Over the next few years, the Connecting for Health IT programme for the NHS in England is due to implement electronic prescribing systems at all hospitals in England. Furthermore, the other UK countries are likely to follow suit with clinical IT implementation programmes, and these developments will generate interest in electronic prescribing at European and international level. There is therefore likely to be an exponential growth in the significance of electronic prescribing over the next ten years. Principles of Electronic Prescribing discusses the basic principles of design and implementation of secondary care electronic medicines management systems, and how their design and configuration can impact on benefits realization, hospital workflow and clinical practice.

This handbook provides students of quality-of-life (QOL) research with an understanding of how QOL research can be conducted from an ethical marketing perspective - a perspective based on positive social change. The handbook covers theoretical, philosophical, and measurement issues in QOL research. The handbook also approaches selected QOL studies in relation to various populations in various life domains. The marketing approach is highly pragmatic because it allows social and behavioral scientists from any discipline to apply marketing concepts to plan social change and assess the impact of intervention strategies on the QOL of targeted populations.

In "Malaria: Poverty, Race, and Public Health in the United States," Margaret Humphreys presents the first book-length account of the parasitic, insect-borne disease that has infected millions and influenced settlement patterns, economic development, and the quality of life at every level of American society, especially in the south.

Humphreys approaches malaria from three perspectives: the parasite's biological history, the medical response to it, and the patient's experience of the disease. It addresses numerous questions including how the parasite thrives and eventually becomes vulnerable, how professionals came to know about the parasite and learned how to fight them, and how people view the disease and came to the point where they could understand and support the struggle against it.

In addition "Malaria: Poverty, Race, and Public Health in the United States "argues that malaria control was central to the evolution of local and federal intervention in public health, and demonstrates the complex interaction between poverty, race, and geography in determining the fate of malaria.

MicroRNA research and development is the billion-dollar baby and most lucrative option for drug discovery in gene therapy industries worldwide. Personalized microRNA treatments are in many cases the only remedy for viral diseases that have no cure in conventional drugs and offer to bring us closer than ever to "personalized medicine." They also counteract cancer and other infectious and neuro-diseases. Early diagnosis, prognosis, staging, and sub-classification of various cancers can easily be facilitated by microRNA-based biomarkers. MicroRNA surveys recent advances in RNA and RNA-protein components that highlight RNA delivery, its stability, and applications of RNA-based drugs for the modulation of gene/protein expression and gene editing. The book not only focuses on the modern medicines of microRNA-based early diagnostic and therapy development, but also works as a hidden treasure for drug discovery of multiple rare diseases worldwide. It offers indispensable learning materials for academic researchers, graduate, and medical students, and offers a powerful practical guide for RNA-Pharma and gene therapy industries.

View the Table of Contents. Read the Preface.

aProvides an in-depth look at the ineffectiveness of certain public health disease control measures such as quarantine, isolation of patient contacts, and the importance of using knowledge of the pathogenas disease ecology for the development and implementation of effective control measures.a
--"International Journal of African Historical Studies"

aEchenbergas richly textured and deeply discerning account of the last plague pandemic is, as he points out, a cautionary tale of the politics of disease control in a globalized world. It should become compulsory reading for all who are engaged in the construction of the new discipline of global public health.a
--"New England Journal of Medicine"

aEchenberg's richly textured and deeply discerning account of the last plague pandemic is, as he points out, a cautionary tale of the politics of disease control in a globalized world. It should become compulsory reading for all who are engaged in the construction of the new discipline of global public health.a
--Dorothy Porter in "The New England Journal of Medicine"

a[Echenberg] does an excellent job of presenting complex political and social consequences of the plague.a
--"Choice," Recommended

aAn extensive comparative study.a
--"Science News"

aIn an era when global issues have come to dominate public health discourse, Echenberg depicts the bubonic plague epidemic that struck six continents in the decades around 1900. With sophistication and sensitivity, he parses the multiple medical cultures, political systems, and varieties of popular response that met the plague. Few historians would take on such a daunting task: ofchronicling an epidemic in ten cities, working with sources in more than a dozen languages, and comprehending multiple systems of medical thought. Echenberg pulls it off. Plague Ports is a masterwork of global health history.
a--Margaret Humphreys, Duke University

