AN ESSENTIAL CONVERSATION FROM TODAY'S LEADING VOICES ON EFFECTING CHANGE IN HEALTH AND SOCIETY "The Robert Wood Johnson Foundation has changed the conversation about health in the United States." -Jo Ivey Boufford, President, New York Academy of Medicine In a society where a person's zip code is a stronger predictor of health status than their genetic profile, every public health challenge is also a challenge of equity, implementation, and policy. For better or worse, improving health requires societal change, and the scale of today's societal challenges can have a stifling effect on even the most well-intended efforts. Assembled by the Robert Wood Johnson Foundation and featuring today's most prominent voices from diverse sectors, Knowledge to Action is a collection of short conversations focused on the idea of meaningful change - its definition, its impediments, and exploring how we can transition from research to action in health, well-being, and equity. Steeped in honesty and benefiting from the diverse experiences of an extraordinary assembly of academics, journalists, policymakers, public health practitioners, and researchers, this book offers provocative yet actionable perspectives that will benefit anyone who reads it.

"Superbly written and researched." —Booklist "Builds a strong case." —Kirkus Lyme disease is spreading rapidly around the globe as ticks move into places they could not survive before. The first epidemic to emerge in the era of climate change, the disease infects half a million people in the US and Europe each year, and untold multitudes in Canada, China, Russia, and Australia. Mary Beth Pfeiffer shows how we have contributed to this growing menace, and how modern medicine has underestimated its danger. She tells the heart-rending stories of families destroyed by a single tick bite, of children disabled, and of one woman’s tragic choice after an exhaustive search for a cure. Pfeiffer also warns of the emergence of other tick-borne illnesses that make Lyme more difficult to treat and pose their own grave risks. Lyme is an impeccably researched account of an enigmatic disease, making a powerful case for action to fight ticks, heal patients, and recognize humanity’s role in a modern scourge.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

The Oxford Manual of Major Incident Management brings together and integrates the key facts for all those involved in major incident planning and response. This will be an invaluable resource for a wide range of professionals, from doctors across emergency medicine, public health, general practice, pre-hospital care, and communicable disease control, to nurses, emergency services, administrators and planners. Transport, industrial, and natural disasters have always necessitated a coordinated interagency, multi-professional response, and with the rising threat in terrorist incidents, that need has never been greater. The information base required to plan for and manage this response has now been collected together into a single user friendly volume, clearly describing the hazards and their management at all stages. This manual will be useful in planning for all types of major incident, acting as the basis for training, and as an aide-memoir during an event. Authoritative, comprehensive, and concise, this quick-reference guide will be of use to both established experts and to novices in the field.

The sixth in a series of congressionally mandated reports on Gulf War veterans' health, this volume evaluates the health effects associated with stress. Since the launch of Operation Desert Storm in 1991, there has been growing concern about the physical and psychological health of Gulf War and other veterans. In the late 1990s, Congress responded by asking the National Academy of Sciences (NAS) to review and evaluate the scientific and medical literature regarding associations between illness and exposure to toxic agents, environmental or wartime hazards, and preventive medicines or vaccines in members of the armed forces who were exposed to such agents. Deployment to a war zone has a profound impact on the lives of troops and on their family members. There are a plethora of stressors associated with deployment, including constant vigilance against unexpected attack, difficulty distinguishing enemy combatants from civilians, concerns about survival, caring for the badly injured, and witnessing the death of a person. Less traumatic but more pervasive stressors include anxiety about home life, such as loss of a job and income, impacts on relationships, and absence from family. The focus of this report, by the Institute of Medicine (IOM) Committee on Gulf War and Health: Physiologic, and Psychosocial Effects of Deployment-Related Stress, is the long-term effects of deployment-related stress. Gulf War and Health: Volume 6. Physiologic, and Psychosocial Effects of Development Related Stress evaluates the scientific literature regarding association between deployment-related stressors and health effects, and provides meaningful recommendations to remedy this problem. Table of Contents Front Matter SUMMARY 1 INTRODUCTION 2 CONSIDERATIONS IN IDENTIFYING AND EVALUATING THE LITERATURE 3 DEPLOYMENT-RELATED STRESSORS 4 THE STRESS RESPONSE 5 POSTTRAUMATIC STRESS DISORDER 6 HEALTH EFFECTS 7 PSYCHOSOCIAL EFFECTS 8 CONCLUSIONS AND RECOMMENDATIONS INDEX

