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Assessing Child Survival Programs in Developing Countries
Testing Lot Quality Assurance Sampling
Joseph J. Valadez
Harvard University Press, 1991

Throughout Africa, Asia, and Latin America public health professionals and paraprofessionals work to control serious, frequent and preventable causes of death and sickness among women and children. Despite international agreement about which health programs to implement and huge investments to support them, avoidable deaths remain high. One reason is the inadequate quality with which programs are implemented.

Assessing Child Survival Programs in Developing Countries provides local health system managers with basic principles for rapid precise program monitoring and evaluation in difficult tropical conditions. Joseph Valadez explains how to adapt Lot Quality Assurance Sampling (LQAS) as used in industrial quality control more than half a century ago, to assess health program coverage and technical quality of service providers. He shows that by examining no more than 19 children from a health facility catchment area a manager can judge whether coverage with child survival interventions has reached a minimal level, and how to observe health workers perform a task 6 times to judge their technical competency.

Joseph Valadez demonstrates that quick assessment is not necessarily dirty, and can provide the information needed to enhance child survival throughout the developing world. In that spirit Assessing Child Survival Programs in Developing Countries is a path breaking text book of modern health services research that both practitioners and students will find indispensable and understandable.

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Assessing Risk to the National Critical Functions as a Result of Climate Change
Michelle E. Miro
RAND Corporation, 2022
National Critical Functions (NCFs) are government and private-sector functions so vital that their disruption would debilitate security, the economy, public health, or safety. Researchers developed a risk management framework to assess and manage the risk that climate change poses to the NCFs and use the framework to assess 27 priority NCFs. This report details the risk assessment portions of the framework.
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Assessing the Implications of Allowing Transgender Personnel to Serve Openly
Agnes Gereben Schaefer
RAND Corporation, 2016
The U.S. Department of Defense is considering a change in policy to allow transgender military personnel to serve openly. A RAND study examined the health care needs of transgender personnel, the costs of gender transition–related care, and the potential readiness implications of a policy change. The experiences of foreign militaries that permit transgender service members to serve openly also point to some best practices for U.S. policymakers.
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Assessment of Chronic Pain Patients with the MMPI-2
Laura S. Keller
University of Minnesota Press, 1991
Supplies clinicians with data on the applicability of previous MMPI chronic pain research to the revised version of the test.
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Asylum on the Hill
History of a Healing Landscape
Katherine Ziff
Ohio University Press, 2012

Asylum on the Hill is the story of a great American experiment in psychiatry, a revolution in care for those with mental illness, as seen through the example of the Athens Lunatic Asylum. Built in southeast Ohio after the Civil War, the asylum embodied the nineteenth-century “gold standard” specifications of moral treatment. Stories of patients and their families, politicians, caregivers, and community illustrate how a village in the coalfields of the Hocking River valley responded to a national movement to provide compassionate care based on a curative landscape, exposure to the arts, outdoor exercise, useful occupation, and personal attention from a physician.

Katherine Ziff’s compelling presentation of America’s nineteenth-century asylum movement shows how the Athens Lunatic Asylum accommodated political, economic, community, family, and individual needs and left an architectural legacy that has been uniquely renovated and repurposed. Incorporating rare photos, letters, maps, and records, Asylum on the Hill is a fascinating glimpse into psychiatric history.

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At Ansha's
Life in the Spirit Mosque of a Healer in Mozambique
Daria Trentini
Rutgers University Press, 2021
At Ansha's takes the reader inside the spirit mosque of a female healer in Nampula, northern Mozambique. It is here that Ansha, a Makonde spirit healer, heals the resisting ailments of her patients, discloses pieces of her story of affliction and healing, and engages the world outside her mosque. We come to know Ansha’s experiences as revolutionary and migrant, her religious trajectories, family, the healers who cured her, the spirits who possessed her, and her declining health. We follow Ansha’s shifts in her life and work in the mosque as these intersect with the visible and invisible borders of Mozambique and of its fraught history. Confronting events in her life and in the mosque between 2009 and 2016, Ansha invites us to make meaning with her, as we sit in her mosque, and engage with her family, spirits, friends, patients, and world.
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Atlas of Exfoliative Cytology
George N. Papanicolaou
Harvard University Press
The Atlas is unique in the field of cytologic diagnosis for completeness, excellence of illustrations, and combination of both theoretical and practical aspects of the subject. Supplement I increased its value to pathologists by correlating histopathologic and cytologic findings. Supplement II continues the plan, adding many new cases of benign and malignant tumors. It includes a plate showing malignant cells found in the spinal fluid, three plates showing malignant cells found in the circulating blood, and a chapter on recent observations in this field.
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Atomic Doctors
Conscience and Complicity at the Dawn of the Nuclear Age
James L. Nolan, Jr.
Harvard University Press, 2020

An unflinching examination of the moral and professional dilemmas faced by physicians who took part in the Manhattan Project.

After his father died, James L. Nolan, Jr., took possession of a box of private family materials. To his surprise, the small secret archive contained a treasure trove of information about his grandfather’s role as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented ob-gyn radiologist, he cared for the scientists on the project, organized safety and evacuation plans for the Trinity test at Alamogordo, escorted the “Little Boy” bomb from Los Alamos to the Pacific Islands, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki.

Participation on the project challenged Dr. Nolan’s instincts as a healer. He and his medical colleagues were often conflicted, torn between their duty and desire to win the war and their oaths to protect life. Atomic Doctors follows these physicians as they sought to maximize the health and safety of those exposed to nuclear radiation, all the while serving leaders determined to minimize delays and maintain secrecy. Called upon both to guard against the harmful effects of radiation and to downplay its hazards, doctors struggled with the ethics of ending the deadliest of all wars using the most lethal of all weapons. Their work became a very human drama of ideals, co-optation, and complicity.

