With the debate over health care consuming the nation, this timely book looks at the evolution of healthcare policy in the United States throughout its history. Concise, authoritative, and unbiased, The Healthcare Debate provides meaningful context for thinking about one of the most controversial public policy issues the United States faces. It traces the evolution of the argument over the government's role in healthcare financing and delivery since the early 1800s, with an emphasis on the major reform efforts since the mid-20th century. Following the complex dynamics of public health policy across U.S. history, The Healthcare Debate brings together a wide range of voices on the subject—presidents, policymakers, reformers, lobbyists, and everyday citizens. Each of its eight chronologically organized chapters focuses on the battle over government involvement in healthcare in a specific era, drawing on historic documents and the latest retrospective research. With President Obama making healthcare reform his top domestic priority in his first year in office, this remarkable new book could not be more timely.

Written by a pediatrician for pediatric clinicians on the front line in response to the ever increasing obligations they acquire for the well being of children, this book focuses on the potential of health care to impact the social morbidities that affect children's health. Dr. Rushton does not suggest that child health practitioners must do more, but rather they must reorient their efforts in order to achieve optimal outcomes for children. As specialists in child health, pediatric clinicians have skills they can utilize to ensure better outcomes for children, but doing so will require a reorganization of health supervision and the establishment of links with other social services. Group visits, psychosocial screening, school health, public-private partnerships, home visitation, parent-child centers, and use of auxiliary anticipatory guidance specialists are all tools described in the development of a coordinated, community-based, family-centered approach to pediatric health care supervision. This is a book for private practitioners, community health professionals, academicians who support them, and all those others who want to ensure that our children are nurtured by the child health care system. The crux of this book is to provide a template for thoughtful consideration by the thousands of pediatric providers who care deeply about their profession.

This data-rich volume reviews short- and long-term consequences of residential or institutional care for children across the globe as well as approaches to reducing maltreatment. Up-to-date findings from a wide range of developing and developed countries identify forms of abuse and neglect associated with institutionalization and their effects on development and pathology in younger children, adolescents, and alumni. The sections on intervention strategies highlight the often-conflicting objectives facing professionals and policymakers balancing the interests of children, families, and facilities. But despite many national and regional variations, two themes stand out: the universal right of children to live in safety, and the ongoing need for professionals and community to ensure this safety. Included among the topics: Maltreatment and living conditions in long-term residential institutions for children Outcomes from institutional rearing Recommendations to improve institutional living Historical, political, socio-economic, and cultural influences on Child Welfare Systems Latin American and the Caribbean, African, Asian, Middle-Eastern, Western and Eastern European countries and the United States of America are presented. Child Maltreatment in Residential Care will inform psychology professionals interested in the role of residential care in the lives of children, and possibilities for improved outcomes. It will also interest social workers and mental health practitioners and researchers seeking evidence-based interventions for families adopting children from residential care.

Publications in this field have, in general, been based predominantly on the experiences of individual national settings. Migration, Health and Survival offers a comparative approach, bringing together leading international scholars to provide original works from the United States, Canada, Australia, France, Germany, England and Wales, Norway, Belgium, and Italy. Variations in physical and mental health and mortality among migrants in relation to their host populations are examined and analyzed in detail, with specific discussion of: the immigrant health and mortality advantage; the healthy migrant hypothesis; migrants as vulnerable populations; the long-term effects of acculturation on health; fast epidemiological transition among migrants; and the intergenerational transmission of mortality risk. The contributions in this volume enhance the reader's understanding of immigrant health and mortality conditions across these leading countries of immigration in the western world. This is an important reference for researchers of migrant studies as well as teachers of graduate level courses in population studies and allied disciplines. Practitioners involved in the provision of health care to immigrants and refugees will further benefit from the insightful analyses. Contributors include: O. Anikeeva, P. Bi, N. Biddle, P. Brzoska, G. Caselli, P. Deboosere, M. Guillot, M. Khlat, L. Liu, S. Loi, D. Manuel, K.B. Newbold, E. Ng, B. Oppedal, D. Ponka, O. Razum, C. Sanmartin, G.K. Singh, S. Strozza, F. Trovato, J. Tu, H. Vandenheede, M. Wallace, S.G. Weldeegzie, L. Wilkinson

A description of the social, educational, and economic impact of living with a neurological genetic disorder, neurofibromatosis 1. The many unpredictable and potentially stigmatizing possible symptoms of NF1, which range from physical disfigurement to severe learning disorders, may have serious consequences in every aspect of daily life. NF1 was for many years wrongly diagnosed as the Elephant Man's Disease.

