In the twentieth century, all developed nations began to undergo unprecedented demographic changes, as their birth rates declined, and life expectancies increased significantly --an average of thirty years in less than a century. These developments have caused major transformations in the composition of populations in these countries, especially in terms of the proportions of the various age groups. While the age groups of children and adolescents have decreased, those of elderly persons aged 65 and over, have increased.

Consistent with the situation in other developed nations, the absolute number and percentage of elderly persons in the Israeli population is increasing, while the percentage of younger persons is decreasing. Israel, however, differs from other developed countries in the pace of this demographic change, the composition of its population, and the ways it can address needs related to aging. The demographic figures in Israel indicate that not only is the proportion of elderly persons in the total population growing, but that the old population itself is rapidly aging as well.

This volume exemplifies how social science research can promote knowledge about and understanding of needs and opportunities for adaptation, and assist in evaluating the outcomes of policies and services on the personal, community and national levels, as well as suggest required changes. The variety of topics covered in this volume on age-related research, policies and practice reflects a wide range of research by Israeli scholars on social aspects of aging. Their research offers a glimpse into the knowledge base that has been built over the years on the aging process in Israel, the population of elderly people, and the national policies and network of services for the aged. Other developed countries with aging populations have much to learn from the Israeli experience.

In the twentieth century, all developed nations began to undergo unprecedented demographic changes, as their birth rates declined, and life expectancies increased significantly --an average of thirty years in less than a century. These developments have caused major transformations in the composition of populations in these countries, especially in terms of the proportions of the various age groups. While the age groups of children and adolescents have decreased, those of elderly persons aged 65 and over, have increased.

Consistent with the situation in other developed nations, the absolute number and percentage of elderly persons in the Israeli population is increasing, while the percentage of younger persons is decreasing. Israel, however, differs from other developed countries in the pace of this demographic change, the composition of its population, and the ways it can address needs related to aging. The demographic figures in Israel indicate that not only is the proportion of elderly persons in the total population growing, but that the old population itself is rapidly aging as well.

This volume exemplifies how social science research can promote knowledge about and understanding of needs and opportunities for adaptation, and assist in evaluating the outcomes of policies and services on the personal, community and national levels, as well as suggest required changes. The variety of topics covered in this volume on age-related research, policies and practice reflects a wide range of research by Israeli scholars on social aspects of aging. Their research offers a glimpse into the knowledge base that has been built over the years on the aging process in Israel, the population of elderly people, and the national policies and network of services for the aged. Other developed countries with aging populations have much to learn from the Israeli experience.

If you're taking an undergraduate or postgraduate medical courses, or similar courses in other related disciplines, this is the book for you. Embryology is a concise and highly illustrated text, covering only the descriptions you really need to know. An appreciation of embryology is essential to understand topological relationships in gross anatomy and to explain many congenital anomalies. Text in concise Illustrated Colour Text style, so core information on embryology can be quickly recognised and digested. Clear full colour diagrams and pictures make the embryological concepts clear and easily assimilated. Clinical boxes highlight essential points of importance to medical students.

Although attitudes toward the aged and their care are inherent in any society, gerontology itself is a relatively recent field of study and practice. "Gerontology and the Construction of Old Age" applies the methods of discourse analysis and textual analysis to texts and documents in this newly evolved and eclectic fi eld. Green explores and identifies the literary methods and discursive regularities through which aging and the aged have been made into objects of study and treatment, and which together form a mode of knowledge production that will infl uence future texts in the field.

Because such formats of representation limit rational diagnoses of problems and rational courses of ameliorative action, policy implications in the fi eld of gerontology are a major interest of this study. Another interest is methodological. Within the broader constructionist approach to social reality, Green takes the position of "constitutive realism" the notion that social reality is linguistically constructed, primarily in speech and writing.

The book's two aims are to describe analytically the fi eld of gerontology. The field is important both for its growing academic presence and for its practical eff ects on discourse and policy concerning old age. It also hopes to help develop possibilities of inquiry associated with the linguistic, literary, and rhetorical turns of social science in recent years. "Gerontology and the Construction of Old Age" is a substantive investigation, at considerable theoretical depth, of gerontology itself, as well as a methodological treatise with broader implications for social science as it focuses upon the discourse of various professional fields.

