Their meeting captured headlines; the waiting list for tickets was nearly 2000 names long. If you were unable to attend, this book will take you there. Including both the papers given at the conference, and the animated discussion and debate that followed, The Dalai Lama at MIT reveals scientists and monks reaching across a cultural divide, to share insights, studies, and enduring questions.
Is there any substance to monks’ claims that meditation can provide astonishing memories for words and images? Is there any neuroscientific evidence that meditation will help you pay attention, think better, control and even eliminate negative emotions? Are Buddhists right to make compassion a fundamental human emotion, and Western scientists wrong to have neglected it?
The Dalai Lama at MIT shows scientists finding startling support for some Buddhist claims, Buddhists eager to participate in neuroscientific experiments, as well as misunderstandings and laughter. Those in white coats and those in orange robes agree that joining forces could bring new light to the study of human minds.
A child crashes to the ground from the monkey bars head-first. A high school student prepares for months to take the SAT. A grandmother slowly slips away from her family through the deadly progression of Alzheimer’s Disease. Whether we realize it or not, the importance of brain health to our daily lives goes far beyond just being able to walk and talk. The Dana Guide to Brain Health offers the first comprehensive home medical reference book on the brain, providing an unparalleled, authoritative guide to improving the fitness of our brains and, ultimately, enriching our lives.
With contributions from over one hundred of the most prominent scientists and clinicians in the United States, The Dana Guide to Brain Health is an extensive and wholly accessible manual on the workings of the human brain. This richly illustrated volume contains a wealth of facts and advice, on simple yet effective ways to take care of our brains; the intimate connection between brain health and body health; brain development from the prenatal period through adulthood; and how we learn, remember, and imagine.
The brain is far too important to be excluded any longer from our daily health concerns. The Dana Guide to Brain Health remedies this oversight with a clearly written, definitive map to our brains that reveals how we can take care of them in order to sustain a long and rich life.
The Deadly Truth chronicles the complex interactions between disease and the peoples of America from the pre-Columbian world to the present.
Grob's ultimate lesson is stark but valuable: there can be no final victory over disease. The world in which we live undergoes constant change, which in turn creates novel risks to human health and life. We conquer particular diseases, but others always arise in their stead. In a powerful challenge to our tendency to see disease as unnatural and its virtual elimination as a real possibility, Grob asserts the undeniable biological persistence of disease.
Diseases ranging from malaria to cancer have shaped the social landscape--sometimes through brief, furious outbreaks, and at other times through gradual occurrence, control, and recurrence. Grob integrates statistical data with particular peoples and places while giving us the larger patterns of the ebb and flow of disease over centuries. Throughout, we see how much of our history, culture, and nation-building was determined--in ways we often don't realize--by the environment and the diseases it fostered.
The way in which we live has shaped, and will continue to shape, the diseases from which we get sick and die. By accepting the presence of disease and understanding the way in which it has physically interacted with people and places in past eras, Grob illuminates the extraordinarily complex forces that shape our morbidity and mortality patterns and provides a realistic appreciation of the individual, social, environmental, and biological determinants of human health.
A death occurs at home, in a hospital, on a street: why? As Jeffrey Jentzen reveals, we often never know. Why is the American system of death investigation so inconsistent and inadequate? What can the events of the assassination of President Kennedy, killing of Bobby Kennedy, and Chappaquiddick reveal about the state of death investigation?
If communities in early America had a coroner at all, he was politically appointed and poorly trained. As medicine became more sophisticated and the medical profession more confident, physicians struggled to establish a professionalized, physician-led system of death investigation. The conflict between them and the coroners, as well as politicians and law enforcement agencies, led to the patchwork of local laws and practices that persist to this day.
In this unique political and cultural history, Jentzen draws on archives, interviews, and his own career as a medical examiner to look at the way that a long-standing professional and political rivalry controls public medical knowledge and public health.
In 1988, the World Health Organization launched a campaign for the global eradication of polio. Today, this goal is closer than ever. Fewer than 1,300 people were paralyzed from the disease in 2004, down from approximately 350,000 in 1988.
In The Death of a Disease, science writers Bernard Seytre and Mary Shaffer tell the dramatic story of this crippling virus that has evoked terror among parents and struck down healthy children for centuries. Beginning in ancient Egypt, the narrative explores the earliest stages of research, describes the wayward paths taken by a long line of scientists-each of whom made a vital contribution to understanding this enigmatic virus-and traces the development of the Salk and Sabin vaccines. The book also tracks the contemporary polio story, detailing the remaining obstacles as well as the medical, governmental, and international health efforts that are currently being focused on developing countries such as India, Pakistan, Nigeria, and Niger.
