A SCHOLARLY BOOK REPOSITORY80 start with E start with E
Eating and Being is a history of Western thinking about food, eating, knowledge, and ourselves. In modern thought, eating is about what is good for you, not about what is good. Eating is about health, not about virtue. Yet this has not always been the case. For a great span of the past—from antiquity through about the middle of the eighteenth century—one of the most pervasive branches of medicine was known as dietetics, prescribing not only what people should eat but also how they should order many aspects of their lives—including sleep, exercise, and emotional management. Dietetics did not distinguish between the medical and the moral, nor did it acknowledge the difference between what was good for you and what was good. Dietetics counseled moderation in all things, where moderation was counted as a virtue as well as the way to health. But during the nineteenth century, nutrition science began to replace the language of traditional dietetics with the vocabulary of proteins, fats, carbohydrates, and calories, and the medical and the moral went their separate ways. Steven Shapin shows how much depended upon that shift, and he also explores the extent to which the sensibilities of dietetics have indeed been lost.
Throughout this rich history, he evokes what it felt like to eat during another historical period and he invites us to reflect on what it means to feel about food as we now do. Shapin shows how the change from dietetics to nutrition science fundamentally changed how we think about our food and its powers, our bodies, and our minds.
Lyme disease--virtually unknown in the United States only a decade ago--has now been reported from almost every state; in the Northeast, it has become a major public health crisis. Under the name of borreliosis, the disease is also common in Europe. As Americans have become aware of the hazard they face from Lyme disease, they have become anxious to know how to avoid or control the disease. But the complex ecological interactions of Lyme disease make that extremely difficult. The disease is caused by a microorganism, a spirochete, which is carried by tiny ticks. The ticks, in turn, are transported from place to place by their hosts: humans, deer, white-tailed mice, dogs, lizards, and many other animals and birds. Both ticks and their hosts serve as a reservoir for the disease. As with any tick-borne disease, the best hope of prevention lies in understanding and interrupting the lifecycle of the microorganism, its vectors, and their hosts.
This book is the first attempt to survey the natural history, ecology, population dynamics, geography, and environmental management of Lyme disease. Eighteen leading American researchers on Lyme disease explain the current state of knowledge and comment candidly on the theoretical and practical advantages and difficulties with each technique of surveillance, self-protection, and tick control. The book includes suggestions for personal protection against the disease,
This is an essential resource for naturalists, ecologists, physicians, nurses, epidemiologists, public health officials, entomologists, veterinarians, pest control operators, wildlife managers, town planners, and anyone concerned with Lyme disease.
This volume explores the intersection of the scientific, clinical, and economic factors affecting the development of PPM, including its effects on the drug pipeline, on reimbursement of PPM diagnostics and treatments, and on funding of the requisite underlying research; and it examines recent empirical applications of PPM.
Fr one hundred years, Meharry has provided opportunity to thousands of Black Americans and some others, but the history of the institution is told, not by the changes in the futures of those fortunate men and women who became graduates, but by the action of a few in each generation with the vision to attack the vestiges of slavery, poverty, and excess morbidity through the building and operation of a medical college.
The college was conceived just after the Civil War when many thought the problem of the ex-slaves would soon disappear because their death rate was so great and the absence of health care was not a focus. The institution would be national, but its setting was a bankrupt city that had the fourth worst health statistics in the world. It was started by a missionary who had no money or medical experience at a time when there were more who objected to this work than applauded it. However, the desire of those students who begged that a medical school be started and the future of the many people who would be touched by its services were enough to motivate the founders to embark on this venture.
A number of documents have existed chronicling the events of the institution, but when requested by an academic society to provide one book that gave the most accurate history of the institution, I knew that no recent such book had been written. This book satisfies the need for such facts to be available. It also provides a journalistic, well-documented account of the varying approaches to providing opportunity and improving health for Black Americans.
The thirteen essays in Educating for Professionalism examine the often conflicting ethical, social, emotional, and intellectual messages that medical institutions send to students about what it means to be a doctor. Because this disconnection between what medical educators profess and what students experience is partly to blame for the current crisis in medical professionalism, the authors offer timely, reflective analyses of the work and opportunities facing medical education if doctors are to win public trust.
In their drive to improve medical professionalism within the world of academic medicine, editors Delese Wear and Janet Bickel have assembled thought-provoking essays that elucidate the many facets of teaching, valuing, and maintaining medical professionalism in the middle of the myriad challenges facing medicine at the dawn of the twenty-first century.
The collection traces how the values of altruism and service can influence not only mission statements and admission policies but also the content of medical school ethics courses, student-led task forces, and mentoring programs, along with larger environmental issues in medical schools and the communities they serve.
Stanley Joel Reiser
Jack Coulehan
Peter C. Williams
Frederic W. Hafferty
Richard Martinez
Judith Andre
Jake Foglio
Howard Brody
Sheila Woods
Sue Fosson
Lois Margaret Nora
Mary Anne C. Johnston
Tana A. Grady-Weliky
Cynthia N. Kettyle
Edward M. Hundert
Norma E. Wagoner
Frederick A. Miller
William D. Mellon
Howard Waitzkin
Donald Wasylenki
Niall Byrne
Barbara McRobb
Edward J. Eckenfels
Lucy Wolf Tuton
Claudia H. Siegel
Timothy B. Campbell
“Blood,” Goethe observed in Faust, “is a very special juice.” How special it is and how complex as well is revealed in Douglas Surgenor’s Edwin J. Cohn and the Development of Protein Chemistry.