"The 1800s were, from Jenner to Pasteur to Koch, the years in which more progress was made in controlling infectious disease than in the previous 10,000, yet at the end of that century Plague swept round the world and killed multitudes as if to admonish us for our arrogance. Most of us today, even students of medical history, have avoided paying heed to that admonishment. Myron Echenberg's excellent scholarship and scientific sophistication oblige us, as we cower under the threat of avian flu, to pay the Third Bubonic Plague pandemic the attention it deserves."
--Alfred Crosby, University of Texas and author of "Children of the Sun: A History of Humanity's Unappeasable Appetite for Energy"

A century ago, the third bubonic plague swept the globe, taking more than 15 million lives. Plague Ports tells the story of ten cities on five continents that were ravaged by the epidemic in its initial years: Hong Kong and Bombay, the Asian emporiums of the British Empire where the epidemic first surfaced; Sydney, Honolulu and San Francisco, three "pearls" of the Pacific; Buenos Aires and Rio de Janeiro in South America; Alexandria and Cape Town in Africa; and Oporto in Europe.

Myron Echenberg examines plague's impact in each of these cities, on the politicians, the medical and public health authorities, and especially on the citizenry, many of whom were recent migrants crammed into grim living spaces. He looks at how differentcultures sought to cope with the challenge of deadly epidemic disease, and explains the political, racial, and medical ineptitudes and ignorance that allowed the plague to flourish. The forces of globalization and industrialization, Echenberg argues, had so increased the transmission of microorganisms that infectious disease pandemics were likely, if not inevitable.

This fascinating, expansive history, enlivened by harrowing photographs and maps of each city, sheds light on urbanism and modernity at the turn of the century, as well as on glaring public health inequalities. With the recent outbreaks of SARS and avian flu, and ongoing fears of bioterrorism, Plague Ports offers a necessary and timely historical lesson.

Primary care, grounded in the provision of continuous comprehensive person-centred care, is of paramount importance in the delivery of accessible and effective health care around the world. The central notion of person-centred care, however, relies on often-unexamined concepts of self, or understandings of what it means to be a person and an agent. This cutting-edge book explores contemporary pressures on the sense of self for both patient and health professional within a consultation and argues that building new concepts of the self is essential if we are to reinvigorate the central tenets of person-centred primary care. Contemporary trends such as shared decision-making between health professionals and patients and promoting self-management assume those involved are able to make their own decisions and take action. In practice, however, medicine often opts for reductionist perspectives of patients as passive mechanical systems and diseases as puzzles. At the same time, huge political and organisational changes mean time and resources are scarce, putting further pressure on consultations. This book discusses how we can start to resolve these tensions. The first part considers problems posed by the increasing bureaucratisation of primary care, the impact of information technology in the consultation, the effects of chronic disease on our sense of self and how an emphasis on biology over biography leads to over-diagnosis. The second part proposes solutions based on a strong ontology of consciousness, concepts of creative capacity, coherence and engagement, and will show how these can enhance the self-esteem of patients and doctors and benefit their therapeutic dialogue. Combining theoretical perspectives from philosophy, sociology and healthcare research with insights drawn from clinical practice, this edited volume is suitable for those researching and studying primary healthcare, communication and relationships in healthcare and the medical humanities.

Every 18 minutes, there is a suicide attempt somewhere in the United States, with some 30,000 of those resulting in completed suicide each year. Worldwide, there are more than 1 million suicides annually. We know the basic facts: Most of the people were depressed or suffered another mental illness, and many were facing stressful life events with which they could not cope. But is there no way to prevent the tragedy? Author Kristine Bertini, a clinical psychologist, says one of the most effective means may be to understand first how suicidal tendencies and thinking develop, how environment, biology, culture, and societal factors all play a role in predisposing some people to give up hope and see death as the only way to end their suffering. In this book, Bertini explains the development of suicidal thinking and, through patient vignettes, illustrates the ways this thinking develops. She also describes and illustrates signals friends and loved ones as well as professionals can watch for pointing to such thinking, which may be kept secretive by the person at risk, as well as approaches that can be used to alter tendencies and thinking for the person at risk. Treatments and programs are explained for coping and recovery by those who consider or attempt suicide, as are approaches to help friends, family, and others affected by completed suicides. This work includes consideration of suicide letters and the insights they have given professionals trying to stop such losses, as well as difficult questions that have been raised about the right to suicide. An appendix lists hotlines, counseling, therapy, and other support services nationwide.