At a time when emerging diseases and the threat of bioterrorism are the focus of much media and public attention, this book tells the story of a crippling disease that is on the verge of disappearing. In the face of tremendous odds, the near-eradication of polio offers an inspiring story that is both encouraging and instructive to those at the center of the continued fight against communicable diseases.
End-of-life issues and questions are complex and frequently cause confusion and anxiety. In Death with Dignity,theologian, medical ethicist, and pastoral caregiver Peter A. Clark examines numerous issues that are pertinent to patients, family members, and health care professionals, including physiology, consciousness, the definition of death, the distinction between extraordinary and ordinary means, medical futility, “Do Not Resuscitate” orders, living wills, power of attorney, pain assessment and pain management, palliative and hospice care, the role of spirituality in end-of-life care, and physicians’ communication with terminal patients. Patients, family members, medical students, and health care professionals will find in Death with Dignity thepractical and ethical knowledge they need to capably and confidently cope with end-of-life challenges.
There are disorders that defy treatment with prescribed pharmaceuticals: a man’s hands shake so hard that he cannot hold anything; a woman is mired in severe inescapable depression. For these patients and others, an alternative is emerging: deep brain stimulation. In this fascinating and timely investigation, well-known science writer Jamie Talan explains a cutting-edge medical development that is surprising and impressing researchers around the world.
More than 40,000 people worldwide have undergone deep brain stimulation, which involves implanting electrodes in the brain that are connected to a device similar to a pacemaker. With compelling profiles of patients and an introduction to doctors and scientists who are pioneering the research, Talan describes the ways in which deep brain stimulation has produced promising results in the treatment of diseases such as Parkinson’s disease, depression, obsessive-compulsive disorder, and dystonia—as well as the ethical issues that have arisen in the course of this research.
"This project fits into the larger picture of excellence that we wish to accomplish in all dimensions of our health system: groundbreaking and dedicated research, compassionate clinical care, progressive education, and a welcoming environment that includes community with people with disabilities. In Deep, the writers and editors of this book realize this mission with accuracy and clarity."
---Denise G. Tate, Director of Research at the University of Michigan Model Spinal Cord Injury Care System
People with spinal cord injuries experience life beyond their medical and rehabilitative journeys, but these stories are rarely told. Deep: Real Life with Spinal Cord Injury includes the stories of ten men and women whose lives have been transformed by spinal cord injury. Each essay challenges the stereotypes and misconceptions about SCI---with topics ranging from faith to humility to sex and manhood---offering a multitude of voices that weave together to create a better understanding of the diversity of disability and the uniqueness of those individuals whose lives are changed but not defined by their injuries. Life with SCI can be traumatic and ecstatic, uncharted and thrilling, but it always entails a journey beyond previous expectations. This volume captures this sea change, exploring the profound depths of SCI experience.
New technologies and medical treatments have complicated questions such as how to determine the moment when someone has died. The result is a failure to establish consensus on the definition of death and the criteria by which the moment of death is determined. This creates confusion and disagreement not only among medical, legal, and insurance professionals but also within families faced with difficult decisions concerning their loved ones.
Distinguished bioethicists Robert M. Veatch and Lainie F. Ross argue that the definition of death is not a scientific question but a social one rooted in religious, philosophical, and social beliefs. Drawing on history and recent court cases, the authors detail three potential definitions of death — the whole-brain concept; the circulatory, or somatic, concept; and the higher-brain concept. Because no one definition of death commands majority support, it creates a major public policy problem. The authors cede that society needs a default definition to proceed in certain cases, like those involving organ transplantation. But they also argue the decision-making process must give individuals the space to choose among plausible definitions of death according to personal beliefs.
Taken in part from the authors' latest edition of their groundbreaking work on transplantation ethics, Defining Death is an indispensable guide for professionals in medicine, law, insurance, public policy, theology, and philosophy as well as lay people trying to decide when they want to be treated as dead.
In the last two decades, more than ever before dentists must determine how to properly maintain their focus on ethics and professionalism in the face of powerful commercial pressures. While there is encouragement for ethical conduct within the dental profession, there is still relatively little assistance available to dentists and dental students for judging what conduct is ethically best in concrete situations. For many years, Dental Ethics at Chairside has served as an invaluable resource for tens of thousands of dentists and dentistry students, and this third edition of the gold standard in the field is thoroughly revised and updated. In addition to exploring ongoing and critical issues such as the patient-professional relationship, patients with compromised capacity, confidentiality, justice and the inadequacies of society's health care systems, and dentistry as a business, the third edition addresses emerging ethical issues related to conflicts of interest, dental professionalism, advertising and social media, the serious indebtedness of graduating dental students, bad outcomes and bad work, the explosion of aesthetic dentistry, acquiring new skills and new technology, the impact of the market on the professional-patient relationship, and many others. The book includes fourteen realistic cases and commentary about dilemmas in dentistry, as well as online resources for further research and study.
