Over the last two decades, attempts to control the problem of tuberculosis have become increasingly more complex, as countries adopt and adapt to evolving global TB strategies. Significant funding has also increased apace, diagnostic possibilities have evolved, and greater attention is being paid to developing broader health systems. Against this background, this book examines tuberculosis control through an anthropological lens. Drawing on ethnographic case studies from China, India, Nepal, South Africa, Romania, Brazil, Ghana and France, the volume considers: the relationship between global and national policies and their unintended effects; the emergence and impact of introducing new diagnostics; the reliance on and use of statistical numbers for representing tuberculosis, and the politics of this; the impact of the disease on health workers, as well as patients; the rise of drug-resistant forms; and issues of attempted control. Together, the examples showcase the value of an anthropological understanding to demonstrate the broader bio-political and social dimensions of tuberculosis and attempts to deal with it.

Dietary Proteins and Atherosclerosis provides a thorough review of the role of proteins in the development of atherosclerosis. The author reviews early research connections between dietary fat and cardiovascular disease caused by the build-up of plaque in arteries and examines other factors that contribute to atherosclerosis, such as infection and dietary proteins. Relying on data obtained from almost 2,000 research articles and literature reviews, the author provides a thorough analytical examination and discusses how emphasis on the role of dietary fat in atherogenesis has overshadowed the critical contribution of dietary proteins to the development of cardiovascular disease.

This title was first published in 2001. This work is a uniquely multi-disciplinary contribution to the existing bioethical literature on the topic of informed choice of medical services. It is also the first comprehensive bioethical text to confront the central issue of power in the clinical encounter and to argue for statutory protection of the right to informed choice. While the majority of bioethicists argue for a conciliatory, rather than adversarial, approach to the chronic problem of uninformed consent, the author of this work argues that the external regulation of medicine is essential if the right to informed choice is to be protected. This argument is based upon an extensive review of the bioethical, legal, political, medical, sociological and philosophical literature, as well as a wide range of empirical and anecdotal evidence, evolving from a detailed exploration of power and the limits of rationality in the clinical encounter.

The anxiety over death persists in everyday life- though often denied or repressed- lingering as an unconscious worry or intuition that typically seems to compromise one's feelings of well-being and experience in a range of areas; coming out often as malaise, depression, and anger in much conduct. If one accepts the cliche that life is preparation for death, we must accept that the lived experience of the dying body is not highlighted merely in obvious cases of deterioration such as in the ageing or diseased body, but in everyday life as a normal phenomenon. This book proposes that sensitivity to this dimension can empower us to develop creative relationships to the vulnerability of others and to ourselves as well. Part One lays the groundwork for a study of the ways the aura and fear of death recurs as a constant premonition in life and how people try to deal with this uneasiness. Part Two then goes on to apply this focus to particular concerns and problems such as dementia, depression, aging, retirement, and a range of anxieties, frustrations and aggressions. The Dying Body as Lived Experience will be of interest to a wide interdisciplinary audience in the health sciences, in the sociology of health and illness, philosophy, bioethics and in the expanding field of medical humanities.

Mental health has long been perceived as a taboo subject in the UK, so much so that mental health services have been marginalised within health and social care. There is even more serious neglect of the specific issues faced by different ethnic minorities. This book uses the rich narratives of the recovery journeys of Chinese mental health service users in the UK - a perceived 'hard-to-reach group' and largely invisible in mental health literature - to illustrate the myriad ways that social inequalities such as class, ethnicity and gender contribute to service users' distress and mental ill-health, as well as shape their subsequent recovery journeys. Recovery, Mental Health and Inequality contributes to the debate about the implementation of 'recovery approach' in mental health services and demonstrates the importance of tackling structural inequalities in facilitating meaningful recovery. This timely book would benefit practitioners and students in various fields, such as nurses, social workers and mental health postgraduate trainees.

