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Books > Medicine > General issues > Health systems & services > General

Culture and Health - A Critical Perspective Towards Global Health 2e (Hardcover, 2nd Edition): M. Maclachlan Culture and Health - A Critical Perspective Towards Global Health 2e (Hardcover, 2nd Edition)
M. Maclachlan
R4,295 Discovery Miles 42 950 Ships in 10 - 15 working days

Most health professionals now practice in multicultural societies. The influence of culture on illness, health and rehabilitation is therefore very important.

"Culture and Health" considers the practical implications of working with people from different cultures. It takes an explicitly critical perspective to explore the many fascinating interplays between culture and health, situating them within the broader social contexts in which they arise. Written in an engaging and accessible style, this second edition has been extensively revised and updated, and now includes a chapter on Global Health. It contains many helpful case studies and each chapter ends with guidelines for professional practice.

Retaining a strong focus on the clinician's perspective, "Culture and Health" is recommended for both students and qualified practitioners alike. It is essential reading for practising professionals and students of psychology, medicine, nursing, social work, occupational therapy and physiotherapy. It is also a valuable resource for health service managers and planners.

From reviews of the first edition:

"MacLachlan is at his most interesting when recounting tales of cultural diversity"
--"British Medical Journal"

.,."health workers have a great deal to learn from this volume...of great value and interest are the many illustrations of health related cultural phenomena..."
--"British Journal of Health Psychology"

Assembling Health Care Organizations - Practice, Materiality and Institutions (Hardcover): K Lindberg, A Styhre, Lars Walter Assembling Health Care Organizations - Practice, Materiality and Institutions (Hardcover)
K Lindberg, A Styhre, Lars Walter
R1,395 Discovery Miles 13 950 Ships in 18 - 22 working days

Assembling Health Care Organizations combines an institutional theory perspective with a materialist view of the technologies, devices, biological specimens, and other material resources mobilized and put to work in health care work.

Community Care in Perspective - Care, Control and Citizenship (Hardcover, New): J. Welshman, J. Walmsley Community Care in Perspective - Care, Control and Citizenship (Hardcover, New)
J. Welshman, J. Walmsley
R2,668 Discovery Miles 26 680 Ships in 18 - 22 working days

Community Care in Perspective fills a major gap in medical and social history by offering a detailed account of community provision for so-called 'vulnerable adults' in the UK from 1948-2005. This collection focuses primarily on people with learning difficulties to offer insights into community care more broadly, examining key issues such as charity versus rights, the role of the market in care provision and the changing construction of social categories. Charting the evolution of community care since the formation of the NHS, this study will be invaluable in contextualizing the work of policymakers and service providers.

Doctors at the Borders - Immigration and the Rise of Public Health (Hardcover): Michael C. LeMay Doctors at the Borders - Immigration and the Rise of Public Health (Hardcover)
Michael C. LeMay
R2,230 R2,060 Discovery Miles 20 600 Save R170 (8%) Ships in 10 - 15 working days