Deconditioning is an integrated physiological response of the body to a reduction in metabolic rate, that is, to a reduction in energy use or in exercise level. Deconditioning and Reconditioning presents selected background information on the many aspects of ground-based and in-flight physiological research and applications.
This multi-author volume emphasizes human research programs on prolonged bed rest, immersion and confinement studies simulating conditions of space flight, as well as data from humans in space. Consolidating this research, chapters cover the psycho-sociological aspects of confinement deconditioning, the effects of deconditioning and reconditioning on aerobic power, thermoregulation during deconditioning, and practical applications.

This textbook covers the entire spectrum of topics required to completely understand air pollution. It emphasizes the atmospheric processes governing air pollution (emissions, atmospheric dispersion, chemical transformations, deposition on surfaces and ecosystems). Other areas of focus include air pollutant emission control technologies, health and environmental impacts, regulations and public policies, and interactions between climate change and air pollution. Topics are first presented conceptually, and then in terms of their fundamental aspects. Actual case studies are incorporated throughout to illustrate major air pollution phenomena, such as the dispersion of pollutants in the atmosphere, and the development of strategies to reduce urban air pollution, mitigate acid rain, and improve atmospheric visibility. Graduate students, researchers, and air quality professionals will find the full coverage of these important matters to be well suited to their needs.

Wars in the 19th Century were accompanied by a very heavy loss of life from infectious diseases. Typhus fever, dysentery, malaria, typhoid fever and yellow fever caused many more deaths than wounds inflicted by enemy actions. During the Peninsular War, for example, for every soldier dying of a wound, four succumbed to disease. This book examines the development and evolution of surgical practice against this overwhelming risk of death due to disease. It reviews three major conflicts during this time: the Peninsular War, the Crimean War and the Boer War and also considers many minor wars fought by the British Empire in the intervening years, and highlights significant medical and surgical developments during these conflicts. War surgery in the first part of the 19th Century was brutal, and it had to be carried out swiftly. It was performed at speed because there were no anaesthetics and the wounded often died during the procedure. Surgeons focussed their attention on wounds of the arms and legs, because limbs were both easily accessible to the surgeon (unlike organs inside the abdomen and chest) and lent themselves well to amputation. This was commonly the operation of choice for many war wounds of arms and legs. Some surgeons performed more difficult surgical procedures to try to preserve the limbs and attempted to repair damaged tissues, but these operations took longer and caused greater suffering to the patient. Abdominal and chest wounds were not treated since surgeons did not have the means, the ability, or the understanding, to cut into the abdomen and chest to repair the damaged organs successfully. An important development which contributed to surgery moving forwards was the discovery of general anaesthesia, which became available in time for the Crimean War. However, whilst it certainly rendered operations pain-free, it was associated with significant numbers of deaths during surgery on wounded soldiers because of the poorly understood effects that anaesthetics had, particularly on the heart. As a result, operative surgery did not extend its scope a great deal, and military surgery remained focussed on surgery of the limbs. However, fewer amputations were performed during the Boer War at the end of this period. Britain sent observers to several wars in which it was not involved to learn military lessons and to understand the medical and surgical aspects of war. The American Civil War and the Franco-Prussian War were two such conflicts. The Russo-Japanese War resulted in a very significant advance in surgery for abdominal wounds, but Western observers either failed to notice or ignored pioneering work performed by a Russian female surgeon called Vera Gedroits. As a result, when the Great War began in 1914, lessons had to be re-learned by British surgeons, and many soldiers who suffered penetrating abdominal wounds lost their lives when they should have survived. Unfortunately, one of the hallmarks of war surgery is that successive generations of surgeons make the same mistakes as their forebears and the same lessons have to be learned time and again.

