The primary aim of Writing Research is to create a frame of reference for writing research from a number of approaches to inquiry; and for a number of purposes. The content is directed to identifying principles for writing from within commonly used methodologies and methods in health research, which will guide writers to transform research data into written forms. The emphasis will be on the writing task, not on how to conduct the research, which follows after research data has been collected. The explanatory aspects of the content of the book will assist researchers in the development of research proposals and those who critique or review research for any purpose. The theory and practice of research writing are comprehensively covered. Information on how to arrange material for specific purposes is provided. A range of commonly used research approaches is encompassed, and the writing task is discussed from within each. The writing process is linked to a philosophical basis of the research approach.

This text follows the continuum of care for patients who suffer from mental disorders. From initial assessment, through patient stay to discharge into the community, the contributors focus on best practice and continuity of care. The work should be a suitable companion for qualified mental health nurses and for students on clinical placements. It is designed to be practical and relevant to everyday realities at the sharp end when nursing disturbed patients.

Clearly written and well-presented results are more readily accepted by examiners and fellow clinicians, however achieving this can be very difficult. This comprehensive text takes thefears and tears out of writing up research results. It provides a practical guide to the process of preparing a written research report, ensuring the information can be easily followed and understood. It details the sequence of events which must be followed if the written account is to be accessible to the reader and acceptable to the examiners. This practical guide provides help and reassurance for all those taking up the challenge of writing up their results.Follows a logical, step-by-step sequence Provides a checklist for thesis preparationFocuses specifically on reporting health science research Written in a readable style with the minimum use of jargon

This volume examines recent developments in the use of intelligent materials and systems for drug delivery. Controlled release technology is moving from being a simple carrier of active agents to becoming a powerful and flexible method that permits subtle modulation of the delivery profile based on the needs of the biological host. The chapters collected here cover recent advances in materials with responsive properties, novel concepts in controlled release technology, new applications, and microanalytical techniques for rapid and accurate measurements of small samples.

Tobacco: Science, Policy and Public Health Second Edition comprehensively covers the science and policy issues relevant to one of the major public health disasters of modern times. It pulls together the aetiology and burden of the myriad of tobacco-related diseases with the successes and failures of tobacco control policies. The book looks at lessons learnt to help set health policy for reducing the burden of tobacco-related diseases. It also deals with the international public health policy issues which bear on control of the problem of tobacco use and which vary between continents.
New chapters in this second edition include: Market manipulation: How the tobacco industry recruits and retains smokers; In Their Own Words: An Epoch of Deceit and Deception; Manipulating Product Design to Reinforce Tobacco Addiction; and a new section of the text devoted to 'Tobacco around the world'.
The editors are an international group distinguished in the field of tobacco-related diseases, epidemiology, and tobacco control. The contributors are world experts drawn from the various clinical fields. This major reference text gives a unique overview of one of the major public health problems in both the developed and developing world.

This book brings together current thought on several aspects of the use of pesticides in and around homes, schools and workplaces. The book addresses several parts of the process, from the discovery and development of new active ingredients, their formulation, use, longevity, environmental fate and human exposure.

Effective counselling is a cornerstone of all nursing care. This new edition moves beyond the identification of a problem in order to examine fully the practical nature of counselling concentrating in particular on the potentially highly senstive nature of caring. Topics covered include support systems, the bearing of ethical issues on nurisng practice and the special skills required to give appropriate advice in the case of bereavement. The book's theoretical underpinning is once again the authors's own 'Four Questions Model', which has been expanded for this edition: What is happening? What is the meaning of it? What is your goal? and How are you going to do it? All in all, the book comprises a practical guide for student and practising nurses in all disciplines.Highly successful backlist title which fits in well with Balliere Tindall's publishing programme as a whole. New references.

According to popular belief, technical skill is far more important for surgeons than thoughtful deliberation. Nothing could be further from the truth. Although surgeons must sometimes make decisions rapidly on the basis of incomplete evidence and must respond to unexpected catastrophes in the operating room rapidly, those events are intermittent - most of the time surgeons deliberate on diagnostic problems and thoughtfully manage postoperative care, which is often intellectually challenging. The relationship of surgeons with their patients is, in a real sense, far more intimate and trusting than that of any other professional, a claim that is supported by the fact that patients surrender their bodies to their surgeons in a state of total helplessness and vulnerability when they undergo anesthesia. Because of that responsibility, no other professional group has a greater sense of dedication to the welfare of their patients than surgeons. Surgical culture is deeply steeped in ethics, and surgeons confront and resolve ethical dilemmas as much or more than most other professionals, although they often may not recognize the situations they resolve are problems in ethics - they are just part of the daily routine. This book is a compendium of articles from the recent surgical literature that address ethical issues chosen by surgeons because they are controversial and pertinent to the practice of surgery. The reader will not find a great deal of sophisticated dissection of fine philosophical distinctions in these discussions of ethical conflicts and controversies in surgery. Instead, they will discover differing viewpoints from thoughtful essayists, mostly surgeons, whose feet are firmly in contact with the ground and who have extensive experience in the real world of surgery, medicine, and law.

