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This is the third edition of Barbara Bassot's hugely popular book, a uniquely inspiring introduction to critically reflective practice. Using bite-sized theory combined with plentiful guidance and supporting activities, this book gives the reader a place to reflect on their learning and use writing as a tool for developing their thinking. Critical reflection is an essential skill for anyone undertaking qualifying professional programmes such as social work, nursing, health, teaching, childhood studies and youth and community work degrees. Whether being taught as a discrete module or as a major theme embedded in all teaching, this is essential reading for anyone wanting to improve their practice and deliver the best service possible.
The bite of the tsetse fly - a burning sting into the skin - causes a descent into violent fever and aching pains. Severe bouts of insomnia are followed by mental deterioration, disruption of the nervous system, coma and ultimately death. Sleeping sickness, also known as Human African trypanosomiasis, is one of Africa's major killers. It puts 60 million people at risk of infection, occurs in 36 countries in sub-Saharan Africa, and claims the lives of many thousands of people every year. Transmitted by the tsetse fly, trypanosomiasis affects both humans and cattle. The animal form of the disease severely limits livestock production and farming, and in people the toxic effects of the treatment for the brain disease can be as painful and dangerous as the disease itself. Existing in the shadow of malaria and AIDS, it is an overlooked disease, ignored by pharmaceutical companies and largely neglected by the western world. Peter Kennedy has devoted much of his working life to researching sleeping sickness in Africa, and his autobiographical account shares not only his trials and experiences, evoking our empathy with the affected patients, but an explanation of the disease, including its history and its future. Interwoven with African geography, his compassionate story reveals what it is like to be a young doctor falling in love with Africa, and tells of his building of a vocation in the search for a cure for this cruel disease.
This edited volume, featuring five new chapters from invited authors, provides an updated and evidence-based explanation of leadership within a healthcare environment. The book discusses new insights garnered from recent research into the importance of leadership in health system redesign and highlights the practice of shared or distributed health care leadership. New chapters covering LEADS in a national, regional, Indigenous, health profession, and people-centred care context provide new insights into how LEADS is being put to work to transform health systems. The LEADS framework has been refreshed in relation to each of its different elements and tools, with an emphasis on providing real-life examples of how LEADS has been put to work. LEADS is also explained as a change leadership model and in relation to how it helps to level the playing field in terms of gender and diversity in health leadership. The book aims to inform the leadership needs of health reform and its emergent system wide challenges. The content is relevant to health care administrators and professionals working within the public service, academic institutions, and health care delivery organisations.
A practical, concise and illustrative discussion of universal hand conditions. Extensively edited, rewritten and updated by an experienced hand surgeon and hand therapist.
Rarely in modern British history has a medium-sized company exercised such a dominant influence on an individual industry as Burroughs Wellcome and Co. This book explores the history and development of the company, beginning in the latter part of the 19th century.
One American in 560 becomes a doctor . . . Only one black American in 3800 does. Why? The answers and what can be done about them are presented in this succinct and important book by Dr. James L. Curtis. Blacks, Medical Schools, and Society provides an insightful history of the black physician in America from colonial times to the present as well as an incisive analysis of contemporary trends and future prospects in black medical education. Examining high school programs and premedical workshops such as the Cornell Medical School-Hampton Institute collaboration, the author evaluates the impact of current approaches and suggests practical steps to increase the quality and quantity of trained black doctors and dentists. At a time when physicians are in short supply, and when for the first time more than half of the country's black medical students are attending predominantly white schools, this book offers a significant and straightforward commentary on the medical practices of a multiracial society.
New England Hospitals tells of the impact of an institution on a people. In 1790 few New Englanders had ever seen a hospital. By 1833, when the Worcester State Asylum opened, the institution had become a New England tradition. The formative years were those when such men as Horace Mann, the Reverend John Bartlett, John Adams, John Lowell, Josiah Quincy, and Dr. Eli Todd turned men's thoughts to the care of the mentally and physically ill. People like the gentle-mannered Dr. Jackson considered it their duty not merely to ""throw a few pills and powders into one pan of the scales of Fate, while Death the skeleton was seated in the other, but to lean with their whole weight on the side of life, and shift the balance in its favor if it lay in human power to do it."" In this early period the hospital was, as it is in our time, an institution devoted to healing the sick, a center of research and teaching, a challenge to the architect, and the ground of endless financial and administrative struggle and growth. In this book, Leonard K. Eaton places this early development of American hospitals in its cultural perspective.
