As most Americans know, conflicts of interest riddle the US health care system. They result from physicians practicing medicine as entrepreneurs, from physicians' ties to pharma, and from investor-owned firms and insurers' influence over physicians' medial choices. These conflicts raise questions about physicians' loyalty to their patients and their professional and economic independence. The consequences of such conflicts of interest are often devastating for the patients--and society--stuck in the middle.
In Conflicts of Interest and the Future of Medicine, Marc Rodwin examines the development of these conflicts in the US, France, and Japan. He shows that national differences in the organization of medical practice and the interplay of organized medicine, the market, and the state give rise to variations in the type and prevalence of such conflicts. He then analyzes the strategies that each nation employs to cope with them.
Unfortunately, many proposals to address physicians' conflicts of interest do not offer solutions that stick. But drawing on the experiences of these three nations, Rodwin demonstrates that we can mitigate these problems with carefully planned reform and regulation. He examines a range of measures that can be taken in the private and public sector to preserve medical professionalism--and concludes that there just might be more than one prescription to this seemingly incurable malady.

For modern scientists, history often starts with last week's journals and is regarded as largely a quaint interest compared with the advances of today. However, this book makes the case that, measured by major advances, the greatest decade in the history of brain studies was mid-twentieth century, especially the 1950s. The first to focus on worldwide contributions in this period, the book ranges through dozens of astonishing discoveries at all levels of the brain, from DNA (Watson and Crick), through growth factors (Hamburger and Levi-Montalcini), excitability (Hodgkin and Huxley), synapses (Katz and Eccles), dopamine and Parkinson's (Carlsson), visual processing (Hartline and Kuffler), the cortical column (Mountcastle), reticular activating system (Morruzzi and Magoun) and REM sleep (Aserinsky), to stress (Selye), learning (Hebb) and memory (HM and Milner). The clinical fields are also covered, from Cushing and Penfield, psychosurgery and brain energy metabolism (Kety), to most of the major psychoactive drugs in use today (beginning with Delay and Deniker), and much more.
The material has been the basis for a highly successful advanced undergraduate and graduate course at Yale, with the classic papers organized and accessible on the web. There is interest for a wide range of readers, academic, and lay because there is a focus on the creative process itself, on understanding how the combination of unique personalities, innovative hypotheses, and new methods led to the advances. Insight is given into this process through describing the struggles between male and female, student and mentor, academic and private sector, and the roles of chance and persistence. The book thus provides a new multidisciplinary understanding of the revolution that created the modern field of neuroscience and set the bar for judging current and future advances.

Biomedical ethics is a burgeoning academic field with complex and far-reaching consequences. Whereas in Western secular bioethics this subject falls within larger ethical theories and applications (utilitarianism, deontology, teleology, and the like), Islamic biomedical ethics has yet to find its natural academic home in Islamic studies.
In this pioneering work, Abdulaziz Sachedina - a scholar with life-long academic training in Islamic law - relates classic Muslim religious values to the new ethical challenges that arise from medical research and practice. He depends on Muslim legal theory, but then looks deeper than juridical practice to search for the underlying reasons that determine the rightness or wrongness of a particular action. Drawing on the work of diverse Muslim theologians, he outlines a form of moral reasoning that can derive and produce decisions that underscore the spirit of the Shari'a. These decisions, he argues, still leave room to revisit earlier decisions and formulate new ones, which in turn need not be understood as absolute or final. After laying out this methodology, he applies it to a series of ethical questions surrounding the human life-cycle from birth to death, including such issues as abortion, euthanasia, and organ donation.
The implications of Sachedina's work are broad. His writing is unique in that it aims at conversing with Jewish and Christian ethics, moving beyond the Islamic fatwa literature to search for a common language of moral justification and legitimization among the followers of the Abrahamic traditions. He argues that Islamic theological ethics be organically connected with the legal tradition of Islam to enable it to sit in dialogue with secular and scripture-based bioethics in other faith communities. A breakthrough in Islamic bioethical studies, this volume is welcome and long-overdue reading for anyone interested in facing the difficult questions posed by modern medicine not only to the Muslim faithful but to the ethically-minded at large.