As Surgenor aptly shows, what began as a modest program in basic research at the Harvard Medical School in 1920 with the establishment of a small laboratory for the study of the physical chemistry of proteins, suddenly and quite unexpectedly took on immensely practical proportions twenty years later when the onset of World War II made requisite new sophisticated blood techniques and blood substitutes for the treatment of military casualties.
The knowledge and expertise gained by Edwin Cohn and his laboratory associates in the study of proteins, amino acids, and peptides in blood after 1920 put them in a unique position to carry out the search for new blood products. Edwin J. Cohn and the Development of Protein Chemistry discloses how the wartime emergency called into play Cohn’s talents as a leader who drew together chemists, clinicians, pathologists, immunologists, and others in the attainment of a complex goal. The revolution Cohn started has still not run its course.
Why human rights don’t work
In The Effluent Eye, Rosemary J. Jolly argues for the decolonization of human rights, attributing their failure not simply to state and institutional malfeasance but to the very concept of human rights as anthropocentric—and, therefore, fatally shortsighted. In an engaging mix of literary and cultural criticism, Indigenous and Black critique, and substantive forays into the medical humanities, Jolly proposes right-making in the demise of human rights.
Using what she calls an “effluent eye,” Jolly draws on “Fifth Wave” structural public health to confront the concept of human rights—one of the most powerful and widely entrenched liberal ideas. She builds on Indigenous sovereignty work from authors such as Robin Wall Kimmerer, Leanne Betasamosake Simpson, and Mark Rifkin as well as the littoral development in Black studies from Christine Sharpe, Saidiya Hartman, and Tiffany Lethabo King to engage decolonial thinking on a range of urgent topics such as pandemic history and grief; gender-based violence and sexual assault; and the connections between colonial capitalism and substance abuse, the Anthropocene, and climate change.
Combining witnessed experience with an array of decolonial texts, Jolly argues for an effluent form of reading that begins with the understanding that the granting of “rights” to individuals is meaningless in a world compromised by pollution, poverty, and successive pandemics.
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Using the broader concept of elicitation, Seo analyzes the social encounters and forces that shape caregivers. These dynamics challenge dichotomies of subjugation and resistance, consent and coercion, and dependence and autonomy. The intimate and moving stories at the core of Eliciting Care from patients and providers draw attention to a broader, critically important phenomenon at the hospital level. Seo's poignant ethnography engages with feminist theory on the ethics of care, and in so doing, makes a significant contribution to emerging work in the field of health policy and politics.
This volume follows the first, entitled Building Academic Partnerships to Reduce Maternal Morbidity and Mortality: ACall to Action and Way Forward (http://amzn.to/22pZ0Wd), which identified the critical components for capacity building in expert women’s health care. Each chapter of this current edition is organized to address these critical components from multiple perspectives including African obstetrician/gynecologists, Ministries of Health and Education, American/European obstetrician/gynecologists and professional organizations.
Within the pages of this book, readers will encounter the tremendous passion African OBGYNs have for expanding their expertise to deal with the tragedies that befall women on a daily basis. The entire specialty of OBGYN is poised to mobilize the educational resources, experience and expertise to support African OBGYNs in their re-invention of Obstetrics and Gynecology in the African context, for the African continent. A complete reading of this book will leave the reader with a deep understanding of the issues and solutions.
The deficit of expert obstetric and gynecologic care in Sub-Saharan Africa leads to the silent suffering of millions of women and families due to unnecessary mortality and debilitating morbidity to women and girls of all ages. Pregnancy and its consequences have significant effects on women and they deserve safe labor and delivery with the expectation of bearing a live-born infant.
In 2016, we are rightly focused on maternal, perinatal and early neonatal mortality. This urgent crisis must continue to be aggressively addressed, but a long-term view would demand that targeted interventions must not occur in a vacuum. The same specialists who provide critical and lifesaving obstetric care are the same ones who can diagnose fetal problems, diagnose and treat ectopic pregnancy both medically and surgically, and treat the myriad medical and surgical issues that face women throughout their lifetime. In essence, they provide the complex, evidence-based interventions that women in most parts of the world enjoy. Current attempts to replace this expert and comprehensive clinical capacity with health workers trained to perform specific tasks has gained favor, and fills an urgent need. But when done without also creating the cadre and institutions for supervision, long-term prospects for impact are poor.
The rich text presented herein will not only tell the story, but will also provide the concrete steps needed to replicate the successful Ghana experience – sustainably - in other African countries. The 1000+ OBGYN Project (www.1000obgyns.org) has brought together a vast array of educational resources and a network of university programs, expert clinical organizations and professional societies to implement this collective wisdom. The group is poised for action to end preventable maternal and neonatal mortality by 2030. We welcome your interest and participation.
