Part of a series which focuses on health economics and health services research, this volume discusses a variety of topics in the field.

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.

vi of a large number of people due to the enormous quantities of radioactive material that would be required to reach high levels of contamination in mass-produced or distributed supplies. Although, based on data presented at the Workshop concerning the more than 30,000 missing radioactive sources all over the word, the radioactive contamination of food or water is also a scenario that must be taken seriously into consideration. During the last two decades there have been several emerging hazards linked to animal diseases or originating in animal products for example: Avian Influenza (AI), Bovine Spongiform Encephalopathy (BSE), West Nile Fever, Severe Acute Respiratory Syndrome (SARS), and Ebola virus. All these diseases or events directly or indirectly affect food security and/or food safety. Approximately 75% of all emerging diseases are zoonotic by either an association with animal populations or an evolution of the disease in a- mals making it possible to move from animal species to humans. Participants were presented the primary results of the ongoing NATO- SPS Pilot Study on "Food Chain Security." These results focused mainly on (i) an overview of the food system; (ii) prevention, surveillance and detection systems and (iii) response system. The importance of issues such as: vuln- ability assessments, risk communication in risk analysis, risk perception, traceability, preparedness - awareness, communication, have to be cons- ered when working on food chain security.

The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. In their analysis, the authors argue that the future of Medicaid is sound. It has the flexibility to be adapted by states as well as to allow for policy innovation. At the same time, the program lacks an effective mechanism for overall reform. They note Medicaid has become a source of perennial political controversy as it has grown to become the largest health insurance system in the country. The book's dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readersand in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new preface, three new chapters accounting for the changes to the Affordable Care Act, and an updated glossary.

This fascinating, entertaining and often gruelling book by James Mills, examines the lunatic asylums set up by the British in nineteenth-century India. The author asserts that there was a growth in asylums following the Indian Mutiny, fuelled by the fear of itinerant and dangerous individuals, which existed primarily in the British imagination. Once established though, these asylums, which were staffed by Indians and populated by Indians, quickly became arenas in which the designs of the British were contested and confronted. Mills argues that power is everywhere and is behind every action; colonial power is therefore just another way to assert control over the less powerful. This social history draws on official archives and documents based in Scotland, England and India. This book is essential reading for anyone interested in history, sociology, or the general interest reader.

This book investigates the powerful role of online intermediaries, which connect companies with their end customers, to facilitate joint product innovation. Especially in the healthcare context, such intermediaries deploy interactive online platforms to foster co-creation between engaged healthcare consumers and innovation-seeking healthcare companies. In three empirical studies, this book outlines the key characteristics of online intermediaries in healthcare, their distinct strategies, and the remaining challenges in the field. Readers will also be introduced to the stages companies go through in adopting such co-created solutions. As such, the work appeals for both its academic scope and practical reach.

Covers the most common conditions seen in an out-of-hours primary care or urgent medical care setting. Urgent and Out-of-Hours Primary Care provides practical guidance on the diagnosis and management of the acute medical conditions seen most commonly in an out-of-hours setting. Covers over 200 acute medical conditions commonly encountered when working in an urgent and primary care setting Colour photographs provide the reader with further important information on assessing patients presenting with acute medical conditions Key 'red flag' features are highlighted in boxes The latest guidance and prescribing information is provided Uses a consistent approach: each condition features discussions of presentation, assessment and management Offers practical guidance on how to use telephone triage, video consultations and home visits effectively Assumes access to basic diagnostic aids only Provides differential diagnoses by symptom Indicates when to refer to hospital and when to order an emergency ambulance This book is aimed at GPs, GP trainees, doctors, medical students, nurses, paramedics, pharmacists and other healthcare professionals involved in providing urgent and out-of-hours primary care to patients.

This book examines how the digital revolution has reorganized the model of healthcare during the COVID-19 pandemic and argues for a continued paradigm shift to digital healthcare. Katarzyna Kolasa sets the vision of healthcare 5.0 that relieves the burden on limited healthcare resources and creates better health outcomes by switching the focus from treatment to prediction and prevention. She advocates for a patient-centric ecosystem that empowers patients to take control of their health via new knowledge-based technologies such as next-generation sequencing (NGS), nanotechnology, artificial intelligence and digital therapeutics. Highlighting the mindset shift needed to transform healthcare and outlining in detail a futuristic vision of healthcare 5.0, this book will be of interest to academics and professionals of health policy, health economics and digital health.

