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Books > Medicine > General issues > Public health & preventive medicine
The last four decades of human history have seen the emergence of
an unprecedented number of 'new' infectious diseases: the familiar
roll call includes AIDS, Ebola, H5N1 influenza, hantavirus,
hepatitis E, Lassa fever, legionnaires' and Lyme diseases, Marburg
fever, Rift Valley fever, SARS, and West Nile. The outbreaks range
in scale from global pandemics that have brought death and misery
to millions, through to self-limiting outbreaks of mainly local
impact. Some outbreaks have erupted explosively but have already
faded away; some grumble along or continue to devastate as now
persistent features in the medical lexicon; in others, a huge
potential threat hangs uncertainly and worryingly in the air. Some
outbreaks are merely local, others are worldwide.
Few topics in the field of eating disorders engender as much emotional debate as that of prevention. Too often, preventative plans against eating disorders are highly praised, but not carried out in practical actions. It is often easier and more immediately fulfilling to focus on treatment and not to wait for the long-term effects of prevention, despite the fact that treatment alone does nothing to reduce the incidence of eating disorders. The Prevention of Eating Disorders offers a survey of modern approaches to eating disorder prevention, arguing that models of prevention as opposed to treatment are conceptually flawed. The first half of the volume addresses general approaches and dilemmas, including feminist and participatory approaches to the problem and the role played by fashion magazines and television in promoting risk factors such as thin ideal body images and dieting. The second half provides examples of concrete strategies and projects aimed at prevention, including school based programs, approaches to early identification and prevention by general practitioners, and the principles of screening programs.
Every year, the average American spends about $7,300 on medical
expenses. The typical Canadian pays $2,700, the Briton only $2,000.
And yet, according to the World Health Organization, our healthcare
system, in terms of total quality, ranks thirty-eighth in the
world, right between Costa Rica and Slovenia. Not only do 40
million Americans lack health insurance, but more than 200,000 die
each year because of medical mistakes. Our average life expectancy
is lower than Cuba's.
Millions of men suffer from diseases such as diabetes, hypertension, heart disease, cancer, obesity, and other ailments."Men's Health and Wellness for the New Millennium" explains why these diseases occur, how to evaluate them, and how to treat them. Geared toward the medical professional but written in such a way that a layperson can understand its language and concepts, Dr. Valiere Alcena explains the best way to take a person's blood pressure, how hypertension affects different areas of the brain, the proper ways to treat various diseases in men, and much more. Dr. Alcena also delves into the risk factors for different age groups and races, explains the variations between assorted types of strokes, and offers suggestions to men and their doctors on how to reduce susceptibility to various illnesses. If you are a doctor trying to diagnose or treat an illness or if you are simply looking for recommendations on how to cope with or avoid an illness, "Men's Health and Wellness for the New Millennium" has the answers you seek.
For fifty years, Medicare and Medicaid have stood at the center of a contentious debate surrounding American government, citizenship, and health care entitlement. In Medicare and Medicaid at 50, leading scholars in politics, government, economics, health policy, and history offer a comprehensive assessment of the evolution of these programs and their impact on society - from their origins in the Great Society era to the current battles over the Affordable Care Act ("Obamacare"). These highly accessible essays examine Medicare and Medicaid from their origins as programs for the elderly and poor to their later role as a safety net for the middle class. Along the way, they have served as touchstones for heated debates about economics, social welfare, and the role of government. Medicare and Medicaid at 50 addresses key questions for understanding the past and future of health policy in America, including: DT What were the origins for these initiatives, and how were they transformed over time? DT What marks have Medicare and Medicaid left on society? DT In what ways have these programs produced innovation, even in eras of retrenchment? DT How did Medicaid, once regarded as a poor person's program, expand its benefits and coverage over the decades to become the platform for the ACA's future expansion? The volume's contributors go on to examine the powerful role of courts in these transformations, along with the shifting roles of Congress, public opinion, and state governors in the programs' ongoing evolution. From Lyndon Johnson to Barack Obama on the left, and from Ronald Reagan to George W. Bush on the right, American political leaders have tied their political fortunes to the fate of America's entitlement programs; Medicare and Medicaid at 50 helps explain why, and how those ongoing debates are likely to shape the future of the Affordable Care Act.
