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Books > Medicine > General issues > Health systems & services
From a historical point of view the first studies on the response of the organism to stressful situations in general, and on the psychobiology of stress in particular, are probably those of Cannon and de la Paz, the physiologists who showed in 1911 that the adrenal medulla and the sympathetic system are involved in emergency situations. Cannon noted that the venous blood of cats frightened by barking dogs contained adrenaline, a response of the organism which was prevented by adrenalectomy or by section of the splanchnic nerve innervating the adrenal medulla. Cannon suggested that the adrenal medulla was acting in concert with the sympathetic nervous system, so that both systems were activated during stress. The role of the sympathetic system in response to stressful events was later emphasized by the experiments carried out by Maickel et al. (1967) and by Mason (1968): these authors clearly showed that stressors activate the sympathetic system causing it to release adrenaline and noradrenaline. This line of research may be contrasted with that carried out by Hans Selye, centered on of the adrenal cortex in the stress response. Selye's findings and theories originated the role the so-called hypothalamic - pituitary - adrenal cortex (HPA) model of stress: in short, during stress adrenocorticotropic hormone is released from cells of the anterior pituitary and elicits secretion of glucocorticoids from the adrenal cortex.
This international survey defines mental health as a basic human right, and tracks the emergence of mental health prevention and promotion as a global priority. Locating mental illness within a cycle of negative causes and effects affecting human quality of life, the editors identify modern policy barriers to promotion/prevention initiatives, particularly the favoring of the biomedical health model by major stakeholders. The book's selection of successful programs from diverse countries displays a lifespan approach, emphasizing the centrality of interdisciplinary educational settings in providing primary and secondary prevention and promotion interventions, and the ongoing fight against missing financial investigations, discrimination and stigma. Together, these papers make a forceful argument for rights- based responses to worldwide mental health needs as part of the commitment toward global human rights and long-term development goals. Included in the coverage: * Mental health priorities around the world. * Social determinants of mental health. * Mental health and stigma: aspects of anti-stigma interventions. * Promoting social and emotional wellbeing and responding to mental health problems in schools. * The promotion and delivery of mental health services in primary care settings. * Economic evaluation of mental health promotion and mental illness prevention. Bringing to the fore public health concerns that are too often marginalized, Global Mental Health is necessary reading for health professionals, health and clinical psychologists, psychiatrists, medical sociologists, and policymakers.
This edited book provides a first overview of how populist parties responded to the COVID-19 pandemic crisis in Europe. Although populism would normally benefit from crisis situations (e.g., political representation or economic crises), the peculiar nature of this health crisis does not make the benefit obvious. For it to be exploited, a crisis must be politicized. While populists have tried to take advantage of the crisis situation, the impossibility of taking ownership of the COVID-19 issue has made the crisis hard to be exploited. In particular, populists in power have tried to depoliticize the pandemic, whereas radical right-populists in opposition tried to politicize the crisis, though failing to gain the relevant public support. This book considers populist parties in eight European democracies, providing a framework of analysis for their responses to the COVID-19 crisis. It does so by engaging with the literature on crisis and populism from a theoretical perspective and through the lens of the politicization process.
This book is an attempt to bring value to the enterprise pursuits in the areas of research and innovation around the specific issues in terms of topic selection, open data resources and researcher orientation. Over the last 300 years, industrial revolutions have had game-changing impact on societies. Presently, by and large, we are at the crossroads of the fourth industrial revolution, where phygital systems are going to play a massive role, where digital systems can simulate and go beyond the limitations of the physical world, thereby enabling a new world order. This transformation is cutting across every sphere known to mankind. The world will become a globally localized marketplace. In today's business world, sustainability is a corporate agenda. Enterprises are also aiming to be purpose-driven, adaptive and resilient to disruptions. The contributions to community and environment are part of their corporate branding. The book explores and presents a part of the open data sets from government institutions to achieve the sustainable goals at local level, in turn contributing towards global mission. As the topic suggests, the authors are looking at some of the specific issues in the areas of environment, agriculture and health care through the lens of data science. The authors believe that the above three areas chosen have deep relevance in today's world. The intent is to explore these issues from a data and analytics perspective and identify cracks through which deeper inroads can be made. Conscious efforts have been taken to make use of all the major data science techniques like prediction, classification, clustering, and correlation. Given the above background, deeper waters will be explored through the contents of this book.
There has been a dramatic increase in the utilization of wireless technologies in healthcare systems as a consequence of the wireless ubiquitous and pervasive communications revolution. Emerging information and wireless communication technologies in health and healthcare have led to the creation of e-health systems, also known as e-healthcare, which have been drawing increasing attention in the public and have gained strong support from government agencies and various organizations. E-Healthcare Systems and Wireless Communications: Current and Future Challenges explores the developments and challenges associated with the successful deployment of e-healthcare systems. The book combines research efforts in different disciplines including pervasive wireless communications, wearable computing, context-awareness, sensor data fusion, artificial intelligence, neural networks, expert systems, databases, and security. This work serves as a comprehensive reference for graduate students in bioengineering and also provides solutions for medical researchers who are faced with the challenge of designing and implementing a cost-effective pervasive and ubiquitous wireless communication system.
