This book examines the gender context of HIV and critiques the global policy response. Anderson contributes to the feminist task of de-invisibilising gender as structural violence and identifies how gendered power structures are responded to at the local level in Malawi.

This book provides a holistic study of the physical and mental health conditions that predominate among people of color. By presenting a thorough review of Third World cultural values, beliefs, and behaviors centering on health care, Henderson lays a firm foundation for understanding traditional non-Western cultures. Since immigrants, women, and people of color will be 85% of the net growth in the work force by the year 2000, human services professionals who assist people of color in state, county, and municipal agencies, nonprofit organizations, hospitals, and nursing homes will be challenged to provide assistance to an increasing number of culturally diverse clients.

The complex relationships between alcohol use and human health represent an area of increasing interest to specialists interested in preventive cardiology. The inverse relationship between alcohol consumption and the incidence of cardiovascular diseases, especially myocardial infarction and ischemic stroke, has in fact gained sound scientific support in the last few years of the 20th century. This book, based in an international symposium on the topic held in Venice, October 30-31, 1999, analyzes in depth the epidemiological association between alcohol consumption and human diseases and discusses the possible mechanisms involved in alcohol-associated protection from atherosclerotic diseases. The oxidative effects of different amounts of alcohol intake and of various alcoholic beverages in the production of these effects - subjects of considerable debate - are also analyzed. This book should be of interest to clinicians and researchers active in the areas of atherosclerosis, public health, preventive medicine, and preventive cardiology. It is intended to specifically help practising clinicians provide their patients with evidence-based answers to the most commonly asked questions regarding alcohol use.

The book demonstrates that food safety is a multidisciplinary scientific discipline that is specifically designed to prevent foodborne illness to consumers. It is generally assumed to be an axiom by both nonprofessionals and professionals alike, that the most developed countries, through their intricate and complex standards, formal trainings and inspections, are always capable of providing much safer food items and beverages to consumers as opposed to the lesser developed countries and regions of the world. Clearly, the available data regarding the morbidity and the mortality in different areas of the world confirms that in developing countries, the prevalence and the incidence of presumptive foodborne illness is much greater. However, other factors need to be taken into consideration in this overall picture: First of all, one of the key issues in developing countries appears to be the availability of safe drinking water, a key element in any food safety strategy. Second, the availability of healthcare facilities, care providers, and medicines in different parts of the world makes the consequences of foodborne illness much more important and life threatening in lesser developed countries than in most developed countries. It would be therefore ethnocentric and rather simplistic to state that the margin of improvement in food safety is only directly proportional to thelevel of development of the society or to the level of complexity of any given national or international standard. Besides standards and regulations, humans as a whole have evolved and adapted different strategies to provide and to ensure food and water safety according to their cultural and historical backgrounds. Our goal is to discuss and to compare these strategies in a cross-cultural and technical approach, according to the realities of different socio-economic, ethnical and social heritages.

This book examines the new knowledge that has been gained from the objective monitoring of habitual physical activity by means of pedometers and accelerometers. It reviews current advances in the technology of activity monitoring and details advantages of objective monitors relative to physical activity questionnaires. It points to continuing gaps in knowledge, and explores the potential for further advances in the design of objective monitoring devices. Epidemiologists have studied relationships between questionnaire assessments of habitual physical activity and various medical conditions for some seventy years. In general, they have observed positive associations between regular exercise and good health, but because of inherent limitations in the reliability and accuracy of physical activity questionnaires, optimal exercise recommendations for the prevention and treatment of disease have remained unclear. Inexpensive pedometers and accelerometers now offer the epidemiologist the potential to collect relatively precisely graded and objective information on the volume, intensity and patterns of effort that people are undertaking, to relate this data to past and future health experience, and to establish dose/response relationships between physical activity and the various components of health. Such information is important both in assessing the causal nature of the observed associations and in establishing evidence-based recommendations concerning the minimal levels of daily physical activity needed to maintain good health.

This book presents a review of Deleuze s key methods and concepts in the course of exploring how these methods may be applied in contemporary studies of health and illness. Taken from a Deleuzian perspective, health and wellbeing will be characterized as a discontinuous process of affective and relational transitions.

The book argues that health, conceived in terms of the quality of life, is advanced or facilitated in the provision of new affective sensitivities and new relational capacities. Following an assessment of Deleuze s key ideas, the book will offer a series of case studies designed to illustrate how Deleuze s ideas can be applied to select health problems. This analysis draws out the specific advantages of a Deleuzian approach to public health research, establishing grounds for more widespread engagement with Deleuze s ideas across the health and social sciences."