Oocyte cryopreservation entails important potential advantages for human IVF, offering a less ethically disputable alternative to embryo cryopreservation, simplifying and making safer oocyte donation, and giving an opportunity for fertility preservation to women at risk of premature ovarian failure as an effect of genetic factors or chemo- or radiotherapies. Oocyte cryopreservation could also meet the expectations of women wishing to preserve their fertility for social reasons. In the last few years, advances in cryopreservation methodologies have dramatically improved the efficiency of oocyte cryopreservation, leading to the birth of over a thousand babies and challenging the supremacy of embryo cryopreservation as the preferred form of fertility preservation. This text has been conceived with the aim of offering a comprehensive view of the state of the art of oocyte cryopreservation. It covers fundamental concepts of low temperature storage (controlled rate slow cooling and vitrification), aspects of oocyte physiology relevant to the process of cryopreservation, essential biological and clinical evidence, and ethical implications of oocyte cryopreservation, thereby providing a complete overview of progress in this strategy in assisted reproduction.

Andrology is the fastest growing subspecialty in urology and has recently achieved remarkable advances in the understanding of the erectile mechanism and in reproductive medicine. Male Infertility and Sexual Dysfunction presents all the current avenues of treatment with emphasis on multidisciplinary considerations. Chapters are written by select international authorities presenting indepth coverage of their areas of expertise. Each topic will cover the background, anatomy, physiology, diagnosis, classification, and treatment (medical and/or surgical). Part I focuses on the study of male infertility and includes discussions of the basic sciences, office evaluation, laboratory and imaging techniques, and the use of testicular biopsy. This is followed by specialized chapters dealing with immunologic infertility, genital inflammation, reactive oxygen species, medical management, sperm processing and preventive adolescent andrology. Part II reflects a more diverse format in the coverage of sexual dysfunction and includes discussions of androgen insufficiency, nocturnal penile tumescence studies, neurotransmission, penile neurology, premature ejaculation, psychogenic impotence and the latest medical, noninvasive and surgical treatments.

This book brings together the most up-to-date information about the physiology of progestogens. Addressing the bidirectional communication between hormones, fertility, tumors, and autoimmunity, it provides the basic science and clinical perspectives of progestogens which have not been previously available in one volume. In addition to estrogens, androgens, mineralocorticoids and glucocorticoids, progestogens are a major class of steroid hormone. While present in certain phases of estrous and menstrual cycles, progestogens are named for their function in maintaining pregnancy. This book is essentially practical in orientation, addressing the specific issues that confront the practitioner, and provides information to Obstetricians, Gynecologists, Reproductive endocrinologists, as well as Gynecological Oncologists and Rheumatologists. Contributions are from an international team of experts in the field, now completely updated in this new edition with new developments in primary dysmenorrhea and contraception.

Spermatogenesis involves the coordination of a number of signaling pathways, which culminate into production of sperm. Its failure results in male factor infertility, which can be due to hormonal, environmental, genetic or other unknown factors. This book includes chapters on most of the signaling pathways known to contribute to spermatogenesis. Latest research in germ cell signaling like the role of small RNAs in spermatogenesis is also discussed. This book aims to serve as a reference for both clinicians and researchers, explaining possible causes of infertility and exploring various treatment methods for management through the basic understanding of the role of molecular signaling. Key Features Discusses the signaling pathways that contribute to successful spermatogenesis Covers comprehensive information about Spermatogenesis at one place Explores the vital aspects of male fertility and infertility Explains the epigenetic regulation of germ cell development and fertility Highlights the translational opportunities in molecular signaling in testis

This cutting-edge text for surgeons specializing in Reproductive Medicine details how the latest minimally invasive developments impact on operations in their repertoire. Illustrated with color photographs and surgical videos, this will be an essential reference in a fast-moving field.