Every health care practitioner from Hippocrates to our own day has had to deal with questions of ethics in the effort to serve patients properly and well. The dental professional is no different. For nearly a decade, it has had sound ethical reflection on its side in the form of Dental Ethics at Chairside.
In issues ranging from ordinary chairside decision making to HIV/AIDS and ethical business practices, the first edition of this book has guided thousands of dentists, dental hygienists, students, and other oral health care practitioners to an understanding of the essential practice of ethics.
Now a revised, updated, and expanded edition of Dental Ethics at Chairside responds to the challenges of oral health care in the new century with chapters on managed care, confidentiality and electronic record-keeping, among other important topics.
A Telegraph Book of the Year
A Washington Post Notable Work
A Times Book of the Year
A Hughes Award Finalist
“An indisputable masterpiece…comprehensive, fascinating, and persuasive.”
—Wall Street Journal
“Brimming with wisdom and brio, this masterful work spans the history of psychiatry. Exceedingly well-researched, wide-ranging, provocative in its conclusions, and magically compact, it is riveting from start to finish. Mark my words, Desperate Remedies will soon be a classic.”
—Susannah Cahalan, author of Brain on Fire
“Compulsively readable…Scull has joined his wide-ranging reporting and research with a humane perspective on matters that many of us continue to look away from.”
—Daphne Merkin, The Atlantic
"Scull's fascinating and enraging book is the story of the quacks and opportunists who have claimed to offer cures for mental illness...Madness remains the most fascinating—arguably the defining—aspect of Homo sapiens."
—Sebastian Faulks, Sunday Times
“I would recommend this fascinating, alarming, and alerting book to anybody. For anyone referred to a psychiatrist it is surely essential.”
—The Spectator
For more than two hundred years disturbances of the mind have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, from which one can be cured. But is this true?
From the birth of the asylum to the latest drug trials, Desperate Remedies brings together a galaxy of mind doctors working in and out of institutional settings: psychologists and psychoanalysts, neuroscientists and cognitive behavioral therapists, as well as patients and their families desperate for relief. Surprising, disturbing, and compelling, this passionate account of America’s long battle with mental illness challenges us to revisit some of our deepest assumptions and to confront the epidemic of mental illness so visible all around us.
"It is my hope," writes the author in his preface, "that the material collected in this monograph will provide a new perspective in some areas for those students, biologists, and physicians interested in the kidney but too involved with their special trees to notice some of the changes occurring in the forest in which they toil."
In the first up-to-date compendium to correlate the changes in kidney structure and function from the onset of organogenesis to the end of childhood growth, Dr. Wallace McCrory presents a new aspect of developmental pediatrics, skillfully explains the clinical enigmas surrounding the immature kidney, and suggests possible research areas for productive exploration. Clearly documented with tables and illustrations, the study synthesizes relevant new knowledge from the fields of embryology, biochemistry, and renal and growth physiology as a means of stimulating reappraisals of the current concepts of the pathophysiology of many childhood renal diseases. Included are reproductions of reconstructed micro dissections of the early stages in the developing human kidney taken from Dr. Jean Oliver's monograph Nephrons and Kidneys.
Developmental Programming for Infants and Young Children: Volume 1 provides detailed instructions for the use of Volume 2: Early Intervention Developmental Profile, including administration and evaluation techniques, scoring and interpretation of results, validity and reliability of findings, and complete item descriptions. To be used with children functioning in the 0-to-36-month developmental age range. Volume 1 includes the scoring sheet (Volume 2).
Developmental Programming for Infants and Young ChildrenIn Five Volumes
Developmental Programming for Infants and Young Children has proven to be an invaluable tool for teachers, therapists, and other professionals who assess and facilitate the development of children functioning primarily in the 0-to-60 month range. The authors address six areas of development: perceptual/fine motor, cognition, language, social/emotional, self-care, and gross motor. Volumes 1, 2, and 3 are designed for use with children functioning in the 0-to-36-month developmental age range, while Volumes 4 and 5 extend assessment and programming guidelines to 5-year (preschool) levels.
Carefully designed and tested by the University of Michigan's Institute for the Study of Mental Retardation and Related Disabilities, all volumes bridge the gap between assessment and program implementation.