General Practice Today explores the GP consultation in the context of external 'stressors' and 'helpers' that doctors use to make best clinical decisions. Over the last 30 years there has been a move towards mandatory training on legal aspects, risk scores and guidance. Additionally, with widespread access to IT there has been a huge growth in the information doctors need to know and manage. Yet today's GP has never been more time-poor or under so much pressure. All these outside considerations can seem challenging and remote for the doctor sat with their patient; yet in today's reality they have never been more important. This book offers insight into the practical impact and importance of these external factors. It offers advice on everything from law, technology and time management to mental health issues, ethics, religion and culture, exploring how to determine which issues are relevant to each individual consultation. Packing each chapter with realistic examples, author Jane Wilcock draws on her own extensive experience to help GPs make considered, contextual decisions that enhance the health and well-being of their patients. This book is essential reading for any General Practitioner, allied health care practitioner or trainee preparing to practice in our complex modern world.

This timely volume examines the potential of integrated care in providing effective, accessible behavioral healthcare for Latino clients. The integrated care model is discussed in practical terms, with guidelines for the addressing the needs of Latinos in a coordinated, patient-focused setting. Specific points of attention include common behavioral and medical/mental health conditions (e.g., depression, chronic pain, tobacco use), special considerations in working with Puerto Rican and Cuban clients, and recommendations for working with children. These important issues are considered against the backdrop of opportunities and challenges inherent in integrated care and its implementation, in addition to the relevance of evidence-based interventions for this large and diverse population. Among the topics covered: Latino trends and health policy: from walking on eggshells to commitment Integrated health care for Latino immigrants and refugees: what do they need? Using a translator in integrated care settings Enhancing and improving treatment engagement with Hispanic patients Integrated depression care among Latinos Chronic disease management and integrated care among Hispanic populations Health psychologists, social workers, family physicians, and clinical psychologists will find Enhancing Behavioral Health in Latino Populations an important resource for their professional development, as well as part of the ongoing movement toward reduced disparities and more inclusive and culturally attuned care.

Pandemics, substance abuse, natural disasters, obesity, and warfare: these are not only health crises but social crises as well. Now a panel of leaders in global health explores the vital but understudied social theories behind the practice of health promotion, including cultural capital, risk and causality, systems theory, and the dynamic between individual and community.

The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage.

This work introduces the concept of reformulation, a relatively new strategy to develop foods with beneficial properties. Food reformulation by definition is the act of re-designing an existing, often popular, processed food product with the primary objective of making it healthier. In recent years the concept of food reformulation has evolved significantly as additional benefits of re-designing food have become apparent. In addition to targeting specific food ingredients that are considered potentially harmful for human health, food reformulation can also be effectively used as a strategy to make foods more nutritious by introducing essential macro- /micro-nutrients or phytochemicals in the diet. Reformulating foods can also improve sustainability by introducing "waste" (and underutilized) ingredients into the food chain. In light of these developments, reformulating existing foods is now considered a realistic and attractive opportunity to provide healthy, nutritious, and sustainable food choices to the consumers and likewise improve public health. Indeed reformulation has now become essential in many cases for redressing the health properties of foods that are popularly consumed and significantly affecting public health. This edited volume covers aspects of food reformulation from various angles, exploring the role of the food industry, academia, and consumers in developing new products. Some of the major themes contributors address include methods of reformulating food products for health, improving the nutritional composition of foods, and challenges to the food industry, including regulation as well as consumer perception of new products. The book presents several case studies to clarify these objectives and illustrate the difficulties encountered in the process of developing a reformulated product. Chapters from experts in the field identify emerging and future trends in food product development, and highlight ways in which these efforts will help with increasing food security, improving nutrition and health, and promoting sustainable production. The editors have designed the book to be useful for both industry professionals and the research community. This interdisciplinary approach incorporates a wide spectrum of food sciences (including composition, engineering, and chemistry) as well as nutrition and public health. Food and nutrition professionals, policy makers, health care and social scientists, and graduate students will also find the information relevant.

