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Books > Medicine > General issues > Public health & preventive medicine
A combination of population growth, public health failures,
environmental degradation and rapid global transportation has
resulted in a world that is at increasing risk to vectorborne and
other infectious diseases. A large percentage of emerging diseases
are vectorborne and over one-third of the agents on the list of
greatest concern from bioterrorism are vectorborne. Many of these
diseases are viral that have no effective drug or vaccine
treatments. Drug and insecticide resistance is now common and has
greatly compromised our ability to provide effective and affordable
control. Parasitic diseases, including malaria, leishmmaniasis and
African trypanosomiasis are likewise increasing in many parts of
the world. Control programs for onchocerciasis and to some extent
filariasis are reducing the impact of these diseases, largely due
to the availability of filaricides such as ivermectin. Chagas
disease has also declined significantly through home improvements
and indoor insecticide application against the domicilary kissing
bug vectors.
This is a text which provides a contemporary approach to the use of lifestyle, herbal and nutritional interventions in health care. While conventional health care has long classified many nutritional and herbal remedies as folklore, there is increasing scientific evidence to support a number of 'old wives tales'. This book demonstrates the biological plausibility of using supplements in clinical care and supports the scientific validity of such interventions by referring to clinical trials. It provides the health professional with therapeutic protocols that can be used to manage or support other treatment regimes in promoting health, preventing and treating disease. The book is divided in to 3 parts. Part 1 considers the principles of nutritional intervention. Part 2 list prevalent diseases and provides a therapeutic protocol for their management. Part 3 lists nutrients (and some frequently used herbs) and seeks to catalogue the indications, doses, interactions and side effects that require consideration when providing safe and effective clinical care. The text will provide readers with:A grasp of how natural measures can be incorporated into scientifically acceptable clinical practice An understanding of the biological plausibility underlying the use of certain natural interventions in disease An appreciation of the level of scientific validation supporting various natural interventions Enhanced understanding of guidelines for the safe use of nutrients Therapeutic protocols using lifestyle, nutritional and herbal intervention for the prevention and management of various conditions. Increased awareness of natural options that deserve trialing in particular clinical situations
Mental health systems are in a crucial transition period, thanks to the increasing prominence of health promotion therapy and a corresponding shift toward emphasizing wellness and empowerment, holistic and family-friendly design, and empirically supported treatment. Such changes demand adjustments to mental health education, and re-education, to maintain a common ground. The first book of its kind, Integrating Health Promotion and Mental Health presents a seamless framework for approaching contemporary mental health problems.
This book brings together current thought on several aspects of the use of pesticides in and around homes, schools and workplaces. The book addresses several parts of the process, from the discovery and development of new active ingredients, their formulation, use, longevity, environmental fate and human exposure.
Tobacco: Science, Policy and Public Health Second Edition
comprehensively covers the science and policy issues relevant to
one of the major public health disasters of modern times. It pulls
together the aetiology and burden of the myriad of tobacco-related
diseases with the successes and failures of tobacco control
policies. The book looks at lessons learnt to help set health
policy for reducing the burden of tobacco-related diseases. It also
deals with the international public health policy issues which bear
on control of the problem of tobacco use and which vary between
continents.
For all its costs, flaws, and inequities, American health care is fundamentally rooted in a belief that treatment should be based on solid scientific research. To this end, between 2003 and 2010, three different federal laws were enacted, the most recent being the Affordable Care Act of 2010, that mandated new federal investments in a type of clinical research called comparative effectiveness research (CER) - research into what works best in medical care. Comparative Effectiveness Research: Evidence, Medicine, and Policy provides the first complete account of how - and why - the federal government decided to make CER an important feature of health reform. Despite earlier legislative uptake of policy proposals on CER, support for federal mandates took dramatic twists and turns, with eventual compromises forged amid failing bipartisan alliances, special interests, and mobilized public opinion. Based on exhaustive research and first-hand interviews, the authors examine where CER fits in the production of scientific evidence about the benefits and harms of treatments for human diseases and conditions. Their work offers sobering confirmation that contemporary American medical care falls, not surprisingly, well short of the evidence-based ideal. Comparative Effectiveness Research demonstrates that dealing constructively with the vast uncertainties inherent to medical care requires policies to make the generation of high-quality evidence an inseparable part of routine health care.