Developmental Programming for Infants and Young Children: Volume 3 provides a reservoir of ideas for carrying out planned program objectives. Each developmental area contains sequenced develop mental behaviors that would be expected in a normal child, with adaptations for specific handicapping conditions noted. This volume describes ways to handle, stimulate, and interact with a young child functioning in the developmental age range 0-to-36 months. It can be used by parents for at-home activities.
This volume is available as a set in combination with Volumes 1 and 2.
Developmental Programming for Infants and Young ChildrenIn Five Volumes
Developmental Programming for Infants and Young Children has proven to be an invaluable tool for teachers, therapists, and other professionals who assess and facilitate the development of children functioning primarily in the 0-to-60 month range. The authors address six areas of development: perceptual/fine motor, cognition, language, social/emotional, self-care, and gross motor. Volumes 1, 2, and 3 are designed for use with children functioning in the 0-to-36-month developmental age range, while Volumes 4 and 5 extend assessment and programming guidelines to 5-year (preschool) levels.
Carefully designed and tested by the University of Michigan's Institute for the Study of Mental Retardation and Related Disabilities, all volumes bridge the gap between assessment and program implementation.
Malfunction in the digestive tract can arise from a variety of causes, and it requires the sciences of immunology, physiology, biochemistry, microbiology, and nutrition to fully explain the basis of the dysfunction as well as effective treatment options. Now Dr. Janice Vickerstaff Joneja has written the first book that:
These unique qualities make Digestion, Diet, and Disease the ideal choice for practitioners, educators, and researchers in the field of nutritional medicine, as well as nurses, alternative medicine professionals, and the educated general public suffering from IBS.
Such chronic gastrointestinal diseases as peptic ulcer, cirrhosis, and cholelithiasis are becoming increasingly recognized as health problems. This is the first book to deal specifically with mortality data, broken down by geographic, socioeconomic, and other demographic parameters, from digestive diseases in the United States from 1959 to 1961.
Digestive Diseases interprets theses data in relation to clinical material regarding cause and clinical course of the disease and indicates their significance for understanding trends in incidence and prevalence as well as possible future trends. World literature on incidence and prevalence as well as mortality has also been utilized.
For 1,600 years Dioscorides (ca. AD 40–80) was regarded as the foremost authority on drugs. He knew mild laxatives and strong purgatives, analgesics for headaches, antiseptics for wounds, emetics to rid one of ingested poisons, chemotherapy agents for cancer treatments, and even oral contraceptives. Why, then, have his works remained obscure in recent centuries? Because of one small oversight (Dioscorides himself thought it was self-evident): he failed to describe his method for organizing drugs by their affinities. This omission led medical authorities to use his materials as a guide to pharmacy while overlooking Dioscorides' most valuable contribution—his empirically derived method for observing and classifying drugs by clinical testing.
Dioscorides' De materia medica, a five-volume work, was written in the first century. Here revealed for the first time is the thesis that Dioscorides wrote more than a lengthy guide book. He wrote a great work of science. He had said that he discovered the natural order and would demonstrate it by his arrangement of drugs from plants, minerals, and animals. Until John M. Riddle's pathfinding study, no one saw the genius of his system. Botanists from the eighteenth century often attempted to find his unexplained method by identifying the sequences of his plants according to the Linnean system but, while there are certain patterns, there remained inexplicable incoherencies. However, Dioscorides' natural order as set down in De materia medica was determined by drug affinities as detected by his acute, clinical ability to observe drug reactions in and on the body. So remarkable was his ability to see relationships that, in some cases, he saw what we know to be common chemicals shared by plants of the same and related species and other natural product drugs from animal and mineral sources.
Western European and Islamic medicine considered Dioscorides the foremost authority on drugs, just as Hippocrates is regarded as the Father of Medicine. They saw him point the way but only described the end of his finger, despite the fact that in the sixteenth century alone there were over one hundred books published on him. If he had explained what he thought to be self-evident, then science, especially chemistry and medicine, would almost certainly have developed differently. In this culmination of over twenty years of research, Riddle employs modern science and anthropological studies innovatively and cautiously to demonstrate the substance to Dioscorides' authority in medicine.