Ablon examines the psychosocial costs of this misdiagnosis and the ways in which stage, screen, and television parlayed The Elephant Man into the personification of the grimmist extreme of ugliness. This portrayal engendered fear and anxiety for affected persons and their families and also had an impact on the scientific and medical communities. Ablon analyzes the factors that affect individual positive adaptation to NF1 and the demands of American society, and offers suggestions for families, support systems, and health care providers for treatment of affected individuals.

For parents, few infections scored higher than poliomyelitis on the 'dread' factor from the early years of the twentieth century as each successive wave of the disease outdid its predecessor in the number of children it crippled and killed. But, from the 1950s, this picture abruptly changed when preventive vaccines were developed which have brought the disease to the edge of global eradication. Part I, Epidemic Emergence, 1881-1920, looks at the transition from endemic to epidemic poliomyelitis in Europe and the United States. Part II, Global Expansion, 1921-55, covers the pre-vaccination period of epidemic poliomyelitis at world, continental and island scales. Part III, Global Retreat, 1955-88, focuses upon the control of poliomyelitis by mass vaccination campaigns. Part IV, Global Eradication, concludes the book by focusing upon the road to eradication, to which the Forty-first World Health Assembly committed in 1988. And so, at the beginning of a new millennium, poliomyelitis looks set to be the first disease since smallpox in 1979 to be eradicated by direct human intervention, with the interruption of wild poliovirus transmission expected in 2005. The evolution of poliomyelitis to global epidemiological significance from the 1920s marks it out as one of the world's major emergent infections of the twentieth century. What causes diseases to wax and wane in time and space is a theme of contemporary scientific interest as we seek to understand the appearance of new conditions such as Ebola fever, Legionnaires' disease, and HIV, and this book contributes to our comprehension of likely causes.

The set of techniques known collectively as real-time data capture (RTDC) is becoming increasingly important in medical research. Based on the collection of data in people's typical environments, RTDC is primarily used with self-reported data, such as medical symptoms and psychological states. Now, its guiding principles and supporting technologies also provide a framework for scientists to monitor physiological information such as heart rate, blood pressure, and skin conductance. This volume gives the most complete view yet of the state of RTDC science and its potential for use across the health and behavioural sciences.

Now in its third edition, this textbook serves to frame understandings of health, health-related behavior, and health care in light of social and health inequality as well as structural violence. It also examines how the exercise of power in the health arena and in society overall impacts human health and well-being. Medical Anthropology and the World System: Critical Perspectives, Third Edition includes updated and expanded information on medical anthropology, resulting in an even more comprehensive resource for undergraduate students, graduate students, and researchers worldwide. As in the previous versions of this text, the authors provide insights from the perspective of critical medical anthropology, a well-established theoretical viewpoint from which faculty, researchers, and students study medical anthropology. It addresses the nature and scope of medical anthropology; the biosocial and political ecological origins of disease, health inequities, and social suffering; and the nature of medical systems in indigenous and pre-capitalist state societies and modern societies. The third edition also includes new material on the relationship between climate change and health. Finally, this textbook explores health praxis and the struggle for a healthy world.

This series provides a variety of different discussions on topics within the field of growth factors and cytokines in health and disease.

This volume details protocols that broadly cover many aspects of basic and translational research on Borrelia burgdorferi. Chapters guide readers through epidemiology and ecology, cultivation, cell structure, physiology, genomics and transcriptomics, proteomics, animal infection, pathogenesis and host responses, and vaccines. These essential protocols incorporate the most recent, practical, and innovative research tools aiding new and experienced researchers in their studies involving the biology, pathogenesis, and prevention of B. burgdorferi infection. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and cutting-edge, Borrelia burgdorferi: Methods and Protocols aims to ensure successful results in the further study of this vital field of biomedical research.

