"Public health" refers to the management and prevention of disease within a population by promoting healthy behaviors and environments in an effort to create a higher standard of living. In this comprehensive volume, editor James W. Holsinger Jr. and an esteemed group of scholars and practitioners offer a concise overview of this burgeoning field, emphasizing that the need for effective services has never been greater. Designed as a supplemental text for introductory courses in public health practice at the undergraduate and graduate levels, Contemporary Public Health provides historical background that contextualizes the current state of the field and explores the major issues practitioners face today. It addresses essential topics such as the social and ecological determinants of health and their impact on practice, marginalized populations, the role of community-oriented primary care, the importance of services and systems research, accreditation, and the organizational landscape of the American public health system. Finally, it examines international public health and explores the potential of systems based on multilevel partnerships of government, academic, and nonprofit organizations. With fresh historical and methodological analyses conducted by an impressive group of distinguished authors, this text is an essential resource for practitioners, health advocates, and students.

This book focuses on how a distinctly American product-managed care-got its start, how it works, and what needs to be adjusted in the future. As Birenbaum makes clear, this book is about social change. It is about doctors contracting with health maintenance organizations (HMOs) and being subject to their rules; about the limited access to specialty care; and about the frugal use of hospital admissions and stays. Consumers and providers have had mixed experiences in these health-delivery systems. Birenbaum, a health-policy analyst, has created a synthesis of research studies and analyses of trends to chronicle these developments and to suggest remedies to correct the most unjust aspects of managed care.

This book is about social change. It is about doctors contracting with HMOs and being subject to their rules; about the limited access to specialty care; and about the frugal use of hospital admissions and stays. Consumers and providers have had mixed experiences with HMOs. Birenbaum, a health-policy analyst, has created a synthesis of research studies and analyses of trends to chronicle these developments and to suggest remedies to correct the most unjust aspects of managed care. This is important reading for anyone concerned with contemporary health care in America.

This book examines the challenges faced by developmental scientists as the population under the age of 18 in the United States has become a majority-minority, with no racial/ethnic group having a numeric majority. The volume tackles how these demographic shifts compel scientists to consider the unique and universal processes that promote the growth, thriving, and resilience of these populations across this new landscape and also takes into account systems of oppression, power, privilege, racial justice, and structural disadvantage. It describes the challenges of conducting research with diverse populations and offers practical methodological solutions. The book provides an overview of the current demographic shifts and their implications for developmental researchers. It examines key diversity science constructs that need to be considered for all developmental research within this new global context in which societies are becoming more diverse. In particular, chapters address how to measure and conceptualize these constructs using within-group designs as well as research that includes youth from multiple backgrounds. In addition, the volume focuses on the contexts that shape the developmental trajectories of youth and how best to capture these contexts with an eye toward diversity science. Key areas of coverage include: Identifying best practices in the conceptualization and measurement of race and ethnicity in developmental science at the individual and contextual levels. Stimulating a dialogue that translates to an actionable agenda designed to tackle issues of conceptualization and measurement of key constructs associated with race/ethnicity. Leading-edge strategies for building interdisciplinary teams to conduct ethical and responsible work with diverse populations that include scholars of color. Finally, the book addresses translational work, including how the incorporation of diversity science can influence policy and help build collaborative research teams that are well-poised to conduct ethical research in these diverse populations. The volume provides recommendations for researchers to incorporate diversity science into their work. This book is a must-have resource for researchers, professors, clinicians, therapists and other professionals as well as graduate students in developmental, clinical child, and school psychology, public health, ethnic studies, counseling, anthropology, African American/Black Studies, Latinx/Latino/Chicano Studies, and Asian American Studies.