Global public health has improved vastly during the past 25 years, and especially in the survival of infants and young children. However, many of these children, particularly in Africa, continue to live in poverty and in unhealthy, unsupportive environments, and will not be able to meet their developmental potential. In other words, they will survive but not thrive. The UN’s Sustainable Development Goals (SDGs) stress sustainable development, not just survival and disease reduction, and the Global Strategy for Women’s, Children’s and Adolescents’ Health proposes a Survive (end preventable deaths), Thrive (ensure health and wellbeing) and Transform (expand enabling environments) agenda. For children to thrive they must make good developmental progress from birth until the end of adolescence.
Addressing the social determinants of developmental problems, this volume offers a broad, contextualised understanding of the factors that impact on children and adolescents in Africa. Unlike other works on the subject it is Africa-wide in its scope, with case studies in Ethiopia, Kenya, Malawi, Nigeria, Rwanda and South Africa. Covering mental health as well as physical and social development, it looks at policies and practice, culture and priorities for research, identifying challenges and proposing solutions.
Recommended for academics, students and practitioners in psychology, including developmental psychology, child clinical psychology, developmental psychopathology, psychiatry, human ecology, and in schools of education. It will also be of interest to nurses and paediatricians, health workers and those interested in early childhood development.
Medicine's Strangest Cases is a choice prescription of weird and wonderful tales from the history of medicine, featuring the German doctor who fought a duel with a sausage, the Harley Street physician-turned-novelist who invented a disease - and its remedy - to keep his clients happy, and the quiet and cautious Swiss scientist who inadvertently unleashed LSD on the world. The stories in this book are bizarre, fascinating, hilarious, and, most importantly, true. Revised, redesigned and updated for 2016, this book is the perfect gift for medical students, clinicians, hypochondriacs and history fans. Laugh out loud and wince with sympathy with this rundown of the most bizarre medical cases ever. Word count: 45,000
Medical terminology for students of the health professions offers a systematic approach to explaining terminology that entry-level medical, dental and health care science students often find difficult to comprehend. This title has three sections with one introductory chapter, eight vocabulary chapters and six body system chapters.
This book represents the first political history of the federal government's only experiment in social medicine. Alice Sardell examines the Neighborhood, or Community Health Center Program (NHC/CHC) from its origins in 1965 as part of Lyndon Johnson's War on Poverty campaign up until 1986. The program embodied concepts of social medicine, community development, and consumer involvement in health policy decision-making. Sardell views the NHC experiment in the context of a series of political struggles, beginning in the 1890s, over the boundaries of public and private medicine, and demonstrates that these health centers so challenged mainstream medicine that they could only be funded as a program limited to the poor.
In this book, wide-ranging sources are utilized to seek alternatives to the science-value dichotomy and to move beyond unhelpful impasses between qualitative and quantitative methods. It urges new directions of impact for psychology through intra- and interdisciplinary collaboration in order to confront unprecedented global challenges, generate questions and articulate new possibilities for a sustainable future for humanity. The analysis places the researcher as the principal instrument of any science - an affordance and an ongoing form of demand. Foregrounding 'the personal' also emphasizes continuity across arts and sciences; the interfaces of which contain the full range of resources for innovative thinking. The enduring relevance of observation, imaginative sense-making, and perspective-taking to psychology are explored. In emphasizing that 'the person' and 'the personal' reflect interconnected systems of various levels, the book calls for an appreciation and cultivation of these activities in the psychological scientific community.
A concise history of how American law has shaped-and been shaped by-the experience of contagion"Contrarians and the civic-minded alike will find Witt's legal survey a fascinating resource"-Kirkus, starred review "Professor Witt's book is an original and thoughtful contribution to the interdisciplinary study of disease and American law. Although he covers the broad sweep of the American experience of epidemics from yellow fever to COVID-19, he is especially timely in his exploration of the legal background to the current disaster of the American response to the coronavirus. A thought-provoking, readable, and important work."-Frank Snowden, author of Epidemics and Society From yellow fever to smallpox to polio to AIDS to COVID-19, epidemics have prompted Americans to make choices and answer questions about their basic values and their laws. In five concise chapters, historian John Fabian Witt traces the legal history of epidemics, showing how infectious disease has both shaped, and been shaped by, the law. Arguing that throughout American history legal approaches to public health have been liberal for some communities and authoritarian for others, Witt shows us how history's answers to the major questions brought up by previous epidemics help shape our answers today: What is the relationship between individual liberty and the common good? What is the role of the federal government, and what is the role of the states? Will long-standing traditions of government and law give way to the social imperatives of an epidemic? Will we let the inequities of our mixed tradition continue?
