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Books > Medicine > General issues > General
Bradley Carlson's muscular dystrophy causes brutal leg cramps that leave him crumpled on the floor. He can't climb stairs and curbs, and sometimes he can't even move. But none of that stopped him from putting his best foot forward and walking through his home state of Wisconsin. He walked through 595 incorporated cities, trekking from Lake Michigan to the mighty Mississippi. During his journey, he experienced his share of falls and challenges, but he also met incredible people, enjoyed special moments, and witnessed the breathtaking beauty of his home state, including waterfalls, desert-like dunes along Lake Michigan, and picturesque mountaintops and forest views. Bradley didn't set out on this journey to raise money or hand out brochures. He simply did it to show himself and others that someone with muscular dystrophy can accomplish great things. You'll laugh, cry, meet new friends, and discover new places in this inspirational memoir about one man's refusal to give up while seeing "Wisconsin 1 Step at a Time."
This new volume in the "Current Topics in Developmental Biology"
series concentrates on transcriptional switches during development.
It includes chapters on such topics as muscle diversity,
transcriptional response to genome structural variation, and the
temporal gene network in Drosophila neural stem cells. With an
international team of authors, this volume is a must-have addition
for researchers and students alike.
Exploring the multiple communities of healing among the Tuareg people of Niger, this work examines the beliefs and practices that surround healing and the quest for medicine. In studying ideals of healing that face challenges from wider political and economic forces, the author enables us to understand these culturally and historically constructed processes. This leads us to comprehend how many Tuareg construct and deconstruct local notions of medicine and healers, how patients cope with current problems in health care, and more broadly, how medical knowledge is constructed in anthropology and ethnography. Rasmussen reveals new perspectives on healing in systems of power and symbolism, bridging interpretive cultural and political economy approaches. This book explores the consequences and implications of the idea that in order to obtain medicine, one must submit to authority, but proceeds beyond merely demonstrating this idea, already largely a truism in anthropology. The Tuareg data show how local residents are not passive victims, but rather active agents in responding to and resisting authority structures of medicine and medical knowledge.
More than sixty years ago, author Dr. Frank G. Moody began treating patients as a second-year medical student at Dartmouth Medical School-Mary Hitchcock Clinic in Hanover, New Hampshire. He was an academic surgeon for the next fifty-five years. In his memoir, Frank Reflections, he offers both a personal and professional overview of his life-his birth in 1928 in New Hampshire; his childhood during the Great Depression; his extensive schooling, both academic and medical; his military service; his experiences serving the sick as a surgical educator; the challenges of his profession; his personal joys of raising three grown children; and his love of skiing and hiking. Recalling a wide range of place, including New York, California Alabama, Utah, and Texas, this memoir communicates Moody's dedication to his craft. Recapping a long and productive, but sometimes winding and turbulent career, Frank Reflections shares insights into Moody's world, in which he tried to enjoy life while helping others get well from their illnesses.
Nathan Smith has struggled with schizophrenia his entire life. Overwhelmed by thoughts of suicide and depression, he disappeared into a haze of alcoholism to deal with the daily challenges of his disease. But instead of alleviating his disease, the alcohol made it ten times worse. Spending most of his time in an alcoholic stupor, he was not in control of his thoughts or actions, thanks to his schizophrenia. Each time he tried to get control of his life, he failed miserably."Mom's Idea" is the heartbreaking story of Smith's struggles to deal with his schizophrenia while ultimately realizing that he also had to find a way to stop drinking. With the encouragement of his mother, he began the long road to sobriety and a more productive life. "Mom's Idea" offers an in-depth account of an average person suffering from schizophrenia; it chronicles the frequently changing ups and downs of dealing with a debilitating disease and the compounding problem of alcoholism.
Today, individuals have greater access to information about their healththaneverbefore(Randeree,2009;Eysenbach,2008).Muchofthis changeisdue, inlargepart, toadvancesinbiotechnologyandtheseque- ing of the human genome (Manolio & Collins, 2009). It is now possible, forexample, forindividualstologontotheInternetand, forafeeofs- eral hundred dollars, order an at-home DNA collection kit and have the resultsofamyriadofgenetictestsdelivereddirectlytotheire-mailinbox (Gurwitz&Bregman-Eschet,2009).Insomecases, thesetestresultsmay indicatepersonalriskforcommonchronicdiseases, suchascertainforms ofcancer, diabetes, cardiovasculardisease, andseveralothers.Companies marketing these test kits often claim that promoting greater access to and awareness of the association between genes and health, and one's genetic susceptibilities to disease, leads to more proactive and insig- fulmethodsofindividualhealthmanagement(Hogarth, Javitt,&Melzer, 2008). Moreover, it is consistent with an emerging trend in medicine - that of consumer-oriented medicine - which places health information toolsdirectlyinthehandsofpatientsunderthepremiseoffosteringbetter patient-providercollaboration(Silvestre, Sue,&Allen,2009). Though the principles behind this direct-to-consumer approach to genetics seem laudable and perhaps even exciting, there is consid- ablecontroversyastowhat, ifany, utilitytheinformationactuallyholds (Geransar&Einsiedel,2008;Wasson, Cook,&Helzlsouer,2006).Unlike geneticteststhatarediagnostic(e.g., chromosomeanalysisforDowns- drome)orhighlypredictive(e.g., BRCA1andBRCA2testingforhereditary breast-ovarian cancer risk), this new wave of presymptomatic predictive genetictestsforcommondiseaseyieldsresultsthataremuchmoreunc- tainbecausethestatisticalmodelsonwhichtheyarepresentlybasedare imperfectandwithlimiteddata(Ng, Murray, Levy,&Venter,2009). Theabovescenarioraisesmanyquestionsfortoday'shealth-carec- sumers. For example, for whom is this information applicable, and for whatpopulationsorsubpopulationsisitnot?Underwhatcircumstances might this information be useful, and when should it be disregarded as irrelevant?Andperhapsmostimportantly, what, ifanything, canbedone inlightofinformationaboutpersonalgeneticrisktoeffectivelylowerthe oddsofbecomingsickandraisetheoddsofstayinghealthy? vii viii PREFACE Becausetheprevalenceofmostdiseasesvariesasafunctionofage, gender, race/ethnicity, and other personal characteristics, answers to these questions are complex and many are just beginning to be und- stood(Khouryetal.,2009).Someexpertshaveconcludedthattheanswers tosuchquestionsremainoutofreachatthepresenttimeandmayc- tinue to be elusive for another 5-10 years (Frazer, Murray, Schork, & Topol,2009).Yet, twenty-?rstcenturyhealth-careconsumers, providers, and policy makers face these choices now about incorporating personal genetic information into health management and often do so without a complete and accurate understanding of the potential impact of their decisionsonmultiplelevels(Carlson,2009).
This volume presents a systematic review of interprofessional
education in health and social care. This is accompanied by a
wider-ranging critique of interprofessional education, grounded by
experience, and informed by sources beyond the evaluations that
qualified for inclusion in the review. Synthesising the evidence
base for interprofessional education nevertheless remains central,
with 353 studies surveyed in the first instance, from which 107
studies form the basis for the final analysis.
The book does much more than amass evidence. It revisits conventional wisdom; setting an agenda to help interested parties perform better by applying lessons learned, remedying weaknesses and renewing efforts to address unanswered questions. The first three chapters set the scene for the systematic review and its findings. The middle section of the book articulates the findings of the review. Finally, the closing chapters consider values and attitudes, theoretical perspectives and offer conclusions.
Arguments, assumptions and evidence in this publication are presented to inform policy making, programme planning, teaching and research.
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