This volume is based on a multidisciplinary approach towards biological and chemical threats that can, and have been previously used in bioterrorism attacks around the globe. Current knowledge and evidence-based principles from the fields of synthetic biology, microbiology, plant biology, chemistry, food science, forensics, tactics, infective medicine, psychology and others are compiled to address numerous aspects and the complexity of bioterrorism attacks. The main focus is on biological threats, especially in the context of synthetic biology and its emerging findings that can be observed as possible threat and tool. The book examines microorganisms and their possible use in forensics, i.e. as possible detection tool that could enable fast and precise detection of possible treats. A number of plant derived components are also discussed as possible agents in bioterrorism attacks, and in relation to infectious disease pathology. Another integral part is food safety, especially in terms of large food supply chains, like airline caterings, institutionalized kitchens etc. Food can be observed as a possible mean of delivery of various agents (biological and chemical) for bioterrorism attacks. Steps on how to recognize specific critical points in a food supply chain, along with proposed corrective activities are discussed. Examples from around the globe, along with the methodological approach on how to differentiate bioterrorism attacks from other epidemics are provided. However, epidemics are also discussed in the context of migrations, with the special emphasis on the current refugee migrations that affect not only Europe, but also the United States. The book will be of interest to experts from various fields of science as well as professionals working in the field. The book encompasses examples and tools developed for easier, more specific, and faster detection of possible bioterrorism treats, along with proposed actions for some aspects of a bioterrorism attack.

By bringing together top-notch demographers, sociologists, economists, statisticians and public health specialists from Asia, Africa, Europe, and North America to examine a wide variety of public and private issues in applied demography, this book spans a wide range of topics. It evaluates population estimates and projections against actual census counts and suggests further improvement of estimates and projection techniques and evaluation procedures; new techniques are proposed for estimating families and households and particular attention is paid to the much-discussed topic of access to health care. Coverage extends to factors influencing health status and elder abuse, child bearing and labor market analysis and the effects of education on labor market outcomes of native white American and immigrant European populations.

Methodologically rigorous and pragmatically useful, "Emerging Techniques in Applied Demography "also examines a wide variety of public and private issues under the field of applied demography. It provides a broad overview of research topics and also reflects substantial development in the field of applied demography. It also bridges the gap between theory and research by providing several examples of work of distinguished applied demographic.

This thesis presents a comprehensive analysis of the global health impacts of polycyclic aromatic hydrocarbons (PAHs) in ambient air, conducted on the basis of a high-resolution emission inventory, global chemical transport modeling, and probabilistic risk assessment. One of the main strengths of the thesis is the concentration downscaling process, which provides a linkage between emissions and exposure concentrations at a comparatively high resolution. Moreover, by focusing on individual susceptibility, the thesis proposes an instrumental revision of current risk assessment methodology and argues that, if individual susceptibility were not taken into consideration, the overall risk would be underestimated by 55% and the proportion of highly vulnerable populations would be underestimated by more than 90%.

This authoritative reference examines in depth the myriad challenges facing pediatric cancer survivors and proposes a robust framework for structured follow-up of these patients through adulthood. Approaches to long-term follow-up include both established models of care and targeted models of lifelong surveillance of late effects by bodily systems and neurological outcomes. Sections devoted to quality of life and re-entry after treatment focus on key concerns such as health risk behaviors, school and career issues, psychological challenges, and care disparities. And a robust resources section adds extra usefulness to the expert coverage. Among the Handbook's topics: * Developmental considerations in the transition from child and adolescent to adult survivorship. * Long-term follow-up roadmaps by disease and treatment. * Neuropsychological effects of pediatric brain tumors and associated treatment. * Building resiliency in childhood cancer survivors: a clinician's perspective. * School issues and educational strategies for survivors of childhood cancer. * Educating and preparing the childhood cancer survivor for long-term care: a curriculum model for cancer centers. A work of rare scope, scholarship, and clinical acumen, the Handbook of Long-Term Care of the Childhood Cancer Survivor is a rewarding, practice-building resource essential to a wide range of healing professionals, including primary care physicians, pediatricians, oncologists, nurses, psychologists, neuropsychologists, child psychologists, and licensed therapists.

This collection addresses whether ethicists, like authorities in other fields, can speak as experts in their subject matter. Though ethics consultation is a growing practice in medical contexts, there remain difficult questions about the role of ethicists in professional decision-making. Contributors examine the nature and plausibility of moral expertise, the relationship between character and expertise, the nature and limits of moral authority, how one might become a moral expert, and the trustworthiness of moral testimony. This volume engages with the growing literature in these debates and offers new perspectives from both academics and practitioners. The readings will be of particular interest to bioethicists, clinicians, ethics committees, and students of social epistemology. These new essays promise to advance discussions in the professionalization and accreditation of ethics consultation.

In concept and practice, public health casts a wide net, spanning assessment, intervention, and policy; education, prevention, and protection; public, private, and government entities. But key elements are often missing from the picture, including a clear understanding of public health and its goals by the general public, and specific public health education throughout the workforce.