When the first edition of this book published in 1994, the psychoimmunology of cancer was still emerging as a topic for serious scientific study. Now, less than ten years later, there is a huge quantity of academic literature about the relationships between psychological variables, the immune system and cancer growth, accompanied by a lively popular interest.

In this new edition leading specialists have provided broad critical reviews of the different aspects. Part I, which presents the biological background, will be of particular interest to those with technical knowledge of the relevant laboratory based disciplines. It covers mechanisms mediating the effects of psychological status in the immune system, and anti-cancer mechanisms involving the immune system. Part II is clinically orientated, and accessible to a wide audience. Whether psychotherapeutic interventions can help patients live longer, as well as coping better, is obviously the key question and several contributors consider the clinical evidence for this. A new, speculative chapter on the spiritual context of immunity and cancer has also been added.

The psychoimmunology of cancer involves many complex issues, understanding of which remains far from complete. However, the contributors, besides reviewing the current state of knowledge and the implications for cancer patients, offer predictions for the future and ideas about further research.

From reviews of the first edition:

'The chief quality of this book is its presentation of an excellent but critical overview of the entire range of what is today called 'psychoimmunology', and it is to be recommended to all who are interested in the subject.' Annals of Oncology

Modern culture tends to separate medicine and miracles, but their histories are closely intertwined. The Roman Catholic Church recognizes saints through canonization based on evidence that they worked miracles, as signs of their proximity to God. Physicianhistorian Jacalyn Duffin has examined Vatican sources on 1400 miracles from six continents and spanning four centuries. Overwhelmingly the miracles cited in canonizations between 1588 and 1999 are healings, and the majority entail medical care and physician testimony.
These remarkable records contain intimate stories of illness, prayer, and treatment, as told by people who rarely leave traces: peasants and illiterates, men and women, old and young. A woman's breast tumor melts away; a man's wounds knit; a lame girl suddenly walks; a dead baby revives. Suspicious of wishful thinking or naive enthusiasm, skeptical clergy shaped the inquiries to identify recoveries that remain unexplained by the best doctors of the era. The tales of healing are supplemented with substantial testimony from these physicians.
Some elements of the miracles change through time. Duffin shows that doctors increase in number; new technologies are embraced quickly; diagnoses shift with altered capabilities. But other aspects of the miracles are stable. The narratives follow a dramatic structure, shaped by the formal questions asked of each witness and by perennial reactions to illness and healing. In this history, medicine and religion emerge as parallel endeavors aimed at deriving meaningful signs from particular instances of human distress -- signs to explain, alleviate, and console in confrontation with suffering and mortality.
A lively, sweeping analysis of a fascinating set of records, this book also poses an exciting methodological challenge to historians: miracle stories are a vital source not only on the thoughts and feelings of ordinary people, but also on medical science and its practitioners."

Originally published in 1995, the first edition of Managing Your Mind established a unique place in the self-help book market. A blend of tried-and-true psychological counseling and no-nonsense management advice grounded in the principles of CBTand other psychological treatments, the book straddled two types of self-help literature, arguing that in one's personal and professional life, the way to success is the same. By adopting the practical strategies that mental health experts Butler and Hope have developed over years of clinical research and practice, one can develop the "mental fitness" necessary to resolve one's personal and interpersonal challenges at home and work and to live a productive, satisfying life.
The first edition addressed how to develop key skills to mental fitness (e.g., managing one's time better, facing and solving problems better, keeping things in perspective, learning to relax, etc.), how to improve one's relationships, how to beat anxiety and depression, and how to establish a good mind-body balance. For this new edition, Butler and Hope have updated all preexisting material and have added five new chapters-on sexuality and intimate relationships; anger in relationships; recent traumatic events and their aftermath; loss and bereavement; and dealing with the past.

In ancient Rome parents would consult the priestess Carmentis shortly after birth to obtain prophecies of the future of their newborn infant. Today, parents and doctors of critically ill children consult a different oracle. Neuroimaging provides a vision of the child's future, particularly of the nature and severity of any disability. Based on the results of brain scans and other tests doctors and parents face heart-breaking decisions about whether or not to continue intensive treatment or to allow the child to die. Paediatrician and ethicist Dominic Wilkinson looks at the profound and contentious ethical issues facing those who work in intensive care caring for critically ill children and infants. When should infants or children be allowed to die? How accurate are predictions of future quality of life? How much say should parents have in these decisions? How should they deal with uncertainty about the future? He combines philosophy, medicine and science to shed light on current and future dilemmas.