To achieve material success in a technologically advanced society, it may be necessary to subject yourself to a great deal of stress. However, it is not necessary to stay tense. The president of Independent Power Systems International, John Perkins manages large-scale projects aimed at conserving energy and improving the environment. The Stress-Free Habit is the result of his twenty years of experience as a management consultant to governmental organizations and businesses in countries as diverse as Ecuador, Indonesia, Egypt, Mexico, Iran, and Saudi Arabia. The author points out that stress is all around us and, while it is often useful and even essential, it can also be extremely harmful. While other cultures incorporate very specific methods of stress management as part of their daily routines, such methods are noticeably absent from the fabric of modern Western culture.Perkins emphasizes that we can--and should--seek out these techniques wherever they are to be found and put them into practice in our own lives. Throughout his travels and contacts with a variety of native cultures, the author has observed and integrated traditional practices that have enabled him and his co-workers to manage stress effectively and achieve high levels of success. The Stress-Free Habit consolidates this practical wisdom in a simple easy-to-follow eight-step program. Those who practice it experience physical and psychological benefits, including elimination of alcohol and drug abuse, insomnia, headache, diarrhea, and nervous disorders, as well as a lower probability of heart attack. The principles of The Stress-Free Habit come to life in tales of remarkable encounters with individuals who have mastered the art of creative living. Their stories are a testament to techniques of stress management that can help you live a longer, more relaxed, and more productive life.
Humans have been adapting to a changing climate throughout history. Whether by innovation or migration we have developed a considerable capacity for "acclimatizing" to our environment. Since the mid 19th century, however, the rate of change has been increasing and the fact that this anthropogenically forced acceleration cannot be sufficiently reduced will have a significant impact on public health in the near and medium future. How severe the impact will be depends largely on our capacity to adapt and its effective deployment. By exploring cases histories in public health, Integration of Public Health with Adaptation to Climate Change: Lessons Learned and New Directions identifies the key adjustments necessary for public health systems to effectively adapt to this accelerated climate change. Taking into consideration the large portion of the global population without access to adequate nutrition, clean drinking water, or a viable public health system, the book examines the added influence of climate-sensitive diseases, their mutation, incubation, and migration, on life expectancy, economic productivity, and quality of life. The new challenge is to develop and deploy a capacity for more rapid social and technological adaptation, and to ensure that this capacity is universally and equitably distributed in the face of global environmental change. The option of the hunter/gatherer to simply pick up and move to more attractive climes is no longer available to today's higher population densities and fixed infrastructures. Effective adaptation to this rapid climate change must come from a conscious, planned, anticipatory approach. To do this we must use what we've learned from the lessons ofour past
A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America's Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation. The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America's Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience. Drawing on the wisdom and vision of today's leading healthcare innovators, America's Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation.
The essays assembled in this volume reflect my long-standing interest in moral philosophy and my conviction that the idea of a medical ethics as something distinct and separate from ethics is an absurdity. Every person who acts is a moral agent. A person who possesses special knowledge and skills and is expected to act in the face of life-threatening circumstances--such as a physician--is someone whose status as moral agent is accordingly greatly enhanced. From the preface by the author.
In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.
Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care. The result is measurably harmful to individuals and costly to society. Listening for What Matters: Avoiding Contextual Errors in Health Care covers ten years of empirical research based on hundreds of recorded doctor visits by patients and undercover actors alike, which revealed a widespread disregard of patients' individual circumstances and needs resulting in inappropriate care. These medical errors have been largely undocumented and unaddressed by the American healthcare system. This book tells the stories of patients whose care was compromised by inattention to individual context, and introduces novel methods for assessing the magnitude of the problem. It describes how these errors, termed "contextual errors," can be minimized through changes in how doctors are trained, how medicine is practiced and quality measured, and in the ways patients assert their needs during visits. The aim of this book is to open a dialog between patients, physicians, policy makers, and medical educators, about a serious quality problem that has been overlooked and understudied.
Over the past decade, much has been learned about the damaging effects of moderate to severe alcohol use has on tissue nutrient levels and dietary intake. Summarising current research, Nutrition and Alcohol explores the latest data available on the effects of alcohol on the nutritional state of alcohol abusers. It illustrates the combined effects of malnutrition on tissue damage and examines the role of altered nutrition on various alcohol-related diseases. The authors discuss alcohol's effects on nutrient intake and explain the action of nutrients in preventing and treating alcohol-related diseases.
This book reviews the progress made in salivary diagnostics during the past two decades and identifies the likely direction of future endeavors. After an introductory section describing the histological and anatomical features of the salivary glands and salivary function, salivary collection devices and diagnostic platforms are reviewed. The field of "salivaomics" is then considered in detail, covering, for example, proteomics, the peptidome, DNA and RNA analysis, biomarkers, and methods for biomarker discovery. Salivary diagnostics for oral and systemic diseases are thoroughly discussed, and the role of salivary gland tissue engineering for future diagnostics is explored. The book closes by considering legal issues and barriers to salivary diagnostic development. Advances in Salivary Diagnostics will be an informative and stimulating reference for both practitioners and students.
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