Intended as a tool for use by public health officials, research and regulatory scientists and risk managers, this publication seeks to provide a scientific framework for the use and interpretation of reproductive toxicity data from human and animal studies. It also discusses emerging methodology and testing strategy in reproductive toxicity. The text focuses on approaches to assessing reproductive toxicity in males and females, including sexual dysfunction and infertility, and many aspects of developmental toxicity (following both prenatal and postnatal exposure), from conception to sexual maturation. It is an overview of the major scientific principles underlying hazard identification, testing methods and risk assessment strategies in human reproductive toxicity. It also discusses the evaluation of reproductive toxicity data in the context of the extensive risk assessment methodology that has emerged over the past 10-15 years.

The author of this book has a vast experience of teaching Medical and Midwifery students both in Tanzania and abroad. He has also worked as a Consultant Obstetrician and Gynaecologist in public hospitals both in Tanzania and abroad. This book is a testimony of the vast experience of the author. This book describes the management of a woman during pregnancy, childbirth and postpartum as well as care of the newborn. The book gives useful guidlines in the management of normal as well as 'High risk' women during this critical period of their lives. The book has been written in a style which makes it easy to read and understand. It is a book that medical/midwifery students and the practitioners working in health centres will find useful.

This pioneering text formally introduces an all-inclusive approach to preventive health care that is targeted at female factor associated infertility. All female factor problems and related issues are examined critically. This is followed by the proposal of preventive strategies that are based on the three tiers of preventive health care (primary, secondary and tertiary prevention). This exceptional book is currently the only available comprehensive text on the subject. It is an invaluable resource guide for a wide range of medical, health and allied professionals. You will find:

"This is by far the best book I've read on the science of aging."—Andrew Weil, M.D.

"Life-span Truth Will Set You Free from Age-old Worries," announced the Chicago Tribune upon the first publication of this book. The New England Journal of Medicine confirmed, "For readers interested in aging and longevity, this small book clearly explains the major concepts...extremely enjoyable to read." From NBC Nightly News with Tom Brokaw to Scientific American to the New York Times, S. Jay Olshansky and Bruce A. Carnes have stirred up controversy and brought clarity to an issue often muddled by exaggeration and pseudoscience.

Medical science has uncovered a host of answers to the problems of aging, but many of the most exciting discoveries are buried in scientific journals or overshadowed by popular quick-fix treatments. The Quest for Immortality explains the real science of aging and shows which treatments offered by today's multi-billion-dollar anti-aging industries offer real hope, and which are a waste of money and time.

YES, YOU PROBABLY CAN GET PREGNANT
...and the really good news is that most of you can conceive naturally, without expensive high-tech intervention. The six-step mind/body fertility enhancement program from Harvard Medical School could give you the answer.

• How can I relax when I'm worried sick about getting pregnant?
  
• Can antidepressants affect my fertility?
  
• Is there some medicine I can take to increase my sperm production?
  
• Does being a vegetarian increase or decrease my chances of conception?

Start to help yourself by learning the newest information on how simple lifestyle changes affect fertility.

'It is never too early to become involved but it can easily be too late.' Armed with such alarming statistics as 125 million primary-school age children are not in school; another 150 million children drop out of primary school before they complete four years of education; and almost one-half of the children in the least developed countries of the world do not have access to primary education; the World Bank convened a global conference in April 2000, to address the benefits and challenges of investing in early childhood development. Scientific studies now show how critical the first few years of a child's life are in terms of later physical and mental health, behavior, and capacity to learn. The Millennium Development Goals endorsed by 189 member countries of the United Nations and the World Bank are targets for reducing global poverty. The goals specifically address the need for universal primary education as a means for breaking the cycle of poverty in individual families and in countries. With the publication of this volume, which contains the conference proceedings, the World Bank hopes to encourage a broader investment by countries, companies, organizations and private sector institutions in early child development.

