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.

Inequality is one of the major problems of the contemporary world. Significant geographical disparities exist within nations of the developed world, as well as between these countries and those referred to as the 'South' in the Bruntland Report. Issues of equity and deprivation must be addressed in view of sustainable development. However, before policymakers can remove the obstacles to a fairer world, it is essential to understand the nature of inequality, both in terms of its spatial and socio-demographic characteristics.

This second volume in the series contains population studies that examine the disparities evident across geographical space in the UK and between different individuals or groups. Topics include demographic and social change, deprivation, happiness, cultural consumption, ethnicity, gender, employment, health, religion, education and social values. These topics and the relationships between them are explored using secondary data from censuses, surveys or administrative records.

In volume 1 the findings of research on fertility, living arrangements, care and mobility are examined. Volume 3 will focus on ethnicity and integration.

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.

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.

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.

Over five centuries, a global archipelago of quarantine stations came to connect the world's oceans from the Mediterranean to the South Pacific, from Atlantic coasts to the Red Sea. In the process, great new carceral structures materialised, many surviving into the present as magnificent ruins or as 5 star hotels with a dark tourism edge. This book offers new histories and geographies of quarantine islands and isolation hospitals across the world, bringing their local and global pasts and present into view. An international cast of leading experts examine the enduring historical problems of migration and mobility, segregation, prevention and protection by states with different interests in freedoms, health and commerce. With case studies from as far afield as the Red Sea, Hong Kong and New Zealand, and from the early modern period forward, this book provides an invaluable insight into the history of quarantine.

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 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.

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.

Richard Titmuss was one of the twentieth century's foremost social policy theorists. This accessible Reader is the first compendium of his work on public health, health promotion and health inequalities. Most of Titmuss's work has been out of print for many years. This volume, like its predecessor, Welfare and wellbeing (The Policy Press, 2001), is important in bringing the work of this highly influential thinker to the attention of a new generation of social policy students and policy makers. It also enhances current debates about how complex societies can best provide for the health of all their citizens. The themes with which the book deals are of huge contemporary relevance and include: the differences between private and public health care systems; relationships between health care provision and the values underlying social policy; debates between health care 'experts' and consumers; health and social inequalities; personal and social meanings of health. Commentaries by leading experts in the field draw out these themes and make explicit links between Titmuss's work and key issues of concern in health policy today. Private complaints and public health is essential reading for students of social policy and health, policy makers and planners in the health service, analysts of health care and social policy, and for historians with a particular interest in the origins of the NHS.

"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.

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 handbook examines the meanings, implications, and transformative potential of a child-rights approach for school psychology. It focuses on the school community, in which psychology is committed to promoting well-being, learning, and development of all children. The handbook begins with an overview of the 1989 United Nations Committee on the Rights of the Child (CRC) and explores main themes such as, survival, protection, development, participation, and nondiscrimination. Chapters provide guidance in promoting and protecting child rights when dealing with critical issues relevant to the school community, including well-being, freedom from violence, and access to high quality education. In addition, chapters analyze and offer recommendations for child rights applications within the roles and responsibilities of school psychologists. The handbook concludes with future directions for achieving a child-rights approach for school psychology. Topics featured in this handbook include: The current status of child rights in the international community. Accountability for child rights by school psychology. Collaborative home, school, and community practices aimed at promoting family support. Protecting child rights within the realm of competitive sports. CRC and school-based intervention programming. Promoting child rights through school leadership. Applying child rights-respecting research to the study of psychological well-being. The International Handbook on Child Rights and School Psychology is a must-have resource for researchers, scientist-practitioners, clinicians, and graduate students in child and school psychology, educational policy and politics, social work, public health, and other school-based or child-serving mental health disciplines.

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.

This book combines the disciplines of applied demography and public health by describing how applied demographic techniques can be used to help address public health issues. Besides addressing the impact of aging on health and health-related expenditure, cause-specific mortality, and maternal health and morbidity, the book provides several chapters on special analysis and methodological issues. The chapters provide a number of resources and tools that can be used in conducting research aimed at promoting public health. These resources include information on a variety of health research datasets, different statistical methodologies for analyzing health-related data and developing concepts related to health status, methodologies for forecasting or projecting disease incidences and associated costs, and discussions of demographic concepts used to measure population health status.

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.

Global warming and globalization are the buzzwords of our time. They have nearly reached a religious status and those who deny their existence are considered modern heretics. Nevertheless, the earth has become an overcrowded village, traversable within a single day. Thus it is hardly surprising that besides persons and goods also agents of disease are easily transported daily from one end of the world to the other, threatening the health and lives of billions of humans and their animals. Agents of diseases (prions, viruses, bacteria, fungi and parasites) are not only transmitted by body contact or direct exchange of bodily fluids, but also by means of vectors which belong to the groups of licking or blood-sucking arthropods (mites, ticks, insects) that live close to humans and their houses.

