This wide-ranging volume reviews the experience and treatment of HIV/AIDS in rural America at the clinical, care system, community, and individual levels. Rural HIV-related phenomena are explored within healthcare contexts (physician shortages, treatment disparities) and the social environment (stigma, the opioid epidemic), and contrasted with urban frames of reference. Contributors present latest findings on HIV medications, best practices, and innovative opportunities for improving care and care settings, plus invaluable first-person perspective on the intersectionality of patient subpopulations. These chapters offer both seasoned and training practitioners a thorough grounding in the unique challenges of providing appropriate and effective services in the region. Featured topics include: Case study: Georgia's rural vs. non-rural populations HIV medications: how they work and why they fail Pediatric/adolescent HIV: legal and ethical issues Our experience: HIV-positive African-American women in the Deep South Learning to age successfully with HIV Bringing important detail to an often-marginalized population, HIV/AIDS in Rural Communities will interest and inspire healthcare practitioners including physicians, nurse practitioners, physician assistants, pharmacists, case managers, psychologists, social workers, counselors, and family therapists, as well as educators, students, persons living with HIV, advocates, community leaders, and policymakers.

As a result of arms control efforts over the past 50 years, nuclear material is subject to strict national controls and tough international treaties. But there are still almost no controls, other than a voluntary International Atomic Energy Agency code of conduct, on the sorts of radiological sources used to make radiological dirty bombs. Radiological sources are used all over the world for a wide range of peaceful purposes, including smoke detectors, medical devices, meteorology, mining and thermoelectric generators. There are at least eight million identified radiological sources worldwide. Their small size, portability and high value make them vulnerable to misuse and theft: the IAEA reported 272 cases of illicit trafficking in sealed radioactive sources between 1993 and 2002.

The IAEA estimates that 110 countries worldwide still fail to impose adequate controls. The time is ripe for an international convention and treaty on the safety and security of radiological sources.

This book covers expert discussions designed to enhance cooperation and assistance between NATO and Partner countries in support of International Atomic Energy Agency (IAEA) efforts to secure radioactive sources against the threat of terrorism and also to support the security agenda at the International Radiation Protection Association Congress in Buenos Aires in 2008.

Written in clear, nontechnical language, this investigation of drug resistance provides readers with an overview of the scientific issues, the current scope of the problem nationally and globally, and the measures that can be taken to combat this public health crisis. Drug resistance—the reduction in the effectiveness of a particular medicine (particularly antimicrobials) in treating a disease or condition—is considered one of the most pressing issues in medicine today. This problem is likely to have profound impacts on society in the decades to come. This understandable, single-volume book explores the history of drug resistance, explains how drug resistance occurs, cites the most problematic examples, identifies the potential consequences, and describes how drug resistance can be prevented. It also pays attention to current issues and controversies surrounding this topic, such as the role of the industrialized food system in breeding antibiotic-resistant strains of E. coli. The coverage includes up-to-date information about specific diseases like tuberculosis, malaria, human immunodeficiency virus (HIV), and methicillin-resistant Staphylococcus aureus (MRSA), for which drug resistance is a particular issue. Readers will understand how human behavior, such as patient non-adherence to treatment and physician over-prescription of antibiotics, have served to foster drug resistance. A selection of primary documents sourced from organizations such as the World Health Organization, the U.S. Food and Drug Administration, and the Centers for Disease Control and Prevention will serve those interested in pursuing more detailed research on particular topics.

This unique book provides one of the first and certainly the most practical approach to considering the needs of this population. It addresses important issues such as choice, partnership and community development in order that health promoters can work with and alongside older people to ensure that their health needs are addressed. The text contains numerous examples of good practice and is intentionally interactive, encouraging practitioners to reflect upon and question the assumptions that they make about the health and life-quality expectations for which older people have the potential. Its pragmatic and practical approach encourages the reader to then address these issues in their own practice.The content appeals to a global market as the elderly population increases worldwide Explores attitudes of professionals and older people to their health and to each other Provides practical strategies and approaches Identifies how existing models and theories can be adapted to reflect the changing needs of older people Addresses issues of special relevance including physiological changes, sexual health and mental health

This text provides a foundation for the initiation of advocacy efforts and for the evaluation of their success and includes topics such as: specific strategies, grassroots advocacy efforts, formation and development of coalitions, advocacy efforts in legislatures, administrative agencies, court, and the media. It is of interest to public and urban health workers, social workers, community organizers, and legislators.