Americans' health improved dramatically over the twentieth century. Public health programs for disease and injury prevention were responsible for much of this advance. Over the century, America's public health system grew dramatically, employing science and political authority in response to an increasing array of health problems. As the disease burden of the old scourges of infection, perinatal mortality, and dietary deficiencies began to lift, public health's mandate expanded to take on new health threats, such as those resulting from a changing workplace, the rise of the automobile, and chronic and complex conditions caused by smoking, diet and other lifestyle and environmental factors. Public health measures almost always occur on contested ground; accordingly, controversies and recriminations over past failures often persist. In contrast, public health's many successes, even the imperfect ones, become part of the fabric of everyday life, a fact already apparent early in the last century, when C.E.A. Winslow reminded his peers that the lives saved and healthy years extended were the "silent victories" of public health. In its exploration of ten major public health issues addressed in the 20th century, Silent Victories takes a unique approach: for each issue, leading scientists in the field trace the discoveries, practices and programs that reduced morbidity and mortality from disease and injury, and an accompanying chapter by a historian or social scientist highlights key moments or conflicts that shaped public health action on that issue. The book concludes with a look toward the challenges public health must face in the future. Silent Victories reveals the lessons of history in aformat designed to appeal to students, health professionals and the public seeking to understand how public health advanced the country's health in the 20th century, and the challenges to protecting health in the future.
In the late 1960s, the World Health Organization initiated a series
of international studies of the incidence, characteristics, course,
and consequences of schizophrenia. Those studies - the largest ever
in the history of psychiatry - provided important data about the
disorder in groups of patients living in different countries and
cultures, and first focused attention on the differences in
short-term prognosis for schizophrenia between the third world and
industrialized countries. In the 1990s, the International Study of
Schizophrenia (ISoS) set out to relocate those subjects and to
determine their clinical and social status some 15 to 25 years
later.
On August 5, 2010, a cave-in left thirty-three Chilean miners trapped underground. The Chilean government embarked on a massive rescue effort that is estimated to have cost between ten and twenty million dollars. There is a puzzle here. Many mine safety measures that would have been more cost effective had not been taken in Chile earlier, either by the mining companies, the Chilean government or by international donors. The Chilean story illustrates a persistent puzzle: the identified lives effect. Human beings show a greater inclination to assist persons and groups identified as those at high risk of great harm than to assist persons and groups who will suffer - or already suffer - similar harm but are not identified as yet. The problem touches almost every aspect of human life and politics: health, the environment, the law. What can social and cognitive sciences teach us about the origin and triggers of the effect? Philosophically and ethically, is the effect a "bias" to be eliminated or is it morally justified? What implications does the effect have for health care, law, the environment and other practice domains? This volume is the first book to tackle the effect from all necessary perspectives: psychology, public health, law, ethics, and public policy.
Many would be surprised to learn that the preferred method of birth control in the United States today is actually surgical sterilization. This book takes an historical look at the sterilization movement in post-World War II America, a revolution in modern contraceptive behaviour. Focusing on leaders of the sterilization movement from the 1930's through the turn of the century, this book explores the historic linkages between environment, civil liberties, eugenics, population control, sex education, marriage counselling, and birth control movements in the 20th-century United States. Sterilization has been variously advocated as a medical procedure for defusing the "population bomb," expanding individual rights, liberating women from the fear of pregnancy, strengthening marriage, improving the quality of life of the mentally disabled, or reducing the incidence of hereditary disorders. From an historical standpoint, support for free and unfettered access to sterilization services has aroused opposition in some circles, and was considered a "liberal cause" in post-World War II America. This story demonstrates how a small group of reformers helped to alter traditional notions of gender and sexuality.
Nutritional requirements vary greatly according to age and lifestyle. This evidence-based, comprehensive text is a complete guide to eating habits across age and population groups. It provides the recommendations for intakes of nutrients and foods, and diet to achieve optimum health.Chapters systematically examine the nutritional issues for individuals from preconception, pregnancy and breastfeeding through to adulthood and old age. The text features an overview of dietary patterns by age group based on national scientific survey data together with the latest recommendations for optimum nutrition to maintain well-being and address specific health concerns. The final section examines nutrition issues for specific populations including indigenous groups, athletes and the disadvantaged. Throughout the text, key points are illustrated by case studies and the reader's knowledge is tested via quizzes and study questions.With chapters from leading nutrition researchers and educators in Australia, New Zealand and Asia, this is an excellent introduction to nutrition through the lifespan.' A comprehensive overview and detailed discussion of food and nutrition topics for all ages and stages of life.' - Robynne Snell, Curtin University
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.
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.
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.
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.
Amphibians are the extant descendants of the first vertebrate class
to successfully colonize terrestrial environments; hence they
occupy a unique position between fish and reptiles. Amphibian skin
provides essentially no resistance to evaporative water loss, and
consequently daily water turnover rates are an order of magnitude
greater than in other terrestrial vertebrate groups. This has led
to a suite of physiological, morphological and behavioural
adaptations that have allowed a successful terrestrial existence in
spite of this apparently spendthrift water retention
strategy.