Drawing on archival research and other primary materials, as well as on methods from labor history, ethnic studies, performance studies, and political biography, this special issue explores how historical forces and cultural contexts have produced disability as a constantly shifting and socially constructed concept. One essay examines how Western definitions of disability imposed during colonial rule shaped Botswanan perceptions of disability. Another looks at labor activism among blind workers in Northern Ireland in the 1930s; a third essay, drawing on previously untranslated political texts by disabled writers and activists from the Weimar era, dispels the simplistic assessment of the disabled as complacent in the face of the Nazis’ rise to power. Other essays interpret U.S. radical Randolph Bourne as a philosopher of disability politics and chronicle the emergence of a disabled feminist theater practice in the 1970s and 1980s.
Contributors. Diane F. Britton, Susan Burch, Sarah E. Chinn, R. A. R. Edwards, Barbara Floyd, David Gissen, Kim Hewitt, J. Douglass Klein, Seth Koven, R. J. Lambrose, Victoria Ann Lewis, Julie Livingston, Paul K. Longmore, Robert McRuer, Teresa Meade, Paul Steven Miller, Natalia Molina, Patricia A. Murphy, Máirtín Ó Catháin, Carol Poore, Geoffrey Reaume, David Serlin, Katherine Sherwood, Ian Sutherland, Geoffrey Swan, Everett Zhang
"Freedom and Justice for all" is a phrase that can have a hollow ring for many members of the disability community in the United States. Jacqueline Vaughn Switzer gives us a comprehensive introduction to and overview of U.S. disability policy in all facets of society, including education, the workplace, and social integration. Disabled Rights provides an interdisciplinary approach to the history and politics of the disability rights movement and assesses the creation and implementation, successes and failures of the 1990 Americans with Disabilities Act (ADA) by federal, state and local governments.
Disabled Rights explains how people with disabilities have been treated from a social, legal, and political perspective in the United States. With an objective and straightforward approach, Switzer identifies the programs and laws that have been enacted in the past fifty years and how they have affected the lives of people with disabilities. She raises questions about Congressional intent in passing the ADA, the evolution and fragmentation of the disability rights movement, and the current status of disabled people in the U.S.
Illustrating the shift of disability issues from a medical focus to civil rights, the author clearly defines the contemporary role of persons with disabilities in American culture, and comprehensively outlines the public and private programs designed to integrate disabled persons into society. She covers the law's provisions as they apply to private organizations and businesses and concludes with the most up-to-date coverage of recent Supreme Court decisions-especially since the 2000-2002 terms-that have profoundly influenced the implementation of the ADA and other disability policies.
For activists as well as scholars, students, and practitioners in public policy and public administration, Switzer has written a compassionate, yet powerful book that demands attention from everyone interested in the battle for disability rights and equality in the United States.
Discovering Addiction brings the history of human and animal experimentation in addiction science into the present with a wealth of archival research and dozens of oral-history interviews with addiction researchers. Professor Campbell examines the birth of addiction science---the National Academy of Sciences's project to find a pharmacological fix for narcotics addiction in the late 1930s---and then explores the human and primate experimentation involved in the succeeding studies of the "opium problem," revealing how addiction science became "brain science" by the 1990s.
Psychoactive drugs have always had multiple personalities---some cause social problems; others solve them---and the study of these drugs involves similar contradictions. Discovering Addiction enriches discussions of bioethics by exploring controversial topics, including the federal prison research that took place in the 1970s---a still unresolved debate that continues to divide the research community---and the effect of new rules regarding informed consent and the calculus of risk and benefit. This fascinating volume is both an informative history and a thought-provoking guide that asks whether it is possible to differentiate between ethical and unethical research by looking closely at how science is made.
Nancy D. Campbell is Associate Professor of Science and Technology Studies at Rensselaer Polytechnic Institute and the author of Using Women: Gender, Drug Policy, and Social Justice.
"Compelling and original, lively and engaging---Discovering Addiction opens up new ways of thinking about drug policy as well as the historical discourses of addiction."
---Carol Stabile, University of Wisconsin--Milwaukee
Also available:
Student Bodies: The Influence of Student Health Services in American Society and Medicine, by Heather Munro Prescott
Illness and the Limits of Expression, by Kathlyn Conway
White Coat, Clenched Fist: The Political Education of an American Physician, by Fitzhugh Mullan
Approximately eight percent of our DNA contains retroviral sequences that are millions of years old. Through engaging stories of scientific discovery, Anna Marie Skalka explains our evolving knowledge of these ancient denizens of the biosphere and how this understanding has significantly advanced research in genetic engineering, gene delivery systems, and precision medicine.