"Public Health Practice" responds to these and related challenges by elegantly summarizing the state of the field in an era of dwindling budgets, competing and overlapping services, and a shaky professional infrastructure. In keeping with public health goals set out by the CDC and other leading agencies, the author makes a real-world case for standardizing training, establishing best practices in the field, and coordinating public health systems with their healthcare counterparts. Theory, case examples, tools, and callout boxes highlight knowledge, preparation, and skills professionals need in addressing chronic issues and complex emergencies. Throughout, the emphasis is on greater competency and visibility for the profession, resulting in a more informed, healthier public. Featured in the coverage:

Issues in defining the public health workforce.The state of public health education.Practicing and teaching public health: local, national, and international cases.Standardizing public health practice: benefits and challenges.Integrating public health and healthcare.The future of public health as seen from academia and the frontlines.

Identifying urgent issues and providing cogent answers, "Public Health Practice" is a call to action for those involved in creating the next level of public health, including professors, practitioners, students, and administrators.

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This book is a collection of policy briefs produced from research presented at the 16th Conference on Urban Health in Xiamen, China, November 4-8, 2019, under the theme "People Oriented Urbanisation: Transforming Cities for Health and Well-Being", co-organized by the Urban Health and Wellbeing (UHWB) programme of the International Science Council (ISC). The UHWB programme takes an interdisciplinary, cross-sectoral and systemic view on issues of health and wellbeing in cities which include the urban economy and finance systems, education, employment, mobility and transport, food, energy and water resources, access to public services, urban planning, public spaces and urban green, as well as social inclusion. Contributions to this book have been made by scientists from multidisciplinary research fields. The policy briefs in this book present the background and context of an urban health issue, research findings and recommendations for policy/decision-makers and action-takers. In some cases, they inform about relevant events and developments from the science community or important opinion pieces which address health emergencies, like the current COVID-19 pandemic. The book is intended for citizens and political decision-makers, who are interested in systems perspectives on urban health and wellbeing, examples of how to deal with the increasing complexity of cities and the accompanying environmental and social impacts of increasing urbanization. Furthermore, it hopes to inspire decision-makers to facilitate finding solutions, in order to reach the goal of advancing global urban health and wellbeing.

Anecdotes and real case studies ripped from the headlines about what doctors did which got them into trouble either with Medicare, HIPAA, The Office of Inspector General (OIG) or worse the FBI. The case studies are true stories of medical professionals: Some are about providers just like you trying to navigate the complex maze of the medical billing process. This guide will help you recognize the red flags and triggers so you can avoid a Medicare Audit. Learn about common problems that plague medical practices. Discover what your peers have done right and what they have done wrong. Avoid the costly billing mistakes and practice mismanagement showcased in Medical Billing Horror Stories. With the changes, challenges and uncertainties facing the Healthcare industry you can't afford to miss this information. If you submit even one claim for reimbursement this is a must read

For decades, educators, historians, and social commentators accorded major responsibility for the reform of medical education in the United States to the Flexner Report of 1910. More recently, historians have begun to challenge the impact of the Report and the desirability of the changes attributed to it. This volume takes the themes articulated in the Report and traces their development. With each theme being discussed by a specialist in the subject area, the book provides a comprehensive review of medical education in the twentieth century. These themes, many of which have not been discussed in other books, include the basic sciences, the clinical curriculum, women in medicine, black medical education, and sectarian medical education. In addition, the volume includes chapters on the evolution of the health care delivery system, trends in financing medical education, the use of outpatient settings for clinical education, the current status of the medical curriculum and needed changes, and health manpower needs. The work concludes with a chapter discussing the current proposals for change and how they relate to the problems and reforms of the Flexner era. The work will be of interest to medical school administrators, policy makers, and faculty members as well as to practicing physicians.

This book focuses on the closely interlinked areas of refugee migration and health. It discusses the main challenges of the recent unprecedented, extremely diverse and mostly unregulated refugee migration wave for Germany and Europe, and offers a broader view of refugee health from a European perspective. Health issues can lead to several challenges for refugees as well as healthcare providers, and as such the book also examines the requirements for the management of migrant populations in terms of medical care and health system adaptations, and includes theoretical aspects of refugee migration and health as well as various perspectives on the latest developments. Lastly, it describes the healthcare system demands and responses for short- and long-term care of refugees.