EMERGENCY MANAGEMENT OF THE HI-TECH PATIENT IN ACUTE AND CRITICAL CARE Emergency Management of the Hi-Tech Patient in Acute and Critical Care helps practitioners stabilize and care for pediatric and adult patients who have specialized medical devices such as prosthetic valves, cochlear transplants, insulin pumps, orthopedic hardware, and ventriculoperitoneal (VP) shunts. Using a step-by-step approach to acute presentations of patients with clinical hardware, this concise yet comprehensive guide provides specific instructions for the initial evaluation and management of numerous clinical scenarios including device malfunctions, infections, trauma, surgical complications, and more. Encompassing management of both the patient and the device, the guide enables emergency and critical care clinicians to rapidly make appropriate treatment decisions without the immediate need for extensive research, extended discussions with subspecialists, or recalling complex diagnostic and therapeutic algorithms. Clear, concise, and easy-to-follow chapters--written by a panel of highly experienced experts across specialties--include numerous algorithms, figures, tables, diagrams, and color illustrations and clinical images. An invaluable resource for improving the quality of care for the unique hi-tech patient population, this advanced practical manual: Provides algorithms for the most common clinical scenarios of device malfunction and related complications Covers management of patients who have undergone major operations such as organ transplantation or complex congenital heart disease repair Presents detailed management plans for a wide range of hardware types and medical conditions Offers expert guidance to practitioners in settings where not all specialties are readily available, such as rural and remote areas or community hospitals Features contributions from a team of experts in various areas of adult and pediatric emergency and critical care medicine Emergency Management of the Hi-Tech Patient in Acute and Critical Care is a must-have clinical reference and guide for pediatric and adult emergency medicine physicians, general pediatricians, internists, general practitioners, critical care specialists, and allied health practitioners.
The World Health Organization's concept of health as "the condition of psychophysical and social well-being" must be translated into opera tional terms. The objective is to place the human person within the social system, given that mental health, mental illness, and suffering are individual, despite the fact that their causes are to be sought in the society and environment that surround and interact with the indi vidual. One dimension that must be emphasized in this field is the contin uum that exists between social environment and cerebral development. This continuum consists of the physical and biological features of the two interacting systems: on one hand, the brain managed and con trolled by the genetic program, and, on the other hand, the environ ment, be it natural or social. A simple dichotomy of individual and environment is no longer a sufficient concept in understanding the etiology of mental health and illness. Needless to say, socioepidemiological research in psychiatry and transcultural psychiatry is useful in reaching these ends. However, at the root of mental illness, one can always find the same causal elements: informational chaos, inadequate dietary intake, substance abuse, trauma, conditioning, and so on, which make the interactive systems dysfunctional. Subsequent organic and psychotic disorders occur to the detriment of both the individual and society. Current biological psychiatry is inadequately equipped in treating mental illness."
Bringing together recent international research in the field of hospital communication and interaction, the contributors to this book contextualize clinical professional work by focussing on the rising intensity of information and communication practices in organizations generally, and in health care in particular.
Globalization affects human health in wide-ranging and multifaceted ways, ranging from the behaviors of individuals to broad social, political, and economic contexts within which health and disease occur. This book provides an introduction to these complex linkages through an exploration of the spatial, temporal and cognitive dimensions of global change. Challenging the neglect of health issues within the globalization literature, the book draws on diverse empirical evidence to argue that urgent attention to these impacts is needed.
Given the fundamental and growing importance of health to the
economy and society, this book addresses some of the key questions
being asked in relation to health in the future. What will the
health system look like, how much will it cost, what ethical
framework will underlie future health policy and can we really have
a system that is designed to improve health as well as provide
health care? Based on the "Policy Futures for UK Health" project,
this collection explores the shape of the health system and its key
components, taking a multidisciplinary approach to health policy
questions that is designed to appeal to the specialist and those
who want to know more about our health system and what it might
look like in the future.
Originally published in 1970 this title commemorates the men and ideas that started, inspired and established a pioneer institution in British psychiatry. Based on the impetus of Freudian and related innovations after the First World War, the Tavistock Clinic offered treatment, training and research facilities in the field of neurosis, child guidance and later on group relations. Dr Dicks, who had been associated for nearly forty years with the work and personalities that helped to develop the Tavistock venture, describes the struggles and capacity for survival of the clinic. He shows how, belonging neither to the older classical psychiatry nor to orthodox psychoanalysis, and suspect to both, the Clinic nevertheless became increasingly used by the rest of the profession as a psychotherapeutic resource. Dr Dicks describes the influence of the Tavistock on the medical, psychological and social work scene both before and after the Second World War, and assesses its achievements as a centre of psycho- and socio-dynamic thinking. The Tavistock is shown as a pioneer sui generis, launching psychosomatic research and initiating the exciting ventures in social psychiatry associated with the Army in the Second World War. As the Tavistock was the outcome of work with shell-shock victims in the first war, so its offspring, the Institute of Human Relations, was the natural continuation of the military effort in man-management, morale and group dynamic studies. The book includes an account of the inter-relationship between the Clinic, now part of the National Health Service, and the Institute, a private corporation. Still going strong as part of the Tavistock and Portman NHS Foundation Trust today this is an opportunity to revisit its early history.