This book presents a logical system of critical appraisal, to allow readers to evaluate studies and to carry out their own studies more effectively. This system emphasizes the central importance of cause and effect relationships. Its great strength is that it is applicable to a wide range of issues, and both to intervention trials and observational studies. This system unifies the often different approaches used in epidemiology, health services research, clinical trials, and evidence-based medicine, starting from a logical consideration of cause and effect. The author's approach to the issues of study design, selection of subjects, bias, confounding, and the place of statistical methods has been praised for its clarity and interest. Systematic reviews, meta-analysis, and the applications of this logic to evidence-based medicine, knowledge-based health care, and health practice and policy are discussed. Current and often controversial examples are used, including screening for prostate cancer, publication bias in psychiatry, public health issues in developing countries, and conflicts between observational studies and randomized trials. Statistical issues are explained clearly without complex mathematics, and the most useful methods are summarized in the appendix. The final chapters give six applications of the critical appraisal of major studies: randomized trials of medical treatment and prevention, a prospective and a retrospective cohort study, a small matched case-control study, and a large case-control study. In these chapters, sections of the original papers are reproduced and the original studies placed in context by a summary of current developments.
Ethical Issues in International Biomedical Research is the definitive book on the ethics of research involving human subjects in developing countries. Using 21 actual case studies, it covers the most controversial topics, including the ethics of placebo research in Africa, what benefits should be provided to the community after completion of a research trial, how to address conflicts between IRBs in developed and developing countries, and undue inducement of poor people in developing countries. Each case is accompanied by two expert commentaries, written by many of the worlds leading experts in bioethics as well as new voices with research experience in developing countries. No other volume has this scope. Students in bioethics, public and international health, and ethics will find this book particularly useful.
The first comprehensive examination of the relationship between war and public health, this book documents the public health consequences of war and describes what health professionals can do to minimise these consequences. It explores the effects of war on health, human rights, and the environment. The health and environmental impact of both conventional weapons and weapons of mass destruction (nuclear, chemical, and biological weapons) is described in chapters that cover the consequences of their production, testing, maintenance, use, and disposal. Separate chapters cover especially vulnerable populations, such as women, children, and refugees. In-depth descriptions of specific military conflicts, including the Vietnam War, the Persian Gulf War, and wars in Central America provide striking illustrations of the issues covered in other chapters. A series of chapters explores the roles of health professionals and of organisations during war, and in preventing war and its consequences. This revised second edition includes seven new chapters, including one on landmines by the Nobel Prize-winning founding director of the International Campaign to Ban Landmines.
For nearly 70 years, this resource has been the standard for diabetes education and meal planning. Based on input from current users, this new edition has been streamlined and redesigned and enhanced with more food images. It also features updated carbohydrate, protein, and fat information for a wide variety of food and beverages that reflect the diverse populations living with diabetes. This edition includes action-oriented eating plan tips throughout, a new section on Snacks and Extras, dedicated pages for notes, and a customizable eating plan.
Includes a 30-Day fasting reset that uses the power of your cycle―even
if you no longer have one!
This book is an account of a study which provided unique information on trends in growth and respiratory health in British children over 25 years, with methodological discussion and other major findings including risk factors for impaired growth, obesity, respiratory disease and the distribution of coronary heart disease factors. The book provides information on trends in growth, height weight for height and subcutaneous arm tissue, and in respiratory health, asthma attacks and related symptoms, in children aged 5 to 11 years, from 1972 to 1994. It provides information on risk factors for impaired growth, obesity and respiratory disease, and on the distribution of risk factors for coronary heart disease in children. The contribution of the National Health and Growth Study extended to topics such as the effects of changes in welfare policy, under-diagnosis and under-treatment of asthma, nocturnal enuresis, disturbed sleep, the impact of passive smoking on the health of children, and the relation of lung function to the child's intra-uterine environment and to passive smoking. The methodological issues in relation to the conduct of the study and analysis of the data are discussed in non-technical language. Each contribution of the study is discussed in relation to current literature, which is fully referenced throughout.
This forward-looking book provides an in-depth analysis of the major transformations of the right to health in Latin America over the past decades, marked by the turn towards the pharmaceuticalisation of health care. Everaldo Lamprea-Montealegre investigates how health-based litigation has deepened inequalities in the global South, exploring the practices of key actors that are reclaiming the right to health in the region. Taking a deep dive into the health care systems of Brazil and Colombia, Local Maladies, Global Remedies illustrates how transnational pharmaceutical companies are influencing the litigation of health rights, from moulding doctors' preferences for branded drugs to controlling the availability of cheaper generics and bio-similars. The book deploys a wide range of theoretical perspectives and insights from socio-legal literature to map out the practices of stakeholders that are reclaiming the right to health in Latin America. Its concluding remarks propose a set of remedies to help alleviate the challenges faced by global South countries when trying to guarantee their population's right to health, ultimately calling for a major shift of decision-making responsibilities from a local to a global level. The wide-ranging, interdisciplinary scope of this cutting-edge book will benefit scholars, practitioners, policymakers, and students operating at the intersections between socio-legal studies, sociology, health anthropology, public health, globalisation, and human rights. |
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