How do we find the life that's right for each of us? More and more of us are feeling overwhelmed by the everyday struggle to lead the lives to which we aspire. Children are placed under unbearable pressure to achieve; adults fight a constant battle to balance family life with work and economic demands; old people suffer from social isolation and a lack of emotional security. People of every age are feeling increasingly at odds with the world, and less able to live a life that corresponds to their individual needs and talents. At the root of this problem, argues internationally renowned child development expert Remo Largo, is a mistaken idea of what makes us human. A distillation of forty years of research and medical experience, The Right Life sets out a new theory of human thriving. Tracing our development as individuals from the beginnings of evolution to the twenty-first century, he sets out his own theory, the 'Fit Principle', which proposes that every human strives to live in harmony with their fellow humans and their environment. Rather than a ceaseless quest for self-improvement and growth, he argues, our collective goals should be individual self-acceptance, as we embrace the unique matrix of skills, needs and limitations that makes each of us who we are. Not only, Largo suggests, can a true understanding of human thriving help people find their way back to their individuality; it can help us to reshape society and economy in order to live as fully as possible.

A complete and up-to-date guide for those men (and their partners) concerned about preventing and overcoming impotence. Does increasing age inevitably lead to a sexual decline in men? What are the links between heart attack, stroke, and impotence? Can vasectomy cause sexual dysfunction? Richard Milsten and Julian Slowinksi answer these and numerous other questions in this clear and comprehensive guide to maintaining lifelong sexual health. The authors bring together the two critical areas of expertise--medical and psychological--to explain healthy male sexual function and the problem of sexual dysfunction. With an emphasis on prevention, they discuss the medical and psychological causes of impotence and all available treatment options. Topics include what questions to ask a doctor, what to expect from treatment or therapy, information for women about their partners' health, and a self-evaluation questionnaire. "The Sexual Male" provides important knowledge for men and women of any age.

This fully-revised new edition of the best-selling Equine Clinical Medicine, Surgery and Reproduction is supported by over 1800 illustrations of the highest quality: colour photographs, diagnostic images including MRI and CT, and diagrams. System-based, the chapters introduce each individual system with precise information on the relevant basic anatomy and physiology, standard clinical examination techniques and useful differential diagnostic aids. This is followed by diseases and disorders that are pertinent to that system, grouped together either anatomically or based on presenting clinical signs. Each condition is described using consistent headings: definition/overview, etiology and pathophysiology, clinical presentation, diagnosis, differential diagnoses, management/treatment, and prognosis. Additional chapters deal with the foal and wounds. New to the second edition: - All chapters are updated throughout - Additional chapters on the axial musculoskeletal system (neck, back and pelvis) and muscle diseases and problems - A whole new section on soft tissue injuries of the foot - More information on diagnostic tests including over-ground endoscopy, chest and liver ultrasonography, head CT, and foot MRI - Material on equine dentistry, neurology, endocrine system, the foal, and the liver has been considerably expanded - All illustrations and photographs have been reviewed and many replaced with higher quality images. The focus throughout remains on providing clinically relevant information required for practical case management, plus sufficient background on causes and disease processes to enable readers to understand the conditions and the rationale for diagnostic and treatment options. An international group of respected clinicians have come together under the editorship of Dr Graham Munroe to create a textbook that will be of lasting value as a teaching and training resource for equine clinical teachers and their students in veterinary medicine and related equine courses, as well as a ready reference for non-specialist mixed or equine clinical practitioners

A challenging look at today's most hotly debated issues in bioethics. Within the high-paced, highly controverted field of bioethics, the most hotly debated issues center on sexuality, reproductive technology, and the family. This new volume from the Center for Bioethics and Human Dignity provides a thought-provoking appraisal of the ethical dimension of the reproductive revolution from a Christian perspective. Thirty scholars and medical practitioners discuss some of the most pressing topics related to human reproduction, including: the moral status of embryos; the use of donor eggs and sperm; surrogate motherhood and human cloning; the abortifacient effect of birth control pills.