This book explores rhetorical ethos and its ongoing role in patients' credibility and in misdiagnoses stemming from gender, race and class-based biases. Drawing on the concept of ethos as a theoretical framework, it explores health and mental illness across different conditions and across different methodological approaches. Extending work on ethos in clinical encounters and public discourse about biomedicine and presenting new research on the rhetoric of mental health, stigma and mental illness, the book explores how bias in clinical settings can lead to symptoms labelled "in the patient's head" masking treatable medical problems. This notable contribution to the rhetoric of health and medicine will be of interest to all researchers and graduate students of rhetoric and composition studies, rhetoric of health and medicine, disability studies, medical humanities, communication, and psychology.

In the early twentieth century, asbestos had a reputation as a lifesaver. In 1960, however, it became known that even relatively brief exposure to asbestos can cause mesothelioma, a virulent and lethal cancer.
Yet the bulk of the world's asbestos was mined after 1960. Asbestos usage in many countries continued unabated.
This is the first global history of how the asbestos industry and its allies in government, insurance, and medicine defended the product throughout the twentieth century. It explains how mining and manufacture could continue despite overwhelming medical evidence as to the risks. The argument advanced in this book is that asbestos has proved so enduring because the industry was able to mount a successful defense strategy for the mineral--a strategy that still operates in some parts of the world. This defence involved the shaping of the public debate by censoring, and sometimes corrupting, scientific research, nurturing scientific uncertainty, and using allies in government, insurance, and medicine.
The book also discusses the problems of asbestos in the environment, compensating victims, and the continued use of asbestos in the developing world. Its global focus shows how asbestos can be seen as a model for many occupational diseases--indeed for a whole range of hazards produced by industrial societies. The book is based on a wealth of documentary material gained from legal discovery, supplemented by evidence from the authors' visits and researches in the US, the UK, Canada, Kazakhstan, Zimbabwe, Australia, Swaziland, and South Africa.

This book collects the papers presented at the 7th International Conference on Risk Analysis and Crisis Response (RACR-2019) held in Athens, Greece, on October 15-19, 2019. The overall theme of the seventh international conference on risk analysis and crisis response is Risk Analysis Based on Data and Crisis Response Beyond Knowledge, highlighting science and technology to improve risk analysis capabilities and to optimize crisis response strategy. This book contains primarily research articles of risk issues. Underlying topics include natural hazards and major (chemical) accidents prevention, disaster risk reduction and society resilience, information and communication technologies safety and cybersecurity, modern trends in crisis management, energy and resources security, critical infrastructure, nanotechnology safety and others. All topics include aspects of multidisciplinarity and complexity of safety in education and research. The book should be valuable to professors, engineers, officials, businessmen and graduate students in risk analysis and risk management.

Ten years after the results of the Cash and Counseling Demonstration and Evaluation were released, this book assesses the impact of this study, which developed individualized plans for helping people with disabilities to stay independent in the community. The study was the first wide-scale test of people with disabilities managing their own budgets and results from the random-controlled trial demonstrated significant positive outcomes, encouraging the US federal and state governments to provide this option as part of their community-based care programs. This volume looks at what people with disabilities and their caregivers are saying about this option ten years removed from the study, and what the latest research shows in terms of what it will take to improve this approach, making the option available for all people with disabilities. The contributions also discuss what needs remain unmet even when people can manage their own budgets, and present participants' and their family caregivers' views on what support broker activities really help (or hurt). Finally, the book summarizes the results of a project involving the Council of Social Work Education and nine schools of social work to develop modules to train future social workers on person-centred planning and participant direction. Of interest to those researchers studying social care with a focus on disabilities, this book would also be of use to those training social workers and support staff. The chapters in this book were originally published in the Journal of Gerontological Social Work and Home Health Care Services Quarterly.

Social systems occur in many contexts of social work. This book provides an easy-to-read introduction to systems thinking for social workers who will encounter social problems in their professional practice or academic research. It offers new insights and fresh perspectives on this familiar topic and invites creative, critical, and empathetic thinking with a systems perspective. Through introducing systems theory as a problem-oriented approach for dealing with complex interpersonal relations and social systems, this book provides a framework for studying social relations. The authors present a strand of systems theory (inspired by sociologist Niklas Luhmann) that offers innovative, surprising, and practically relevant understandings of everyday social life, inclusion/exclusion, social problems, interventions, and society in general. Systems Theory for Social Work and the Helping Professions should be considered essential reading for all social work students taking modules on sociology and social policy as well as students of nursing, medicine, counselling, and occupational health and therapy.