The promise and prospects for mobile technologies in healthcare service delivery-particularly as experienced by patients and other users-are the focus of this forward-looking volume. Its detailed sociotechnical perspective takes in factors influencing patient and provider adoption of technological advances, in addition to the well-known cost and accessibility advantages. Enlightening reports show mobile health technologies in multiple contexts as an impetus for behavioral change, a means of monitoring health changes, a growing trend in service delivery, and an emerging health frontier worldwide. Together, these chapters point to the continued expansion-and global reach-of mobile technology in the next stage of healthcare services. Included in the coverage: Behavior change techniques used in mobile applications targeting physical activity: a systematic review Mobile health integration in pregnancy Unintended users, uses, and consequences of mobile weight loss apps: using eating disorders as a case study Intention vs. perception: understanding the differences in physicians' attitudes towards mobile health applications HealthGuide: a personalized mobile patient guidance system Adoption of sensors in mobile health Current and Emerging mHealth Technologies is salient reading for researchers interested in mobile health development and implementation as well as technology adoption, and mobile health system developers and managers who are interested in the implications of mobile health use by patients and/or healthcare professionals. It can also be used for courses in technology adoption and health technologies.

A growing body of research identifies strong links between children's health, social and educational outcomes; it also notes the reciprocal benefits of access to quality education on individual and family health status. In response to these findings, the World Health Organization developed the concept of the Health-Promoting School (HPS), a living catalyst for healthy lives, and for positive changes that students can take home and into the community. Case Studies in Global School Health Promotion provides readers with a theoretical and research base needed to understand the methods used in communities all over the world to put this captivating concept in place.

Case examples from over two dozen countries (representing urban and rural areas in developing and developed nations) outline the strategies taken to implement HPS programs in individual schools, municipalities, and nations. For each program, case study authors explain the problems they tackled, their motivation and supports to respond creatively; and the barriers they faced. In the cases, authors describe the capacities and infrastructure they created and mechanisms for cooperation; as well as the personnel, financial, and time requirements involved. Case studies were drawn from the following regions:

Case Studies in Global School Health Promotion offers a world of insights, ideas, and guidance to those addressing social determinants of health at this formative stage, including: education and health policy makers; professionals and administrators; and researchers in national governments, universities, local schools, community, non-governmental organizations and civil society. The material provides interesting and useful information to those dedicated to these issues within WHO, FRESH Partners and other United Nations agencies. It is also an instructive text for graduate students in public health, education, allied health professions and social sciences.

Applying multimodal textual analysis to the languages and images of online communication forms, Kay Richardson shows, from an applied linguistic perspective, how the Internet is being used for global, interactive communication about public health risks. Detailed case studies of the possible risks posed by SARS, by mobile phones and by the vaccination of babies against childhood diseases are situated within the context of research on computer-mediated communication, as well as within the broader social context of globalization and discourses of risk and trust.

Polluted air and contaminated food and water are major causes of human health deterioration, but public health policy has long struggled to effectively address these concerns. This timely book--written for a wide audience of policy makers, researchers, and general readers--synthesizes what we already know about environmental hazards, identifies the gaps in our knowledge, and provides a roadmap for reducing human exposure to environmental pollution. With contributions from leading experts, Environmental Determinants of Human Health examines numerous pollutants, both inorganic and organic, in the context of their human health impacts. Individual chapters explore exposure pathways, macroeconomic impacts of human health deterioration, technological and non-technological methods for reducing exposures, monetary and non-monetary benefits from exposure reduction, and risk communication and awareness, including citizen participation approaches. This volume is a crucial text for policy makers requiring scientific justification for the development of new environmental regulations, scientists researching public health and environmental contamination, and members of the public interested in human health issues.