This interdisciplinary volume offers theoretical, empirical, and practical insights into the strengths of families beset by chronic health issues. Featuring topics that run the lifespan from infancy to late adulthood, its coverage reflects both the diversity of family challenges in long-term illness and the wealth of effective approaches to intervention. The component skills of resilience in life-changing circumstances, from coping and meaning making to balancing care and self-care, are on rich display in a framework for their enhancement in therapy. The book's expert contributors include tools to aid readers in the learning and teaching of concepts as they model respectful, meaningful research methods and ethical, non-judgmental practice. Among the topics covered: Helping families survive and thrive through the premature birth of an infant. Enhancing coping and resiliency among families of individuals with sickle cell disease. A family science approach to pediatric obesity treatment. Risk and resilience of children and families involved with the foster care system. Strengthening families facing breast cancer: emerging trends and clinical recommendations. The unfolding of unique problems in later life families. With its mix of practical and empirical expertise, Family Resilience and Chronic Illness: Interdisciplinary and Translational Perspectives has much to offer both researchers in the family resilience field and mental health practitioners working with clients with chronic illness.

Regulatory constraints and current management practices put the onus on food manufacturers to take all responsible precautions where hygiene is concerned. A food hygiene audit is the first step towards identifying weaknesses in an operation and this book explains in detail the areas to be inspected during such an audit. The legislative situation is covered by authors from both sides of the Atlantic, although the procedures described are universally applicable. Many companies employ expensive consultants to advise them on this subject and this book provides a cost-effective supplement or alternative. Written primarily for those in the food industry concerned with hygiene, the book is also essential background for students and researchers in government and academic institutions.

Natural disasters traumatize individuals, disrupt families, and destabilize communities.Surviving these harrowing events calls for courage, tenacity, and resilience. Professional planning requires specific types of knowledge of how people meet and cope with extreme challenges.

"Disaster Resilience from a Sociological Perspective" examines three major earthquakes occurring in Italy over a fourteen - year period for a well-documented analysis of populations' responses to and recovery from disaster, the social variables involved, and the participation of public agencies. This timely volume reviews sociological definitions and models of disaster, identifying core features of vulnerability and multiple levels of individual and social resilience. The analysis contrasts the structural and supportive roles of Italy's civil protection and civil defense services in emergency planning and management as examples of what the author terms "professional" "resilience." And testimony from earthquake survivors and volunteers gives voice to the social processes characteristic of disaster. Among the areas covered: Social context for concepts of disaster, vulnerability, risk, and resilienceTypes of resilience: a multidimensional analysis, focused on a physical, ecological, and ecosystem perspectiveFindings from three earthquakes: loss, hope, and community.Two systems of organizational response to emergenciesToward a relational approach to disaster resilience planning Plus helpful tables, methodological notes, and appendices

For researchers in disaster preparedness, psychology, and sociology, "Disaster Resilience from a Sociological Perspective" raises--and addresses--salient questions about people and communities in crisis, and how studying them can improve preparedness in an uncertain future.

ACKNOWLEDGEMENTS PART 1 FISH CONSUMPTION AND METHYLMERCURY EXPOSURE IN THE AMAZON A. C. BARBOSA, A. M. GARCIA, J. R. DESOUZAI Mercurycontamination inhairofriverine 1-8 populations of Apiacas Reserve in the Brazilian Amazon E. D. BIDONE, Z. C. CASTILHOS, T. J. S. SANTOS, T. M. C. SOUZA and L. D. LACERDA I Fish contamination and human exposure to mercury in Tartarugalzinho River, Amapa State, Northern Amazon, Brazil. A screening approach 9-15 H. A. KEHRIG, O. MALM and H. AKAGI I Methylmercury in hair samples from different riverine groups, Amazon, Brazil 17-29 J. LEBEL, M. ROULET, D. MERGLER, M. LUCOTTE and F. LARRIBE I Fish diet and 31-44 mercury exposure in a riparian Amazonian population O. MALM. , J. R. D. GUIMARAES, M. B. CASTRO, W. R. BASTOS, J. P. VIANA, F. J. P. BRANCHES, E. G. SILVEIRA and W. C. PFEIFFER I Follow-up of mercury levels in fish, human hairand urine in the Madeira and Tapaj6s basins, Amazon, Brazil 45-51 PART 2 CHILD DEVELOPMENT AND LONG TERM EXPOSURE G. J. MYERS, P. W. DAVIDSON, C. COX, C. F. SHAMLAYE, O. CHOISY, E. CERNICHIARI, A. CHOI, J. SLOANE-REEVES, C. AXTELL, P. GAO and T. W. CLARKSON I The Seychelles child development study: Results and new directions through twenty-nine months 53-61 B. WHEATLEY, S. PARADIS, M. LASSONDE, M. -F. GIGUERE and S.