In this timely addition to the Ohio Short Histories of Africa series, Pamela Scully takes us from the 1938 birth of Nobel Peace Prize winner and two-time Liberian president Ellen Johnson through the Ebola epidemic of 2014–15. Charting her childhood and adolescence, the book covers Sirleaf’s relationship with her indigenous grandmother and urban parents, her early marriage, her years studying in the United States, and her career in international development and finance, where she developed her skill as a technocrat. The later chapters cover her years in and out of formal Liberian politics, her support for women’s rights, and the Ebola outbreak.
Sirleaf’s story speaks to many of the key themes of the twenty-first century. Among these are the growing power of women in the arenas of international politics and human rights; the ravaging civil wars in which sexual violence is used as a weapon; and the challenges of transitional justice in building postconflict societies. Ellen Johnson Sirleaf is an astute examination of the life of a pioneering feminist politician.
The popular notion of a lone scientist privately toiling long hours in a laboratory, striking upon a great discovery, and announcing it to the world is a romanticized fiction. Vincent Kiernan's Embargoed Science reveals the true process behind science news: an elite few scholarly journals control press coverage through a mechanism known as an embargo. The journals distribute advance copies of their articles to hundreds and sometimes thousands of journalists around the world, on the condition that journalists agree not to report their stories until a common time, several days later. When the embargo lifts, airwaves and newspaper pages are flooded with stories based on the journal's latest issue.
In addition to divulging the realities behind this collusive practice, Kiernan offers an unprecedented exploration of the embargo's impact on public and academic knowledge of science and medical issues. He surveys twenty five daily U.S. newspapers and relates his in-depth interviews with reporters to examine the inner workings of the embargo and how it structures our understanding of news about science. Kiernan ultimately argues that this system fosters "pack journalism" and creates an unhealthy shield against journalistic competition. The result is the uncritical reporting of science and medical news according to the dictates of a few key sources.
Rapidly developing diagnostic and therapeutic methods involving direct contact with the human fetus—fetoscopy, fetal surgery, ultrasonic scanning— demand a precise knowledge of normal structural development during gestation. Toward achieving that goal of precision, Drs. Robert Shapiro and Franklin Robinson have created an atlas described by Richard L. Sidman as “a solid piece of research, executed with considerable esthetic as well as scholarly finesse, and [which] will serve as the definitive study on an important aspect of human fetal development.”
The authors have documented the early development of the human skull in terms of gross size, shape, and the behavior of the individual bones com posing the skull with reference to their ossification centers, ossification rates, and relationships. The data are presented in very high quality photographs and radiographs of the dried skull in several relevant orientations, low magnification color photomicrographs of well sectioned and stained specimens, and color photographs of an unusually fine series of transilluminated skulls prepared by the Spalteholz method. Line drawings are also presented to assist in interpretation.
The atlas is organized according to gestational age, and a tabular summary is given of the 63 specimens ranging in age from ten to forty fetal weeks.
This will be the basic normative standard reference for studies on develop mental skeletal disorders of the head and neck; it will be useful as well in the study of developmental brain diseases. Radiologists engaged in visualizing the fetus and diagnosing fetal diseases in situ by ultrasound, computerized tomography, and other methods will find this an invaluable tool.
Too tiny to see with the naked eye, the human embryo was just a hypothesis until the microscope made observation of embryonic development possible. This changed forever our view of the minuscule cluster of cells that looms large in questions about the meaning of life. Embryos under the Microscope examines how our scientific understanding of the embryo has evolved from the earliest speculations of natural philosophers to today’s biological engineering, with its many prospects for life-enhancing therapies. Jane Maienschein shows that research on embryos has always revealed possibilities that appear promising to some but deeply frightening to others, and she makes a persuasive case that public understanding must be informed by up-to-date scientific findings.
Direct observation of embryos greatly expanded knowledge but also led to disagreements over what investigators were seeing. Biologists confirmed that embryos are living organisms undergoing rapid change and are not in any sense functioning persons. They do not feel pain or have any capacity to think until very late stages of fetal development. New information about DNA led to discoveries about embryonic regulation of genetic inheritance, as well as evolutionary relationships among species. Scientists have learned how to manipulate embryos in the lab, taking them apart, reconstructing them, and even synthesizing—practically from scratch—cells, body parts, and maybe someday entire embryos. Showing how we have learned what we now know about the biology of embryos, Maienschein changes our view of what it means to be alive.
Osborne argues that physicians formulated localized concepts of diseases according to specific climatic and meteorological conditions, and assessed, diagnosed, and treated patients according to their ethnic and cultural origins. He also demonstrates that regions, more so than a coherent nation, built the empire and specific medical concepts and practices. Thus, by considering tropical medicine’s distinctive history, Osborne brings to light a more comprehensive and nuanced view of French medicine, medical geography, and race theory, all the while acknowledging the navy’s crucial role in combating illness and investigating the racial dimensions of health.
“The Emmanuel Movement” was a name given by the contemporary press to a combined method of group and individual psychotherapy introduced in 1906 by the Rev. Elwood Worcester, Rector of the Emmanuel Church in Boston. This treatment method for the common neuroses, offered to the public free of charge and open to all social classes and religious denominations, was first welcomed with great popular acclaim but later ravaged by the widespread newspaper publicity it attracted. The movement continued its stormy existence for a decade beyond Worcester’s retirement in 1929. His successors applied his methods—including group treatment, the first to be employed in psychotherapy anywhere—to the treatment of alcoholics.