"The Neuropsychology of Aging" is a comprehensive yet concise introduction to what is currently known about the impact of aging on brain function. This book reviews both the current state-of-the art knowledge on cognition and aging and its neurobiological substrates, and methods for assessment and prospects for treatment.

The book begins with an overview of the topic, and reviews neuropsychological, neurobiological, and neuroanatomical assessment of the elderly. The author goes on to discuss aging in the nervous system, including neuropathological brain aging in diseases such as Alzheimer's disease and Parkinson's disease. The final section provides neuropsychological perspectives on cognition functions such as attention, learning and memory, and language and communication. The book concludes with a discussion of interventions into neuropsychological processes, and future directions in the field.

Get Your Body Ready for the Marathon of Labor!

If you're newly pregnant, you're probably watching your diet carefully, getting plenty of rest, and preparing for the arrival of your new baby. You're also thinking about the big day itself and what the experience of labor will be like. Even if you're following a regular fitness program, you'll want to do everything you can to strengthen and prepare your body for the rigors of labor.

Maternal Fitness features clearly illustrated exercises that focus specifically on the muscle groups you'll use throughout labor, especially the transverse abdominals -- the stomach muscles that play a critical role during delivery. A powerful set of transverse abs can speed labor and delivery and make for a quick recovery. By learning how to strengthen your abdominals and relax your pelvic floor muscles, you'll be able to push more effectively.

While the Maternal Fitness program is designed specifically for the big moment, it also has other benefits, from minimizing backache and fatigue to giving you a welcome head start on getting back into shape after childbirth. Developed by a professional trainer who is also a registered nurse and childbirth educator, the Maternal Fitness program is safe for you and your baby and easy to do. Once learned, it can be incorporated into any workout.

..". extremely valuable. This book] addresses exactly the right questions in a balanced, nuanced way." Journal of the American Medical Association

"Cohen s book is a major contribution to the literature of the inevitable." Medical Humanities Review

"This book provides readers with an insightful overview of the practice of oocyte donation, the broader issues raised by this innovative yet problematic technology and, given the recommendations of NABER, how these issues mights be resolved.... Well written, structured, researched, and thought-provoking, this book makes a timely, important, and worthwhile contribution to the growing body of reproductive technology scholarship." Doody s Health Sciences Book Review Home Page

"Detailed notes; extensive references; comprehensive research... Recommended..." Choice

Leading scholars investigate the difficult ethical, legal, and policy issues that surround egg donation and the new reproductive technologies as a whole. In addition, the book describes procedures at four egg-donation centers and presents a new set of guidelines from the National Advisory Board on Ethics in Reproduction."

Controversies about abortion and women's reproductive technologies often seem to reflect personal experience, religious commitment, or emotional response. Laura M. Purdy believes, however, that coherent ethical principles are implicit in these controversies and that feminist bioethics can help clarify the conflicts of interest which often figure in human reproduction. As she defines the underlying issues, Purdy emphasizes the importance of taking women's interests fully into account. Reproducing Persons first explores the rights and duties connected with conception and pregnancy. Purdy asks whether conceiving a child or taking a pregnancy to term can ever be morally wrong. She challenges the thinking of those who feel the prospect of disability or serious genetic disease should not constrain conception or justify abortion. The essays next look at abortion from a variety of angles. One contends that killing fetuses is not murder; others emphasize the moral importance of access to abortion. Purdy considers the conflicting interests of women and men regarding abortion, and argues against requiring a husband's consent. The book concludes with a consideration of new reproductive technologies and arrangements, including the controversial issue of surrogacy, or contract pregnancy. Throughout, Purdy combines traditional utilitarianism with some of the most powerful insights of contemporary feminist ethics. Her provocative essays create guidelines for approaching new topics and inspire fresh thinking about old ones.