Without a doubt the recently accelerating globalization supports the import of agents of disease into countries where they never had been or where they had long since been eradicated, leading to a false sense of living on a safe island. These newly imported or reintroduced diseases called emerging diseases may lead to severe outbreaks in cases where the countries are not prepared to combat them, or in cases where viruses are introduced that cannot be controlled by medications or vaccines.

Arthropods are well known vectors for the spread of diseases. Thus their invasion from foreign countries and their spreading close to human dwellings must be blocked everywhere (in donor and receptor countries) using safe and effective measures.

This book presents reviews on examples of such arthropod-borne emerging diseases that lurk on the fringes of our crowded megacities. The following topics show that there is an ongoing invasion of potential vectors and that control measures must be used now in order to avoid disastrous outbreaks of mass diseases.

Streptococci are Gram-positive bacteria that cause a wide spectrum of diseases, such as pharyngitis, necrotizing fasciitis and streptococcal toxic shock syndrome, as well as rheumatic fever and rheumatic heart disease as sequelae. Antibiotics alone have not been able to control the disease and in spite of many efforts an effective vaccine is not yet available. A prerequisite for novel and successful strategies for combating these bacteria is a complete understanding of the highly complex pathogenic mechanisms involved, which are analyzed in this volume. In ten chapters, prominent authors cover various aspects including streptococcal diseases and global burden, epidemiology, adaptation and transmission, and molecular mechanisms of different diseases, as well as sequelae, vaccine development and clinical management. This book will serve as a valuable reference work for scientists, students, clinicians and public health workers and provide new approaches to meeting the challenge of streptococcal diseases.

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."

Circumcision affects 15.3 million children and young adults annually. In terms of gender, 13.3 million boys and 2 million girls are subjected to the involuntary removal of part or all of their external sexual organs every year. The problem of female circumcision has been addressed on an international level, but male circumcision remains a controversial subject that many academics have been reluctant to examine. Circumcision is tolerated today because it has been practiced for millennia by a small but vocal minority of religious and ethnic groups, however, when the practice is examined through the lens of modern legal, ethical, and human rights advancements, no place remains in civilized society for this body-altering ritual. In Genital Autonomy: Protecting Personal Choice, international experts address various types of genital modifications, the impact of these harmful traditional practices on the child, on human rights, and on the development of the concept of bodily integrity. The papers presented in this volume address these topics from a variety of angles. They question and dissects the true motivations of the doctors, witch doctors, and "holy men" who promote and profit from circumcision.

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.

This volume provides a unique and valuable contribution to our understanding of the impact of stressful life events and mass trauma on the person, the culture and society in the course of the life span. It provides a comprehensive look at our psychological state of affairs at the beginning of the twenty-first century. There are several volumes that address some or most of these areas indivi- ally but this volume is unique in that it has brought together theoreticians, researchers and clinicians who address critical challenges in our lives. But we are now several months into the global financial crisis requiring a transition, not only for the western world but for the third world. How on earth do families in trauma zones - from Sri Lanka to Afghanistan, New Orleans to Gaza - cope with similar declining older relatives, with added traumas and zero medical resources attempt to survive? In news reports, politicians and financiers denying the inevitable and struggling for solutions that cannot be relevant to the new reality that they have yet to discover.

Physician assistant students write about some of their first clinical encounters with real patients. But there's a twist--these stories are written from the perspective of the patients!

An elderly farmer, a single teen who is pregnant, a motherless child, a World War II veteran, a newborn baby--these are just a few of the many people who touch and teach physician assistant students early in their clinical experience. Read the stories of sorrow, joy, surprise, patience, uncertainty and hope in the lives of patients and caregivers alike.

OF 'SOLIDARITY' IN UK SOCIAL WELFARE Here then, perhaps, is a British version of solidarity in social welfare, but early there are strong tensions between the powerfully liberal individualistic strands of the British understanding of the functions of the state and the socialistic or communitarian tendency of a commitment to universal welfare provision. In the search for the roots of this understanding of welfare we shall survey, fitst, the historical background to these tensions in some early British political philosophers, starting with Hobbes and ending with Mill. We then consider the philosophical and social influences on the Beveridge Report itself, and we will trace the emergence of the philosophy of the welfare state in the era following the Second World War. Finally we consider the contemporary debate, as it relates to the 'Third Way' thinking of New Labour. 2. A mSTORICAL SKETCH In the previous section we observed that the philosophy underlying the Beveridge Report could be described as 'liberal collectivism'. What are the historical antecedents of this strange amalgam of individualism and collectivism? Within the short scope of this chapter, any account of the philosophical history must be little more than a sketch, but we can perhaps understand most debates in British socio-political thought as a continuing dialogue with the well known claim of Thomas Hobbes in Leviathan that all political institutions are founded on egoistic motives.