The role of play in human and animal development is well established, and its educational and therapeutic value is widely supported in the literature. This innovative book extends the play debate by assembling and examining the many pieces of the play puzzle from the perspective of public health. It tackles the dual aspects of art and science which inform both play theory and public health policy, and advocates for a 'playful' pursuit of public health, through the integration of evidence from parallel scientific and creative endeavors. Drawing on international research evidence, the book addresses some of the major public health concerns of the 21st century - obesity, inactivity, loneliness and mental health - advocating for creative solutions to social disparities in health and wellbeing. From attachment at the start of life to detachment at life's ending, in the home and in the workplace, and across virtual and physical environments, play is presented as vital to the creation of a new 'culture of health'. This book represents a valuable resource for students, academics, practitioners and policy-makers across a range of fields of interest including play, health, the creative arts and digital and environmental design.

Advances in the field of Assisted Reproductive Technology (ART) have been revolutionary. This book focuses on the use of ARTs in the context of families who seek to conceive a matching sibling donor as a source of tissue to treat an existing sick child. Such children have been referred to as 'saviour siblings'. Considering the legal and regulatory frameworks that impact on the accessibility of this technology in Australia and the UK, the work analyses the ethical and moral issues that arise from the use of the technology for this specific purpose. The author claims the only justification for limiting a family's reproductive liberty in this context is where the exercise of reproductive decision-making results in harm to others. It is argued that the harm principle is the underlying feature of legislative action in Western democratic society, and as such, this principle provides the grounds upon which a strong and persuasive argument is made for a less-restrictive regulatory approach in the context of 'saviour siblings'. The book will be of great relevance and interest to academics, researchers, practitioners and policy makers in the fields of law, ethics, philosophy, science and medicine.

The current (postfeminist) gender order comprises a highly complex coexistence of old and new norms and expectations, freedom and constraints, within a neoliberal social order underpinned by individualism and involving a shift in gender performance by men and women. Health, illness and disease at different points in the life course can be used as a vehicle to illuminate structural and cultural inequalities that persist despite several decades of progressive reform in western countries. This collection brings together a number of key researchers, both established and new to the field, and based across North America, Australia, the UK and Europe, and comprises both empirical and theoretical work. Drawing on a wide range of disciplinary fields, including medical sociology, medical anthropology, nursing, gender studies, sociology of risk and age studies, all authors use heath, well-being, illness and disease as a lens through which to explore the complexities and inequalities associated with late modernity. This book will be of interest to scholars and students of age studies, medical sociology and anthropology, gender studies, healthcare and nursing.

This open access book is the first published guide about how to analyse data produced by the EQ-5D, one of the most widely used Patient Reported Outcomes questionnaires world wide. The authors provide practical, clear and comprehensive guidance in five concise chapters. Following an overview of the EQ-5D and its analysis, we describe how the questionnaire data - the EQ-5D profile and EQ VAS - can be analysed in different ways to generate important insights into peoples' health. We then show how the value sets which accompany the EQ-5D can be applied to summarise patients' data. The final chapter deals with advanced topics, including the use of Minimally Important Differences, case-mix adjustment, mapping, and more. This book is essential for those new to analyzing EQ-5D data and will be also be valuable for those with more experience. The methods can be applied to any EQ-5D instrument (for example, the three- and five-level and Youth versions) and many of the methods described will be equally relevant to other Patient Reported Outcomes instruments.

This book presents the results of researches conducted with children and youth at risk for over 20 years in Brazil. It addresses a series of topics related to children and youth living in poverty or in situations of social vulnerability, such as family, sexual and dating violence; adolescent mothers and mothers who put their children for adoption; children and youth living in foster and institutional care; and adolescents involved in drug trafficking or incarcerated in juvenile detention centers. Building upon the Bioecological Theory of Human Development, this volume emphasizes the innovative knowledge about psychosocial development of vulnerable children and youth produced in Brazil and aims to present theoretical and methodological approaches developed especially for the countries of the Global South, in an attempt to overcome the scientific divide between the North and South. Northern research agenda defines as global the theories, methodologies, and application of knowledge on social policies and interventions. However, the contexts, histories, and cultural processes are essential for producing and applying research knowledge according to specific regional characteristics, organizations, and conditions. Human development is related to contextual features and cannot be directly imported from one place to another. Departing from these original theoretical and methodological approaches, the book also presents the results of evidence-based interventions, showing its effectiveness in specific contexts. All of this makes Vulnerable Children and Youth in Brazil - Innovative Approaches from the Psychology of Social Development a valuable tool for psychologists, educators, social scientists and public health professionals studying or working with children and youth at risk in different parts of the world, contributing to the understanding of human development in cultural context.