Discovering Retroviruses begins with the pioneer scientists who first encountered these RNA-containing viruses and solved the mystery of their reproduction. Like other viruses, retroviruses invade the cells of a host organism to reproduce. What makes them “retro” is a unique process of genetic information transfer. Instead of transcribing DNA into RNA as all living cells do, they transcribe their RNA into DNA. This viral DNA is then spliced into the host’s genome, where the cell’s synthetic machinery is co-opted to make new virus particles. The 100,000 pieces of retroviral DNA in the human genome are remnants from multiple invasions of our ancestors’ “germline” cells—the cells that allow a host organism to reproduce. Most of these bits of retroviral DNA are degenerated fossils, but some have been exploited during evolution, with profound effects on our physiology.
Some present-day circulating retroviruses cause cancers in humans and other animals. Others, like HIV, cause severe immunodeficiencies. But retroviruses also hold clues to innovative approaches that can prevent and treat these diseases. In laboratories around the world, retroviruses continue to shed light on future possibilities that are anything but “retro.”
This collection of eight essays examines the health, disease, and medical care of the American West—an area flanked by the Rocky Mountains, Sierra Nevada, and Cascade Mountains. Topics include Mormons and the Thomsonian Movement in the nineteenth century, the silicosis epidemic in hardrock mining, Native American health, frontier nursing, and Chinese medicine.
Based on the idea that the meanings of sickness—and health—are contestable and subject to controversy, Disease in the History of Modern Latin America displays the richness of an interdisciplinary approach to social and cultural history. Examining diseases in Mexico, Brazil, Argentina, Colombia, Peru, and Bolivia, the contributors explore the production of scientific knowledge, literary metaphors for illness, domestic public health efforts, and initiatives shaped by the agendas of international agencies. They also analyze the connections between ideas of sexuality, disease, nation, and modernity; the instrumental role of certain illnesses in state-building processes; welfare efforts sponsored by the state and led by the medical professions; and the boundaries between individual and state responsibilities regarding sickness and health. Diego Armus’s introduction contextualizes the essays within the history of medicine, the history of public health, and the sociocultural history of disease.
Contributors. Diego Armus, Anne-Emanuelle Birn, Kathleen Elaine Bliss, Ann S. Blum, Marilia Coutinho, Marcus Cueto, Patrick Larvie, Gabriela Nouzeilles, Diana Obregón, Nancy Lays Stepan, Ann Zulawski
In the seventeenth century, a map of the plague suggested a radical idea—that the disease was carried and spread by humans. In the nineteenth century, maps of cholera cases were used to prove its waterborne nature. More recently, maps charting the swine flu pandemic caused worldwide panic and sent shockwaves through the medical community. In Disease Maps, Tom Koch contends that to understand epidemics and their history we need to think about maps of varying scale, from the individual body to shared symptoms evidenced across cities, nations, and the world.
Disease Maps begins with a brief review of epidemic mapping today and a detailed example of its power. Koch then traces the early history of medical cartography, including pandemics such as European plague and yellow fever, and the advancements in anatomy, printing, and world atlases that paved the way for their mapping. Moving on to the scourge of the nineteenth century—cholera—Koch considers the many choleras argued into existence by the maps of the day, including a new perspective on John Snow’s science and legacy. Finally, Koch addresses contemporary outbreaks such as AIDS, cancer, and H1N1, and reaches into the future, toward the coming epidemics. Ultimately, Disease Maps redefines conventional medical history with new surgical precision, revealing that only in maps do patterns emerge that allow disease theories to be proposed, hypotheses tested, and treatments advanced.
At last, here is a user-friendly guide to gynecologic surgery. The authors' guiding principle is that each woman for whom any kind of surgery is recommended should be well informed about the indications, the risks, and the expected results.
Using anecdotes drawn from a combined fifty years of experience, doctors Moore and de Costa provide clear and accurate information about women's anatomy, physiology, common gynecological ailments, diagnosis, alternative treatments, and, finally, full details about surgery itself. Among the surgeries discussed are removal of the uterus (hysterectomy), removal of the ovaries (oophorectomy), and removal of fibroids. The various ways of performing these procedures are examined, including minimally invasive surgery done through the laparoscope.
The authors also help the patient through the post-operative phase, revealing what to expect, how to make the recovery easier, and how to take care of yourself after the surgery. The result is a book that empowers women as they weigh their options with regard to gynecologic surgery.
Dr. George T. Mitchell of Marshall, Illinois, shares with humor and compassion stories and reflections about his medical practice of fifty years.
Having grown up in Marshall, Dr. Mitchell writes of his early experiences in midwestern America: basketball rivalries, school-boy pranks, and the traditions passed down through a family of doctors. Dr. Mitchell tells of his brief detour to obtain a degree in mechanical engineering, his decision to pursue a career in medicine, and his medical school experiences at the George Washington School of Medicine before the days of antibiotics and sophisticated medical technology. He vividly describes his subsequent service in World War II as a young surgeon at a military hospital helping injured soldiers resume normal lives while enduring the frustrations and occasional horrors of military life.