Long-term care in the United States has taken the nursing home as its benchmark, but the monetary, social, and psychological costs of nursing home care are all too high. This book challenges the current dominance of nursing homes as the principal institution of long-term care. It offers a series of alternative models where both services and housing can be provided in a way that allows long-term consumers to enjoy dignified, "normal" lifestyles.

The authors start with the premise that long-term care is designed to assist people who lack the capacity to function fully independently. In addition, the authors argue, no disabled person of any age should be required to forsake his/her humanity in exchange for care. The book rejects the artificial dichotomy between social and medical care, asserting that both play important roles in the psychological and physical well-being of long-term care patients. The book considers the need for competent and compassionate medicine and discusses the methods for improving both its coordination of care and its effectiveness. The book redefines the meaning of safety and protection in long-term care, and how this goal can be accomplished without sacrificing quality of living.

As the new millennium and the aging of baby boomers approaches, more creative approaches to providing better long-term care are required. This volume outlines a useful framework for the provision of effective and humane community-based programs that are both feasible and affordable. The Heart of Long-Term Care is intended for geriatricians, public health professionals, family physicians, and nurses who care for elderly patients.

Health researchers routinely evaluate health and illness across subgroups defined by their sex, gender, ethnicity, and race. All too often, these classifications are proffered as an explanation for any differences that may be detected, for example, in access to care, frequency of disease, or response to treatment. Relatively few researchers, however, have examined what these classifications mean on a theoretical level or in the context of their own research. Assume, for example, that a researcher concludes from his or her data that African- Americans utilize certain surgical procedures less frequently than whites. This conclusion may mean little without an examination of the various underlying issues. Is there such a construct as race at all? How were whites and African-Americans classified as such? Does this finding reflect inappropriate overutilization of the specific procedures among whites or inappropriate underutilization among African-Americans? To what extent are socioeconomic status and method of payment related to the less frequent use? Are there differences in the manner in which health care providers present the various treatment options to whites and to African- Americans that could account for these differences in utilization? Are there differences in health care-seeking and health care preferences between the two groups that would explain the difference in utilization? Is the racial classification a surrogate measure for another variable that has remained unidentified and unmeasured? All too often, unfortunately, such issues are ignored or lightly dismissed with an entreaty for additional research.

This historical study looks at how reformers have used urban planning and architecture to improve the health of urban residents of the United States. It begins in the nineteenth century, when problems in rapidly urbanizing cities threatened to overwhelm cities, and then traces the development and impact of reform movements up through the First World War, including discussions of model tenements, the 'city beautiful' movement, tenement laws, and zoning and building codes. Midcentury design movements, such as new efforts to plan suburbs and Modernism, along with outlines of the impacts of public housing, highway building, and urban renewal, are the focus of the middle chapters of the book. The final third examines the revival of cities and the reconnection of public health with urban planning that occurred as the twentieth century ended.

This user-friendly, comprehensive guide places evaluation in the context of HIV to give all health care professionals the necessary tools for developing and implementing successful HIV interventions. Every aspect of evaluation is discussed, including: the social and political context of evaluation coding and inter-rater reliability procedures barriers to evaluation and solution the dissemination of results the application of theory to HIV interventions. Case studies and examples from both the US and abroad to illustrate practical issues, and numerous tables and figures complement the text.