In 1958 the United States launched its first satellite and created the National Aeronautics and Space Administration (NASA) to oversee its new space program. By 1961 NASA was confident enough to put a human being into space. But how had it acquired enough medical knowledge to ensure an astronaut's safety in just three years? It hadn't. The credit goes instead to decades of military medical research. Witnessing the first German missile attack on London in 1944, U.S. Army flight surgeon Harry Armstrong had been immediately concerned that aeronautical engineers would transform the A-4 (V-2) into a vehicle for transporting soldiers. He vowed, as founder (in 1934) of the military's only aviation human-factors research lab, to make such trips survivable. Efforts at Wright Field and the army's School of Aviation Medicine, which Armstrong had also turned into a world-class research institution, were the real reason for the successful start to America's manned space program. In Testing the Limits, Maura Phillips Mackowski describes the crucial foundational contributions of military flight surgeons who routinely risked their lives in test aircraft, research balloons, pressure chambers, rocket-propelled sleds, or parachute harnesses. Drawing on rare primary sources and interviews, she also reveals the little-known but vital contributions of German emigre scientists whose expertise in areas unknown to Americans created a hybrid specialty: space medicine. She reveals new details on human aeromedical experimentation at Dachau, Washington's decision to limit astronaut status to males, and the choice to freeze the air force out of the research specialty it had created and brought to fruition.

Hyperthermia is an abnormally high body temperature, usually resulting from infection, medication, or head injury, and sometimes brought about intentionally to treat diseases, especially certain cancers. In this book, a variety of hyperthermia related physiological and pathological phenomena described. This book will help the readers comprehensive view on the basic and practical knowledge of hyperthermia.

'Building on the core competences for public health, this book focuses on the key areas of leadership and collaborative working to improve health and wellbeing. Aimed at those undertaking Masters courses in public health and health promotion, (as well as those seeking to gain public health registration through the compilation and submission of a portfolio) this book focuses on leadership and collaborative working to improve health and wellbeing. Leadership, building alliances, developing capacity and capability, working in partnership with other practitioners, agencies and communities, understanding different organisational stuctures and cultures and working effectively across organisational boundaries are central themes throughout this book. Leadership skills such as negotiation, persuasion and influencing and the nature of power and the importance of understanding one's self and the communication process and project management skills and leading and managing change to improve health and wellbeing are considered. Case studies, activities and research summaries are used throughout the book to help the reader to understand how to apply the theory to practice.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Why waste time guessing at what you need to know for the occupational and environmental medicine board exam? Maximize your exam preparation time with this quick-hit question and answer review. The unique question and single-answer format eliminates the guesswork associated with traditional multiple-choice Q&A reviews and reinforces only the correct answers you'll need to know on exam day. Emphasis is placed on distilling key facts and clinical pearls essential for exam success. This high-yield review for the boards is the perfect compliment to larger texts for intense, streamlined review in the days and weeks before your exam.

This is the most practical, concise guide to medical practice in extreme and remote environments. With an increase in visits to remote and dangerous locations around the world, the number of serious and fatal injuries and illnesses associated with these expeditions has markedly increased. Medical personnel working in or near such locations are not always explicitly trained in the management of unique environmental injuries, including high-altitude sickness, the bends, lightning strikes, frostbite, acute dehydration, venomous stings and bites, and tropical diseases.
Many health care professionals seek training in the specialty of wilderness medicine to cope with the health risks faced when far removed from professional care resources, and the American College of Emergency Medicine has recently mandated that a minimum level of proficiency needs to be exhibited by all ER physicians in this discipline. This book covers everything a prospective field physician or medical consultant needs to prepare for when beginning an expedition and explains how to treat a variety of conditions in a concise, clinically oriented format.

Environmental Chemicals Desk Reference is a concise version of the widely read Agrochemicals Desk Reference and Groundwater Chemicals Desk Reference. This up-to-date volume was inspired by the need for a combination of the material in both references, together with the large number of research publications and the continued interest in the fate, transport, and remediation of hazardous substances. Much new data has been added to this unique edition, including global legislation (REACH) and sustainability, thereby reflecting the wealth of literature in the field. Featured are environmental and physical/chemical data on more than 200 compounds, including pesticides, herbicides, and fungicides.

The health-related effects of asbestos have long been mired in controversy, with industry and plaintiff attorneys playing a significant role. This comprehensive book provides a balanced and extensive evidence-based critical analysis of the literature concerning asbestos-related diseases, from a scientific and historical perspective. The book presents a carefully referenced review of the medical literature on the health effects of asbestos, and reflects the extensive experience of the author in evaluating patients with asbestos-related disorders.