This Handbook examines disparities in public health by highlighting recent theoretical and methodological advances in cultural neuroscience. It traces the interactions of cultural, biological, and environmental factors that create adverse physical and mental health conditions among populations, and investigates how the policies of cultural and governmental institutions influence such outcomes. In addition to providing an overview of the current research, chapters demonstrate how a cultural neuroscience approach to the study of the mind, brain, and behavior can help stabilize the quality of health of societies at large. The volume will appeal especially to graduate students and professional scholars working in psychology and population genetics. The Oxford Handbook of Cultural Neuroscience represents the first collection of scholarly contributions from the International Cultural Neuroscience Consortium (ICNC), an interdisciplinary group of scholars from epidemiology, anthropology, psychology, neuroscience, genetics, and psychiatry dedicated to advancing an understanding of culture and health using theory and methods from cultural neuroscience. The Handbook is intended to introduce future generations of scholars to foundations in cultural neuroscience, and to equip them to address the grand challenges in global mental health in the twenty-first century.

Keeping tomorrow's nurses at the forefront of today's changing healthcare environment, Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition delivers the most comprehensive resource available for nursing students in the medical-surgical course. This bestselling text is designed for the way students like to learn, combining a highly readable approach with engaging case studies and learning tools to help students explore essential patient care practices in real-world terms and gain a more practical understanding of how they'll apply what they've learned in practice. Trusted by instructors, students, and practicing nurses for nearly 60 years, this landmark resource has been comprehensively updated for the 15th Edition to reflect the latest research, evidence-based practices, settings, issues, ethical challenges, and concerns of today's healthcare practice. Complete integration with Lippincott (R) CoursePoint+ allows you to easily map out your entire course, provide personalized student remediation, and simulate real-world nursing scenarios involving patients mentioned in vignettes in the text, giving your students unparalleled preparation for success in the medical-surgical nursing workforce.

More than 50 years ago, President Kennedy gave an address to Congress that launched the community mental health movement in the U.S. This movement involved a vast and complex effort to replace the wholesale institutionalization of people with serious mental illnesses with community mental health centers, public education on mental illness, and prevention efforts. The mission and main thrust of this new movement, however, were quite simple: we would provide effective mental health treatment to people in their home communities and provide the conditions for them to have 'a life in the community.' Starting in the 1990s with Jim, a person who was homeless and initially refused help from outreach workers, Citizenship & Mental Health tells a 20-year story of practice, theory, and research to support the full participation of persons with mental illnesses who, in many cases, have also been homeless, have criminal charges in their past, and are poor. As the first of its kind, this book addresses the concept of citizenship as an applied theory for fulfilling the promise of the community mental health center movement. Citizenship is defined as a strong connection to the 5 R's of rights, responsibilities, roles, resources, and relationships that society offers to its members, and a sense of belonging that comes from others' recognition of one's valued membership in society. The citizenship model supports the strengths, hopes, and aspirations of people with mental illnesses to become neighbors, community members, and citizens.

Self-criticism is a personality trait that has been implicated in a wide range of psychopathologies and developmental arrests. Defined as the tendency to set unrealistically high standards for one's self and to adopt a punitive stance towards the self once these standards are not met, self-criticism is both active and cyclical. Self-critics actively create the social-interpersonal conditions that generate their distress, and their distress itself exacerbates self-criticism. Erosion offers a comprehensive treatment of self-criticism based in philosophy, developmental science, personality and clinical psychology, social theories, and cognitive-affective neuroscience. Professor Golan Shahar expertly summarizes the most recent research on the topic and synthesizes theory, empirical research, and clinical practice guidelines for assessment, prevention, and treatment. The book rests upon three elements that, as Shahar argues, are central to the maintenance of self-critical vulnerability: the importance of a concept of an authentic self or the need to "feel real"; the importance of intentionality and goal-directedness; and the power of interpersonal relationships and cultural context. Shahar argues that exploring these elements requires an integrated clinical approach that incorporates multidimensional assessment and interventions which reconcile science, practice, and policy. The result is a broad and scholarly volume that is useful to practitioners, researchers, and theorists interested in self-criticism.