Unlike other areas of medicine where statistics are meticulously kept by governments and global organizations, there are no accurate data to describe the number of the world's inhabitants who are overweight, obese, or morbidly obese. Despite this knowledge deficit, it should come as no surprise to readers that the medical community is facing an epidemic. Obesity is present in many of the developed countries and can also be observed in some urban areas of developing nations. The cause of this epidemic, simply stated, is overeating, but the overriding concern is more complex. Social factors, such as growing affluence since the 1950s, increasing reliance on pre-prepared meals, and the popularity of fast foods and sweetened drinks, have all contributed to the problem. Without doubt, the obesity epidemic has had adverse effects on both men and women, but in the case of women, some of its worse complications occur with those who are severely obese and pregnant. Obviously, this combination has been seen in the past, but it has increased so dramatically in its frequency that research has yet to catch up. Studies may discuss one or another aspect of caring for the obese pregnant patient, but until now, there has been no attempt to draw all such material together to try and present a comprehensive appraisal of the problem. Written by international experts, this practical guide draws on evidence-based material and is an invaluable resource for healthcare professionals dealing with obese pregnant women on a day-to-day basis.

Fetal development in the mouse is routinely and increasingly utilized for advancing translational research and medical innovation for human obstetrical care. This is the first and only manual to provide necessary content on how this should be handled for accurate and effective data collection. Detailed descriptions and examples demonstrate how researchers and clinicians can use murine fetal and obstetrical data to improve future human applications in diseases such as infertility, recurrent pregnancy loss, intrauterine fetal growth restriction, placental insufficiency, and intrauterine fetal demise, as well as organ-specific developmental disease.

This book explores the cultural history of embryology in Tibet, in culture, religion, art and literature, and what this reveals about its medicine and religion. Filling a significant gap in the literature this is the first in-depth exploration of Tibetan medical history in the English language. It reveals the prevalence of descriptions of the development of the human body - from conception to birth - found in all forms of Tibetan religious literature, as well as in medical texts and in art. By analysing stories of embryology, Frances Garrett explores questions of cultural transmission and adaptation: How did Tibetan writers adapt ideas inherited from India and China for their own purposes? What original views did they develop on the body, on gender, on creation, and on life itself? The transformations of embryological narratives over several centuries illuminate key turning points in Tibetan medical history, and its relationship with religious doctrine and practice. Embryology was a site for both religious and medical theorists to contemplate profound questions of being and becoming, where topics such as pharmacology and nosology were left to shape secular medicine. The author argues that, in terms of religion, stories of human development comment on embodiment, gender, socio-political hierarchy, religious ontology, and spiritual progress. Through the lens of embryology, this book examines how these concerns shift as Tibetan history moves through the formative 'renaissance' period of the twelfth through to the seventeenth centuries.

The fastest growing demographic in both developed and developing societies around the world, the elderly bring unique medical and financial health-care burdens. In response to this phenomenon, a large and growing body of research is directed toward the science of healthy aging. A substantial amount of observational data points to the consumption of a plant-based diet as a factor in lowering the risk of multiple chronic degenerative age-related diseases. The 6th International Phytochemical Conference, Phytochemicals: Aging and Health, focused on the particular concerns of nutrition in the aging population, as well as new aspects of research methodology, real-world applications, and updates or expansions of previously introduced topics. Drawn from the illustrious panel of scientists and researchers who spoke at the conference, Phytochemicals: Aging and Health begins by highlighting the prevailing theories on aging, including dietary manipulation and the role of phytochemical medicinals or supplements in health. Contributions present state-of-the-art methodologies for polyphenolic analysis, bioavailability, and metabolism-crucial tools that answer pressing questions such as "are there age related changes in flavonoid bioavailability?" The following chapters provide research results on botanicals and inflammation, green tea formulations and skin health, and the effects of phytochemicals on vision, brain function, and cardiovascular disease. The book concludes with forward-looking discussions on applying nutrient-gene interaction research findings to individual dietary recommendations, along with the step-by-step process to commercialize botanical products for allergy relief. Continuing to introduce the highest-quality, groundbreaking research, Phytochemicals: Aging and Health provides pragmatic information for food companies, supplement manufacturers, and researchers interested in developing functional foods and nutraceuticals for the aging population.