There is a forgotten history to our current debates over reproductive technology - one interweaving literature and science, profoundly gendered, filled with choices and struggles. We pay a price when we accept modern reproductive technology as a scientific breakthrough without a past. Babies in Bottles retrieves some of that history by analyzing the literary and popular science writings of Julian Huxley, J.B.S. Haldane, Charlotte Haldane, Aldous Huxley, and Naomi Mitchison - writings that include representations of reproductive technology from babies in bottles to surrogate mothers. It is to these images, fantasies, practices, and narratives of scientific intervention in reproduction that we must look if we want to understand what acts of ideological construction have been carried out, and are currently being performed, in the name of reproductive technology. Susan Merrill Squier shows how the imaginative construction of reproductive technology helps to shape our contemporary practices. Susan Merrill Squier is Julia Gregg Brill Professor in Women's Studies and English at the Pennsylvania State University, University Park. She is the author of Virginia Woolf and London: The Sexual Politics of the City, editor of Women Writers and the City: Essays in Feminist Literary Criticism, and co-editor of Arms and the Woman: War, Gender, and Literary Representation.

A Guide for Women and Those Who Love Them
Revised Edition

The most up-to-date and authoritative guide for women on the change of life. Includes the latest information on hormone replacement therapy; cancer and heart disease; sexuality in the menopausal years; nutrition; exercise; and much more.

Here is a comprehensive guide to the changes, in lifestyle as well as in body, that menopause brings. When the first edition of the book was published in 1983, reviewers hailed it as the most authoritative and accessible bolume ever written on menopause and the general health and well-being of menopausal women.

Now in paperback for the first time, the completely updated Revised Edition includes several new chapters exploring such crucial women's health topics as the importance of good nutrition and exercise, overcoming smoking and obesity, and improving cardiovascular health. Information on the pros and cons of hormone replacement therapy (HRT), as well as advice for women who cannot take hormones, is included, as is advice on osteoporosis and on when surgery such as hysterectomy is and is not warranted. Throughout the book, in their own candid words, menopausal women relate their experiences going through this transition. Menopause is a guide to living a long, health life and understanding the natural course of the female body.

"Extraordinary depth of information that is beautifully easy to read. A necessity for every health care provider or woman who is approaching menopause."—Isaac Schiff, M.D., professor of obstetrics and gynecology, Harvard Medical School

"Provides readable information and anticipates many of the questions that a woman might ask or should ask . . . Practical and useful, it is a wonderful book."—Florence P. Haseltine, M.D., National Institutes of Health

For counselor Nancy Wainer Cohen, this book is the sibling to "Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean "(Bergin & Garvey, 1983) her critically-acclaimed expose on America's growing reliance on cesarean sections. "Open Season "provides fresh insights and new information on the subject, offering guidance to childbearing couples, educators, health professionals, and scholars who value the natural path of childbirth.

Readers will find this book timely, informative, shocking, irreverent, and extremely readable. Cohen's intimate writing style presents a compendium of knowledge on childbirth in the fashion of a personal letter. Her aim is to lower America's alarming reliance on cesarean section, which is currently at 25 percent of all births, and to return the responsibility for childbirth to women by encouraging them to choose the kind of birthing experience they wish to have. In addition to cesarean section, Cohen discusses many other generally unnecessary interventions performed on women during pregnancy and childbirth--such as fetal monitoring and routinized hospital procedures.

Take control of your hormones and feel happier and healthier, with this practical guide to re-balancing your body and getting your life back on track ____________ Hormones play a crucial role in our health and well-being, yet few of us understand the toll they take on our bodies when we don't achieve a balance. Whether you're riding the roller coasters of puberty, pregnancy or the menopause, we're all a slave to our hormones at some point in our lives, and they can leave you feeling tired, low and irritable. In It Must Be My Hormones, leading specialists in women's health Dr Marion Gluck and nutritionist Vicki Edgson, show you the role that each of our major hormones plays, how a deficiency can affect our well-being, and what we can do to restore the balance. In this book you'll discover: * How to keep the weight off with thyroid boosting mega-foods * Vitamins which work wonders for your skin * How herbs and spices can give you a caffeine-free energy kick * Which aromatherapy herbs are actually beneficial * Ways to improve cognitive function through mineral supplements From boosting fertility to easing symptoms of PMS, this practical, easy-to-implement guidance will restore mental and physical well-being. Filled with inspiring personal stories, nutritional suggestions and advice on bio-identical hormone therapy, this book will help you regain control of your hormones and your life.