A unique resource for the general public and students interested in immigration and public health, this book presents a comprehensive history of public health and draws 10 key lessons for current immigration and health policymakers. The period of 1820 to 1920 was one of mass migration to the United States from other nations of origin. This century-long period served to develop modern medicine with the acceptance of the germ theory of disease and the lessons learned from how immigration officials and doctors of the United States Marine Hospital Service (USMHS) confronted six major pandemic diseases: bubonic plague, cholera, influenza, smallpox, trachoma, and yellow fever. This book provides a narrative history that relates how immigration doctors of the USMHS developed devices and procedures that greatly influenced the development of public health. It illuminates the distinct links between immigration policy and public health policy and distinguishes ten key lessons learned nearly 100 years ago that are still relevant to coping with current public health policy issues. By re-examining the experiences of doctors at three U.S. immigration/quarantine stations-Angel Island, Ellis Island, and New Orleans-in the early 19th century through the early 20th century, Doctors at the Borders: Immigration and the Rise of Public Health analyzes the successes and failures of these medical practitioners' pioneering efforts to battle pandemic diseases and identifies how the hard-won knowledge from that relatively primitive period still informs how public health policy should be written today. Readers will understand how the USMHS doctors helped shape the very development of U.S. public health and modern scientific medicine, and see the need for international cooperation in the face of today's global threats of pandemic diseases. Addresses many "hot topics" regarding public health, such as how to best cope with mass migration of legal and illegal immigrants; concern about pandemics like the Ebola crisis in West Africa, the Enterovirus-D68 outbreak, and the recent avian flu and swine flu epidemics; and the threat of bioterrorism within the United States Examines the history of the mass migration of the 1820-1920 era to provide insight into how to better cope with mass migration and the public health threats of today Demonstrates how more lives are saved through public health campaigns than any other approach to medicine, and that only a national approach to public health can adequately thwart the threats of pandemic disease to our entire country Presents information derived from original research from records at the National Archives and Records Administration and at the National Museum of Health and Medicine

Credit Crunch Health Care - How Economics Can Save Our Publicly-funded Health Services (Hardcover, New): Cam Donaldson Credit Crunch Health Care - How Economics Can Save Our Publicly-funded Health Services (Hardcover, New)
Cam Donaldson
R2,567 Discovery Miles 25 670 Ships in 10 - 15 working days

World-leading health economist Cam Donaldson defends NHS-type systems on the same basis as their detractors: economic efficiency. However, protecting government funding of health care is not enough: scarcity has to be managed. Donaldson goes on to show how we can get more out of our systems by addressing issues of value for money. In particular, he demonstrates what has been achieved through health care reform but questions how much more this can deliver relative to getting serious about priority setting. The issues addressed in the book have global relevance and this accessible book will therefore appeal to the public, health professionals and health policy specialists.

Patients, Consumers, Providers and Caregivers (Hardcover): Jennie Jacobs Kronenfeld Patients, Consumers, Providers and Caregivers (Hardcover)
Jennie Jacobs Kronenfeld; Edited by Jennie Jacobs Kronenfeld, Rose Weitz
R3,253 Discovery Miles 32 530 Ships in 10 - 15 working days

In this volume of "Research in the Sociology of Health Care" a variety of topics concerning patients, consumers, providers and caregivers are covered.

Medical Tourism - Breakthroughs in Research and Practice (Hardcover): Information Resources Management Association Medical Tourism - Breakthroughs in Research and Practice (Hardcover)
Information Resources Management Association
R10,442 Discovery Miles 104 420 Ships in 18 - 22 working days

The era of globalization allows for more connectivity between nations and cultures. This increase in international association gives citizens the ability to take advantage of opportunities in other nations, such as medical assistance and accompanying services. Medical Tourism: Breakthroughs in Research and Practice is a comprehensive reference source for the latest scholarly material on trends, practices, and emerging phenomena of international travel by patients for medical treatment and examines the benefits and challenges of these services. Highlighting a range of pertinent topics such as hospitality management, reproductive medicine, and ethical considerations, this multi-volume book is ideally designed for the needs of healthcare providers, nonprofit organizations, students, and medical professionals seeking relevant research on the relationship between global travel and access to healthcare.

Healthcare Infrastructure - Health Systems for Individuals and Populations (Hardcover, Edition.): Bruce R. Schatz, Richard B.... Healthcare Infrastructure - Health Systems for Individuals and Populations (Hardcover, Edition.)
Bruce R. Schatz, Richard B. Berlin Jr.
R2,684 Discovery Miles 26 840 Ships in 18 - 22 working days

The first systematic survey of Healthcare Infrastructure, this book describes the inevitable future of health systems. It gives a concrete plan for improved quality at diminished cost, via merger of personal medicine and public health. It discusses general aspects of infrastructure engineering and specific aspects of healthcare systems. It discusses current and future technologies for health measurement and management. This book outlines how the health of populations will be measured at the level of individuals, combining engineering and medicine to support viable health systems for the first time. This book is unique, in combining a systematic survey of health determinants with a research monograph on health technologies. Readers will gain a broad context and a deep knowledge of future information technology applied to health systems.