Written by Caleb Finch, one of the leading scientists of our time, The Biology of Human Longevity - Inflammation, Nutrition, and Aging in the Evolution of Lifespans synthesizes several decades of top research on the topic of human aging and longevity particularly on the recent theories of inflammation and its effects on human health. The book expands a number of existing major theories, including the Barker theory of fetal origins of adult disease to consider the role of inflammation and Harmon's free radical theory of aging to include inflammatory damage. Future increases in lifespan are challenged by the obesity epidemic and spreading global infections which may reverse the gains made in lowering inflammatory exposure. This timely and topical book will be of interest to anyone studying aging from any scientific angle.
* Author Caleb Finch is a highly influential and respected scientist, ranked in the top half of the 1% most cited scientists
* Provides a novel synthesis of existing ideas about the biology of longevity and aging
* Incorporates important research findings from several disciplines, including Gerontology, Genomics, Neuroscience, Immunology, Nutrition

The use of IVM in assisted reproductive technology continues to increase around the world. The major benefit of IVM is that significant numbers of oocytes can be collected from ovaries without recourse to ovarian stimulation. This reduces the costs, time, and risks associated with conventional IVF. Although initially limited to women with polycystic ovary syndrome who were at higher risk of problems following ovarian stimulation, IVM is increasingly used in women with normal ovulatory menstrual cycles. This authoritative text covers the current scientific knowledge of oocyte development and the understanding behind the techniques involved in the clinical application of IVM in assisted reproductive technologies.
Short Contents

Relevant to students, academics and practitioners across the globe, this original volume highlights contemporary issues associated with assisted reproduction and embryology and critically analyzes the law surrounding human reproduction in the light of case law and technological developments since the Human Fertilisation and Embryology Act (HFE Act) Act was passed in 1990. Tackling issues from an interdisciplinary perspective, the authors identify and evaluate areas that have provoked intense public and academic debate as well as those where further or renewed regulation is needed. Focusing primarily on the legal and ethical issues involved in regulating this area in the UK, which is at the forefront of developing legislation in this area, this book has international relevance as many countries have used the UK as a model for their own legislation. This text is suitable for a broad range of readers, including legal academics, law students and practitioners interested in the areas of medical/healthcare law and ethics, bioethics and moral philosophy, family law, sociology and reproductive medicine and genetics.

Infertility affects about five million individuals of childbearing age in the United States, yet infertility is a subject about which many people are reluctant to talk. This book discusses extensively many options available to individuals struggling with infertility. Infertility can result from a number of causes and affects men and women in equal numbers. Difficulty conceiving can take a heavy toll on couples both physically and psychologically and can lead to depression and marital discord. There are, however, many options available to those struggling with infertility for having a child. These include innovative medical procedures and powerful drugs as well as a variety of alternative treatment approaches, surrogacy, and adoption. A part of Greenwood's Health and Medical Issues Today series, this book provides an overview of these options and examines the many health, financial, and ethical decisions of each that must be considered when choosing one. Part I explores what causes infertility and the history and evolution of its treatment and then examines the options available today, detailing how they work, their success rates, and their risks. Additionally, it addresses controversial topics such as the legislation of assisted reproductive technologies and the regulation of fertility clinics. Part II delves into the many scientific, economic, and ethical debates that surround infertility treatment, presenting a clear and objective analysis of the issues. Part III provides a variety of useful supplementary materials, including case studies, a timeline of critical events, a glossary, and a directory of resources.