In The Emmanuel Movement, Sanford Gifford presents the definitive statement on this unique movement. He examines its position during a critical phase of American psychotherapy, and discusses the methods and personalities—both champions and detractors—associated with it.
Contributors: Jon Arrizabalaga, Rob Boddice, Leticia Fernández-Fontecha, Emma Hutchison, Dolores Martín-Moruno, Piroska Nagy, Beatriz Pichel, María Rosón, Pilar León-Sanz, Bertrand Taithe, and Gian Marco Vidor.
Emotionally Disturbed is the first work to examine not only the history of residential treatment but also the history of seriously mentally ill children in the United States. As residential treatment centers emerged as new spaces with a fresh therapeutic perspective, a new kind of person became visible—the emotionally disturbed child. Residential treatment centers and the people who worked there built physical and conceptual structures that identified a population of children who were alike in distinctive ways. Emotional disturbance became a diagnosis, a policy problem, and a statement about the troubled state of postwar society. But in the late twentieth century, Americans went from pouring private and public funds into the care of troubled children to abandoning them almost completely. Charting the decline of residential treatment centers in favor of domestic care–based models in the 1980s and 1990s, this history is a must-read for those wishing to understand how our current child mental health system came to be.
Choy conducted extensive interviews with Filipino nurses in New York City and spoke with leading Filipino nurses across the United States. She combines their perspectives with various others—including those of Philippine and American government and health officials—to demonstrate how the desire of Filipino nurses to migrate abroad cannot be reduced to economic logic, but must instead be understood as a fundamentally transnational process. She argues that the origins of Filipino nurse migrations do not lie in the Philippines' independence in 1946 or the relaxation of U.S. immigration rules in 1965, but rather in the creation of an Americanized hospital training system during the period of early-twentieth-century colonial rule. Choy challenges celebratory narratives regarding professional migrants’ mobility by analyzing the scapegoating of Filipino nurses during difficult political times, the absence of professional solidarity between Filipino and American nurses, and the exploitation of foreign-trained nurses through temporary work visas. She shows how the culture of American imperialism persists today, continuing to shape the reception of Filipino nurses in the United States.
Featuring a variety of topics and methods, essays in Empires of Hygiene compare the disease that is physically suffered to that which is scientifically classified and identified as a social problem. Diseases such as leprosy and STDs, which have biomedical identities in Western settings but in Asia emerge as inseparable from certain colonial regimes, are examined. Spermatorrhea—a disease that compromises the male body’s ability to reproduce—is discussed in relation to the disarray of the Chinese Republic during the mid-twentieth century. The collection also addresses imperial themes of prewar Japan in the literary works of Mori Rintaro and Shimazaki Tison.
Contributors. Warwick Anderson, Michael Bourdaghs, Judith Farquhar, Marta Hanson, Thomas LaMarre, Philippa Levine, Hugh Shapiro, Nathan Sivin
“Will the future confront us with human GMOs? Greely provocatively declares yes, and, while clearly explaining the science, spells out the ethical, political, and practical ramifications.”—Paul Berg, Nobel Laureate and recipient of the National Medal of Science
Within twenty, maybe forty, years most people in developed countries will stop having sex for the purpose of reproduction. Instead, prospective parents will be told as much as they wish to know about the genetic makeup of dozens of embryos, and they will pick one or two for implantation, gestation, and birth. And it will be safe, lawful, and free. In this work of prophetic scholarship, Henry T. Greely explains the revolutionary biological technologies that make this future a seeming inevitability and sets out the deep ethical and legal challenges humanity faces as a result.
“Readers looking for a more in-depth analysis of human genome modifications and reproductive technologies and their legal and ethical implications should strongly consider picking up Greely’s The End of Sex and the Future of Human Reproduction… [It has] the potential to empower readers to make informed decisions about the implementation of advancements in genetics technologies.”
—Dov Greenbaum, Science
“[Greely] provides an extraordinarily sophisticated analysis of the practical, political, legal, and ethical implications of the new world of human reproduction. His book is a model of highly informed, rigorous, thought-provoking speculation about an immensely important topic.”
—Glenn C. Altschuler, Psychology Today
Researchers often hope that their work will inform social change. The questions that motivate them to pursue research careers in the first place often stem from observations about gaps between the world as we wish it to be and the world as it is, accompanied by a deep curiosity about how it might be made different. Researchers view their profession as providing important information about what is, what could be, and how to get there. However, if research is to inform social change, we must first change the way in which research is done.
Engaging the Intersection of Housing and Health offers case studies of research that is interdisciplinary, stakeholder-engaged and intentionally designed for “translation” into practice. There are numerous ways in which housing and health are intertwined. This intertwining—which is the focus of this volume—is lived daily by the children whose asthma is exacerbated by mold in their homes, the adults whose mental illness increases their risk for homelessness and whose homelessness worsens their mental and physical health, the seniors whose home environment enhances their risk of falls, and the families who must choose between paying for housing and paying for healthcare.
The first medical book published in the American colonies
The English Physician is a humble vest-pocket-sized 94-page medical guide for the common person, by the prolific herbalist and author Nicholas Culpeper. It was a staple in 17th-century England, as it was short, written in accessible prose, and inexpensive; and perhaps as attractive, it took a decidedly skeptical view of "official" medicine, relying instead on popular remedies. Culpeper’s philosophy was to teach the common folk to minister to themselves by providing them with the tools and knowledge for self-help.