The role of dopamine in schizophrenia has been a significant area of research. The measurement of the major dopamine metabolite, homovanillic acid (HVA), in various body fluids, especially in blood plasma, is one of the primary methods to assess brain dopamine neuronal activity in schizophrenic patients.

Written by leading researchers in the field, "Plasma Homovanillic Acid in Schizophrenia" provides the most comprehensive and current collection of information on plasma HVA levels to be found anywhere. It provides a concise synthesis and critique of current data as well as interesting proposals for future research.

This book will be of great value to any serious student of the biology of schizophrenia and other psychiatric disorders involving abnormal levels of plasma HVA.

Decisions about life-sustaining treatment are often ethically challenging for patients, surrogate decision-makers, and health care professionals. Providing safe, effective, and compassionate care near the end of life is a priority for health care organizations. In times of uncertainty, crisis, or reflection, and in efforts to improve health care for seriously ill patients, guidelines can help. This is the first updated, expanded edition of The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying, which shaped the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. The new edition, the product of an authoritative consensus process, incorporates 25 years of research, innovation, and developments in law and policy. It summarizes the current framework for making good decisions about treatment and care and identifies educational and organizational goals for health care systems. It covers care planning, decision-making for adults and for children, care transitions, the determination of death, and the policies and processes that support good care at the bedside. It also addresses the psychological and social dimensions of care near the end of life, with attention to effective communication with patients and loved ones and among team members. This book is written for physicians, nurses, and other clinicians in hospitals, nursing homes, home care, and hospice. It is structured for ease of reference during difficult clinical situations and includes extensive practical recommendations supported by print and online resources. This book is also essential reading for clinical ethicists, ethics committee members, health lawyers, and medical and nursing directors. As the U.S. confronts the challenges of health care reform, an aging population, increasing technological capacity to extend life, and serious cost implications, The Hastings Center Guidelines are invaluable to educators, scholars, and policymakers.

For all its costs, flaws, and inequities, American health care is fundamentally rooted in a belief that treatment should be based on solid scientific research. To this end, between 2003 and 2010, three different federal laws were enacted, the most recent being the Affordable Care Act of 2010, that mandated new federal investments in a type of clinical research called comparative effectiveness research (CER) - research into what works best in medical care. Comparative Effectiveness Research: Evidence, Medicine, and Policy provides the first complete account of how - and why - the federal government decided to make CER an important feature of health reform. Despite earlier legislative uptake of policy proposals on CER, support for federal mandates took dramatic twists and turns, with eventual compromises forged amid failing bipartisan alliances, special interests, and mobilized public opinion. Based on exhaustive research and first-hand interviews, the authors examine where CER fits in the production of scientific evidence about the benefits and harms of treatments for human diseases and conditions. Their work offers sobering confirmation that contemporary American medical care falls, not surprisingly, well short of the evidence-based ideal. Comparative Effectiveness Research demonstrates that dealing constructively with the vast uncertainties inherent to medical care requires policies to make the generation of high-quality evidence an inseparable part of routine health care.

Urban planning is deeply implicated in both the planetary crisis of climate change and the personal crises of unhealthy lifestyles. Worldwide health issues such as obesity, mental illness, growing health inequalities and climate vulnerability cannot be solved solely by medicines but also by tackling the social, economic and environmental determinants. In a time when unhealthy and unsustainable conditions are being built into the physical fabric of cities, a new awareness and strategy is urgently needed to putting health and well-being at the heart of planning. The Routledge Handbook of Planning for Health and Well-being authoritatively and comprehensively integrates health into planning, strengthening the hands of those who argue and plan for healthy environments. With contributions from international leaders in the field, the Handbook of Planning for Health and Well-being provides context, philosophy, research, processes, and tools of experienced practitioners through case studies from four continents.

