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Books > Medicine > General issues > Public health & preventive medicine > General
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.
In recent years, the ways in which food is produced, distributed, and consumed have emerged as prominent health and social issues. With rising concern about rates of obesity, food systems have attracted the attention of state actors, leading to both innovative and controversial public health interventions, such as citywide soda bans, "veggie prescription" initiatives, and farm-to-school programs. At the same time, social movement activism has emerged focused on issues related to food and health, including movements for food justice, food safety, farm worker's rights, and community control of land for agricultural production. Meanwhile, many individuals and families struggle to obtain food that is affordable, accessible, and meaningfully connected to their cultures. Volume 18 of Advances in Medical Sociology brings cutting-edge sociological research to bear on these multiple dimensions of food systems and their impacts on individual and population health. This volume will highlight how food systems matter for health policy, health politics, and the lived experiences and life chances of individuals and communities.
Winner of the 2022 Cheryl Frank Memorial Prize. Critical realism, as a toolkit of practical ideas, helps researchers to extend and clarify their analyses. It resolves problems arising from splits between different research approaches, builds on the strengths of different methods and overcomes their individual limitations. This original text draws on international examples of health and illness research across the life course, from small studies to large trials, to show how versatile critical realism can be in validating research and connecting it to policy and practice. To meet growing demand from students and researchers, this book is based on the course at UCL, first taught by Roy Bhaskar, the founder of critical realism.
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.
The Devil and Dr. Fauci is an unsparing critique of what author James Driscoll calls the "Drug Testing, Licensing, and Marketing Complex," or DTLM. Quietly dominating America's healthcare industry, the DTLM poses threats comparable in magnitude, if not in character, to those of the Military-Industrial Complex. With a satiric scalpel reminiscent of Jonathan Swift's, Driscoll eviscerates the DTLM's avatar Dr. Anthony Fauci, our age's version of the archetypal Dr. Faustus. He exposes Fauci's pivotal position in the DTLM, at whose core is the U.S. Food and Drug Administration. The FDA, Driscoll asserts, has long played Mephistopheles to Fauci's Faustus, with grave consequences for American healthcare. Dr. Driscoll's book is the first to upbraid the DTLM, FDA, and Fauci for exacerbating the Covid-19 crisis. Seeking to maximize profits from patentable vaccines, they rigorously suppressed off patent prophylaxis and treatment alternatives. This was but one of many DTLM follies that raised Covid's death toll and increased its socio-economic devastation. Other prominent follies were the mask posturing, arbitrary lockdowns, and closing of churches and schools that the DTLM and its political allies used to distract from their sacrifice of public health to their own agendas. We may never know if the Chinese deliberately released the Covid-19 virus, or if they created it. Yet the world now knows the destructive potential of gain of function technology. Similar epidemics or worse will strike us. To survive next time, we will need radical reforms in the FDA and transparency for the DTLM. But the opaque FDA bureaucracy, Driscoll concludes, is only one instance in our greater problem of deficient oversight within all of our increasingly powerful and ever less accountable federal bureaucracies.
This volume of Research in the Sociology of Health Care analyses micro-level gender issues and other social factors impacting macro-level health care systems. Examining the health and health care issues of patients and providers of care both in the United States and in other countries, chapters focus on linkages to policy and population concerns as ways to meet global health care needs.
Sacred Spark is the compelling true story of a child affected by mercury-poisoning and his minister-mother s decade-long battle to restore the light in his eyes. It is also the inspiring story of Reverend Sykes' work with the United Methodist Church to pass the first global resolution advocating the elimination of mercury from medicine, a nascent social justice movement on par with historical faith-based campaigns against child labor and slavery. With pragmatism and compassion, Sacred Spark calls for putting the well-being of children first. Through Sacred Spark s unflinchingly honest, first-person account, parents and physicians demanding safer vaccines will find clarity to support their informed choices as well as inspiration and guidance to become advocates for children. Woven seamlessly into the book s engrossing narrative are Rev. Sykes victories in appropriate and landmark biomedical treatments for her son, the success of empowered parents to enact state bans on mercury and to approach Attorney Generals across the country, attempts to find precious allies against a corrupt and protected industry, and her family s lawsuit defeat against a pharmaceutical company. As a Princeton Theological Seminary graduate and minister of 19 years, Rev. Sykes inspires the reader to go beyond compromised scientific studies and profit-driven political debates, and examine the mercury/autism issue through the first-hand experience of a mother and the faith and conviction of a minister. Sacred Spark ultimately teaches us that it is ordinary people who ignite the fire of reform.