Proposes the pragmatic changes we must make to survive COVID and the worst of the new diseases on the horizon The Trump administration's neglect and incompetence helped put half-a-million Americans in the ground, dead from COVID-19. Joe Biden was elected president in part on the promise of setting us on a science-driven course correction, but, a little more than a year later, another half-a-million Americans were killed by the virus. What happened? In The Fault in Our SARS, evolutionary epidemiologist Rob Wallace catalogs the Biden administration's failures in controlling the outbreak. He also shows that, beyond matters of specific political persona or party, it was a decades-long structural decline associated with putting profits ahead of people that gutted U.S. public health. COVID-19 isn't just an American tragedy. Each in its own way, countries around the world following the "profit-first" model failed their people. Global vaccination campaigns were bottled up by efforts to protect pharmaceutical companies' intellectual property rights. Economies were treated as somehow more real than the people and ecologies upon which they depend. Frustrated populations pushed back against lockdowns, abuses of governmental trust, and, fair or not, the very concept of public health. A social rot meanwhile wended its way into the heart of the sciences that, tasked with controlling disease, serve the systems that helped bring about COVID-19 in the first place. In The Fault in Our SARS, Wallace and an array of invited contributors aim to strip down the capitalist social psychology that in effect protected the SARS virus. The team proposes instead new approaches in health and ecology that appeal both to humanity's highest ideals and the pragmatic changes we must make to survive COVID and the worst of the new diseases on the horizon.

This volume highlights the main procedures for assessing the regional risks resulting from dangerous goods storage, and transportation by means of different systems (i.e., road, rail, ship, and pipeline). The information in the book is based on a wide range of references and studies. The main procedural steps involved in quantitative risk analysis for transportation systems are supported by relevant methods of risk assessment, as recognized at an international level. The book gives an overview of the criteria and guidelines applicable to the implementation of risk assessments and management at different stages. Chapter 1 describes the environmental and safety factors to consider when performing a transportation risk analysis for a region. Chapter 2 presents risk definitions and the methodology for analyzing transportation risks in a complex area. Chapter 3 presents general information about truck accidents and their consequences, and reviews the risk presented by road tunnels. Chapter 4 deals with transportation of hazardous materials by rail. Chapter 5 is concerned with the assessment of transportation risks on water ways. Chapter 6 furnishes a description of the transport pipelines for natural gas and petroleum products and describes the situation in Switzerland. Chapter 7 presents a compilation of statistical data related to accidents and the movement of dangerous goods. Chapter 8 is devoted to the description of data bases and computer support for risk assessment. Chapter 9 deals with integrated approaches for regional risk assessment and safety management with special emphasis to the transportation of hazardous materials. Chapter 10 presents several relevant case studies andmiscellaneous information.

The pandemic that struck in late 2019 - the coronavirus, commonly referred to as COVID-19 - affected every country in the world. This book examines how the pandemic has impacted healthcare institutions worldwide, and focuses on the international experience of COVID-19 in terms of healthcare delivery since 2019 and today. It highlights how healthcare facilities around the world have managed and continue to manage their obligations to their citizens. The book's goal is to improve our understanding of the many negative and positive impacts of the pandemic on various aspects of our lives, including the health aspect, and how healthcare institutions could expand their ability to manage similar pandemics in the future without seriously compromising their ability to address other, regular health issues. At the same time, it takes a closer look at CSR, sustainability, ethics, and governance issues related to the pandemic, as well as current CSR practices in each of the countries reviewed. Given its scope, the book will be of interest to a broad readership including researchers, practitioners, and students concerned with the pandemic's societal and public health implications.

From Pandemic to Insurrection: Voting in the 2020 US Presidential Election describes voting in the 2020 election, from the presidential nomination to new voting laws post-election. Election officials and voters navigated the challenging pandemic to hold the highest turnout election since 1900. President Donald Trump's refusal to acknowledge the pandemic's severity coupled with frequent vote fraud accusations affected how states provided safe voting, how voters cast ballots, how lawyers fought legal battles, and ultimately led to an unsuccessful insurrection.