Critical Perspectives on User Involvement (Hardcover): Marian Barnes, Phil Cotterell Critical Perspectives on User Involvement (Hardcover)
Marian Barnes, Phil Cotterell
R2,947 Discovery Miles 29 470 Ships in 10 - 15 working days

Drawing on contributions from user activists and academic researchers, this topical reader provides a critical stock take of the state of user involvement. It considers different contexts in which such involvement is taking place and includes diverse and sometimes conflicting perspectives on the issues involved. This original and insightful critique will be an important resource for students studying health and social care and social work, researchers and user activists.

Better Outcomes - A Guide to Humanizing Healthcare (Paperback): Rafael E. Salazar Better Outcomes - A Guide to Humanizing Healthcare (Paperback)
Rafael E. Salazar
R601 R545 Discovery Miles 5 450 Save R56 (9%) Ships in 18 - 22 working days

We have a problem in healthcare. That problem is this: in today's healthcare environment, especially in the United States, people take a back seat to the numbers in almost every aspect of healthcare service delivery. Productivity, utilization, and other business metrics rule the roost. If it's not calculatable, spreadsheet-able, or measurable, it hardly receives any attention from healthcare managers, administrators, and decision-makers. We can't simply sit back and allow the dehumanization that currently runs rampant in our clinics and hospitals continue to wreak havoc on one of the most important factors in clinical outcomes: the relationships between healthcare professionals and the people (patients) that they serve. Healthcare is a great and noble profession, but it will only remain so if we, as healthcare professionals, return its focus to its true purpose: people, the people receiving care, and the people working to deliver that care. After all, we're all more than simply numbers on spreadsheets or items on checklists. Better Outcomes: A Guide for Humanizing Healthcare outlines the 8 changes that organizations and clinicians need to commit to in order to return to the focus of healthcare to where it should be: the patient. The book covers topics related to truly patient-centered care, a biopsychosocial approach to service delivery, patient engagement, interpersonal communication, and developing long-term relationships with patients. Through an exploration of both clinical research and real-life examples and cases, the book outlines and supports a vision of a new healthcare, where skilled, competence, and caring clinicians care for engaged patients to promote better clinical outcomes, deliver unmatched satisfaction, and lasting relationships.

Conquering the Crisis - Proven Solutions for Caregiver Recruiting and Retention (Hardcover): Stephen Tweed Conquering the Crisis - Proven Solutions for Caregiver Recruiting and Retention (Hardcover)
Stephen Tweed
R749 Discovery Miles 7 490 Ships in 18 - 22 working days
Healthcare Kaizen - Engaging Front-Line Staff in Sustainable Continuous Improvements (Hardcover): Mark Graban, Joseph E Swartz Healthcare Kaizen - Engaging Front-Line Staff in Sustainable Continuous Improvements (Hardcover)
Mark Graban, Joseph E Swartz
R5,368 Discovery Miles 53 680 Ships in 10 - 15 working days

Healthcare Kaizen focuses on the principles and methods of daily continuous improvement, or Kaizen, for healthcare professionals and organizations. Kaizen is a Japanese word that means "change for the better," as popularized by Masaaki Imai in his 1986 book Kaizen: The Key to Japan's Competitive Success and through the books of Norman Bodek, both of whom contributed introductory material for this book. Winner of a 2013 Shingo Research and Professional Publication Award! In 1989, Dr. Donald M. Berwick, founder of the Institute for Healthcare Improvement and former administrator of the Centers for Medicare and Medicaid Services, endorsed the principles of Kaizen in the New England Journal of Medicine, describing it as "the continuous search for opportunities for all processes to get better." This book shows how to make this goal a reality. Healthcare Kaizen shares some of the methods used by numerous hospitals around the world, including Franciscan St. Francis Health, where co-author Joe Swartz has led these efforts. Most importantly, the book covers the management mindsets and philosophies required to make Kaizen work effectively in a hospital department or as an organization-wide program. All of the examples in the book were shared by leading healthcare organizations, with over 200 full-color pictures and visual illustrations of Kaizen-based improvements that were initiated by nurses, physicians, housekeepers, senior executives and other staff members at all levels. Healthcare Kaizen will be helpful for organizations that have embraced weeklong improvement events, but now want to follow the lead of ThedaCare, Virginia Mason Medical Center, and others who have moved beyond just doing events into a more complete management system based on Lean or the Toyota Production System. It's often said, without much reflection, that people hate change. The experiences shared