Americans' health improved dramatically over the twentieth century. Public health programs for disease and injury prevention were responsible for much of this advance. Over the century, America's public health system grew dramatically, employing science and political authority in response to an increasing array of health problems. As the disease burden of the old scourges of infection, perinatal mortality, and dietary deficiencies began to lift, public health's mandate expanded to take on new health threats, such as those resulting from a changing workplace, the rise of the automobile, and chronic and complex conditions caused by smoking, diet and other lifestyle and environmental factors. Public health measures almost always occur on contested ground; accordingly, controversies and recriminations over past failures often persist. In contrast, public health's many successes, even the imperfect ones, become part of the fabric of everyday life, a fact already apparent early in the last century, when C.E.A. Winslow reminded his peers that the lives saved and healthy years extended were the "silent victories" of public health. In its exploration of ten major public health issues addressed in the 20th century, Silent Victories takes a unique approach: for each issue, leading scientists in the field trace the discoveries, practices and programs that reduced morbidity and mortality from disease and injury, and an accompanying chapter by a historian or social scientist highlights key moments or conflicts that shaped public health action on that issue. The book concludes with a look toward the challenges public health must face in the future. Silent Victories reveals the lessons of history in aformat designed to appeal to students, health professionals and the public seeking to understand how public health advanced the country's health in the 20th century, and the challenges to protecting health in the future.

This book focuses on broadly defined areas of chemical information science- with special emphasis on chemical informatics- and computer-aided molecular design. The computational and cheminformatics methods discussed, and their application to drug discovery, are essential for sustaining a viable drug development pipeline. It is increasingly challenging to identify new chemical entities and the amount of money and time invested in research to develop a new drug has greatly increased over the past 50 years. The average time to take a drug from clinical testing to approval is currently 7.2 years. Therefore, the need to develop predictive computational techniques to drive research more efficiently to identify compounds and molecules, which have the greatest likelihood of being developed into successful drugs for a target, is of great significance. New methods such as high throughput screening (HTS) and techniques for the computational analysis of hits have contributed to improvements in drug discovery efficiency. The SARMs developed by Jurgen and colleagues have enabled display of SAR data in a more transparent scaffold/functional SAR table. There are many tools and databases available for use in applied drug discovery techniques based on polypharmacology. The cheminformatics approaches and methodologies presented in this volume and at the Skolnik Award Symposium will pave the way for improved efficiency in drug discovery. The lectures and the chapters also reflect the various aspects of scientific enquiry and research interests of the 2015 Herman Skolnik award recipient.

From the national bestselling author of The Food Explorer comes the untold story of Alice Hamilton, a trailblazing doctor and public health activist who took on the booming auto industry—and the deadly invention of leaded gasoline, which would poison millions of people across America.

At noon on October 27, 1924, a factory worker was admitted to a hospital in New York City, suffering from hallucinations and convulsions. Before breakfast the next day, he was dead. Alice Hamilton was determined to prevent such a tragedy from happening again.

By the time of the accident, Hamilton had pioneered the field of industrial medicine in the United States. She specialized in workplace safety years before the Occupational Safety and Health Administration was created. She was the first female professor at Harvard. She spent decades inspecting factories and mines. But this time, she was up against a formidable new foe: America’s relentless push for progress, regardless of the cost.

The 1920s were an exciting decade. Industry was booming. Labor was flourishing. Automobiles were changing roads, cities, and nearly all parts of American life. And one day, an ambitious scientist named Thomas Midgley Jr. triumphantly found just the right chemical to ensure that this boom would continue. His discovery—tetraethyl leaded gasoline—set him up for great wealth and the sort of fame that would land his name in history books.

Soon, Hamilton would be on a collision course with Midgley, fighting full force against his invention, which poisoned the air we breathe, the water we drink, and the basic structure of our brains.

American Poison is the gripping story of Hamilton’s unsung battle for a healthy planet—and the ramifications that continue to echo today.

On August 5, 2010, a cave-in left thirty-three Chilean miners trapped underground. The Chilean government embarked on a massive rescue effort that is estimated to have cost between ten and twenty million dollars. There is a puzzle here. Many mine safety measures that would have been more cost effective had not been taken in Chile earlier, either by the mining companies, the Chilean government or by international donors. The Chilean story illustrates a persistent puzzle: the identified lives effect. Human beings show a greater inclination to assist persons and groups identified as those at high risk of great harm than to assist persons and groups who will suffer - or already suffer - similar harm but are not identified as yet. The problem touches almost every aspect of human life and politics: health, the environment, the law. What can social and cognitive sciences teach us about the origin and triggers of the effect? Philosophically and ethically, is the effect a "bias" to be eliminated or is it morally justified? What implications does the effect have for health care, law, the environment and other practice domains? This volume is the first book to tackle the effect from all necessary perspectives: psychology, public health, law, ethics, and public policy.