This issue of Medical Clinics, guest edited by Drs. Marc Shalaby and Edward Bollard, is devoted to Quality Patient Care: Making Evidence-Based, High Value Choices. Articles in this issue include: Cardiovascular testing in asymptomatic patients: carotid duplex, cardiac stress testing, screen for PVD; Utility of echocardiogram in the evaluation of heart murmurs; Evidenced-based recommendations for the evaluation of palpitations in the primary care setting; Radiologic evaluation of common orthopedic complaints: low back pain, non-traumatic knee/shoulder/hip pain, and ankle injuries; Indications and usefulness of common injections for non-traumatic orthopedic complaints - shoulder, trochanteric bursa, epidural injections, tennis elbow, and knee; The evidence-based evaluation of chronic cough; Evaluation of uncomplicated headache; Evaluation of syncope; Pre-operative assessment: Cataract surgery, pre-operative EKG testing, screening for cardiopulmonary disease, urinalysis, coagulation studies, other lab assessments; The approach to occult GI bleed; The role of EGD surveillance for patients with Barrett's esophagus; The evidence-based evaluation of iron deficiency anemia; Cancer screening in the elderly; Utilization and safety of common over the counter dietary/nutritional supplements, herbal agents and homeopathic compounds for disease prevention; Utilization of oxygen for the patient with dyspnea; IV fluids, enteral or parenteral nutrition; and Symptom control at the end of life.

For your physician to give you quality medical care, you must be aware of your medical history and issues. Here's how you can help your medical provider:

Learn about your risk factors and current medical diagnoses Ask questions when you don't understand Obtain second, third, or more opinions Maintain copies of your medical records Review these records often Keep yourself educated

The medical profession is depending on you to help them keep you healthy

How can we all work together to eliminate the avoidable injustices that plague our health care system and society? Health is determined by far more than a person's choices and behaviors. Social and political conditions, economic forces, physical environments, institutional policies, health care system features, social relationships, risk behaviors, and genetic predispositions all contribute to physical and mental well-being. In America and around the world, many of these factors are derived from a lingering history of unequal opportunities and unjust treatment for people of color and other vulnerable communities. But they aren't the only ones who suffer because of these disparities-everyone is impacted by the factors that degrade health for the least advantaged among us. In Why Are Health Disparities Everyone's Problem? Dr. Lisa Cooper shows how we can work together to eliminate the injustices that plague our health care system and society. The book follows Cooper's journey from her childhood in Liberia, West Africa, to her thirty-year career working first as a clinician and then as a health equity researcher at Johns Hopkins University. Drawing on her experiences, it explores how differences in communication and the quality of relationships affect health outcomes. Through her work as the founder and director of the Johns Hopkins Center for Health Equity, it details the actions and policies needed to reduce and eliminate the conditions that are harming us all. Cooper reveals with compelling detail how health disparities are crippling our health care system and society, driving up health care costs, leading to adverse health outcomes and ultimately an enormous burden of human suffering. Why Are Health Disparities Everyone's Problem? demonstrates the ways in which everyone's health is interconnected, both within communities and across the globe. Cooper calls for a new kind of herd immunity, when a sufficiently high proportion of people, across race and social class, become immune to harmful social conditions through "vaccination" with solidarity among groups and opportunities created by institutional and societal practices and policies. By acknowledging and acting upon that interconnectedness, she believes everyone can help to create a healthier world. Features * Raises readers' health care inequities literacy through an approachable narrative with specific examples * Introduces the concept of "herd immunity" as it applies to building communal awareness of systemic injustices * Features sections that underscore key takeaways * Includes contributions from the world's leading minds through their research findings and quotations * Guides readers on what can be done at an individual level as a patient, public health professional, and community member * Includes inspiring stories of effective health equity studies and practices around the world, from Ghana's ADHINCRA Project addressing hypertension control to Baltimore's BRIDGE Study for depression in African Americans and the Maryland and Pennsylvania-based RICH LIFE Project for hypertension, diabetes, and other medical conditions Johns Hopkins Wavelengths In classrooms, field stations, and laboratories in Baltimore and around the world, the Bloomberg Distinguished Professors of Johns Hopkins University are opening the boundaries of our understanding of many of the world's most complex challenges. The Johns Hopkins Wavelengths book series brings readers inside their stories, illustrating how their pioneering discoveries benefit people in their neighborhoods and across the globe in artificial intelligence, cancer research, food systems' environmental impacts, health equity, science diplomacy, and other critical arenas of study. Through these compelling narratives, their insights will spark conversations from dorm rooms to dining rooms to boardrooms.