Growing old-what is it like? What are the main problems of the aging? Lack of fulfillment in their work and life? Loneliness? Anxiety about sickness and disability? Fear of death? This well-documented, theoretically systematic, and vivid account of the process of aging provides highly enlightening answers and dispels once and for all many of the myths surrounding the close to 20 million Americans who are over sixty-five. Building upon the results of extensive interviews conducted over a period of 5 1/2 years, the authors have developed the concept of "Life Styles," a new method of describing and analyzing the general pattern and course of an individual's life. They have established the existence of six styles and have concluded that a successful transition to old age can be achieved through any of them. They have also developed a definition of success, which has practical implications, since it deals with the extent to which an individual contributes or is a burden to the lives of those around him. The combined analysis of "style" and "success" results in a better understanding of individual differences in aging. The cases are described and analyzed so interestingly and yet methodically that the reader comes to know and understand the subjects as if he had worked with them in person. In addition, the wealth of detail the case histories contain permits scholars and students to judge for themselves the validity of the authors' findings. Derived from this unusually rich body of material, the authors' conclusions and recommendations are invaluable to all concerned with the study, the treatment, and the counseling of the aged. "Lives Through the Years" is a pioneering volume of social inquiry and interpretation, which marks a major scientific advance in its field, opens up new horizons for fruitful research, and offers a stimulating and authoritative portrayal of one of the most important problems of our society. "Richard H. Williams" is Special Assistant to the Director, National Institute of Mental Health. Formerly chief of the Professional Services Branch of the Institute, Dr. Williams is a specialist in psychiatric rehabilitation and mental health aspects of the aging process. "Claudine G. Wirths" is a Consultant at the National Institute of Mental Health. She has served state and city governments and the Department of Defense in various capacities, chiefly as a consulting psychologist. "Talcott Parsons" (1902-1979) was professor of sociology, Harvard University where he set up the Department of Social Relations. He published more than 150 books and articles.

The transnational industry surrounding assisted reproductive technology and regenerative medicine is based on the unacknowledged labour of gamete providers, surrogates and research subjects, and benefits from low labour costs in 'enabling' sectors such as logistics and transport. This finding calls for a comprehensive analysis of how the contemporary intersection of neoliberal capitalism and the life sciences - in short, the bioeconomy - capitalises on the body and its (re)productive capacities. The Reproductive Body at Work uptakes this challenge as it explores the relations between value production, labour and the body in one particular realm of the global bioeconomy: the South African bioeconomy of 'egg donation'. It highlights different forms and dimensions of unacknowledged or precarious human labour that are constitutive for the procurement, brokering and circulation of oocytes as valuable resources. The analysis illustrates that the respective organisation of value and labour renegotiate what 'the' (re)productive body can do, which status and roles it is ascribed, which cultural and economic values it signifies and how it is experienced and enacted within a matrix of intersectional power relations. A theoretically profound contribution to the interdisciplinary debate on 'New materialism', The Reproductive Body at Work will appeal to students and researchers interested in fields such as gender studies, medical anthropology, cultural studies, sociology, political economy and science and technology studies.

This comprehensive overview of the known literature concerning the physical and psychosocial health of children conceived by ART brings together an international panel of experts in fertility medicine, epidemiology, medical genetics, obstetrics, twin research, psychosocial development and pediatrics. Each chapter gives a concise, readable commentary on the key areas of established knowledge. The book will prove an essential component for clinic library for fertility practitioners throughout the world. It will be useful for counselling families about known risks, and for placing in context what is generally a positive literature. Knowledge in this area has been restricted by the studies performed; however, there is a body of research that is hard for the busy fertility practitioner, counsellor, fertility nurse, or obstetrician to bring together and synthesize for their clients. The book is edited by Dr Alastair Sutcliffe - one of the world experts in this field. This is a revised and expanded edition of IVF Children - The First Generation. It is hoped that this will be a continuing project, in which periodic further updates will be published to maintain the currency of quality information needed to inform practitioners of what is a rapidly changing field.

Written by two urologists and a genitourinary physician, this impeccably researched text provides the reader with a comprehensive overview of sexual health, exploring a range of topics such as: sexually transmitted infections; contraception; urological conditions; genital dermatoses; sexual dysfunction; novel therapeutic options. With a clear, symptom-based format, this is an ideal quick reference guide for the consulting room and the ward.