During the past several decades, the fetus has been diversely represented in political debates, medical textbooks and journals, personal memoirs and autobiographies, museum exhibits and mass media, and civil and criminal law. Ourselves Unborn argues that the meanings people attribute to the fetus are not based simply on biological fact or theological truth, but are in fact strongly influenced by competing definitions of personhood and identity, beliefs about knowledge and authority, and assumptions about gender roles and sexuality. In addition, these meanings can be shaped by dramatic historical change: over the course of the twentieth century, medical and technological changes made fetal development more comprehensible, while political and social changes made the fetus a subject of public controversy. Moreover, since the late nineteenth century, questions about how fetal life develops and should be valued have frequently intersected with debates about the authority of science and religion, and the relationship between the individual and society. In examining the contested history of fetal meanings, Sara Dubow brings a fresh perspective to these vital debates.

The first edition of Human Genome Epidemiology, published in 2004, discussed how the epidemiologic approach provides an important scientific foundation for studying the continuum from gene discovery to the development, applications and evaluation of human genome information in improving health and preventing disease. Since that time, advances in human genomics have continued to occur at a breathtaking pace.
With contributions from leaders in the field from around the world, this new edition is a fully updated look at the ways in which genetic factors in common diseases are studied. Methodologic developments in collection, analysis and synthesis of data, as well as issues surrounding specific applications of human genomic information for medicine and public health are all discussed. In addition, the book focuses on practical applications of human genome variation in clinical practice and disease prevention. Students, clinicians, public health professionals and policy makers will find the book a useful tool for understanding the rapidly evolving methods of the discovery and use of genetic information in medicine and public health in the 21st century.

The Foundations of Modern Nursing in America reprints a distinguished selection of important texts published in this field over the last century, authored by some of the most eminent names in nursing including Lavinia Dock (Secretary for the Council of Nurses for over 20 years), Adelaide Nutting (the first ever professor of nursing), Clara Weeks-Shaw, Darlene Clark Hine, and Susan Reverby. The collection deals with issues such as the education and training of nurses, hospital management, the history of anesthesia, and issues of race and ethics in the nursing profession.

Psychoneuroimmunology (PNI) -- the interactions among the mind, nervous system, and immune system -- is a new discipline that has emerged only in the last fifty years. Even more recent but no less important have been the many advances in and applications of psychology to PNI, the contributions of which are essential to the vitality of the rapidly growing field.
The Oxford Handbook of Psychoneuroimmunology comprises perspectives on the state-of-the-art applications of psychological theory to PNI. Chapters in the volume represent the entire range of levels of analysis in psychoneuroimmunology. Genes within cells, cells within organs, organs within individuals, and individuals within both close social groups and large social structures are considered. Furthermore, chapters address the effects of psychological factors on markers of chronic, low-grade, systemic inflammation, which can indicate risk for many disorders including atherosclerosis, Alzheimer's disease, frailty, and some cancers. The volume provides specific applications of psychoneuroimmunological models to fatigue, cancer, neuroinflammation, and pain -- and a superb review of the ways psychotherapeutic approaches integrated with psychoneuroimmunological knowledge can mitigate against adverse health outcomes.
This volume samples from the best and most sophisticated applications of psychology to PNI, whether those applications arise from affective science, development, behavioral neuroscience, or clinical psychology.

Evaluation is crucial for determining the effectiveness of social programs and interventions. In this nuts and bolts handbook, social work and health care professionals are shown how evaluations should be done, taking the intimidation and guesswork out of this essential task. Current perspectives in social work and health practice, such as the strengths perspective, consumer empowerment, empowerment evaluation, and evidence-based practice, are linked to evaluation concepts throughout the book to emphasize their importance. This book makes evaluation come alive with comprehensive examples of each different type of evaluation, such as a strengths-based needs assessment in a local community, a needs assessment for Child Health Plus programs, comprehensive program descriptions of HIV services and community services for the aged, a model for goals and objectives in programs for people with mental illness, a monitoring study of private practice social work, and process evaluations of a Medicare advocacy program and a health advocacy program to explain advance directives. Equal emphasis is given to both quantitative and qualitative data analysis with real examples that make statistics and concepts in qualitative analysis un-intimidating. By integrating both evaluation and research methods and assuming no previous knowledge of research, this book makes an excellent reference for professionals working in social work and health settings who are now being called upon to conduct or supervise program evaluation and may need a refresher on research methods. With a pragmatic approach that includes survey design, data collection methods, sampling, analysis, and report writing, it is also an excellent text or classroom resource for students new to the field of program evaluation.