War related separations challenge military families in many ways. The worry and uncertainty associated with absent family members exacerbates the challenges of personal, social, and economic resources on the home front. U.S. military operations in Iraq and Afghanistan have sent a million service personnel from the U.S. alone into conflict areas leaving millions of spouses, children and others in stressful circumstances. This is not a new situation for military families, but it has taken a toll of magnified proportions in recent times. In addition, medical advances have prolonged the life of those who might have died of injuries. As a result, more families are caring for those who have experienced amputation, traumatic brain injury, and profound psychological wounds. The Department of Defence has launched unprecedented efforts to support service members and families before, during, and after deployment in all locations of the country as well as in remote locations. Stress in U.S. Military Families brings together an interdisciplinary group of experts from the military to the medical to examine the issues of this critical problem. Its goal is to review the factors that contribute to stress in military families and to point toward strategies and policies that can help. Covering the major topics of parenting, marital functioning, and the stress of medical care, and including a special chapter on single service members, it serves as a comprehensive guide for those who will intervene in these problems and for those undertaking their research.

Asia has become the new battle ground for the war against HIV/AIDS. The magnitude of the potential public health problems caused by AIDS in this populous continent may become a catastrophic disaster. A 10% rate of prevalence of HIV-1 in India and China alone would mean more than 200 million people are infected with HIV.
AIDS in Asia is useful as a comprehensive, up-to-date AIDS reference book for public health and medical professionals. This volume provides concrete information on the diagnosis, treatment, care, prevention and impact of AIDS. Part I contains 'Snapshots of HIV/AIDS in Asia.' Countries and regions included in this section are: Thailand, India, China, Japan, Vietnam, Laos, Cambodia, Myanmar, Malaysia, Indonesia, the Philippines, Pakistan, Nepal, Sri Lanka, Hawaii and the Pacific Islands, Hong Kong and Taiwan. Part II addresses the molecular epidemiology of HIV/AIDS. Part III deals with the diagnosis, surveillance and projected scenarios of the AIDS epidemic. Part IV outlines prevention efforts and treatment options. Part V provides an overview of the ongoing collaborative efforts involved in several different nations in the worldwide war against AIDS.
This volume will be invaluable to all the public health professionals and researchers working in this field.

..".the book is a useful addition to the HIV/AIDS literature."

"AIDS in Asia offers a comprehensive, interesting overview of the epidemic there and of general issues that will influence its progression."

-Roger Detels, MD, MS, University of California-Los Angeles

The Journal of the American Medical Association, Book Review, 293:15

This volume creates a multi-disciplinary dialogue about clinician-patient communication. It offers a description of the relevance of culture as a contextual effect that impacts the clinician-patient relationship. Some topics addressed include: oncology care, quality of life issues, supportive survivorship, etc. It is for physicians, nurses, hospice and palliative care professionals and public health professionals.

Catastrophe Modeling: A New Approach to Managing Risk is the first book that systematically analyzes how catastrophe models can be used for assessing and managing risks of extreme events. It focuses on natural disaster risk, but also discusses the management of terrorism risk. A unique feature of this book is the involvement of three leading catastrophe modeling firms, AIR Worldwide, EQECAT, and Risk Management Solutions, who examine the role of catastrophe modeling in rate setting, portfolio management and risk financing.

Using data from three model cities (Oakland, CA, Long Beach, CA and Miami/Dade County, FLA), experts from the Wharton School of the University of Pennsylvania examine the role of catastrophe modeling to develop risk management strategies for reducing and spreading the losses from future disasters. Given the uncertainties associated with terrorism the book points out the opportunities for utilizing catastrophe models to set insurance rates and to examine public-private partnerships for providing financial assistance in the event of a terrorist attack.

"This book fills a critical need in setting forth the role of modern risk analysis in managing catastrophe risk. There is no comparable reference work for this important subject area. The book is well written and well organized. It contains contributions from many of the most distinguished experts in the fields of risk analysis and risk management. It strikes a good balance between the technical aspects of the subject and the practical aspects of decision making."

"This book is strongly recommended for individuals who must make decisions regarding the management of impacts of catastrophe risks including those in both the public and private sector."