Dry Eyes of Innocence is an extraordinary story of courage and strength in the fight against Leukemia! A chronicle from the author's viewpoint, as he witnesses a personal transformation unfold in the last five or six years of his brothers awe-inspiring battle. Jeffrey was imprisoned from the age of 15 to 37, and then released into a world foreign to him. As an adult, in free society, Jeffrey learned the ropes of true manhood and responsibility and then fell victim to a terminal illness. Growing spiritually and emotionally while withering physically. Jeff and his family ponder -- will a matching donor be found in time? Will the transplant be successfull, or rejected? Will the effects of this physical assault on his body cause him to succumb? Or, will victory reign? The author finds himself in transformation from fear to victory, learning of Jeffrey's Leukemia at the most inopportune time, then helping his big brother overcome some of the most surreal moments of life imaginable. One finger in the air from Jeffrey is the constant reminder of his source of strength. this thug turned darling, with no internal organs and no self-sustaining breath, musters the strength to raise one finger and miraculously sing, "There's not a friend like the lowly Jesus. No, not one.No, not one!" All of the ward nurses and doctors come running to witness this miracle! Dry Eyes of Innocence is a must read for anyone seeking strength in the midst of a storm, anyone searching for power to transform lives and for an inspiring message from an unlikely champion! 6 x 9 trade hard cover - 128 pages

Currently, informatics within the field of public health is a developing and growing industry. Clinical informatics are used in direct patient care by supplying medical practitioners with information that can be used to develop a care plan. Intelligent applications in clinical informatics facilitates with the technology-based solutions to analyze data or medical images and help clinicians to retrieve that information. Decision models aid with making complex decisions especially in uncertain situations. The Handbook of Research on Applied Intelligence for Health and Clinical Informatics is a comprehensive reference book that focuses on the study of resources and methods for the management of healthcare infrastructure and information. This book provides insights on how applied intelligence with deep learning, experiential learning, and more will impact healthcare and clinical information processing. The content explores the representation, processing, and communication of clinical information in natural and engineered systems. This book covers a range of topics including applied intelligence, medical imaging, telehealth, and decision support systems, and also looks at technologies and tools used in the detection and diagnosis of medical conditions such as cancers, diabetes, heart disease, lung disease, and prenatal syndromes. It is an essential reference source for diagnosticians, medical professionals, imaging specialists, data specialists, IT consultants, medical technologists, academicians, researchers, industrial experts, scientists, and students.

What is schizophrenia? Is it a nervous breakdown or a neurochemical malfunction? Why does it develop mostly in late adolescence?

In this groundbreaking and innovative book, Chris Harrop and Peter Trower outline a whole new way of understanding schizophrenia. Controversially, they argue that symptoms seen as psychosis can be linked to the typical psychological development of adolescence and, in particular, to problems constructing an independent, adult self.

This unique psychological account of schizophrenia, written in accessible language, offers insights and practical therapeutic techniques that will be of value to young people with this problem, their families and anyone working with adolescents.

For therapists and all those working in mental health services, particularly those interested in early intervention, this book is essential reading.

‘… a valuable contribution to what remains one of the most problematical issues for health providers, receivers and researchers.’ Dr Paul Patterson

‘… what Peter and Chris have to say is controversial, but I suspect this work will be regarded in time to come as "trail-blazing".’ Professor Max Birchwood

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."

The possibility of treating patients with organ replacement therapy has created a new frontier in medical care. Hospitals have to deal with such vital issues as selecting potential recipients of transplants, ensuring equity in allocating organs, pre- and peri-transplantation care of patients, and post-transplantation follow-up of organ recipients. The decisions pertaining to these issues often fall to social workers, who, with their bifocal concern for individuals and society, have significant contributions to make. Here, Dhooper reviews the contributions of the few social workers in this field and suggests ways of improving their work, consolidating their professional gains, and maximizing their impact. Dhooper discusses all aspects of organ transplantation, and explores and proposes new social work roles and appropriate skills for involvement at the individual, organizational, and community levels. He deals with the larger moral, societal, economic, and technical issues, as well as the here-and-now concerns of the social worker. Recommended for social workers trained for practice in the 1990s and beyond, and particularly those specializing in health and mental health social work.