Recovering Assemblages offers an exciting new insight into the policies and practices of recovery and drug use bridging critical drug studies and the sociology of health and illness. The book investigates lived experiences of young people in Azerbaijan and Germany during their personal recovery from alcohol and other drug use and shows the contingency of 'real' experiences. The sociomaterial and ontological analyses unfold the interrelation of practices, spaces, bodies, and affects in experiencing recovery both within and outside of various treatment facilities. The book will appeal to a range of scholars, postgraduates, and undergraduates engaged in critical, methodological, and empirical studies of recovery, drug use, and policy.

This book assesses harmful effects of plastics on the environment and public health. Risk assessment of plastics is required to evaluate currently available treatment technologies and identify the significance of plastic pollution. This book covers background information concerning plastic pollution in the environment, sources and pathways of plastics, characterization and analysis of plastics in the environment, environmental risks of plastics, public health risk of plastics, life cycle approaches in assessing plastic pollution, preventive measures of plastic pollution, fate and transport of plastics, and summary and outlook. The content of the book focuses on assessment of risks of plastics (including nano- and micro-plastics) released into the environment, and it is designed to educate fundamental aspects of plastic materials, including potential risks to the public health and environment, approaches to assessing their harmful effects, prevention of plastic pollution, and environmentally sound technologies for recycling plastics and/or converting them into renewable energy sources. Readers, particularly those in the field of toxicology, materials, environmental policy, public health, and water treatment, benefit from this book's content and educational features, in perspectives of providing knowledge in the environmental field, namely the current status and technology developments for avoiding or minimizing plastic contamination, case studies used to assess environmental and public health risks of micro- and nano-plastics, and educational recommendations in resolving issues with global plastic pollution.

This book discusses the socioeconomic effects of Right-to-Work (RTW) laws on state populations. RTW laws forbid requiring union membership even at union-represented worksites. The core of the 22 long-term RTW states was the Confederacy, cultural descendants of rigidly hierarchical agrarian feudal England. RTW laws buttress hierarchy and power imbalance which unions minimize at the worksite and by encouraging higher educational attainment, social mobility, and individual empowerment through group validation. Contrary to claims of RTW proponents, RTW and non-RTW states do not differ significantly in unemployment rates. RTW states have higher poverty rates, lower median household incomes, and lower educational attainment on average and median than non-RTW states. RTW states on average and median have lower life expectancy, higher obesity prevalence, and higher rates of all-cause mortality, early mortality from chronic conditions, child mortality, and risk behaviors than non-RTW states. The higher mortality rates result in startlingly higher annual numbers of years of life lost before age 75. Stroke mortality at age 55-64 in RTW states results in nearly 10,000 years annually lost in excess of what it would be if the mortality rate were that of non-RTW states. A review of respected publications describes the physiological mechanisms and epidemiology of accelerated aging due to socioeconomic stress. Unions challenge hierarchy directly at work-sites and indirectly through encouraging college education, social mobility, and community and political engagement. How startling that feudal hierarchy lives in 21st century America, shaping vast differences between states in macro- and micro-economics, educational attainment, innovation, life expectancy, obesity prevalence, chronic disease mortality, infant and child mortality, risk behaviors, and other public health markers! Readers will gain insight about the coming clash between feudal individualism and adaptive collectivism, and, in the last chapter, on ways to win the clash by "missionary" work for collectivism.