Bargaining With Uncertainty - Decision-Making in Public Health, Technologial Safety, and Environmental Quality (Hardcover,... Bargaining With Uncertainty - Decision-Making in Public Health, Technologial Safety, and Environmental Quality (Hardcover, New)
Merrie G. Klapp, Sy D. Friedman
R2,213 R2,044 Discovery Miles 20 440 Save R169 (8%) Ships in 10 - 15 working days

In this intriguing volume, Merrie G. Klapp explains how regulatory decisions in such crucial areas as public health, technological safety, and environmental quality are molded and recast. She finds that scientific uncertainty is a key factor, with agencies, interest groups, Congress, and the courts attempting to shift responsibility of proof or varying the standard of proof according to the pressures brought to bear on the issue. In general, Professor Klapp finds that when citizens or industrialists organize to protest a regulatory decision and when the legislature or the courts take scientific uncertainty into account, then the initial regulatory decision is changed.

By contrast with the United States, where scientific uncertainty is used as a public resource and rationale for change, in France and Britain scientific uncertainty is treated as a private resource. French and British scientists do not treat regulatory decisions as opportunities to reveal scientific uncertainty to the public--instead, discussions of uncertainties are held behind closed doors and, when reports are made to the public about regulatory decisions, scientific information is presented as if it were certain. Bargaining with Uncertainty will be a provocative analysis to those scholars and researchers concerned with the making of public policy as well as those concerned with risk assessment in public health, the environment, and technology.

When Living Alone Means Living at Risk - A Guide for Caregivers and Families (Hardcover): Robert W. Buckingham When Living Alone Means Living at Risk - A Guide for Caregivers and Families (Hardcover)
Robert W. Buckingham
R803 R738 Discovery Miles 7 380 Save R65 (8%) Ships in 18 - 22 working days

In caring for America's aging population, emphasis is frequently given to maintaining elders in the community, preferably in their own homes, with appropriate supportive services. But what of those older persons who are at home and without a network of relatives or friends who are aware of the often life-threatening problems they face every day? What of elders who are undernourished, under- or over-medicated, visually handicapped, hard of hearing, or otherwise disabled? Many of these older people may be unaware of their need for help, or are well aware of their specific circumstances but deliberately hide their needs from others for fear of being "a burden" or of losing their freedom. This important new book brings together a variety of authors who seek to assist family and friends in recognizing the danger signs that surround an at-risk elder, while making vital distinctions between those types of behavior that give cause for worry and those that can best be described as idiosyncratic. The essays offer thoughtful suggestions for appropriate assistance by caregivers and interested parties while at the same time respecting the autonomy and independence of the elderly.

Safeguarding the Public Health - Newark, 1895-1918 (Hardcover): Stuart Galishoff Safeguarding the Public Health - Newark, 1895-1918 (Hardcover)
Stuart Galishoff
R2,214 R2,044 Discovery Miles 20 440 Save R170 (8%) Ships in 10 - 15 working days
Liver Detox Cleanse - Detox Fix for Weight Issues, Gout, Acne, Eczema, Adrenal Stress, Psoriasis, Diabetes and Fatty Liver... Liver Detox Cleanse - Detox Fix for Weight Issues, Gout, Acne, Eczema, Adrenal Stress, Psoriasis, Diabetes and Fatty Liver (Hardcover)
Gabrielle Townsend
R555 R510 Discovery Miles 5 100 Save R45 (8%) Ships in 18 - 22 working days
The Health Behavioral Change Imperative - Theory, Education, and Practice in Diverse Populations (Hardcover, 2002 ed.): Jay... The Health Behavioral Change Imperative - Theory, Education, and Practice in Diverse Populations (Hardcover, 2002 ed.)
Jay Carrington Chunn
R2,808 Discovery Miles 28 080 Ships in 18 - 22 working days