Published in Boston in 1708 by Nicholas Boone, the American version of The English Physician was widely cited and used at the time. Today only five copies are known to exist. The rarity of this vade mecum of colonial America is wrapped in mystery: Who really wrote this book and when, where, and how did it originate?
The editor illuminates these mysteries while adding an informative historical introduction on the state of medical knowledge and practice at the time, exploring Culpeper’s position among competing medical writers, and glossing the medical and botanical terms, providing contemporary equivalents. Modern readers will discover the meaning behind the strangely named brews and concoctions of the 17th century and will learn how this Boston printing literally transformed the American landscape with herbs brought from the British colonists’ homeland.
In this volume, scholars from philosophy, sociology, history, theology, women’s studies, and law explore the looming ethical and social implications of new biotechnologies that are rapidly making it possible to enhance an individual’s mental and physical attributes in ways previously only imagined.
To clarify the issues, the contributors grapple with the central concept of "enhancement" and probe the uses and abuses of the term. Focusing in particular on the moral issues pertaining to cosmetic surgery and cosmetic psychopharmacology (a category which includes Prozac), they also examine notions of identity, authenticity, normality, and complicity. Other essays in this collection address the social ramifications of the new technologies, including the problems of access and fairness.
Dramatic changes in the field of environmental health since the Third Edition was published in 2004 demand a new, radically updated version of this essential textbook.
Based on the recommendations of advisory bodies and federal agency regulations, as well as a thorough review of the scientific literature, Moeller’s Fourth Edition is the only fully current text in this burgeoning field. It features new tables and figures, and revisions of those retained from previous editions. Environmental Health is also enriched with the knowledge and insights of professionals who are deeply involved in “real world” aspects of each subject covered.
In eighteen chapters, students receive a complete but manageable introduction to the complex nature of the environment, how humans interact with it, and the mutual impact between people and the environments where they work or live. This new edition emphasizes the challenges students will face in the field: the local and global implications of environmental health initiatives, their short- and long-range effects, their importance to both developing and developed nations, and the roles individuals can play in helping to resolve these problems.
Whether discussing toxicology, injury prevention, risk assessment, and ionizing and non-ionizing radiation, or more traditional subjects like the management and control of air, water, and food, Dade Moeller emphasizes the need for a systems approach to analyzing new projects prior to their construction and operation.
Environmental Health is indispensable reading for practitioners, students, and anyone considering a career in public health.
When the first edition of Environmental Health appeared in 1992 it was quickly recognized as the single best resource for students, public health professionals, and general readers concerned with the well-being of the environment and its inhabitants. Now, four completely new chapters and an additional two hundred pages of text bring this definitive work up to date.
This new edition maintains the earlier edition's balanced coverage of a broad spectrum of timely topics, including air, water, and food; occupational health; insect and rodent control; the effects, uses, and management of ionizing and nonionizing radiation; accidents as a cause of injuries and deaths; natural and man-made disasters; the impact of energy usage; and environmental standards and monitoring. The new edition also offers completely new chapters on four crucial subjects: environmental toxicology, environmental epidemiology, environmental law, and risk assessment. In addition, drinking water and liquid wastes, formerly discussed in combination, are now covered in separate chapters.
In the early fall of 1897, yellow fever shuttered businesses, paralyzed trade, and caused tens of thousand of people living in the southern United States to abandon their homes and flee for their lives. Originating in Cuba, the deadly plague inspired disease-control measures that not only protected U.S. trade interests but also justified the political and economic domination of the island nation from which the pestilence came. By focusing on yellow fever, Epidemic Invasions uncovers for the first time how the devastating power of this virus profoundly shaped the relationship between the two countries.
Yellow fever in Cuba, Mariola Espinosa demonstrates, motivated the United States to declare war against Spain in 1898, and, after the war was won and the disease eradicated, the United States demanded that Cuba pledge in its new constitution to maintain the sanitation standards established during the occupation. By situating the history of the fight against yellow fever within its political, military, and economic context, Espinosa reveals that the U.S. program of sanitation and disease control in Cuba was not a charitable endeavor. Instead, she shows that it was an exercise in colonial public health that served to eliminate threats to the continued expansion of U.S. influence in the world.
This is the first history of epidemics in South Africa, lethal episodes that significantly shaped this society over three centuries. Focusing on five devastating diseases between 1713 and today—smallpox, bubonic plague, “Spanish influenza,” polio, and HIV/AIDS—the book probes their origins, their catastrophic courses, and their consequences in both the short and long terms. The impacts of these epidemics ranged from the demographic—the “Spanish flu,” for instance, claimed the lives of six percent of the country’s population in six weeks—to the political, the social, the economic, the spiritual, the psychological, and the cultural. Moreover, as each of these epidemics occurred at crucial moments in the country’s history—such as during the South African War and World War I—the book also examines how these processes affected and were affected by the five epidemics. To those who read this book, history will not look the same again.