This book develops an analytical framework for understanding United States foreign agricultural policy through a "state interest" approach, and describes and analyses seven cases of food policy decisions through this perspective which shows that decision makers sought on most occasions to utilise US food resources to accomplish foreign policy objectives. A fundamental aspect of the statist approach is the recognition that those sectors representing the interest of the state will inevitably confront other actors in the policy process who are likely pursuing conflicting objectives. This book looks at contemporary circumstances in the formulation of US agricultural policy, in particular those alterations that occurred beginning in 1972. It offers an analysis of the nature of foreign economic policy and outlines the re-emergence of economics as an important component of US foreign policy, and an analysis of the concept of "food power".

The short lifetime of digital technologies means that generational identities are difficult to establish around any particular technologies let alone around more far-reaching socio-technological 'revolutions'. Examining the consumption and use of digital technologies throughout the stages of human development, this book provides a valuable overview of ICT usage and generational differences. It focuses on the fields of home, family and consumption as key arenas where these processes are being enacted, sometimes strengthening old distinctions, sometimes creating new ones, always embodying an inherent restlessness that affects all aspects and all stages of life. Combining a collection of international perspectives from a range of fields, including social gerontology, social policy, sociology, anthropology and gender studies, Digital Technologies and Generational Identity weaves empirical evidence with theoretical insights on the role of digital technologies across the life course. It takes a unique post-Mannheimian standpoint, arguing that each life stage can be defined by attitudes towards, and experiences of, digital technologies as these act as markers of generational differences and identity. It will be of particular value to academics of social policy and sociology with interests in the life course and human development as well as those studying media and communication, youth and childhood studies, and gerontology.

The linkages between a student's health and a student's ability to learn have been well established. Children who are sick stay home; and, children at home cannot learn if they are not in school leading to increased dropout rates among other educational outcomes. However, an understanding of this concept is just the beginning of understanding how education and public health are inextricably linked. In light of this, Linking Health and Education for African American Students' Success examines health disparities and education inequities simultaneously and moves beyond a basic understanding of health and education in K-12 school programs. The structural inequalities which lead to reduced academic attainment mirror the social determinants of health. Education is one of the most powerful determinants of health, and disparities in educational achievement as a result of structural inequalities closely track disparities in health. These disparities lead to both sub-standard healthcare and reduced academic attainment among children from underserved minorities in the United States, especially African Americans. This book discusses how this may result in children with poorer mental health outcomes; higher school dropout rates; increased risks of arrests and incarceration; higher rates of chronic diseases and mortality; and overall diminished opportunities for success, while providing suggestions as to how to address these issues. This results in an insightful read for researchers, academics and practitioners in the fields of healthcare and education.

First published in 1998, this volume considers the Nuremberg Code in light of new ethical grey areas which have become evident due to recent scientific advancements, particularly the questions of DNA and cloning. The contributors reflect in 26 articles on the impact of the Code, events which prompted it including Japan, and more recent ethical issues raised. The book contains the results of two European/American preparatory workshops for the First World Conference on Ethics Codes in Medicine and Biotechnology (October 1997 Freiburg, Germany) supported by the leading national institutions in the field. It aims to stimulate research about codes, the effects of codification and other forms of implementing ethics. It breaks new ground with interdisciplinary and international discourse on the subject, emphasising the need for a complete collection of codes for systematic research and evaluation and filling the gap in literature on the subject to date.

Originally published in 1995. This study collects and analyses the results of hunger studies carried out in the United States during the 1980s, whether national, state or local. It also reviews the history and development of food assistance programs and policy. This is an unusual and fascinating study of public health policy which employs meta-analysis to investigate the sociodemographic factors affecting those seeking food assistance and draws recommendations for future studies and to feed into policy decisions.