Health experts independently state that the most critical urban problems are preventable. This brings an added challenge to public health practitioners working in inner cities with predominately minority communities. In addition to deadly diseases - including transmittable diseases - violence, whether it is physical, sexual or child abuse, is the other predominant morbidity factor that urban areas confront.
Because of these concerns, there is a need for health professionals working with the communities to critically examine health behavior theories and prevention methodologies. Additionally, new prevention practices and programs need to be developed for community-based interventions to better serve the populations in need including programs in:

-HIV Prevention;
-Evaluation and Policy Research;
-Cancer Prevention and Screening;
-Urban Public Health Policy;
-Youth Violence Prevention.

Cross-Cultural Training and Teamwork in Healthcare (Hardcover, New): Simona Vasilache Cross-Cultural Training and Teamwork in Healthcare (Hardcover, New)
Simona Vasilache
R6,120 Discovery Miles 61 200 Ships in 18 - 22 working days

Organizational cultures and subcultures have played vital roles in the quality care of the healthcare industry in both the public and private forms of medical practice and education, leaving opportunity for the integration of principles focused on cross- cultural teamwork. Cross-Cultural Training and Teamwork in Healthcare explores the complex relationships between patients, physicians, and nurses with different cultural backgrounds. Integrating theoretical and empirical perspectives on medical teamwork, this book assesses the impact of diverse backgrounds among team members on the quality of care they provide so that medical practitioners, decision-makers, and educators can effectively make use of their cultural differences to provide patients with the best possible care.

Reorganizing Health Care Delivery Systems - Problems of Managed Care and Other Models of Health Care Delivery (Hardcover, New):... Reorganizing Health Care Delivery Systems - Problems of Managed Care and Other Models of Health Care Delivery (Hardcover, New)
Jennie Jacobs Kronenfeld
R3,671 Discovery Miles 36 710 Ships in 10 - 15 working days

This volume deals with the reorganizing of health care delivery systems: problems of managed care and other models of health care delivery. Issues of how to best organize a health care delivery system are not new, but the amount of interest in this topic in the US (as well as in other countries) has grown in recent decades. Reorganizing health care delivery systems is a concern of many systems of the world, and this volume contains some papers from countries other than the US, although the majority of the papers do relate issues to the US health care delivery system. While most papers relate to structural and organizational factors, the impact of individual patients is not neglected. The volume contains 11 papers, organized into four sections. The sections cover managed care issues and organizational features, special groups of patients and health issues, lessons from other countries, and broader policy concerns and health insurance reform. This book addresses important themes in medical sociology, with papers that range from those with an explicit policy point of view to narrower papers on more specific issues in health care delivery. It aims to contribute to improving our understanding of these issues and provides a sociological focus for the exploration of them. This should make the volume essential reading for medical sociologists and other social scientists studying health care delivery issues. The information should be also helpful to health services researchers, policy analysts and public health researchers.

America's Healthcare Transformation - Strategies and Innovations (Hardcover): Robert A. Phillips America's Healthcare Transformation - Strategies and Innovations (Hardcover)
Robert A. Phillips
R3,301 Discovery Miles 33 010 Ships in 10 - 15 working days

A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America's Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation. The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America's Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience. Drawing on the wisdom and vision of today's leading healthcare innovators, America's Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation.