A vital and vivid account of a largely unknown chapter in atomic history, Atomic Doctors is a profound meditation on the moral dilemmas that ordinary people face in extraordinary times.

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Attachments to War
Biomedical Logics and Violence in Twenty-First-Century America
Jennifer Terry
Duke University Press, 2017
In Attachments to War Jennifer Terry traces how biomedical logics entangle Americans in a perpetual state of war. Focusing on the Afghanistan and Iraq wars between 2002 and 2014, Terry identifies the presence of a biomedicine-war nexus in which new forms of wounding provoke the continual development of complex treatment, rehabilitation, and prosthetic technologies. At the same time, the U.S. military rationalizes violence and military occupation as necessary conditions for advancing medical knowledge and saving lives. Terry examines the treatment of war-generated polytrauma, postinjury bionic prosthetics design, and the development of defenses against infectious pathogens, showing how the interdependence between war and biomedicine is interwoven with neoliberal ideals of freedom, democracy, and prosperity. She also outlines the ways in which military-sponsored biomedicine relies on racialized logics that devalue the lives of Afghan and Iraqi citizens and U.S. veterans of color. Uncovering the mechanisms that attach all Americans to war and highlighting their embeddedness and institutionalization in everyday life via the government, media, biotechnology, finance, and higher education, Terry helps lay the foundation for a more meaningful opposition to war.
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Attending Children
A Doctor's Education
Margaret E. Mohrmann, MD
Georgetown University Press

In a fast-paced, complicated, and evermore dangerous world it is easy to become self-absorbed and consumed with our own problems. There is one place, however, where we put our self-centered concerns aside, and our deep, common humanity is profoundly touched. That place is where sick children dwell.

It is no less difficult—and perhaps even more difficult in many ways—for physicians who have chosen to attend to the health and well-being of gravely ill or dying children. Margaret Mohrmann has devoted most of her professional life to them, and in Attending Children she shares the remarkable education those children and their families have given her. Her narratives are both painful and hopeful, tragic and funny, full of remarkable characters and sometimes bizarre families.

Mohrmann has sifted through her thirty years as a pediatrician, and with poignancy, humor, and uncompromising honesty, she shares her sometimes stumbling but always deeply caring journey through a land where, sometimes, small hands have to be let go too soon. She introduces us to not only the physical challenges she, her colleagues, and her patients encounter, but the spiritual ones as well.

Attending Children is a unique experience as Mohrmann takes the reader on a doctor's rounds over many years to meet the faces and the struggles, the heartaches and the joys of being a pediatrician. In the case of Margaret Mohrmann and her patients, no one could ask for better teachers.

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Attitudes On Altitude
John T. Reeves
University Press of Colorado, 2001
John T Reeves and Robert F Grover have gathered together seven episodes narrating the exploits of innovative researchers that led to some extraordinary medical findings, altering the course of medicine in Colorado and throughout the world. From the summit
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Autistic Intelligence
Interaction, Individuality, and the Challenges of Diagnosis
Douglas W. Maynard and Jason Turowetz
University of Chicago Press, 2022
An examination of diagnostic processes that questions how we can better understand autism as a category and the unique forms of intelligence it glosses.
 
As autism has grown in prevalence, so too have our attempts to make sense of it. From placing unfounded blame on vaccines to seeking a genetic cause, Americans have struggled to understand what autism is and where it comes from. Amidst these efforts, however, a key aspect of autism has been largely overlooked: the diagnostic process itself. That process is the central focus of Autistic Intelligence. The authors ask us to question the norms by which we measure autistic behavior, to probe how that behavior can be considered sensible rather than disordered, and to explore how we can better appreciate the individuality of those who receive the diagnosis.
 
Drawing on hundreds of hours of video recordings and ethnographic observations at a clinic where professionals evaluated children for autism, the authors’ analysis of interactions among clinicians, parents, and children demystifies the categories, tools, and practices involved in the diagnostic process. Autistic Intelligence shows that autism is not a stable category; it is the outcome of complex interactional processes involving professionals, children, families, and facets of the social and clinical environments they inhabit. The authors suggest that diagnosis, in addition to carefully classifying children, also can highlight or include unique and particular contributions those with autism potentially can make to the world around us.
 
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Autonomic Imbalance and the Hypthalamus
Implications for Physiology, Medicine, Psychology, and Neuropsychiatry
Ernst Gellhorn
University of Minnesota Press, 1957
Autonomic Imbalance and the Hypothalamus was first published in 1957.Fundamental alterations in the reactivity of autonomically innervated structures frequently have been observed in physiological tests as well as under clinical conditions. However, the mechanism of these alterations and the changes in the reactivity of the central structures of the autonomic nervous system that are their most frequent site of action had not been subjected to systematic, experimental analysis until Dr. Gellhorn launched the investigations he reports in this volume.The influence of the sino-aortic reflexes on the hypothalamus and the cortex is analyzed experimentally, and new data on the relation of the hypothalamus to vascular, respiratory, and visceral functions are presented. On the basis of his physiological work Dr. Gellhorn shows how clinically applicable methods for the diagnosis of parasympathetic and sympathetic disorders at the hypothalamic level may be devised. He shows the significance of his observations for an understanding of the physiology of the emotions and suggests clinical applications to such problems as hypertension, central autonomic disorders, and functional psychoses. The influence of age on parasympathetic and sympathetic excitability is shown on control subjects and on neuropsychiatric patients, and significant differences between these two groups at similar age levels are disclosed.For the convenience of the clinical reader the experimental results are summarized in a special section before the clinical applications are discussed.
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