In 1950, a diagnosis of cancer was all but a death sentence. Mortality rates only got worse, and as late as 1986, an article in the New England Journal of Medicine lamented: We are losing the war against cancer." Cancer is one of humankind's oldest and most persistent enemies it has been called the existential disease.But we are now entering a new, and more positive, phase in this long campaign. While cancer has not been cured,and a cure may elude us for a long time yet,there has been a revolution in our understanding of its nature. Years of brilliant science have revealed how this individualistic disease seizes control of the foundations of life,our genes,and produces guerrilla cells that can attack and elude treatments. Armed with those insights, scientists have been developing more effective weapons and producing better outcomes for patients. Paul A. Marks, MD, has been a leader in these efforts to finally control this devastating disease.Marks helped establish the strategy for the war on cancer" in 1971 as a researcher and member of President Nixon's cancer panel. As the president and chief executive officer for nineteen years at the world's pre-eminent cancer hospital, the Memorial Sloan-Kettering Cancer centre, he was instrumental in ending the years of futility. He also developed better therapies that promise a new era of cancer containment. Some cancers, like childhood leukemia and non-Hodgkin's lymphoma, that were once deadly conditions, are now survivable,even curable. New steps in prevention and early diagnosis are giving patients even more hope. On the Cancer Frontier is Marks' account of the transformation in our understanding of cancer and why there is growing optimism in our ability to stop it.
Without Samuel J. Crumbine and his Kansas Department of Health, diseases festering in water sources, food, and the common towel at the turn of the 20th century would have caused thousands of deaths in the United States and beyond. Crumbine and his associates paved the way to better treatment of tuberculosis and other common diseases. This well-written account leads the reader down a path of crucial medical advancements. Samuel J. Crumbine was a medical educator without peer, who used his department of health to disseminate the latest developments he and others throughout the world were achieving in public health. He found it necessary to propagandize a skeptical and sometimes hostile public to accept the germ theory, the idea that invisible microbes were making them ill and that they should clean up their environment and their food and water sources. He had to convince the public to rely on modern medicine, not snake oil and other miracle cures for a healthy living. R. Alton Lee's historical account might offer insight in today's threat of Bird Flu and other recent medical threats for any reader.
The Deep South has seen a 36 percent increase in AIDS cases while the rest of the nation has seen a 2 percent decline. Many of the underlying reasons for the disease's continued spread in the region-ignorance about HIV, reluctance to get tested, non-adherence to treatment protocols, resistance to behavioral changes-remain unaddressed by policymakers. In this extensively revised second edition, Kathryn Whetten and Brian Wells Pence present a rich discussion of twenty-five ethnographic life stories of people living with HIV in the South. Most importantly, they incorporate research from their recent quantitative study, "Coping with HIV/AIDS in the Southeast" (CHASE), which includes 611 HIV-positive patients from North Carolina, South Carolina, Georgia, Alabama, and Louisiana. This new edition continues to bring the participants' voices to life while highlighting how the CHASE study confirmed many of the themes that originally emerged from the life histories. This is the first cohesive compilation of up-to-date evidence on the unique and difficult aspects of living with HIV in the Deep South.
In this book, leading figures in the field of Developmental Origins of Health and Disease provide up-to-date information from human clinical trials, cohorts, and animal physiology experiments to reveal the interdependence between parental obesity and health of the offspring. Obesity of the mother and father produces obesity in their offspring, so we are caught up in an intergenerational cycle, which means that even our children's future health is in peril. This book gives a timely and much-needed synthesis of the mechanisms, potential targets of future interventions, and the challenges that need to be overcome in order to break the intergenerational cycle of obesity. This has profound implications for the way in which scientific, clinical and health policy activities are to be directed in order to combat the so-called epidemic of obesity, as well as diabetes, cancer and cardiovascular disease. The book will be of interest to students, clinicians, researchers and health policy makers who are either seeking an introduction to the area of Developmental Origins of Health and Disease or have a specific interest in the pathogenesis of obesity.
This unique volume explores a growing collaboration between the sport and health sectors to deliver innovative public health interventions in the community. It explores the role of sport and sports settings as a vehicle for achieving health outcomes, as well as some of the practical and moral challenges presented by sport and public health partnerships working together. Twenty detailed examples illustrate the broad range of programs which have already been developed around the world, from across the spectrum of public health activity. Chapters include: * Time Out for Your Health: A sports-based health intervention approach with American football teams* Promoting Mental Wellbeing in Rugby League communities* Slum Soccer - female empowerment through football* Football 4 Peace* Sport as a post-disaster psychosocial intervention for children in Bam, Iran* Sex and Sport: An Australian rules football-based chlamydia screening initiative As well as showcasing what has been achieved in this exciting new field, Sports-based Health Interventions shares valuable advice and lessons learnt to inform the next generation of sports-based public health initiatives.
