercourseinFlorence, Italy,andstudentsofpublichealthinLosAngeles. Withouttechnicalassistance v vi Preface fromGitteNielsen,JenadeShelley,NinaHoheandPamMasangkaythebookwould neverhavematerialized. LosAngeles,California JornOlsen Odense,Denmark KaareChristensen IowaCity,Iowa JeffMurray Stockholm,Sweden AndersEkbom Contents Part I Descriptive Epidemiology 1 Measures of Disease Occurrence ...3 IncidenceandPrevalence ...4 Incidence...6 RatesandDynamicPopulations ...7 CalculatingObservationTime...9 Prevalence,Incidence,Duration ...10 MortalityandLifeExpectancy ...11 LifeExpectancy ...12 References...13 2 Estimates of Associations ...15 3 Age Standardization...19 4 Causes of Diseases ...23 References...28 5 Descriptive Epidemiology in Public Health...29 GraphicalModelsofCausalLinks ...33 References...35 6 Descriptive Epidemiology in Genetic Epidemiology...37 OccurrenceDatainGeneticEpidemiology ...37 ClusteringofTraitsandDiseasesinFamilies ...38 TheOccurrenceofGeneticDiseases ...40 References...41 7 Descriptive Epidemiology in Clinical Epidemiology...43 SuddenInfantDeathSyndrome(SIDS)...44 CytologicalScreeningforCervixCancer ...45 ChangesinTreatmentofJuvenileDiabetes ...46 References...47 vii viii Contents Part II Analytical Epidemiology 8 Design Options...51 CommonDesignsUsedtoEstimateAssociations...51 EcologicalStudy ...52 Case-ControlStudy...54 CohortStudy ...5 5 ExperimentalStudy ...56 Reference ...57 9 Follow-Up Studies ...59 TheNon-experimentalFollow-Up(Cohort)Study ...59 StudyingRiskasaFunctionofBMI ...60 LongitudinalExposureData...62 DifferentTypesofCohortorFollow-UpStudies...63 10 Case-Control Studies...67 Case-CohortSampling ...69 DensitySamplingofControls...69 Case-Non-caseStudy...71 PatientControls ...72 SecondaryIdenti cationoftheSourcePopulation ...74 Case-ControlStudiesUsingPrevalentCases...74 WhentoDoaCase-ControlStudy? ...77 References...78 11 The Cross-Sectional Study...79 12 The Randomized Controlled Trial (RCT) ...81 Reference ...