This volume examines two distinct low fertility scenarios that have emerged in economically advanced countries since the turn of the 20th century: one in which fertility is at or near replacement-level and the other where fertility is well below replacement. It explores the way various institutions, histories and cultures influence fertility in a diverse range of countries in Asia, Europe, North America and Australia. The book features invited papers from the Conference on Low Fertility, Population Aging and Population Policy, held December 2013 and co-sponsored by the East-West Center and the Korea Institute for Health and Social Affairs (KIHASA). It first presents an overview of the demographic and policy implications of the two low fertility scenarios. Next, the book explores five countries currently experiencing low fertility rates: China, Hong Kong, Japan, Singapore and South Korea. It then examines three countries that have close to replacement-level fertility: Australia, the Netherlands and the United States. Each country is featured in a separate chapter written by a demographer with expert knowledge in the area. Very low fertility is linked to a number of conditions countries face, including a declining population size. At the same time, low fertility and its effect on the age structure, threatens social welfare policies. This book goes beyond the technical to examine the core institutional, policy and cultural factors behind this increasingly important issue. It helps readers to make cross-country comparisons and gain insight into how diverse institutions, policies and culture shape fertility levels and patterns.

With the development of advanced screening procedures and techniques, certain limitations of the existing screening processes for disease methodologies and paradigms have been noted. More accurate and less invasive screening methods are needed to diagnose and treat health disorders and diseases before symptoms appear. Pre-Screening Systems for Early Disease Prediction, Detection, and Prevention is a pivotal reference source that utilizes advanced ICT techniques to solve problems in health data collection, analysis, and interpretation, as well as improve existing health systems for the advanced screening of diseases. Using non-invasive biomedical sensor devices and internet of things technology, this book examines safer methods to accelerate disease detection and effectively treat patients while challenging previously used pre-screening processes. While highlighting topics such as the applications of machine learning, patient safety, diagnostics models, and condition management, this publication is ideally designed for healthcare specialists, researchers in health informatics, industry practitioners, and academics.

This book addresses the puzzle of why the World Bank was unable to effect sweeping neoliberal health reforms in Latin America from the 1980s onward. Through the use of quantitative regional data together with interview and archival data collected during fieldwork in Argentina, Costa Rica, Peru, and Washington DC, this book argues that the answer to this puzzle is twofold. First, the World Bank has not promoted a uniformly neoliberal, monolithic agenda in health. Second, countries' autonomy and capacity in this sector shape how the World Bank is involved in reforms. Finally, the book distinguishes neoliberal ends from means in health sector reform and traces changes in "banking on health" over time.

Patients as Policy Actors offers groundbreaking accounts of one of the health field's most important developments of the last fifty years--the rise of more consciously patient-centered care and policymaking. The authors in this volume illustrate, from multiple disciplinary perspectives, the unexpected ways that patients can matter as both agents and objects of health care policy yet nonetheless too often remain silent, silenced, misrepresented, or ignored. The volume concludes with a unique epilogue outlining principles for more effectively integrating patient perspectives into a pluralistic conception of policy-making. With the recent enactment of the Patient Protection and Affordable Care Act, patients' and consumers' roles in American health care require more than ever the careful analysis and attention exemplified by this innovative volume.

The main objective of this work is to provide a book with high quality content that becomes a reference and support for graduate course (Mental Health, Public Health and Epidemiology) and for research in the domain of health economics applied to mental health. Also this book might be useful for policymakers on formulating mental health policies. Key messages of this book are based on: a) mental illness represent a huge cost for society and for health care; b) health economics applied to mental health could help in the optimization of resource allocation for mental health care and for better decision making in terms of balancing costs and benefits; c) interventions and treatment should be also chosen in general medical practice and in public decision-policy according to cost-effectiveness, burden of disease and equity principles; d) quality of care is related with better outcomes, higher quality of life for clients, and with lower costs for society and health system (best value for money); e) it is possible to decrease the burden of mental disorders with cost-effective treatments. The book is divided in four main topics: 1. Introduction to Health Economics applied to Mental Health - this section is an overview of basic principles, concepts and methods used in Economics and Health Economics to enable students to make critical appraisal of Health Economics texts and also to design research studies in this topic. 2. Health Economics applied to the evaluation of quality and costs of Mental Health Services - this section presents results of Brazilian studies on the costs of mental health care (hospital, outpatient care, residential care, informal care), methods on the measurement of costs and it discusses issues related with public policies decisions and quality of mental health car in the low and middle income countries context. There is also an overview of quality indicators of mental health care and instruments to evaluate mental health services and costs.3. Health Economics applied to evaluate treatment of mental disorders - This section presents a review of cost-effectiveness of pharmacological treatments and other interventions applied for treating the most burdensome mental disorders such as depressive and anxiety disorders, bipolar disorders, psychosis, alcohol and drug disorders, dementia, and hyper attention deficit disorders. 4. Health Economics, burden and indirect costs of mental disorders - This section highlights the social and economic burden caused by mental illness under societal perspective focusing on stigma, unemployment, indirect costs in the workplace (absenteeism and presenteeism), the relationship between poverty and mental disorders, global health and social determinants of mental health and on the costs of mental disorders (depression, anxiety, psychosis, alcohol and drug disorders). We present some instruments to measure indirect costs of mental disorders.