Particularly valuable to social workers and health care personnel, this timely volume offers practical guidelines and unique treatment approaches to use with clients who have sex-related problems. Experts address sexual health and social work intervention in sexual problems. They also present important information on significant health problems--cancer, chronic illness; patient characteristics; and special issues, which illustrate the various social work intervention responses available to meet patients'sexual problems.

In this book, the history of the Brazilian Psychiatric Reform is told by one of its main protagonists. In the early 1980s, there were about 80 thousand people admitted to psychiatric hospitals in Brazil, with average lengths of hospital stay of approximately 25 years. The psychiatric reform process that took place in the country was responsible for closing more than 60 thousand beds in mental asylums, most of them characterized by conditions of violence and abandonment.The Brazilian Psychiatric Reform was inspired by the psychosocial care model introduced by psychiatrist Franco Basaglia in Italy and was marked by the broad participation of social movements, such as the anti-asylum movement and other human rights movements. This process gave rise to a model of mental health care based on open-door territorial mental health services, guided by the principle of treatment in liberty, in addition to other strategies of deinstitutionalization. More than a proposal to restructure or modernize the mental health care model, the objective of the Brazilian Psychiatric Reform was the construction of a new social place for the diverse and singular subjective experience of madness. By intending to produce new imaginaries, new social representations and new meanings for these experiences, the Brazilian Psychiatric Reform led to one of the larger experiences of deinstitutionalization in the world and to the large scale implementation of a new model of mental health care in which the old asylum-centric paradigm was replaced by a new democratic psychosocial care model.

Pregnant teens have three options-abortion, adoption, and keeping the baby-and each comes with its own challenges and issues. Teen pregnancy can have an enormous impact on adolescents, their families, and society. What options are available to teens? What resources are available, and what rights and responsibilities do the pregnant teen, the father, and the teen's parents have? Do pregnancy and birth pose unique health risks for mother and child? How does being born to a teen mother affect a child's health and future? Part of Greenwood's Q&A Health Guides series, Teen Pregnancy: Your Questions Answered follows a reader-friendly question-and-answer format that anticipates readerS' needs and concerns. Prevalent myths and misconceptions are identified and dispelled, and a collection of case studies illustrates key concepts and issues through relatable stories and insightful recommendations. Each book in the series also includes a section on health literacy, equipping teens and young adults with practical tools and strategies for finding, evaluating, and using credible sources of health information both on and off the internet-important skills that contribute to a lifetime of healthy decision-making. Makes the subject approachable and accessible to readers through a simple Q&A format Helps readers to improve their research and critical thinking skills in a Guide to Health Literacy section Provides real-world examples of concepts discussed in the book through case studies Dispels popular misconceptions surrounding teen pregnancy in a Common Myths section and points readers toward accurate information

Starting with a working definition, this comprehensive work defines the attributes of the population health model. It clarifies what population health is and is not. It discusses health disparities and the social determinants of health and illness and provides new ways of moving forward towards a more sustainable healthcare model in a changing society, thereby pointing out the importance of multi-sector collaboration for collective impact for community health improvement. The book takes this further by providing sources of data to support the population health model. As such, this book provides a must-read for students and anyone working, teaching or consulting in population healthcare.

Given the growing importance of Eastern European countries in the development of the EU, there is an urgent need to reconstruct the recent dynamic developments in women's work and care in these societies, and the socio-political determinants thereof. Considering their specific cultural, economic and historical development, it can be assumed that the trends and determinants of women's labour market trajectories in CEE countries differ significantly from those in the other European countries that have frequently made up the basis for established theories in social and labour market research. This being the case, can 'standard' theoretical approaches, mostly modelled on evidence from Western Europe, be transferred to the analysis of Eastern European countries? This edited collection scrutinises pivotal aspects of women's careers in Eastern Europe, providing a detailed overview of trends and determinants of women's employment in Eastern Europe, and reflecting critically on theoretical approaches in social and labour market research.

