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Books > Medicine > Pre-clinical medicine: basic sciences > Human reproduction, growth & development > Reproductive medicine > General
Clinicians and scientists are increasingly recognising the
importance of an evolutionary perspective in studying the
aetiology, prevention, and treatment of human disease; the growing
prominence of genetics in medicine is further adding to the
interest in evolutionary medicine. In spite of this, too few
medical students or residents study evolution. This book builds a
compelling case for integrating evolutionary biology into
undergraduate and postgraduate medical education, as well as its
intrinsic value to medicine. Chapter by chapter, the authors -
experts in anthropology, biology, ecology, physiology, public
health, and various disciplines of medicine - present the rationale
for clinically-relevant evolutionary thinking. They achieve this
within the broader context of medicine but through the focused lens
of maternal and child health, with an emphasis on female
reproduction and the early-life biochemical, immunological, and
microbial responses influenced by evolution. The tightly woven and
accessible narrative illustrates how a medical education that
considers evolved traits can deepen our understanding of the
complexities of the human body, variability in health,
susceptibility to disease, and ultimately help guide treatment,
prevention, and public health policy. However, integrating
evolutionary biology into medical education continues to face
several roadblocks. The medical curriculum is already replete with
complex subjects and a long period of training. The addition of an
evolutionary perspective to this curriculum would certainly seem
daunting, and many medical educators express concern over potential
controversy if evolution is introduced into the curriculum of their
schools. Medical education urgently needs strategies and teaching
aids to lower the barriers to incorporating evolution into medical
training. In summary, this call to arms makes a strong case for
incorporating evolutionary thinking early in medical training to
help guide the types of critical questions physicians ask, or
should be asking. It will be of relevance and use to evolutionary
biologists, physicians, medical students, and biomedical research
scientists.
In the mid-1990s, the international community pronounced prenatal
sex selection via abortion an "act of violence against women" and
"unethical." At the same time, new developments in reproductive
technology in the United States led to a method of sex selection
before conception; its US inventor marketed the practice as "family
balancing" and defended it with the rhetoric of freedom of choice.
In Gender before Birth, Rajani Bhatia takes on the double standard
of how similar practices in the West and non-West are divergently
named and framed. Bhatia's extensive fieldwork includes interviews
with clinicians, scientists, biomedical service providers, and
feminist activists, and her resulting analysis extends both
feminist theory on reproduction and feminist science and technology
studies. She argues that we are at the beginning of a changing
transnational terrain that presents new challenges to theorized
inequality in reproduction, demonstrating how the technosciences
often get embroiled in colonial gender and racial politics.
The method of vitrification of oocytes and embryos is fundamental
for the outcome of IVF. This atlas presents data on both closed
system and open vitrification techniques, and the consequences of
each method for survival rates, aiding the comparison of
vitrification methods. Structured on a patient-by-patient basis,
the atlas describes 100 clinically documented case studies that
follow the evolution of cryopreserved blastocysts between warming
and blastocyst transfer. It relates fresh to post-warming
blastocyst morphology and to response to controlled ovarian
hyperstimulation. For each case, pronuclear morphology and
synchrony, as well as embryo morphology, are reported and
described. Data on indications for treatment, stimulation type and
duration, are accompanied by over 400 high-quality images of
vitrified blastocysts. Covering the state-of-the-art techniques,
this atlas is an essential aid in selecting the vitrification
method for clinical embryologists and physicians in reproductive
medicine.
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