Since the first randomized controlled studies were conducted on medical circumcision to assess their effectiveness on reducing HIV transmission, health systems have made considerable progress in adopting this practice in their HIV/AIDS and sexual reproductive health policies. As such, medical circumcision is being adopted as an additional intervention measure to support previous practices for reducing HIV infections in various countries or settings. James Kityo's pioneering book examines contexts, processes, policy projections, and likely engagements by reviewing sexual reproductive health policies or practices, and literature on medical circumcision, and identifies existing opportunities and challenges. His book also explores the medical, gender, ethical, socio-economic, and human rights dimensions of medical circumcision as an HIV/AIDS prevention method. Following peer-reviewed studies, Kityo found compelling evidence documenting the effectiveness of medical circumcision in reducing HIV transmission, and discusses this evidence in the context of HIV/AIDS in a developing health system in Sub-Saharan Africa. The author concludes that there is a range of opportunities from research and current practice to enable policy makers to adopt medical circumcision and other interventions at their disposal in order to reduce infections from HIV and AIDS-related deaths. The author suggests feasible recommendations for implementing successful HIV/AIDS prevention programs in developing nations' health systems, including medical circumcision's gradual inclusion in health practices; stakeholder support; an elaborate review of this intervention by women, politicians, religious communities, and funding agencies. The author introduces a guided action plan, which can be used as a launch pad to enhance the learning process in the integration of medical circumcision in existing health practices.
This important new study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care systeM's future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs. This volume is essential reading for scholars, students, and professionals in the medical field, as well as general readers concerned with health care issues. The 90s saw the country moving toward a realization that health care had become unaffordable--or an enormous financial burden for people with otherwise adequate incomes. Health care providers and consumers alike worried that the problem was becoming uncontrollable. Doctors saw their autonomy and control eroded, employers saw their costs rising significantly, the costs began shifting to employees, and alternative approaches to cost containment were explored.
This book critically analyses the influence of international policies and guidelines on the performance of interventions aimed at reducing health inequities in Latin America, with special emphasis on health promotion and health in all policies strategies. While the implementation of these interventions plays a key role in strengthening these countries' capacity to respond to current and future challenges, the urgency and pressures of cooperation and funding agencies to show results consistent with their own agendas not only hampers this goal, but also makes the territory invisible, hiding the real problems faced by most Latin American countries, diminishing the richness of local knowledge production, and hindering the development of relevant proposals that consider the territory's conditions and cultural identity. Departing from this general analysis, the authors search for answers to the following questions: Why, despite the importance of the theoretical advances r egarding actions to address social and health inequities, haven't Latin American countries been able to produce the expected results? Why do successful initiatives only take place within the framework of pilot projects? Why does the ideology of health promotion and health in all policies mainly permeate structures of the health sector, but not other sectors? Why are intersectoral actions conjunctural initiatives, which often fail to evolve into permanent practices? Based on an extensive literature review, case studies, personal experiences, and interviews with key informants in the region, Globalization and Health Inequities in Latin America presents a strategy that uses monitoring and evaluation practices for enhancing the capacity of Latin American and other low and middle-income countries to implement sustainable processes to foster inclusiveness, equity, social justice and human rights. <
This book addresses various clinical and sub clinical applications of antioxidant nutraceuticals, with a primary focus on preventive use for general wellness, common ailments, and such chronic illnesses as cancer and neurological applications. This unique book captures the applications of natural antioxidants, which have been used for thousands of years in Traditional Chinese Medicine and Ayurvedic Medicine as well as modern nutraceuticals formulations. It covers antioxidant applications in clinical scenarios including the historical perspective, basic antioxidant properties and applications, anti-inflammatory properties, and antioxidant applications in a variety of clinical conditions.
This book provides a unique and succinct account of the history of health and fitness, responding to the growing recognition of physicians, policy makers and the general public that exercise is the most potent form of medicine available to humankind. Individual chapters present information extending from the earliest reaches of human history to the present day, arranged in the form of 30 thematic essays covering topics from the supposed idyll of the hunter-gatherer lifestyle and its posited health benefits to the evolution of health professionals and the possible contribution of the Olympic movement to health and fitness in our current society. Learning objectives are set for each topic, and although technical language is avoided as far as possible, a thorough glossary explains any specialized terms that are introduced in each chapter. The critical thinking of the reader is stimulated by a range of questions arising from the text context, and each chapter concludes with a brief discussion of some of the more important implications for public policies on health and fitness today and into the future. The material will be of particular interest to graduate and undergraduate students in public health, health promotion, health policy, kinesiology, physical education, but will be of interest also to many studying medicine, history and sociology.