Pediatricians in the Unites States and around the World continue to face a myriad of global health threats affecting child and adolescent health including: 1) infectious diseases of poverty [e.g. human immunodeficiency virus (HIV), tuberculosis, malaria, and neglected tropical diseases] in low-and middle-income countries (LMIC), especially in sub Saharan Africa; 2) emerging and reemerging infectious diseases (such as Ebola); 3) rise of non-communicable diseases (e.g. common mental disorders); 4) unintentional injuries; and 5) environmental health hazards (e.g. climate change). Despite the promising news about rapid declines in maternal and child mortality in the era of Millennium Development Goals (MDGs), which originated from the United Nation (UN) Millennium Declaration in 2000, only 20% and 7% of LMIC are currently on track to attain the maternal and child mortality targets. For example, 44% of deaths in children younger than 5 years occur in neonates. Besides discovery of life-saving interventions (e.g. development of new and improved vaccines) for maternal and child health, we also need to do a better job at bridging the knowledge-implementation gap and increase the effectiveness of proven interventions. For example, despite the availability of effective vaccines to prevent pneumococcal pneumonia, rotavirus gastroenteritis, and human papilloma virus-related diseases (e.g. cervical cancer), use of these vaccines remain suboptimal in LMIC. We need to recognize that global health is also local public health. For example, improving access, equity and quality of care for orphans and vulnerable children, immigrant and newly arrived refugee children in the U.S. remains a challenge. Timely access to psychiatric care for children and adolescents with mental illness is a major concern. The explosion of new age technology (such as the internet) also poses a considerable risk to children and adolescents. Pediatricians also need to be aware of diverse socio-cultural determinants of health and ethical issues in global health service and delivery. This issue of Pediatric Clinics of North America aims to address the above crucial global health challenges affecting children and adolescents. As practicing pediatricians, we have the unique opportunity to influence local and global public health. In the post-MDG era (beyond 2015), collaborative partnerships between various disciplines and across research, education and service is vital to reduce health inequities in children worldwide.
This informative text details the many changes in everyday life as the result of injury, illness, or aging affecting the brain. Experts across brain-related fields trace mechanisms of conditions such as Parkinson's disease, TBI, and dementia as they impact regions of the brain, and resulting cognitive, emotional, sensory, and motor impairments as they contribute to deficits in personal and social functioning. In addition to symptoms and behaviors associated with insults to the brain (and the extent to which the brain can adapt or self-repair), chapters provide cogent examples of how societal and cultural expectations can shape the context and experience of disability. The book's focus on everyday activities brings new clarity to diverse links between symptoms and diagnosis, brain and behavior. Included in the coverage: *The aging brain and changes in daily function. *Stroke: impact on life and daily function. *Traumatic brain injury (TBI) and the impact on daily life. *Everyday life with cancer. *Real-world impact of HIV-associated neurocognitive impairment. *Disability and public policy in America. *Living after brain changes, from the patient's perspective. Rich in empirical data and human insight, Changes in the Brain gives neuropsychologists, clinical psychologists, clinical social workers, and rehabilitation nurses a robust new understanding of the daily lives of patients, both in theory and in the real world.
This multidisciplinary analysis links epidemiologic, cultural, social, and medical analyses of cancer prevention, detection, and care. The contributors demonstrate that different ethnic groups and cultures have distinct concepts of cancer prevention and control. These ideas are dynamic, shaped by personal and group histories, social networks, technologies, politics, economics, religions, linguistics, and other environmental conditions. Cross-cultural writings about cancer make this book useful to professionals and students in the disciplines of medicine, nursing, public health, sociology, anthropology, and social welfare. The 15 articles reveal that cancer knowledge, attitudes, and behaviors are diverse cross-cultural constructs resulting from distinct experiences. Ideas and behaviors about prevention and control may be shared or individual and idiosyncratic. The book is composed of three sections: I. Cancer Beliefs and Behaviors; II. Interventions in Review; III. New Strategies for Cancer Research. The authors, including anthropologists, epidemiologists, health educators, nurses, and physicians, explicate notions of prevention and control, and assess interventions and methodologies that illustrate generally ignored successes in decreased mortality and morbidity among members of specific populations.
Unintentional injuries, including car crashes, drowning, burns, poisoning, and suffocation, are a leading cause of death to young children. Child abuse, infectious diseases, and food poisoning also affect children under five. This bibliography provides information useful to those who care for young children, who are doing research on how to prevent injuries, or who supervise or train people who care for children either in child care or home settings. The volume is organized by types of injuries, and each section includes references providing information about prevalence, risk factors, specific hazards, and prevention techniques for the the injury area. Unintentional injuries, including car crashes, drowning, burns, poisoning, and suffocation, are a leading cause of death to young children. Child abuse, infectious diseases, and food poisoning also affect children under five. This bibliography provides information useful to those who care for young children, who are doing research on how to prevent injuries, or who supervise or train people who care for children either in child care or home settings. The volume is organized by types of injuries, and each section includes references providing information about prevalence, risk factors, specific hazards, and prevention techniques for the injury area. The opening chapter of the book includes references that address injury prevention in general or more than one injury class as well as curriculum guides and other training materials addressing more than one injury class. The remaining chapters address individual injury classes. Each chapter opens with a summary of findings related to the injury prevention topic.
"Plague Doctors" highlights culturally based differences between French and American medicine, not only in health care delivery, but in the way each system constructs the interaction between disease and the human body. This work challenges the assumption that biomedicine is uniform across the western world. The author, a medical doctor and anthropologist, provides an ethnographic look into the daily experiences of physicians and researchers, examining how members of the French and American medical communities construct their models of AIDS through discourse and practice. The book is based on a comparative study of two AIDS clinics, one in Chicago and the other in Paris. Participant observation conducted at the clinics and interviews with physicians and researchers outside the sites yielded important insights into the world of AIDS medicine. |
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