After the war, Dr. Mitchell joined his father’s practice in Marshall, where, he observes, he was among sixteen physicians in a rural county with a population of less than twenty thousand people. Within twenty-five years, the number of doctors had dropped to only four. In this memoir Dr. Mitchell conveys his unwillingness to just sit by and watch the health needs of his community increase while medical and other services decline. He, instead, became a community activist, representing rural concerns to the state medical society, organizing the first emergency medical technician teams in the county, masterminding the planning of a regional medical center, campaigning successfully for improved highway safety, and spurring the extension of reliable telephone service throughout his area.
As Dr. Mitchell recounts the house calls, farm accidents, emergency surgeries, and family counseling that comprised the life of this country doctor, he offers the keen insights of a clinician trained to look beyond what others only see.
Parents have known since time immemorial, and social scientists have agreed since the turn of the century, that adolescents are a people unto themselves--a "distinct developmental category." Yet it was not until the 1950s that a medical specialty specifically for teenagers came into being. In this book, Heather Munro Prescott shows how the mid-twentieth-century emergence of adolescent medicine resulted from a combination of social changes that reached far beyond the field of medicine--changes that placed teenagers themselves at the center of the national agenda.
The first book to trace the history of adolescent medicine, A Doctor of Their Own draws on oral histories of physicians in the field, patient records from adolescent medical facilities, medical and popular advice literature, and letters from teenagers and their parents. Prescott examines the interplay between the emergence of adolescent medicine and changes in American family relationships, youth culture, popular perceptions about young people, and the social experience of adolescence. With special attention to the role of young people themselves in the shaping of this new discipline, her book follows the development of adolescent medicine from its origins in the work of J. Roswell Gallagher at Boston Children's Hospital in the 1950s to its uncertain prospects today, when, despite heightened recognition of their specific medical needs, most teenagers still receive inadequate health care.
Doctors are obviously influential in determining the costs of their services. But even more important, many believe, is the influence physicians have over the use and cost of nonphysician health-care resources and services. Doctors and Their Workshops is the first comprehensive attempt to use economic analysis to understand some of the physician effects on nonphysician aspects of health care.
A distinguished physician and professor of medicine at Edinburgh University, and a forensic expert for the British Crown, Joseph Bell was well known for his remarkable powers of observation and deduction. In what would become true Sherlockian fashion, he had the ability to deduce facts about his patients from otherwise unremarkable details. In one instance recounted by Arthur Conan Doyle himself—and similar to Sherlock Holmes's own observations in "The Greek Interpreter"—Bell took little time to determine that one of his patients had recently served in the army, a non-commissioned officer discharged from his Highland regiment stationed in Barbados:
“The man was a respectful man, but did not remove his hat. They do not in the army, but he would have learned civilian ways had he been long discharged. He has an air of authority and he is obviously Scottish. As to Barbados, his complaint is elephantitis, which is West Indian and not British.”
Based on extensive research into the life of Bell and including tantalizing accounts of the connections between Bell and Conan Doyle, this biography is required reading for anyone interested in Victorian medicine, in the history of detective fiction, and in Sherlock Holmes and Dr. Watson.
The Drama Therapy Decision Tree provides an integrated model for therapeutic decision-making by deconstructing the processes of choosing drama therapy interventions. The authors strive to provide a common language for communicating what drama therapists do in terms of diagnoses and interventions, especially for students and early career professionals in the field.
The book provides a systematic method for drama therapists and drama therapy students to use to determine the most appropriate therapy technique for clients. Paige Dickinson and Sally Bailey have identified and analyzed their own experiences with the task, and here they explain how to put learned theory into practice. In doing so, they provide early career drama therapy professionals a reliable and effective tool for making clinical decisions and offer practitioners a point of reference in addressing the socio-emotional needs of their clients.
The authors explain the basic tools drama therapists use in therapy situations, identify the core healing concepts of the practice, discuss the basic treatment planning process, and explain how these components are used together to identify an appropriate type of intervention for the client. They also offer examples of how this system can be applied to a variety of common diagnoses, and the appendices provide resources to connect drama therapy interventions to global treatment outcomes.
Filling a significant gap in contemporary scholarship, Driven by Fear looks at the past to offer critical lessons for our age of bioterror threats and emerging infectious diseases.