The book sets out to inform a broad range of professionals working in medicine and healthcare about how creative thinking and design concepts can be used to innovate in providing an enhanced patient experience. It outlines these concepts as a primary means to identify, clarify and resolve some of the process improvement and enhancement challenges in healthcare delivery. It demonstrates by example how such challenges can be addressed, drawing on case examples from healthcare and other industries, and from the authors’ own experiences as innovators and educators. It emphasizes the value of learning in action. For the reader who already has a leaning towards novel approaches to addressing healthcare delivery challenges, it provides guidance on harnessing team inputs and engaging with a network of contributors. It is an ideal resource for all working in medicine and healthcare, from managers, nurses, doctors, administrators, executives, and allied health professionals to medical engineers, medical physicists, medical scientists and medical product developers. Features Provides a unique framework to conceptualise innovation in healthcare and medicine. Authored by an award-winning medical scientist and an established business school Professor who have proven track-records with innovation, in education settings and as entrepreneurs. Presents a clear interdisciplinary approach, complemented with practical case studies set in the context of the challenges facing healthcare delivery in the 21st century. Dr. Barry McMahon has a national and international reputation as an Academic Medical Physicist in the fields of novel physiological measurement and medical device innovation and design. He is the co- inventor of the Functional Lumen Imaging Probe (FLIP) technique later commercialised as EndoFLIP™. He was the Director of the Innovation Academy at Trinity College Dublin from 2012 to 2017. Since 2020 he is advising Children’s Health Ireland on innovation practice. In 2021, he retired as Chief Physicist/Clinical Engineer at Tallaght Hospital, Ireland and currently runs his own innovation-consulting group Electric Mindset Ltd. Dr. Paul Coughlan is Professor in Operations Management and Co-Director of Faculty at Trinity Business School, Trinity College Dublin. His research explores collaborative strategic improvement of operations through network action learning. He was the Director of the Innovation Academy at Trinity College Dublin from 2010 to 2012. He is a founding director of a research-based spin-out venture, Easy Hydro Ltd.

Research on social inequalities has a very long tradition in sociological research, and discussion of the impact of social inequalities on health and health care delivery has long been one of the more important topics covered by medical sociologists. The research presented in this volume varies in its coverage and its approach to issues of social inequality in health and health care delivery. This volume includes both theoretical and quantitative papers, and deals with complex understandings of macro system issues, the impact of the patient and individual factors on health and health care and the impact of the provider and interaction between providers and patients. The first section focuses on macro system issues and includes both theoretical approaches to the topic and quantitative approaches. The second section includes articles with a greater focus on patient characteristics. These articles vary greatly in their coverage, with some focusing on the US as a whole, and others on specific sections of the US or subgroups within the population such as African American women or the elderly. The third section focuses on providers and issues of social inequality and health care delivery. These papers examine issues of gender, race and poverty as examples of sources of inequality in modern societies. In contrast to the second section these papers pay more attention to individual factors and the focus of the chapters is on aspects of health care providers. Research on providers of care is another long, important research tradition within medical sociology. Social Inequalities, Health and Health Care Delivery should be useful reading for medical sociologists and people working in other social science disciplines studying health-related issues. The volume also provides information for health services researchers, policy analysts and public health researchers.

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.

In 1841 the American sailing ship William Brown struck an iceberg. About half of the passengers and all of the crew were saved in two small, open boats. The next night, half of the passengers in the larger long-boat were thrown overboard because the boat was overfull. This was the first case of "lifeboat ethics," of hard choices in the face of scarcity. Since then the question has been "who should die so that others, equally needy, might live?" Both the case of the William Brown and the ethics it spawned have been used in recent years to describe the problem of health care rationing generally, and organ transplantation specifically. Koch reexamines and reinterpretes the paradigm case of lifeboat ethics, the story of the William Brown, not as an unavoidable tragedy, but as an avoidable series of errors. Its relation to more general issues of distributive justice are then considered. The lessons learned from both the historical review and its application to distributive principles are then applied to the problem of graft organ distribution in the United States. Through the use of maps, the problem of organ distribution is considered at a range of scales, from the international to the urban. The contextual issues become more evident as one moves from international to hemispheric, fron national to regional, and then local systems. Finally, Koch reviews the lessons in light of other problems of distribution in the face of scarcity. The central lesson-that scarcity is exacerbated where it is not in fact created by our distributive programs-is explored thoroughly. The result is "no good choices" for anyone and the continuation of the scarcity that for most seems inevitable, but, from theevidence provided, is itself an outcome of inequalities of distribution at different scales of society. Of particular interest to students, scholars, and policymakers involved with issues of planning and health care economics, medical geography, and concepts of justice.