The nations of the EU have long led the world in universal health coverage. Recent economic developments have created problems ranging from inequities of care to growing numbers of uninsured - a progression analyzed by Win de Gooijer in Trends in EU Health Care Systems. His ideas may be startling, and the book is bound to be controversial. This is critical reading for health care managers and policymakers, politicians and insurors - anyone looking to Europe to understand this far-reaching evolution.
In recent years, there has been steady increase in the interest shown in both big data analytics and the use of information technology (IT) solutions to improve healthcare services. Despite the growing interest, there are limited materials, to addressing the needs and challenges posed by the activities and processes including the use of big data. From IT solutions' perspectives, this book aims to advance the deployment and use of big data analytics to increase patients' big data usefulness and improve healthcare service delivery. The book provides significant insights and useful guide on how to access and manage big data, in improving healthcare service delivery. The book contributes a fresh perspective, which primarily comes from the complementary use of analytics approach with actor-network theory (ANT), and other techniques, in advancing healthcare service delivery. Accessing and managing healthcare big data have always been a challenging exercise. Due to the sensitivity of the health sector, the focus on patients' big data is from either technical or social perspective. Thus, the book employs sociotechnical theories, ANT and structuration theory (ST) as lenses to examine and explain the factors that enable and constrain the use of patients' big data for health services. By doing so, the book brings a different dimension and advance health service delivery. Providing a timely and important contribution to this critical area, this book is a valuable, international resource for academics, postgraduate students and researchers in the areas of IT, big data analytics, data management and health informatics.
'This book provides the background and practical guidance for all those of us who face challenges for the way we handle medical records. Written by a lawyer and a clinical informatician it provides the fusion between the legal issues and the practical clinical ones. There are clear explanations of the current legal framework, set in the context of real-world applications; the more complex issues that have a significant impact on Policy are also dealt with in depth. The background to 'consent' and the impact that implied and explicit consent can have on the way records are collect and used is particularly well covered. This book has many audiences, all of whom will gain from the easily accessible information within it. Caldicott guardians, research ethics committee members, and all those researchers and clinicians who need to analyze patient information will have a particular need for this handbook. Patients and the public should use it to understand how their healthcare information is protected and used. Its arrival could not have come at a better time' Sir John Pattison, Former Director of Research, Analysis and Information, Department of Health, England.
Data science has always been an effective way of extracting knowledge and insights from information in various forms. One industry that can utilize the benefits from the advances in data science is the healthcare field. The Handbook of Research on Data Science for Effective Healthcare Practice and Administration is a critical reference source that overviews the state of data analysis as it relates to current practices in the health sciences field. Covering innovative topics such as linear programming, simulation modeling, network theory, and predictive analytics, this publication is recommended for all healthcare professionals, graduate students, engineers, and researchers that are seeking to expand their knowledge of efficient techniques for information analysis in the healthcare professions.
By following the daily lives of rural women in the Sitapur district of Uttar Pradesh, an agricultural region with high rates of infant mortality, where maternal health services are poor while family planning efforts are intensive, from a range of castes and communities, the author considers the women's own experiences of birth and infant death, their ways of making-do, and the hierarchies they create and contend with. This book develops an approach to access to care that focuses on emotion, domestic spaces, illicit and extra-institutional biomedicine, and household and neighborly relations. It shows that, as part of the concatenation of affect and access, globalized moralities about reproduction are dependent on ambiguous ideas about caste. Through the unfolding of birth and death, a new vision of untouchability emerges that is integral to visions of progress.
This book seeks to invert the negativity inherent to the well-articulated challenges of long-term care for older people by focusing on progression and improvement for policy and practice. Building on ample research in 13 European countries, evidence is provided for how the construction of long-term care systems can be taken forward by practitioners, policy-makers and stakeholder organizations. By focusing on prevention and rehabilitation, the support of informal care, the enhancement of quality development as well as by decent governance and financing mechanisms for long-term care, stakeholders may learn from European experiences and solutions on the local, regional and national levels.
* Offers context while providing a coherent, applied overview of a wide range of suspect vulnerabilities and how to address them when interviewing * Serves as a practical guide to interviewing vulnerable suspects for both uniform police and detectives. * The only book on interviewing vulnerable suspects that includes the most up-to-date legal considerations and challenges of modern society
Based on long-term medical anthropological research in northern Ghana, the author analyses issues of health and healing, of gender, and of the control and use of money in a changing rural African setting. He describes the culture of medical pluralism, so typical for neo-colonial states, and people's choices of "traditional" (local) medicine (plants and sacrifices), Islamic medicine (charms and various written solutions) and "modern" therapy (biomedicine, in particular western pharmaceuticals). He concludes that the rural-urban divide is a fiction, that demarcations between these areas are frequently blurred, linked by a postcolonial, capitalist discourse of local markets, regional economies and national structures, which frequently emerge in local African settings but often originate in global and multinational markets. |
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