Biosensors are poised to make a large impact in environmental, food, and biomedical applications, as they clearly offer advantages over standard analytical methods, including minimal sample preparation and handling, real-time detection, rapid detection of analytes, and the ability to be used by non-skilled personnel. Covering numerous applications of biosensors used in food and the environment, Portable Biosensing of Food Toxicants and Environmental Pollutants presents basic knowledge on biosensor technology at a postgraduate level and explores the latest advances in chemical sensor technology for researchers. By providing useful, state-of-the-art information on recent developments in biosensing devices, the book offers both newcomers and experts a roadmap to this technology. In the book, distinguished researchers from around the world show how portable and handheld nanosensors, such as dynamic DNA and protein arrays, enable rapid and accurate detection of environmental pollutants and pathogens. The book first introduces the basic principles of biosensing for newcomers to the technology. It then explains how the integration of a "receptor" can provide analytically useful information. It also describes trends in biosensing and examines how a small-sized device can have portability for the in situ determination of toxicants. The book concludes with several examples illustrating how to determine toxicants in food and environmental samples.

Work-related disability is an increasingly important issue in businesses and organisations, in terms of cost and competitiveness as well as being an obvious social and ethical issue. Moreover, changes in the nature of disability arising from developments in the nature of work warrant a new approach to this relatively important but understudied topic.
Significant developments have taken place in the understanding of risk in a changing labour market; in linking injury events with subsequent primary prevention efforts; in engaging all the key stakeholders in effective pre-injury prevention and post-injury disability management efforts; and in exploring the relative contributions of company-level interventions and economic incentives and regulatory interventions. These issues are examined and drawn together to form a unique, evidence-based, state-of-the-art research work revealing what works best in the prevention of workplace disability. It takes into account the changing nature of the workplace and work force; the newest evidence on what constitutes effective early and staged multi modal interventions in the workplace; psychological risk perception; and the essential linking of the workplace, the clinician, the insurer and the worker in the recovery process and in the prevention of subsequent disability events at work.

This volume illustrates the impact of environmental oxidants on the tissues of the eyes, lungs and skin, as well as on the immune system - highlighting common illnesses, injuries and pathologies induced by pro-oxidant environmental xenobiotics such as inflammation, immune response, signal transduction, regulation of gene expression, and carcinogenesis. It provides clinical presentations and discusses the effects of environmental oxidants on target organs.

Environmental health and safety (EHS) audit programs have become an established and essential component of corporate governance in most every major organization whose activities could affect public health and the environment. While many of the audit programs in existence are quite mature there continues to be an evolution of audit practices designed to better identify and control EHS risks. This new updated second edition takes a look at many of those practices and potential advances in the profession. Among the critical topics addressed are: *What is the current EHS regulatory outlook in the U.S. and how might this affect a company's and the regulator's attitudes towards compliance and auditing? Are the potential consequences of "taking your eye off the ball" still significant? *How does one know whether an audit program is actually working and meeting its established objectives? What are the best performance criteria to use? *How can risk management be factored into audit programs and how individual audits are conducted to assure efficient and relevant outcomes? How can we get at the true risks and avoid the tendency to focus on "administrivia"? *How can auditors become more proficient and how can we train people to help assure we maximize an individual auditor's potential? Can the individual auditor be "all things to all people"? *Can innovative approaches such as "virtual" audits achieve the same or even better results more cost-effectively? How can limited resources be applied optimally? The second edition addresses the key components of an EHS audit program and provides advice on: *How to improve the management and execution of an audit program *How to address the true compliance risks in implementing an audit program *How to make auditors more effective and versatile *How to help auditors understand the special demands of auditing internationally *How to utilize innovative techniques, such as virtual auditing, to maximize a program's effectiveness and efficiency.

Written by multidisciplinary experts in medicine, chemistry, and architecture, this book examines chemical sensitivity (CS). In 15 chapters fitted to 15 lectures, it discusses not only the medical explanation, but also the environmental factors of this hypersensitive reaction, such as chemistry and architectural aspects. The book overviews pollution-induced diseases such as Minamata Disease. It also points out the similarity of modern hypersensitivity syndromes to historical pollution diseases from the viewpoints of not only natural scientific aspects, but also social understanding of the disease.