Build a working medical vocabulary quickly with Chabner's Medical Terminology: A Short Course, 9th Edition! Omitting time-consuming, nonessential information, this text helps you master the basics of medical vocabulary - including the most frequently encountered suffixes, prefixes, and word roots. A text/workbook format lets you practice and interact with medical terminology on almost every page through exercises, labeling, and pronunciations. Case studies and real-world vignettes demonstrate how medical terms are used in practice. With all this plus medical animations, word games, and flash cards on the Evolve website, you'll be amazed at how easily medical terminology becomes part of your vocabulary. Easy-to-read and understandable language allows you to quickly grasp and retain medical terminology even if you've had little or no background in biology or medicine. Text/workbook approach reinforces learning every step of the way with exercises, diagram labeling, review sheets, and pronunciation practice throughout the book. Full-color illustrations and photographs show parts of the body, diseases, conditions, and medical procedures. Picture Show activities, medical case reports, and vignettes demonstrate real-life applications of medical terms. First Person narratives help you to understand diseases and conditions from the patient's perspective. Principal Diagnosis feature shows how medical terms are used in clinical practice by asking you to read physician notes about a case and determine the patient's principal diagnosis. Medical Terminology Check Up at the end of each chapter reinforces your understanding of key concepts and easily confused terms. Evolve website includes resources optimized for tablet use, and mobile-optimized versions of the flash cards and quick quizzes make it easier for on-the-go study and review. Body Systems Challenge self-test assesses and reinforces your understanding at your own pace. NEW! Additional case studies provide examples of medical terminology in the context of patient care and procedures. NEW! Immunity and COVID-19 Vaccines appendix features topics of current interest, including infectious disease, cancer treatments, medical technologies, and pharmacology.

COVID-19: Proportionality, Public Policy and Social Distance explores the social and political response to the COVID-19 pandemic. It details the sociological aspects of the spread of the virus, the role played by social distancing in virus mitigation, and the comparative effect of social proximity and distance on national anti-viral behavior. Peter Murphy discusses various public policy approaches to the pandemic and their successes and failures. In this engaging analysis, he investigates the way that contemporary societies think about risk, threat and harm, and how social mood affected the response to COVID-19.

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.

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.

The rates of medical bullying, absences by LGBT+ professionals due to lack of safety in the workplace, and subsequent suicidality for LGBT+ youth adults are exponentially higher than for non-LGBT+ youth and adults. As a result, many LGBT+ patients and professionals are suffering needlessly, and many business leaders are unsure of what to do. This book solves that problem. Featuring real-life situations and scenarios, a glossary, and further resources, this book enables professionals in a variety of business roles to integrate foundational concepts into their everyday interactions with potential and current employees to create an overall medical workplace culture that nurtures a welcoming, inclusive, and affirming environment for all. This book can be utilized by independent readers, department teams, and entire medical corporations reading experiences. Setting out best practices and professional guidance for creating an LGBT+ inclusive medical workplace, this approachable and easy to follow book guides medical leaders and anyone working in a medical facility toward appropriate and proven ways to create safer working environments, update workplace policies, enhance hiring and staff retention protocols, and better support LGBT+ employees in the workplace as well as for LGBT+ patient experiences. The real-life scenarios are a unique feature of this book. While many offer information, this book is practical and requires active engagement with the material for the reader. The scenarios offer the reader the opportunity to try out the foundational knowledge they obtained in earlier chapters by giving real business place experiences that others have been challenged by. After reading the scenario, there are intentional pointed thought questions, which can be used for discussion if the book is read in groups or teams. This encourages teamwork and shared learning. Then, readers will receive guidance from America's Leading LGBT+ expert, who uses her 25+ years of experience to guide the reader as if they were receiving individualized guidance right from her to them!