This book is the culmination of five years of impassioned conversations among distinguished scholars in law, public policy, medicine, and biopsychology, about the most difficult questions in drug policy and the study of addictions. As these intensely argued chapters show, the obvious answers are always alluring but frequently wrong.
Do drug addicts have an illness, or is their addiction under their control? Should they be treated as patients, or as criminals? Challenging the conventional wisdom in both the psychiatric community and the enforcement community, the authors show the falsity of these standard dichotomies. They argue that the real question is how coercion and support can be used together to steer addicts toward productive life.
Written in clear and forceful language, without ideological blinkers and with close attention to empirical data, this book has something to teach both novice and expert in the fields of drug addiction and drug policy. The authors' resistance to sloganeering from right or left will raise the quality of public discussion of a complex issue, and contribute to the management of one of the most painful and enduring problems of American society.
On August 26, 1960, twenty-three-year-old Danish cyclist Knud Jensen, competing in that year's Rome Olympic Games, suddenly fell from his bike and fractured his skull. His death hours later led to rumors that performance-enhancing drugs were in his system. Though certainly not the first instance of doping in the Olympic Games, Jensen's death serves as the starting point for Thomas M. Hunt's thoroughly researched, chronological history of the modern relationship of doping to the Olympics. Utilizing concepts derived from international relations theory, diplomatic history, and administrative law, this work connects the issue to global political relations.
During the Cold War, national governments had little reason to support effective anti-doping controls in the Olympics. Both the United States and the Soviet Union conceptualized power in sport as a means of impressing both friends and rivals abroad. The resulting medals race motivated nations on both sides of the Iron Curtain to allow drug regulatory powers to remain with private sport authorities. Given the costs involved in testing and the repercussions of drug scandals, these authorities tried to avoid the issue whenever possible. But toward the end of the Cold War, governments became more involved in the issue of testing. Having historically been a combined scientific, ethical, and political dilemma, obstacles to the elimination of doping in the Olympics are becoming less restrained by political inertia.
"I started out snorting a couple of lines a night and ended up injecting and snorting about three grams a day."--That could be your dentist talking.
"I worked a lot with hangovers and made lots of mistakes when coming down off acid."--That might be your nurse.
"The patient was waking up and I was out cold."--And that was some unlucky patient's anesthesiologist.
Professionals trusted with our well-being are the last people we suspect of drug addiction. And yet they are at least as likely as anyone else to abuse alcohol and other drugs--a well-kept secret finally aired and fully examined in this powerful book. Drawing on more than 120 personal interviews with addicted physicians, dentists, nurses, pharmacists, attorneys, and airline pilots and those who treat them, Robert Coombs gives us a startling picture of drug abuse among "pedestal professionals." He discusses addiction as an occupational hazard for those with the easiest access to drugs, the greatest sense of immunity to their perils, and the most extensive means (and reasons) for hiding their problems. Throughout, the interviewees' eloquent and often harrowing testimony reminds us of the human drama behind the exhaustive research and analysis presented here. Their bittersweet stories bear out Coombs's contention that recovering addicts, free of their magical elixirs, can become more complete people than they were before addiction.
From the biological, psychosocial, and spiritual roots of addiction to the equally diverse approaches to recovery, to the merits and failures of government drug policy, Drug-Impaired Professionals offers a clear and complete overview of a complex problem that affects nearly every family in America.
Dyslexia and Development presents the latest findings of neurobiological research, which suggest a link between seemingly minor brain abnormalities and epilepsy, learning disorders, and autism. The authors focus on the plasticity of the developing nervous system and the possible role of subtle early brain injury in the emergence of these disorders, particularly dyslexia.
The distinguished contributors to this volume examine epidemiological and clinical issues that may make the developing brain more vulnerable to environmental and genetic influences, which can in turn lead to abnormal brain plasticity and behavior. Although major forms of brain malformation have been clearly associated with functional deficits, mild forms have historically been ignored or trivialized; this book supports the hypothesis that several types of such malformation reflect brain injury during critical stages of development, and also the premise that more and more disturbances of thought and behavior stem from abnormalities of brain organization.
Neurologists and neurobiologists, psychologists, psycholinguists, psychiatrists, and special educators will find here a guide to more enlightened understanding and more effective treatment of dyslexia. In fact, the book emphasizes the positive aspect of the neurobiological deviation that dyslexic brains seem to show, along with the observation that people with such brains are often quite creative and extraordinary, rather than handicapped. In turn, the revised consideration of dyslexia should lead to more serious attention to other disturbances of childhood behavior as problems in developmental neurology, as well as to a deeper analysis of possible neurological bases for individual differences in normal behavior and personality.
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