This is the first monograph to deal with medicine as a form of hermeneutics, now in a thoroughly revised and updated edition, including a whole new chapter on medical ethics. The book offers a comprehensive philosophical argument why good medical practice cannot be curtailed to scientific investigations of the body but is a form of clinical hermeneutics performed by health-care professionals in dialogue with their patients. Medical hermeneutics is rooted in a phenomenology of illness which acknowledges and proceeds from the ill party's bodily feelings, everyday life-world circumstances and self-understanding in aiming to restore health. The author shows how the works of classical phenomenologists and hermeneuticians - Martin Heidegger, Maurice Merleau-Ponty, Hans-Georg Gadamer and Paul Ricoeur - may be employed to understand how medical diagnosis is enveloped by professional empathy and clinical judgement and developed by scientific investigations of the patient's bodily condition. Health and illness are ultimately considered to be ways of feeling at home or not at home in the world, and such experiences are the starting point of medical hermeneutics when aiming to make best use of scientific knowledge. The book is aimed at researchers and teachers in philosophy of medicine and medical ethics, and at physicians, nurses and other health-care professionals meeting with patients in ethically complex and challenging situations. Phenomenology and hermeneutics, most often considered as methods belonging to the humanities, are shown to be of vital importance for the understanding of medical practice and ethical dilemmas of health care.

A bold, expert, and actionable map for the re-invention of America’s broken mental health care system.

As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, “Our house is on fire and you’re telling me about the chemistry of the paint! What are you doing to put out the fire?” Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken—and what a better path to mental health might look like.

In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every eleven minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families?

But Dr. Insel also found that we do have approaches that work, both in the U.S. and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward.

The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis.

Public Health Microbiology: Methods and Protocols is focused on microorganisms that can present a hazard to human health in the course of everyday life. There are chapters dealing with organisms that are directly pathogenic to humans, including bacteria, viruses, and fungi; on organisms that produce toxins during growth in their natural habitats; on the use of bacteriocins produced by such organisms as lactobacilli and bifidobacteria; as well as several chapters on hazard analysis, the use of disinfectants, microbiological analysis of cosmetics, and microbiological tests for sanitation equipment in food factories. Additional chapters look at the use of animals (mice) in the study of the various characteristics of milk and their relationships with lactic acid bacteria in particular. Other chapters focus on special methods for determining particular components of milk. In particular, in Parts I and II, on bacterial and viral pathogens, special attention is given to methods for PCR detection of genes with resistance to tetracycline, as well as to Salmonella enterica; for identification and typing of Campylobacter coli; for detection of the abundance of enteric viruses, hepatitis A virus, and rotaviruses in sewage, and of bacteriophages infecting the O157: H7 strain of Escherichia coli. Part III offers methods for computerized analysis and typing of fungal isolates, for isolation and enumeration of fungi in foods, and for the determination of aflatoxin and zearalenone

This book aims at shedding light on the reasons why the death rates during the pandemic were so high in Central Asia. More specifically, this book proposes analysis on why individuals did not follow the sanitary rules imposed by their respective government and on the role played by misinformation. Secondly, it also examines the impact of Sinophobia in Central Asia and the future challenges this feeling may pose on the authorities in the near future. Lastly, this book also proposes analysis of how the pandemic has contributed to show the inherent vulnerabilities of Kazakhstan and Kyrgyzstan by focusing on their immediate and future political consequences.