Wilfred D. Iwan
Professor of Applied Mechanics, Emeritus
Director, Earthquake Engineering Research Laboratory
California Institute of Technology

"The authors have captured the essence of catastrophe modeling: its value, its utility and its limitations. Every practitioner in the catastrophe risk field should read this book."

Franklin W. Nutter, President
Reinsurance Association of America

The present situation of data protection in health informatics in Europe can be described as alarming. Notwithstanding the ever increasing use of information technology, a decade has passed since the appearance of the council of Europe Data Protection Convention and the recommendation on Automated Medical Data Banks, without much progress being achieved. To enable the best use of information technology in the health sector, urgent action needs to be taken. The causes for concern stem from two major factors, Firstly, when the question is asked whether the principles of data protection are being respected in the health information sector, it is impossible to give a definite answer. Secondly, the participants at the working conference, from their personal non-systematic observations shared the opinion that in the fast majority of cases the principles and recommendations have not properly been implemented. Experience from the field shows that in the health sector the people involved are often indifferent and in some cases reluctant to ensure the implementation of data protection measure. Both the indifference and possible even some of the reluctance may arise from the general lack of awareness about the issues involved. This makes the implementation of the required organizational measures difficult.

This book advances new understandings of how technologies have been harnessed to improve the health of populations; whether the technologies really empower those who use information by providing them with a choice of information; how they shape health policy discourses; how the health information relates to traditional belief systems and local philosophies; the implications for health communicators; how certain forms of silence are produced when media articulates and problematizes only a few health issues and sidelines others; and much more. The book brings together current research and discussions on the three areas of policy, practices and theoretical perspectives related to health communication approaches in developing countries, presenting well-researched and documented essays that will prove helpful for academic and scholarly inquiry in this area.

WHO and UK government initiatives have been pushing primary care practitioners to closely consider the wider health needs of populations. This book directly addresses issues of everyday importance to practitioners, and covers core elements of specialist courses for post-graduate students. The book has 14 chapters, split into three sections : Core elements of Public Health Nursing Elements of Public Health Policy Issues in Public Health Each chapter has a coherent structure of theory, application and role in practice. Practical or case examples are used and further reading offered. Subject specialists have written specific chapters such as health economics and informatics.Links to specialist courses therefore will have a sound post-registration market. This is the first comprehensive text on public health at the level of post-registrationGrace Lindsay has an increasingly prominent profile in the field of public health.

Many of the changes occurring within medicine are being catalyzed by the proliferation of professional and social activity with the internet and mobile technology. Understanding of the way in which healthcare is being transformed by IT is key in the improvement of medical standards and reduction of cost. This book presents the current and future trends in the transformation of healthcare services in the Information Society Era.

The synergy between computer technology and medical services has opened fascinating new possibilities for benefit in areas such as continuing care, chronic disease treatment and old people home monitoring, bringing with it the promise of essential changes in existing models of care delivery and system performance. This book addresses the priorities within international informatics and presents a complete and thorough survey of the most promising e-health technologies. This is illustrated with the inclusion of case reports indentifying real applications of the techniques, with the focus on providing an integrated overview of e-health, and the medical, sociological and technical aspects.

The authorsa (TM) primary objective has been to provide an in-depth study of internet-enhanced healthcare services, while mobile technology is also reviewed in the context of modern wireless technologies. The authors have provided a unique analysis of the evolution of healthcare services. The book is illustrated by numerous examples and comes together to provide a valuable set of tele-care solutions available to modern informatics practice.

DARE To Be You (DTBY) is a program that has both a conceptual foundation and is demonstrably effective in building assets linked to a decrease in problem behaviors. Its success is based on working not only with the individual child, but also with multiple systems that affect the child. These systems include family, peers, school and the broader community. The DTBY curricula is age-appropriate and adapted to account for changing developmental needs. While this volume focuses on the DTBY program for families with 2 to 5 year old children, references are made to the programs for school aged children and teens. This program has proven effective in diverse settings including a Native American community; an urban setting of mixed cultures; a traditional Hispanic and Anglo rural community; and a poor, isolated agricultural region.