The Oregon State Insane Asylum was opened in Salem on October 23, 1883, and is one of the oldest continuously operated mental hospitals on the West Coast. In 1913, the name was changed to the Oregon State Hospital (OSH). The history of OSH parallels the development and growth in psychiatric knowledge throughout the United States. Oregon was active in the field of electroshock treatments, lobotomies, and eugenics. At one point, in 1959, there were more than 3,600 patients living on the campus. The Oscar-winning movie One Flew Over the Cuckoo's Nest was filmed inside the hospital in 1972. In 2008, the entire campus was added to the National Register of Historic Places, and the state began a $360-million restoration project to bring the hospital to modern standards. The story of OSH is one of intrigue, scandal, recovery, and hope.

"Innovative Approaches for Difficult-to-Treat Populations" makes recommendations for developing and disseminating innovative mental health services. It is geared toward clinicians, administrators, and policy-makers struggling to develop both clinically effective and cost-effective mental health and substance abuse services, and it focuses on services for individuals who use the highest proportion of mental health resources and for whom traditional services have not been effective. These target populations include youth with serious behavioral and emotional disturbances and adults with severe and persistent mental illnesses.

The innovative approaches reviewed include diverse treatment methods for differing clinical populations. These varied approaches have several common elements: Social-ecological theory frameworks An emphasis on delivering flexible, comprehensive, pragmatic, and goal-oriented interventions in persons& rsquo; natural environments Increased accountability on the part of service providers The transition from centralized to community-based care is discussed, and normalizing a patient& rsquo;s daily routine as an important factor in the success of state-of-the-art community support programs is emphasized

"Innovative Approaches for Difficult-to-Treat Populations" offers mental health professionals and students a firsthand look at the future direction of clinical services. Policy issues necessary to developing and disseminating progressive treatments are addressed, including the downsizing of state psychiatric hospitals, strategies for reforming state mental hospital systems, and ethical issues in research on child and adolescent mental disorders.

First published in 1935, this book provides a valuable contribution to the history of Public Health and Preventive Medicine. Written as a recollection of the experiences and knowledge of Sir Arthur Newsholme, the book covers a period in which phenomenal progress was made.

Public Health Practice in Australia offers a thorough introduction to what public health practitioners do, and the 'effort' involved in improving the health of the public.This second edition has been fully revised and updated in line with current policies and practice. It highlights common threads that underlie seemingly disparate activities, ideas and entities that comprise the organised effort of public health practice. The emphasis is on securing and maintaining the conditions in society that enable people to live healthy and fulfilling lives.The authors examine the impact of historical, social, economic, environmental and political factors on the health of individuals, communities and populations. Taking an applied, multidisciplinary approach, they outline the strategies and tools that public health practitioners use to improve health outcomes: identifying infrastructure needs in the workforce, public and private sector organisations, and in regulation; gathering, analysing and using health data; applying interventions in health policy, provision of health services and health promotion.Public Health Practice in Australia draws on current international and Australian research and the interwoven case studies make the theories and concepts come alive. It is a valuable resource for students and professionals across the health sciences including public health, medicine, environmental health, health promotion, health information management and health administration.'The book is impressive in the completeness, clarity and consistency of the material covered, and for the way in which many of the theoretical issues are related to current practice. An extremely useful and valuable reference for both students and practitioners alike.' - Thomas Tenkate, Environmental Health

"Managing Managed Care II: A Handbook for Mental Health Professionals," Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes.

Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated.

"Managing Managed Care II" is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.

Originally published in 1995, the first edition of Managing Your Mind established a unique place in the self-help book market. A blend of tried-and-true psychological counseling and no-nonsense management advice grounded in the principles of CBTand other psychological treatments, the book straddled two types of self-help literature, arguing that in one's personal and professional life, the way to success is the same. By adopting the practical strategies that mental health experts Butler and Hope have developed over years of clinical research and practice, one can develop the "mental fitness" necessary to resolve one's personal and interpersonal challenges at home and work and to live a productive, satisfying life.
The first edition addressed how to develop key skills to mental fitness (e.g., managing one's time better, facing and solving problems better, keeping things in perspective, learning to relax, etc.), how to improve one's relationships, how to beat anxiety and depression, and how to establish a good mind-body balance. For this new edition, Butler and Hope have updated all preexisting material and have added five new chapters-on sexuality and intimate relationships; anger in relationships; recent traumatic events and their aftermath; loss and bereavement; and dealing with the past.