Financing Long-Term Care in Europe - Institutions, Markets and Models (Hardcover): J. Costa-Font, C. Courbage Financing Long-Term Care in Europe - Institutions, Markets and Models (Hardcover)
J. Costa-Font, C. Courbage
R2,690 Discovery Miles 26 900 Ships in 18 - 22 working days

The ageing of the European population brings new financial risks that call for state, market and societal responses. In 2011, the first baby-boom generation is turning 65, and forecasts predict that the size of the old-age population in need of long-term care will double in the next 50 years in Europe. However, how different countries are responding to the challenge of financing long-term care is still a question open to further examination, including the role of market development, changing intergenerational contracts and especially the constraints of state intervention. Growing long-term care needs in several European countries as well as the reshaping of traditional modes of care-giving further increase the pressure for sustainable funding of more comprehensive long-term care systems. This book examines different forms of partnership and the potential cooperation of state, market and societal stakeholders. It not only offers a full understanding of the institutional responses and mechanisms in place for financing old age but also provides a deep analysis of both the demand and supply factors underpinning the development of financial instruments to cover long-term care needs in Europe.

Case and Care Management (Hardcover): Gary L. Albrecht Case and Care Management (Hardcover)
Gary L. Albrecht
R3,237 Discovery Miles 32 370 Ships in 10 - 15 working days

This is the sixth volume in a series dedicated to publishing current research and conceptual papers in the broad ranging area of the sociology of health.

Malaria - Poverty, Race, and Public Health in the United States (Hardcover): Margaret Humphreys Malaria - Poverty, Race, and Public Health in the United States (Hardcover)
Margaret Humphreys
R1,548 Discovery Miles 15 480 Ships in 18 - 22 working days

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.

Below the Magic Mountain - A Social History of Tuberculosis in Twentieth-Century Britain (Hardcover): Linda Bryder Below the Magic Mountain - A Social History of Tuberculosis in Twentieth-Century Britain (Hardcover)
Linda Bryder
R4,746 Discovery Miles 47 460 Ships in 10 - 15 working days

Tuberculosis was perceived for the first time in the early twentieth century as a major problem warranting state involvement in a national campaign for its eradication. This book examines the rise of the anti-tuberculosis movement in Britain, and the development of a new public health service and medical specialism, discussing why the campaign took the particular form it did. The importance of the study lies in its conception of medical history not as a series of scientific discoveries and technological developments, but as an integral part of a broader social and political scene. The patient, often neglected in medical history, is given close attention in an attempt to understand how the disease has been viewed during this century, and the impact it has had on society. Below the Magic Mountain shows that medicine cannot be understood in isolation from the society of which it is a part.

Encyclopedia of U.S. Biomedical Policy (Hardcover, Annotated edition): Robert H. Blank, Janna Merrick Encyclopedia of U.S. Biomedical Policy (Hardcover, Annotated edition)
Robert H. Blank, Janna Merrick
R2,455 R2,229 Discovery Miles 22 290 Save R226 (9%) Ships in 10 - 15 working days

Written by experts, this first encyclopedia about U.S. biomedical policy since the 1970s covers a broad array of key issues and developments in human genetics, reproduction, neonatal intensive care, organ transplantation, intervention in the brain, and medical interventions at the end of life. This easily accessible reference describes court cases, legislation, public policies, technologies, issues, key government agencies, and private organizations dealing with the complex economic, cultural, social, and political context for biomedical decisionmaking today. A chronology, directory of major organizations, carefully selected sources for further reading, and index further enrich this interdisciplinary guide designed for students; teachers; policymakers; public administrators in college, university, and institutional libraries; and general readers in public libraries. This easily accessible reference describes court cases, legislation, public policies, technologies, issues, key government agencies, and private organizations dealing with the complex economic, cultural, social, and political context for biomedical decisionmaking today. A chronology, directory of major organizations, carefully selected sources for further reading, extensive cross references and index further enrich this interdisciplinary guide designed for students; teachers; policymakers; public administrators in college, university, and institutional libraries; and general readers in public libraries.

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