What is it about the challenges and stresses of midlife that disrupts equilibrium and promotes a sense of despair, even of crisis? Why does this stage of the life cycle give rise to new mental and physical symptoms that, for some, lead to chronic unhappiness to the point of dysfunction? Of course, there are common midlife events that account for the special narcissistic vulnerabilities of this period of life, and Eda Goldstein ably reviews these events and the theoretical perspectives commonly brought to bear on them. In When the Bubble Bursts, however, Goldstein's special concern is those individuals who come to midlife with heightened narcissistic vulnerabilities that make the navigation of this stage of life more difficult still. In understanding the latter such patients and devising a treatment approach appropriate to their self issues, Goldstein adopts a broadly self-psychological frame of reference. It is a matter, she finds again and again, of understanding how current stressors frustrate healthy self needs and trigger narcissistic vulnerabilities. purview, embraces modalities that are, to varying degrees, supportive, psychodynamic, and psychoanalytic, reworks and strengthens self structures in helping patients find new ways of affirming their sense of self. Her substantive case studies, which accompany the reader through all the chapters in her study, draw on personal and supervisory experiences to illustrate crucial foci of the treatment process with a range of midlife patients in psychotherapy. It is a striking that, amid a voluminous literature on psychodynamic psychotherapy, so little attention has been paid to the narcissistic vulnerabilities of midlife and the manner in which they enter into the psychotherapy of midlife patients. Eda Goldstein remedies this glaring lacuna in the literature with a study that comprises an admirable blend of theoretical astuteness, clinical wisdom, and personal honesty. balanced discussion of theoretical perspectives on adult development and her concluding consideration of the countertransference issues elicited by midlife patient in their midlife therapists, is an edifying and ingratiating contribution to the literatures of psychodynamic psychotherapy, self psychology, and adult development.

A new edition of a classic text This new edition of Human Development has been thoroughly revised and updated to incorporate recent developments in the field. New material is introduced on the development of a sense of self, the social self and moral development. Beginning with a discussion of birth and childhood, the reader is lead through each of the crucial stages in human development. The authors reveal the intricate interplay between physical, emotional and psychological factors that contribute to the individual patterns of development that make each of us unique. All of the major milestones of life are covered, including adolescence, work, parenthood and old age. Employing psychoanalytic theories of development, this book reveals the richness that these ideas bring to well-known everyday phenomena. This highly accessible and jargon-free introduction to human development combines scientific objectivity with a sensitive and sympathetic approach to the subject. It will prove invaluable to anyone involved in the helping professions.

Offering an authoritative collection of chapters from clinicians and researchers in the United States, Canada, and Europe, this reference comprehensively covers the latest understanding in the etiology, pathophysiology, diagnosis, and treatment of sexual dysfunction.

Wedding up-to-date scientific information to an understanding of the emotional burdens and ethical dilemmas that inhere in reproductive medicine, Frozen Dreams: Psychodynamic Dimensions of Infertility and Assisted Reproduction provides an overview of the psychology of infertility patients and of the evaluative, administrative, and especially psychotherapeutic issues involved in helping them. The contributors to this volume, who include professionals from nationally prestigious reproductive programs and psychotherapists who evaluate and work clinically with infertility patients, explore the complex choices about life and death that are the daily experience of infertility specialists. In voices equally authoritative and intimate, psychotherapists and other health professionals explore the therapeutic process with patients and couples struggling with miscarriage, infertility, childlessness, the possibility of adoption, and the promise of assisted pregnancy. Among the themes that recur throughout this collection are the following: When is a patient's bitterness, anger, and psychopathology extreme enough to disqualify her as a candidate for infertility treatment? the well-being of offspring resulting from an assisted pregnancy? How does the clinician's personal diagnosis of infertility influence an ongoing psychodynamic treatment? How can a therapist help patients overcome the overwhelming grief of miscarriage? And the contributors are equally attentive to the range of issues that challenge physicians and nurses active in reproductive medicine. Intent on providing practical information that will aid decision-making in this demanding area of practice, they examine questions such as: How reproductive medicine programs should handle difficult patients who present with a sense of entitlement. How staff differences within reproductive medicine programs can be constructively addressed and resolved. Why physicians, nurses, and other program personnel experience burnout and what can be done to prevent it. Written for a large audience of psychiatrists, psychologists, social workers, researchers, nurses, physicians, and general readers, Frozen Dreams is a fascinating introduction to the human face of reproductive medicine. mental health professionals who work with adult patients through their childbearing years. For professionals who work inside the complex world of infertility treatment, Frozen Dreams will quickly become an essential text that is turned to repeatedly for information, guidance, reassurance, and revitalization.