This book examines the intermediate level of mental health services with a focus on partial hospitalization program (PHP) and intensive outpatient program (IOP) models of care for youth. It reviews the history of PHPs and IOPs and highlights their current care models, demonstrating the increase in the development and implementation of evidence-based treatment (EBT) practices. The book explores issues relating to program development, implementation, and considerations for sustainability. It provides interventions designed to enhance the well-being of youth who are experiencing a range of mental health concerns as well as strategies to engage and involve their families. In addition, the book offers feasible strategies for measuring outcomes and applying these results to meaningful clinical evaluations in PHP and IOP settings. It describes the process of accessing and using these intermediate services as well as additional treatment resources that may be necessary in the continuum of mental health care for youth. Key areas of coverage include: The history and purpose of mental health care and the role of day treatment programs for youth. Working with program administration and other stakeholders, identifying a patient population, and engaging community and referral sources. The importance of family involvement, coordination of care, and simultaneously addressing the transactional relationship between physical and mental health. Transitioning youth from pediatric mental health services into the adult mental health system. Working with a diverse patient population in intermediate treatment programs. Providing practical information for families and practitioners navigating the pediatric mental health continuum of care. The Handbook of Evidence-Based Day Treatment Programs for Children and Adolescents is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, course instructors, and other professionals in child and adolescent psychiatry, clinical child and school psychology, social work, counseling, public health, family studies, developmental psychology, pediatrics, and all related disciplines.

The environment is currently a matter of international public and academic concern, but is often considered separately from health issues. This book brings together work from environmental and health historians to conceptualise the connection between environment and health at different times and in different geographical locations.

GeoComputation and Public Health is fundamentally a multi-disciplinary book, which presents an overview and case studies to exemplify numerous methods and solicitations in addressing vectors borne diseases (e.g, Visceral leishmaniasis, Malaria, Filaria). This book includes a practical coverage of the use of spatial analysis techniques in vector-borne disease using open source software solutions. Environmental factors (relief characters, climatology, ecology, vegetation, water bodies etc.) and socio-economic issues (housing type & pattern, education level, economic status, income level, domestics' animals, census data, etc) are investigated at micro -level and large scale in addressing the various vector-borne disease. This book will also generate a framework for interdisciplinary discussion, latest innovations, and discoveries on public health. The first section of the book highlights the basic and principal aspects of advanced computational practices. Other sections of the book contain geo-simulation, agent-based modeling, spatio-temporal analysis, geospatial data mining, various geocomputational applications, accuracy and uncertainty of geospatial models, applications in environmental, ecological, and biological modeling and analysis in public health research. This book will be useful to the postgraduate students of geography, remote sensing, ecology, environmental sciences and research scholars, along with health professionals looking to solve grand challenges and management on public health.

This book investigates public medical insurance reform in China and studies its effects from both institutional and empirical study perspectives. It provides the reader with academic evidence for understanding the transformation of public medical insurance and its effect on the utilization of healthcare services, expenditure for medical care, individuals' financial portfolio allocation, and well-being. The main content of the book comprises two parts. First, institutional transformations of public medical insurance are considered: medical insurance reform in rural and urban China, and problems of medical insurance reform in the country. Second, it looks at the impact of public medical insurance reforms in China: evidence-based on empirical studies, including determinants of participation in medical insurance, the New Rural Cooperative Medical Scheme and its effects on the utilization of healthcare services, medical insurance and its effects on out-of-pocket expenditure, risky financial market participation, and well-being in China. This study provides academic evidence about these issues based on economic theories and econometric methods using many kinds of nationwide Chinese representative survey data. The book is highly recommended to readers who are interested in up-to-date and in-depth empirical studies on the mechanisms of participation in medical insurance and the impact of public medical insurance reforms on individuals and household behaviors in China. This volume will be of interest to those who are interested in the Chinese economy, social security policymakers, and scholars with an econometric analysis background.

This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice.