Epilepsy and the Family: A New Guide updates Richard Lechtenberg’s classic handbook for people with seizure disorders and those closest to them. It offers coping strategies for the wide range of practical and emotional challenges that epilepsy can introduce into the family: marital and sexual difficulties, concerns about pregnancy and inheritance, drug compliance and abuse among teenagers, personality changes and suicide. This new guide addresses the personal questions that adults with epilepsy may be reluctant to ask their physician, and it offers chapters tailored to the special stresses of spouses, parents, and siblings who, like the patient, must live with a seizure disorder.
As many as two and a half million Americans have epilepsy. Thirty percent of them are children under the age of 18. And there are 125,000 newly diagnosed cases each year. A practicing neurologist with decades of clinical experience, Lechtenberg clearly and concisely explains the biology behind this complex and relatively widespread class of diseases. He discusses the various medical conditions that can cause seizures in children and adults and points out that the cause of many seizure disorders is never discovered. Patients and those who care about them will find authoritative but accessible advice on various medications and surgical approaches and the information they need to ask informed questions of their doctors. For the medical professional, this book offers important information on how to better treat the patient with epilepsy by recognizing the needs of the entire family.
This revised edition addresses:
— New drugs and surgical techniques that have been developed in the past 15 years
— Pharmaceutical and non-pharmaceutical treatment strategies
— New clinical data on drug combinations and side effects
— Up-to-date statistics for mortality, reproduction, violent behavior, divorce, and suicide
The first comprehensive account of the major disease-eradication campaigns from the early twentieth century right up to the present, Eradication places these ambitious goals in their broad historical and contemporary contexts. From the life and times of the American arch-eradicationist Dr. Fred Lowe Soper (1893-1977), who was at the center of many of the campaigns and controversies surrounding eradication in his lifetime, to debates between proponents of primary health care approaches to ill health versus the eradicationists, Nancy Leys Stepan’s narrative suggests that today these differing public health approaches may be complementary rather than in conflict. Enlightening for general readers and specialists alike, Eradication is an illuminating look at some of the most urgent problems of health and disease around the world.
Susan Sontag once described illness as “the night-side of life.” When we or our loved ones fall ill, our world is thrown into darkness and disarray, our routines are interrupted, our deepest beliefs shaken. The modern regime of hyper-logical biomedicine offers little solace when it comes to the effects of ill health on our inner lives. By exploring the role of desire in illness, Eros and Illness offers an alternative: an unconventional, deeply human exploration of what it means to live with, and live through, disease.
When we face down illness, something beyond biomedicine’s extremely valuable advances in treatment and prevention is sorely needed. Desire in its many guises plays a crucial part in illness, David Morris shows. Emotions, dreams, and stories—even romance and eroticism—shape our experiences as patients and as caregivers. Our perception of the world we enter through illness—including too often a world of pain—is shaped by desire.
Writing from his own heartbreaking experience as a caretaker for his wife, Morris relates how desire can worsen or, with care, mitigate the heavy weight of disease. He looks to myths, memoirs, paintings, performances, and narratives to understand how illness is intertwined with the things we value most dearly. Drawing on cultural resources from many centuries and media, Eros and Illness reaches out a hand to guide us through the long night of illness, showing us how to find productive desire where we expected only despair and defeat.
Essential Facts in Cardiovascular Medicine covers numerous important topics from the basics of Statistics, to factoids in General Cardiology, Physical Exam, EKG, Congenital Heart Disease, Valvular Heart Disease, Heart Failure/Transplant, Acute Coronary Syndromes, Pericardial Diseases, Electrophysiology, Pharmacology, Pregnancy, Pulmonary Hypertension, Peripheral Vascular Disease, Echocardiography, Formulas, Interventional Cardiology and Cardiac Tumors.
He first examines "lifespan neuroethics" and considers how brain development defines human life, from when an embryo develops a brain and could be considered "one of us" to the issues raised as the brain ages, such as whether we should have complete freedom to extend our lives and enhance our brains through the use of genetics, pharmaceuticals, and training.
Gazzaniga also considers the challenges posed to the justice system by new discoveries in neuroscience. Recent findings suggest that our brain has already made a decision before we become fully aware of doing so, raising the question of whether the concept of personal responsibility can remain a fundamental tenet of the law. Gazzaniga argues that as neuroscience learns more about the unreliability of human memory, the very foundation of trial law will be challenged.
Gazzaniga then discusses a radical re-evaluation of the nature of moral belief, as he not only looks at possibly manipulating the part of the brain that creates beliefs but also explores how scientific research is building a brain-based account of moral reasoning.
The Ethical Brain is a groundbreaking volume that presents neuroscience's loaded findings—and their ethical implications—in an engaging and readable manner, offering an incisive and thoughtful analysis of the medical ethics challenges confronting modern society at the dawn of the twenty-first century.
The rapid rise of managed care in the United States has introduced new complexities into ethical dilemmas in health care by changing the traditional relationships among health plans, payers, providers, and patients. Through twenty case studies that provide snapshots of a wide range of ethical challenges, this book explores the goals, methods, and practices of managed care.
Accompanying each case are questions for consideration and a pair of commentaries by prominent contributors from diverse fields. Through the cases and commentaries, this book clarifies the internal workings of managed care, explains relevant concepts, and offers practical, constructive guidance in addressing the ethical and policy issues.