Over the past 200 years, a health reform movement has emerged about every 80 years. These clean living cycles surged with, or were tangential to, a religious awakening. Simultaneously with these awakenings, out groups such as immigrants and/or youth were seen to exhibit behaviors that undermined society. Middle class fear of these dangerous classes and a desire to eliminate disease, crime, and other perceived health or social problems led to crusades in each of the three reform eras against alcohol, tobacco, drugs, certain foods, and sexual behaviors. A backlash began to emerge from some segments of the population against reform efforts. After the dissipation of the activism phase, laws made during the reform era often became ignored or repealed. With a few exceptions, during the 30 to 40 year ebb of the cycle, the memory of the movement disappeared from public awareness. The desire for improved health and social conditions also led to campaigns in favor of exercise, semi-vegetarian diets, women's rights, chastity, and eugenics. Engs describes the interweaving of temperance, women's rights, or religion with most health issues. Factions of established faiths emerged to fight perceived immorality, while alternative religions formed and adopted health reform as dogma. In the reform phase of each cycle, a new infectious disease threatened the population. Some alternative medical practices became popular that later were incorporated into orthodox medicine and public health. Ironically, over each succeeding movement, reformers became more likely to represent grass roots beliefs, or even to be state or federal officials, rather than independent activists.
This book comprises two parts. The first part deals with some aspects of wastewater treatment, encompassing various types of technologies for treating wastewater and evaluation. The technologies, biochemical as well as chemical, including evaluation of technologies are also discussed. Part 2 is on solid waste management. It includes both municipal and industrial waste management. The book is of interest to researchers and practitioners in the field of water resources, hydrology, environmental resources, agricultural engineering, watershed management, earth sciences, as well as those engaged in natural resources planning and management. Graduate students and those wishing to conduct further research in water and environment and their development and management find the book to be of value.
Targeting Cell Survival Pathways to Enhance Response to Chemotherapy encompasses recently developed molecular targeting agents and approaches that suppress cell survival signaling. Cell survival signaling attenuates the effectiveness of conventional chemotherapy and numerous mechanisms have been described, and continue to be described, which contribute to cell survival in the face of chemotherapy treatment. Key pathways leading to chemoresistance emanate from growth factor receptors, PI3K, STAT3, anti-apoptotic Bcl-2 family members, autophagy, and the DNA damage response pathway. New advances have underscored the potential of targeting each of these cell survival mechanisms to improve responsiveness to chemotherapy. This book reviews these recent advances and provides a foundational background and hints of new opportunities for basic, translational, and clinical investigators focused on improving therapeutic responses to chemotherapy.
This book addresses public safety and security from a holistic and
visionary perspective. For the first time, safety and security
organizations, as well as their administration, are brought
together into an integrated work.
Enzymes in Human and Animal Nutrition is a detailed reference on enzymes covering detailed information on all relevant aspects fundamental for final use of enzymes in human and animal nutrition. Topics explored include selection, engineering and expression of microbial enzymes, effects of probiotics on enzymes in the digestive tract, potential new sources of enzymes, valorization of plant biomass by food and feed enzymes. Economics and intellectual property issues are also examined.
Current scientific theory presumes free radicals--unstable by-products produced by normal human metabolic processes-- damage the body, resulting in chronic health problems and degenerative changes associated with aging. Nutritional products on the market today promise that antioxidants can reduce--possibly even reverse--damage caused by these free radicals. If true, that would mean less chronic disease and premature aging, at the very least. But are antioxidants indeed the new Fountain of Youth? Media reports extol antioxidants as the solution to disease and aging, and some studies to seem to back up those reports. Yet the studies that have been completed are far from conclusive, and taking antioxidant supplements can, at times, be dangerous. This book explores current thinking, analyzes the studies, and answers the questions: What are antioxidants? What do they do? Is there any real benefit to taking them as supplements? Are there any real dangers for me? Media report preliminary and conflicting scientific studies on antioxidants, notwithstanding the fact that the final analysis about their effectiveness and safety is incomplete. The result is increasing sales of dietary supplements and so-called functional foods or "nutraceuticals" that are not regulated, nor proven, and a possible public safety crisis from "hypersupplementation." Milbury and Richer bring us up to date, sharing nuances and emerging news regarding antioxidants--and their dangers. Understanding the Antioxidant Controversy is an educated consumers' and health professionals' guide to this controversial topic.
After Haiti's 2010 earthquake, over half of U.S. households donated
to thousands of nongovernmental organizations (NGOs) in that
country. Yet we continue to hear stories of misery from Haiti. Why
have NGOs failed at their mission?
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