Biosocial Research Contributions to Family Processes and Problems, based on the 17th annual National Symposium on Family Issues, examines biosocial models and processes in the context of the family. Research on both biological and social/environmental influences on behavior, health, and development is represented, including behavioral endocrinology, behavior genetics, neuroscience, evolutionary psychology, sociology, demography, anthropology, economics, and psychology. The authors consider physiological and social environmental influences on parenting and early childhood development, followed by adolescent adjustment, and family formation. Also, factors that influence how families adapt to social inequalities are examined.

Preventive Medicine between Obligation and Aspiration is a study of ethical questions regarding mass screening, vaccination, and health policy programmes. These interventions aim to enhance public health but may also constrain personal autonomy and cause harm, and influence our moral views. So far, these issues have hardly been subject to systematic ethical analysis. This study aims to fill this gap by providing an overview of moral problems in preventive medicine and by explicating norms for good practice. Throughout the book it is argued that some moral concerns about prevention - namely concerns about medicalization - cannot be adequately grasped in terms of strict and binding moral norms. Various moral concepts and types of norms beyond obligation' are explored and developed in order to give practical meaning to these rather vague concerns. In this way the book contributes to applied ethics as well as to ethical theory. It is of interest to professionals in public health and preventive medicine and to scholars in applied ethics and moral philosophy.

Advances in Virus Research serial highlights new advances in the field with this new volume presenting interesting chapters. Each chapter is written by an international board of authors.

¿Drs. Franco and Rohan bring together a timely and comprehensive set of reviews describing the biologic basis of carcinogenesis, issues related to measurement and interpretation of cancer precursors, site specific precancerous conditions, and control of cancer precursors ¿The book has several important strengths, most notably the wealth of current information on cancer precursors and related topics provided by an impressive cast of cancer researchers. ¿ it effectively provides specific and compelling reasons for studying cancer precursors, the most up-to-date and comprehensive collection of reviews on the topic, and a realistic picture of the complexities facing research of cancer precursors.¿ ¿American Journal of Epidemiology "In this book, Drs. Franco and Rohan have succeeded in preparing a comprehensive, timely, and critical review of the substantial progress that has been made in our understanding of cancer precursors. They have enlisted experts in the field who have contributed authoritative chapters to a wide variety of cancers with emphasis on the etiology and natural history, including the role of environmental and heritable factor that provoke normal cells to undergo malignant transformation. Epidemiologic data are linked whenever possible to molecular as well as clasical cellular pathology, providing a fuller understanding of the casual events and mechanisms that initiate the carcinogenic process." -From the Foreward by Joseph F. Fraumeni, Jr., M.D., M.S. Director, Division of Cancer Epidemiology and Genetics National Cancer Institute National Institutes of Health Rockville, MD This book provides an overview of the progress made in the last few years on the epidemiology, detection methods, and preventive stategies for cancer precursors. Contributors to the 25 chapters are among the world's most knowledgeable scientists in the areas of molecular pathology, epidemiology, and control of cancer precursors. Their reviews of the topic are accessible to a large professional base that includes basic cancer researchers, clinical oncologists, pathologists, molecular biologists, epidemiologists, nurses, health professionals working on policy implications, and graduate students in cancer-related fields. Divided into five sections, the book begins with brief overviews of the molecular basis of carcinogenesis and of the histological aspects of cancer precursors. Issues related to the measurement, interpretation, and the study of precursor lesions are addressed in Part II, including timely chapters on epidemiologic approaches to studying intermediate endpoints, the impact of measurement error, and methods of processing biological specimens for molecular epidemiology studies. The main section of the text is found in Part III, with chapters on cancer precursors at the most important anatomical sites at which solid tumors occur, including the lung, breast, colon, esophagus, and prostate. The site-specific reviews include discussions of the epidemiology of those lesions, and, where appropriate, aspects of their detection and prevention. The final sections of the book feature valuable overviews on screening and prevention strategies and the role of evidence-based medicine in judging the value of such strategies for national and international policy guidelines on cancer control.