The cases address a broad spectrum of issues concerning rationing shared resources, financial incentives, quality of care, and responsibilities to patients, vulnerable populations, and the community. Specific topics range from coverage of emergency services through funding medical education to respecting patients' religious beliefs and caring for the seriously mentally ill.
This casebook offers a wealth of insights into critical issues that affect the delivery of managed care in an increasingly competitive market. It will be invaluable for those managing the delivery and financing of health care and for students and practitioners of the health professions and health administration, as well as interested recipients of managed care.
A review of the complex ethical problems that confront many professionals and decision makers in managed care systems.
For those who undergo it, infertility treatment is costly, time-consuming, invasive, and emotionally and physically arduous, yet technology remains the focus of most public discussion of the topic. Drawing on concepts from medical ethics, feminist theory, and Roman Catholic social teaching, Maura A. Ryan analyzes the economic, ethical, theological, and political dimensions of assisted reproduction.
Taking seriously the experience of infertility as a crisis of the self, the spirit, and the body, Ryan argues for the place of reproductive technologies within a temperate, affordable, sustainable, and just health care system. She contends that only by ceasing to treat assisted reproduction as a consumer product can meaningful questions about medical appropriateness and social responsibility be raised. She places infertility treatments within broader commitments to the common good, thereby understanding reproductive rights as an inherently social, rather than individual, issue. Arguing for some limits on access to reproductive technology, Ryan considers ways to assess the importance of assisted reproduction against other social and medical prerogatives and where to draw the line in promoting fertility. Finally, Ryan articulates the need for a compassionate spirituality within faith communities that will nurture those who are infertile.
Ethics boards have become obligatory passage points in today’s medical science, and we forget how novel they really are. The use of humans in experiments is an age-old practice that records show goes back to at least the third century BC, and it has been popular as a practice since the early modern period. Yet in most countries around the world, hardly any formal checks and balances existed to govern the communal oversight of experiments involving human subjects until at least the 1960s. Ethics by Committee traces the rise of ethics boards for human experimentation in the second half of the twentieth century.
Using the Netherlands as a case study, historian Noortje Jacobs shows how the authority of physicians to make decisions about clinical research in this period gave way in most developed nations to formal mechanisms of communal decision-making that served to regiment the behavior of individual researchers. This historically unprecedented change in scientific governance came out of the growing international wariness of medical research in the decades after World War II and was meant to solidify a new way of reasoning together in liberal democracies about medicine and science. But what reasoning together meant, and who was invited to participate, changed drastically over time. In detailing this history, Jacobs shows that research ethics committees were originally intended not only to make human experimentation more ethical but also to raise its epistemic quality and intensify the use of new clinical research methods. By examining complex negotiations over the appropriate governance of human subjects research, Ethics by Committee is an important contribution to our understanding of the randomized controlled trial and the history of research ethics and bioethics more generally.
This collection of thirty-one cases and commentaries addresses ethical problems commonly encountered by the average health care professional, not just those working on such high-tech specialties as organ transplants or genetic engineering. It deals with familiar issues that are rarely considered in ethics casebooks, including such fundamental matters as informed consent, patient decision-making capacity, the role of the family, and end-of-life decisions. It also provides resources for basic but neglected ethical issues involving placement decisions for elderly or technologically dependent patients, rehabilitation care, confidentiality regarding AIDS, professional responsibility, and organizational and institutional ethics.
The authors describe in detail the perspectives of each party to the case, the kind of language that ethicists use to discuss the issues, and the outcome of the case. A short bibliography suggests useful articles for further reading or curriculum development.
Easily understood by readers with no prior training in ethics, this book offers guidance on everyday problems from across the broad continuum of care. It will be valuable for health-care professionals, hospital ethics committees, and for students preparing for careers in health-care professions.
Originally published in 1999, this classic textbook includes twenty-six cases with commentary and bibliographic resources designed especially for medical students and the training of ethics consultants. The majority of the cases reflect the day-to-day moral struggles within the walls of hospitals. As a result, the cases do not focus on esoteric, high-tech dilemmas like genetic engineering or experimental protocols, but rather on fundamental problems that are pervasive in basic healthcare delivery in the United States: where to send a frail, elderly patient who refuses to go to a nursing home, what role the family should play in making a treatment decision, what a hospital should do when it is getting stuck with too many unpaid bills.
This thoroughly revised and updated second edition includes thirteen new cases, five of which are designated as "skill builder" cases aimed specifically at persons who wish to conduct clinical ethics case consultations. The new cases highlight current ethical challenges that arise in caring for populations such as undocumented immigrant patients, persons with substance use disorders involving opioids, and ethical issues that arise beyond the bedside at the organizational level. The reader is invited to use the supplemental videos and assessment tools available on the website of the Loyola University Chicago ACES project (www.LUC.edu/ethicsconsult).
In the wake of the successful cloning of animals and the promises—or fears—of stem cell research, new discoveries in science and medicine need more than ever to be accompanied by careful moral reflection. Contending that concern over the ethical dimensions of these and other like issues are no longer just in the domain of those involved in medical practice, the third edition of Ethics of Health Care claims these are vital topics that should matter deeply to all citizens.