..". glimpses of intriguing changes in social arrangements and cultural understandings in relation to surrogacy. Disturbing motherhood indeed." New Scientist

"Larry Gostin has put together the definitive collection of essays on one of the most perplexing and titillating topics in contemporary medical ethics. This book includes contributions from some of the leading scholars on the legal, ethical, and social aspects of surrogacy, as well as several critical perspectives on the famous Baby M case must reading for understanding the surrogate motherhood controversy." Robert M. Veatch

"Highly recommended... " Choice

..". a valuable resource for those concerned with an exceedingly difficult ethical, legal, and political problem." Ethics

"There is a wealth of information here on the current status questionis in the United States, and anyone involved in the surrogacy debate, in the U.S. or otherwise, will find working through this material very worthwhile." Canadian Philosophical Review

..". an excellent sample of some of the best and most varied thinking so far on the numerous conceptual, moral, social, and policy questions raised by contract motherhood." The Journal of Clinical Ethics"

In this new, revised edition of his landmark book, Montagu compels us to reevaluate the way we think about growth and development, in all its phases, throughout life. Humans are designed to grow and develop their childlike qualities, and not to become the ossified adults prescribed by society. Montagu demonstrates how our culture, schools, and families are in conspiracy against such childlike traits as the need to love, to learn, to wonder, to know, to explore, to think, to experiment, to be imaginative, creative and curious, to sing, dance, or play. He also reveals the many links between physical and mental aging and tells how to prevent psychosclerosis, the hardening of the mind, so that we can die young--as late as possible. The best statement ever written on the most important, neglected theme of human life and evolution. "Stephen Jay Gould, Harvard University"

In this new, revised edition of his landmark book, Montagu compels us to reevaluate the way we think about growth and development, in all its phases, throughout life. Humans are designed to grow and develop their childlike qualities, and not to become the ossified adults prescribed by society. Montagu demonstrates how our culture, schools, and families are in conspiracy against such childlike traits as the need to love, to learn, to wonder, to know, to explore, to think, to experiment, to be imaginative, creative and curious, to sing, dance, or play. He also reveals the many links between physical and mental aging and tells how to prevent psychosclerosis, the hardening of the mind, so that we can die young--as late as possible.

The creation of 'test--tube babiesa acted as a spur to public debate about the implications of research on embryos, in vitro fertilization, surrogate motherhood, and the whole range of technologies concerned with human reproduction. The scope of reproductive technologies examined in this volume -- from techniques for the medical 'managementa of childbirth, to genetic engineering -- is such that few women in the western world, and smaller and smaller numbers in the third world, escape their influence. What then is their impact: on the process of reproduction, on family life and particularly on women? 'Reproductive Technologiesa is a remarkable collection of original essays which attempts to place the current controversy over reproductive technologies in a political, legal and economic context. Contributors -- including Lesley Doyal, Ann Oakley, Ros Petchesky, Carol Smart, Hilary Rose, and Naomi Pfeffer -- examine systematically the technologies that have sparked off these debates. They explore the problem of infertility which is used to validate reproductive technologies; the way assumptions about the family and about biological parenthood continue to structure the arguments for and against; the impact of the medicalization of childbirth; the way debates are embedded in changing conceptions of paternal rights, maternal rights and embryo rights; the problems of providing adequate health care for women; and, above all, the urgency with which these issues raise problems about the accountability of science.