"AIDS is kind of like life, just speeded up. " JavonP., heroinaddictwithAIDS, Bronx, NewYork, 1988 "Now I'm not so much scared of dying as scared of living. " Mike D., heroin addict with AIDS, New Haven, Connecticut, 1998 Within little more than a decade, AIDS has been tranformed from an untreatable, rapidly fatal illness, into a manageable, chronic disease. Most of this tranformation has occurred in the past five years, accelerated by the advent of protease inhibitors and the proven benefits of combination antiretroviral therapy and prophylaxis against opportunistic infections. For people living with HIV/AIDS, these developments have offered unprecedented hope, and also new challenges. As reflected in the quotes above, some of the anxieties and anticipation of premature dying have been replaced by the uncertainties involved in living with a long-term, unpredictable illness. The role of caregivers for people with HIV/AIDS has also changed radically over this time. Earlier in the epidemic, we learned to accompany patients through illness, to bear witness, to advocate, to address issues of death, dying, and - reavement. The arrival of more effective therapy has brought with it new capabi- ties, but also new complexities, raising difficult problems concerning access to care, adherence, and toxicity.

This popular learning and revision aid is designed specifically to help medical students memorise essential clinical facts, invaluable throughout medical studies and particularly useful in the pressured run-up to final exams. Over 100 maps are organised by body system, and include disease definitions and descriptions, pathophysiology, causes, risk factors, investigations, treatments and complications where relevant and applicable.

Key features:

Proven – new edition of this very well-received and successful book which has helped thousands of medical students around the world to exam success using mind maps, an established tool in education and known to improve memory recall

Flexible – ideal primer when coming to a topic for the first time, when reviewing it at the end of a module or attachment, and for making project and revision plans

Adaptable – use the maps in the book directly, as a guide to prepare your own or a supplement to personal notes

Systems-based – in line with medical course structure

Current – thoroughly revised and updated incorporating the latest clinical guides with many maps new to this edition including Breast Disease and expanded coverage of Rheumatological, Haematological and Endocrine conditions

Table of Contents

Chapter 1: The cardiovascular system

Chapter 2: The respiratory system

Chapter 3. GI system

Chapter 4. Renal

Chapter 5. Endocrine

Chapter 6. Neurology

Chapter 7. Haematology

Chapter 8. Rheumatology

Chapter 9. Infectious disease

Chapter 10. Reproductive system

Chapter 11. Embryology

Chapter 12. Genetic disorders

Appendix 1

Appendix 2

Index

This book offers the first comprehensive introduction to Results Mapping, an in novative approach for assessing the worth of hard-to-evaluate social, health, and education programs. Results Mapping represents a true milestone in program evaluation-a milestone both as methodology for program accountability and as a technique for program improvement. It is relevant across a wide spectrum of pub lic health, social service, and systems-building initiatives. It introduces "new sci ence" into the field of program evaluation. It merges common sense with structured logic. It retains the richness of real world success stories without sacri ficing a hard-nosed focus on quantitative data and measurable outcomes. The contents of this book are directly pertinent for program leadership and staff, for sponsors and funders in the public and private sectors, and for those charged with assessing, documenting and analyzing the effects of program activ ity. Success Stories as Hard Data is designed to be readable, practical, and clear. Its author does not ignore previous scholarly work, but chooses to emphasize real world applications. For this Dr. Kibei is to be applauded."

Cognitive science is a multidisciplinary science concerned with understanding and utilizing models of cognition. It has spawned a great dealof research on applications such as expert systems and intelligent tutoring systems, and has interacted closely with psychological research. However, it is generally accepted that it is difficult to apply cognitive-scientific models to medical training and practice. This book is based on a NATO Advanced Research Workshop held in Italy in 1991, the purpose of which was to examine the impact ofmodels of cognition on medical training and practice and to outline future research programmes relating cognition and education, and in particular to consider the potential impact of cognitive science on medical training and practice. A major discovery presented in the book is that the research areas related to artificial intelligence, cognitive psychology, and medical decision making are considerably closer, both conceptually and theoretically, than many of the workshop participants originally thought.

A professor of nursing, expert in multicultural health care and social services, describes the basic attitudes and beliefs of 15 important ethnic and religious groups in America and shows how these traits can affect behavior during illness or during social work interventions. Sensitive to problems of stereotyping, each chapter on an immigrant group provides some information about its homeland and population in the United States and then discusses the culture's modes of communication, its socioeconomic status, chief complaints, traditional family system, religious beliefs, views toward the elderly, child-rearing practices, culturally based health beliefs and practices, dietary patterns, characteristics relating to morbidity and mortality, beliefs about death and dying, physical assessment, and sources for further reading. The introduction points to a few key sources for continuing information about the care of multicultural patients and clients.