Public health is an important and fast-developing area of ethical discussion. In this volume a range of issues in public health ethics are explored using the resources of moral theory, political philosophy, philosophy of science, applied ethics, law, and economics. The twelve original papers presented consider numerous ethical issues arise within public health ethics. To what extent can the public good or the public interest justify state interventions that impose limits upon the freedom of individuals? What role should the law play in regulating risks? Should governments actively aim to change our preferences about such things as food, smoking or physical exercise? What are public goods, and what role (if any) do they play in public health? To what extent do individuals have moral obligations to contribute to protecting the community or the public good? Where is it appropriate to concentrate upon prevention rather than cure? Given the fact that we cannot be protected from all harm, what sorts of harm provide a justification for public health action? What limits do we wish to place upon public health activities? How do we ensure that the interests of individuals are not set aside or forgotten in the pursuit of population benefits? An excellent line-up of authors from North America, Europe, and the UK tackle these questions.

This handbook fills major gaps in the child and adolescent mental health literature by focusing on the unique challenges and resiliencies of African American youth. It combines a cultural perspective on the needs of the population with best-practice approaches to interventions. Chapters provide expert insights into sociocultural factors that influence mental health, the prevalence of particular disorders among African American adolescents, ethnically salient assessment and diagnostic methods, and the evidence base for specific models. The information presented in this handbook helps bring the field closer to critical goals: increasing access to treatment, preventing misdiagnosis and over hospitalization, and reducing and ending disparities in research and care. Topics featured in this book include: The epidemiology of mental disorders in African American youth. Culturally relevant diagnosis and assessment of mental illness. Uses of dialectical behavioral therapy and interpersonal therapy. Community approaches to promoting positive mental health and psychosocial well-being. Culturally relevant psychopharmacology. Future directions for the field. The Handbook of Mental Health in African American Youth is a must-have resource for researchers, professors, and graduate students as well as clinicians and related professionals in child and school psychology, public health, family studies, child and adolescent psychiatry, family medicine, and social work.

This third and final volume of Richard Jessor's collected works explores the central role of the social context in the formulation and application of Problem Behavior Theory. It discusses the effect of the social environment, especially the social context of disadvantage and limited opportunity, on adolescent behavior, health, and development. The book examines the application of the theory in social contexts as diverse as the inner cities of the United States; the slums of Nairobi, Kenya; and the urban settings of Beijing, China. It also provides insight into how adolescents and young adults manage to "succeed", despite disadvantage, limited opportunity, and even dangers in their everyday life settings. It illuminates how these youth manage to stay on track in school, avoid unintended pregnancy and dropout, keep clear of the criminal justice system, and remain uninvolved in heavy drug use. In addition, the book discusses the conceptual and methodological issues entailed in engaging the social context, including the role of subjectivity and meaning in an objective behavioral science; the contribution of the perceived environment in determining behavior; the continuity that characterizes adolescent growth and development; the necessity for a social-psychological level of analysis that avoids reductionism; the importance of a framework that engages the larger social environment; and the advantage of adhering to systematic theory for the explanatory generality it yields. Topics featured in this volume include: Home-leaving and its occurrence among youth in impoverished circumstances. The continuity of adolescent developmental change. The impact of neighborhood disadvantage on successful adolescent development. Successful adolescence in the slums of Nairobi, Kenya. Explaining both behavior and development in the language of social psychology. Problem Behavior Theory and the Social Context is a must-have resource for researchers, professors, clinicians, and related professionals as well as graduate students in sociology, social and developmental psychology, criminology/criminal justice, public health, and allied disciplines.

Inner Hygiene explores the serious health threat of constipation, and discusses the extraordinary variety of preventive and curative measures that have been developed to save people from the toxic effects of intestinal irregularity. The book examines the evolution over the last two centuries of the belief that constipation is a disease brought on by an unnatural lifestyle of urban, industrial society. Particular attention is given to the many constipation therapies that people have used, including laxatives, enemas, mineral waters, bran cereals, yogurts, electrotherapy, calisthenics, rectal dilation devices, and many other remedies. The story is carried up to the present and demonstrates that many of constipation therapies of the nineteenth and twentieth centuries are continuing into the twenty-first.