In recent years, the reduction of alcohol-related harm has emerged as a major policy issue across Europe. Public health advocates, supported by the World Health Organisation, have challenged an approach that targets problem-drinking individuals, calling instead for governments to control consumption across whole populations through a combination of pricing strategies, restrictions on retail availability and marketing regulations. Alcohol, Power and Public Health explores the emergence of the public health perspective on alcohol policy in Europe, the strategies alcohol control policy advocates have adopted, and the challenges they have faced in the political context of both individual states and the European Union. The book provides a historical perspective on the development of alcohol policy in Europe using four case studies - Denmark, England, Scotland and Ireland. It explores the relationship between evidence, values and power in a key area of political decision-making and considers what conditions create - or prevent - policy change. The case studies raise questions as to who sets policy agendas, how social problems are framed and defined, and how governments can balance public health promotion against both commercial interests and established cultural practices. This book will be of interest to academics and researchers in policy studies, public health, social science, and European Union studies.

Social media has helped boost the culture of intoxication, a central aspect of young people's social lives in many Western countries. Initial research suggests that these technologies enable highly-nuanced, targeted marketing and innovations - creating new virtual spaces that alter the dynamics and consequences of drinking cultures in significant ways. Youth Drinking Cultures in a Digital World focuses on how pervasive social networking technologies contribute to drinking cultures. It brings together international contributions from leading researchers in this emerging field to explore how new technologies are reconfiguring the key themes, traditional interests, practices and concerns of alcohol-related research with young people. It is particularly concerned with three important areas, namely: identities, social relations and power alcohol marketing and commercialisation public health and regulating alcohol promotion. This innovative book includes original research and commentary and is a must-read for academics and researchers in the areas of public health, psychology, sociology, media studies, youth studies and alcohol studies.

The role of play in human and animal development is well established, and its educational and therapeutic value is widely supported in the literature. This innovative book extends the play debate by assembling and examining the many pieces of the play puzzle from the perspective of public health. It tackles the dual aspects of art and science which inform both play theory and public health policy, and advocates for a 'playful' pursuit of public health, through the integration of evidence from parallel scientific and creative endeavors. Drawing on international research evidence, the book addresses some of the major public health concerns of the 21st century - obesity, inactivity, loneliness and mental health - advocating for creative solutions to social disparities in health and wellbeing. From attachment at the start of life to detachment at life's ending, in the home and in the workplace, and across virtual and physical environments, play is presented as vital to the creation of a new 'culture of health'. This book represents a valuable resource for students, academics, practitioners and policy-makers across a range of fields of interest including play, health, the creative arts and digital and environmental design.

It is now accepted that many of the determinants of health and health care are social. This volume offers a philosophical and theoretical frame within which the nature and extent of this might be optimally examined. The analysis is rooted in Roy Bhaskar's basic and dialectical critical realism, although it draws also on the critical theory of Jurgen Habermas. It purports to provide an ontologically and epistemologically grounded comparative sociology of contemporary health and health care in the twenty-first century. Carrying a fourfold agenda, the volume sets out a dialectical critical realist frame for a comparative sociology of health and health care; it clarifies sociology's potential and limitations; it suggests a research programme and a series of questions for investigation; and it offers an argument for an action sociology embedded in a dialectical theory of transformative action. This volume will be of interest to students and scholars in the areas of philosophy, sociology and critical realism, as well as those working in health and social care.

This book provides a critical overview of the changing ways people mourn, commemorate and interact with the remains of the dead, including bodies, materials and digital artefacts. It focuses on how residues of death persist and circulate through different spaces, materials, data and mediated memories, refiguring how the disposal of the dead is understood, enacted and contested across the globe. The volume contains contributions by scholars from a number of disciplines and includes a diverse range of case studies drawn from Asia, Europe and North America. Together they reveal how rapidly changing practices, industries and experiences around death's remains involve the entwining of digital technologies with other material and ritualised forms of commemoration, as well as with shifting boundaries between the sacred and the profane, the institutional and the vernacular, the public and the private.