Athletes are always aiming to be faster, better, stronger. New techniques to enhance their sporting performance have increasingly been linked to use of novel psychoactive substances (NPS) and other hard-to-detect substances like performance-enhancing drugs. This book offers a timely analysis of the new challenges posed by this phenomenon in the anti-doping community. The authors present the first comprehensive perspective on the rapidly shifting doping scenario and reflect on use, regulation, policy, and market structure of NPS used in sports. They highlight the challenges with the list of prohibited substances and methods in and out of competition. They also evaluate how methods to detect new drugs present an ongoing battle for doping control as they have to be adapted constantly. Topics covered within the chapters include: Contamination of Sports Supplements with Novel Psychoactive Substances Untested Supplement Use Among Athletes: An Overlooked Phenomenon? International Drug Control: Protecting the Health of the Athlete Analysis of New Chemical Entities in a Sport Context Emerging Drugs in Sport establishes a clear benchmark on the policy discussion, drawing from available evidence and sources, including athletes' personal experiences, to generate a fact-based resource that informs a research as well as wider audience. The book is essential reading for those working in anti-doping, substance misuse, sports, ethics, and human enhancement. It also is useful for policy-makers, legislative personnel, and other professionals with an interest in protecting clean sport. "Doping is one of the greatest threats to the integrity of sport. We must never be tempted to turn our back on the problem and hope it will disappear. The benefits and values of clean sport have never been more important to the world. That is why this book with its wide-ranging approach is so valuable." Thomas Bach, President, International Olympic Committee "Physical activity is vital to a healthy living, which is why doping is not just an assault on fair competition, but also on health. I strongly commend this book for compiling advanced knowledge on performance-enhancing drugs and promoting health through sport." Tedros Adhanom Ghebreyesus, Director-General, World Health Organization

Rates of childhood obesity are alarmingly high and increasing each year. Studies have shown that obese children are more likely to become obese adults and are likely to suffer with numerous health consequences like coronary heart disease, high blood pressure, and Type II diabetes, among others. Studies also indicate that television viewing and exposure to advertising for food products influences children's attitudes toward, food preferences and food purchase requests for foods with low nutritional value. It is important to better understand the role of media in childhood obesity and to learn how media may be used to address this issue in a positive way. This book focuses on communication and media research that can have an impact on reducing childhood obesity. Emphasis is placed on topics related to how the media communicate health-related messages about food, nutrition and diet that influence childhood obesity. Particular emphasis is on the new media, given the fact that media now have more central roles in socializing today's children and youth than ever before. Advertising and marketing messages reach young consumers through a variety of vehicles - broadcast and cable television, radio, magazines, computers through the Internet, music, cell phones - and in many different venues - homes, schools, child-care settings, grocery stores, shopping malls, theaters, sporting events, and even airports. In addition, given the disparity in obesity rates between children of color and the general population, special attention is given to research on media targeting these populations.

What is the big deal about cannabis? This book covers everything from botany to the historical uses and common misconceptions of cannabis, with a focus on the political process of prohibition and legalization of cannabis in the United States. Why is marijuana-to which few if any deaths can be attributed-generally banned in the United States, while cigarettes and liquor-which unquestionably kill millions-are currently legal? This question can best be explained through an investigation of the historical context of cannabis in our country. This book documents the long history of marijuana use, the turbulent path of the prohibition of cannabis use, the issues regarding present-day legalization, and the modern implications of both medical and recreational cannabis. It provides compelling insight from multiple academic disciplines, including sociology, political science, economics, medicine, and health, and in particular from the history of the American experience with the criminalization of liquor, gambling, prostitution, and cigarettes. Marijuana Politics: Uncovering the Troublesome History and Social Costs of Criminalization examines the current trend toward the legalization of marijuana in the context of the American experience with particular emphasis on political, social, and constitutional developments in the United States beginning in the 20th century. It compares the trend toward marijuana legalization to Prohibition and U.S. laws regarding the consumption of alcohol and analyzes legal developments in comparable areas such as the regulation of other vices and hard drugs like cocaine and heroin. This book is written to be accessible to both casual readers or academic students and provides a robust understanding of both the historical and modern aspects of the drug itself and legalization, regardless of the reader's individual beliefs on the use of cannabis. Clearly presents the facts on how cannabis prohibition started and why cannabis prohibition is ending Identifies and challenges the common misconceptions about cannabis on both sides of this hot-button issue Provides a current perspective on the state trends toward legalization that explains the who, why, and how of the issue Explains the complex relationship between state marijuana legalization and the federal government, including findings from the executive, legislative, and judicial branch