The study of moderation and mediation of youth treatment outcomes has been recognized as enormously beneficial in recent years. However, these benefits have never been fully documented or understood by researchers, clinicians, and students in training. After nearly 50 years of youth treatment outcome research, identifying moderators and mediators is the natural next step-shifting focus to mechanisms responsible for improved outcomes, identifying youth who will benefit from certain treatments or who are in need of alternative treatments, and recognizing the challenges associated with the study of moderators and mediators and their routine use in clinical practice. Moderators and Mediators of Youth Treatment Outcomes examines conceptual and methodological challenges related to the study of moderation and mediation and illustrates potential treatment moderators and mediators for specific disorders. The volume also considers empirical evidence for treatment moderators and mediators of specific disorders and illustrates how theoretical and empirical knowledge regarding moderators and mediators can be harnessed and disseminated to clinical practice. This book will be invaluable to researchers conducting treatment outcome studies (both efficacy and effectiveness), clinicians interested in evidence-based work and in understanding for whom and why certain treatments work, and students of clinical child and adolescent psychology and psychiatry.

This book has built on the work that was presented in the previous Fascicles of the Third and Fourth Series. The authors' vast experience has led to new understanding of many aspects of pituitary pathology. With modern immunostaining and molecular techniques, classification of pituitary disease is becoming easier. Furthermore, the availability of targeted therapies has augmented the role of the pathologist in determining an accurate diagnosis. This updated volume addresses modern techniques and their application to treatment of pituitary neoplasms but retains the detailed foundation of morphology in a lushly illustrated tome, the cornerstone of the AFIP fascicles.

The brains behind the #1 bestselling Carbs & Cals are back! This time with the perfect book for people following a very low-calorie diet, such as the 8-Week Blood Sugar Diet.

FEATURES:

* 75 delicious, easy-to-prepare recipes

* 30 daily meal plans (all 800 cals or less)

* 20 low-calorie snacks

* 330 photos of ingredients to help you plan your own meals and snacks

* Values for carbs, calories, protein, fat, saturated fat, fibre and 5-a-day fruit & veg

* An informative introduction, explaining the scientific evidence behind the blood sugar diet and other very low-calorie diets

CHAPTERS:

* 15 breakfasts

* 5 curries

* 15 salads

* 5 slow cooker dishes

* 5 stir-fries

* 10 soups

* 6 smoothies

* 15 general healthy meals

* 20 snacks

* 54 pages of individual ingredients

Featuring a range of beautifully designed, mouth-watering recipes, scrumptious snacks and 30 helpful daily meal plans, this visual guide helps you meet your calorie allowance. Be inspired! Planning very low-calorie meals has never been easier!

This is part of the bestselling Carbs & Cals series of health books. Check out the other books in the series: SALADS, SOUPS, SMOOTHIES, 5:2 DIET PHOTOS, the award-winning CARB & CALORIE COUNTER and POCKET COUNTER. Available now on Amazon.

Health Promotion in Midwifery explores the principles of health promotion within the practical context of midwifery. It clearly outlines and discusses the midwife's role in health promotion, making it essential reading for all student and practising midwives, as well as clinical practitioners. Emphasizing the link between theory and practice, the second edition incorporates chapters on domestic violence, sexual health, breastfeeding, and mental health promotion. Text boxes make the text accessible and user-friendly and case studies and summaries put the material in practical context. Additional readings encourage readers to further research and reflection on their own practice. Throughout the book, the importance of the role of the midwife in health promotion is emphasized. This second edition brings together contributions from a variety of experienced practitioners.