While stressing the Catholic tradition in health care ethics, Ethics of Health Care is ecumenical, incorporating a broader Christian tradition as well as humanistic approaches, and takes as common ground for mutual understanding the Universal Declaration of Human Rights of the United Nations. This new third edition is a response to the many developments in theology and the startlingly rapid changes in the arenas of medicine and health care over the past decade, from the dominance of managed care to increased surgery on an "outpatient" basis; from hospice care for the dying to the increasing use of drugs in the treatment of mental illness.
Revised and thoroughly up-to-date, this third edition continues with its valuable teaching aids, including case studies, study questions, chapter summaries, a bibliography, and complete index.
All manner of medical practitioners have had their scruples dissected ad infinitum. In spite of the attention paid to medical ethics and bioethics, little has been paid to the ethical roles and responsibilities of those who are ultimately in charge of hospital governance: hospital trustees.
Deriving from a Hastings Center research project involving meetings with a national task force of experts and extensive interviews with 98 nonprofit hospital trustees and CEOs over a two-year period, The Ethics of Hospital Trustees shows that the decisions made by these often overlooked members of the health community do raise important ethical issues, and that ethical dimensions of trustee service should be more explicitly recognized and discussed.
Practical as well as theoretical, The Ethics of Hospital Trustees uncovers four basic principles: 1. Fidelity to mission; 2. Service to patients; 3. Service to the community; and 4. Institutional stewardship. In delineating the extremely important functions of hospital trustees, from patient safety to financial responsibility, the contributors outline not only how hospital trustees do perform—they give a fresh understanding to how they should perform as well.
The essays in Ethics, Trust, and the Professions probe the nature of the fiduciary relationship that binds client to lawyer, believer to minister, and patient to doctor. Angles of approach include history, sociology, philosophy, and culture, and their very multiplicity reveals how difficult we find it to formulate a code of ethics which will insure a relationship of trust between the professional and the public.
Ethnicity and Medical Care equips health professionals with the ethnographic data they need to deliver better health care within American communities of urban blacks, Chinese, Haitians, Italians, Mexicans, Navajos, and Puerto Ricans. Each chapter, dealing in turn with one of these seven American subcultures, reviews the available demographic and epidemiological data and examines sociocultural influences on each major phase of illness.
Topics range from culture-specific syndromes such as susto or “evil eye,” to concepts of disease based on blood perturbations or God's punishment, to lay-referral networks, consultation of mainstream and non-mainstream sources of medical care, and adherence to treatment regimens. But ethnic behavior often entails general styles of interaction—attitudes toward authority figures, sex-role allocations, and ways of expressing emotion and asking for help—that are carried over into the healthcare setting. Accordingly, Ethnicity and Medical Care also offers general guidelines for providing more personalized, culturally relevant care for any ethnically affiliated patient.
In 1859 a Hungarian obstetrician named Ignaz Semmelweis, reflecting on his years as resident in the Vienna maternity clinic, wrote a graphic account of his attempt to diagnose and eliminate the then epidemic scourge of childbed fever. The resulting Etiology triggered an immediate and international squall of protest from Semmelweis’s colleagues; today it is recognized as a pioneering classic of medical history. Now, for the first time in many years, Codell Carter makes that classic available to the English-speaking reader in this vivid translation of the 1861 original, augmented by footnotes and an explanatory introduction. For students and scholars of medical history and philosophy, obstetrics and women’s studies, the accessibility of this moving and revolutionary work, important both as an historical document and as a groundbreaking precursor of modern medical theory, is long overdue.
Semmelweis’s exposure to the childbed fever was concurrent with his appointment to the Vienna maternity hospital in 1846. Like many similar hospitals and clinics in the major cities of nineteenth-century Europe and America, where death rates from the illness sometimes climbed as high as 40 percent of admitted patients, the Viennese wards were ravaged by the fever. Intensely troubled by the tragic and baffling loss of so many young mothers, Semmelweis sought answers. The Etiology was testimony to his success. Based on overwhelming personal evidence, it constituted a classic description of a disease, its causes, and its prevention. It also allowed a necessary response to the obstetrician’s already vocal, rabid, and perhaps predictable critics. For Semmelweis’s central thesis was a startling one - the fever, he correctly surmised, was caused not by epidemic or endemic influences but by unsterilized and thus often contaminated hands of the attending physicians themselves.
Carter’s translation of this radical work, judiciously abridged and extensively footnoted, captures all the drama and impassioned conviction of the original. Complementing this translation is a lucid introduction that places Semmelweis’s Etiology in historical perspective and clarifies its contemporary value. That value, Carter argues, is considerable. Important as a model of clinical analysis and as a chronicle of early nineteenth-century obstetrical practices, the Etiology is also a revolutionary polemic in its innovative doctrine of antisepsis and in its unique etiological explanation of disease. As such its recognition and reclamation allows a crucial understanding, one that clarifies the roots and theory of modern medicine and ultimately redeems and important, resolute, pathfinder.
Since the 1950s, the death rate from heart attacks has plunged from 35 percent to about 5 percent—and fatalistic attitudes toward this disease and many others have faded into history. Much of the improved survival and change in attitudes can be traced to the work of Eugene Braunwald, MD. In the 1960s, he proved that myocardial infarction was not a “bolt from the blue” but a dynamic process that plays out over hours and thus could be altered by treatment. By redirecting cardiology from passive, risk-averse observation to active intervention, he helped transform not just his own field but the culture of American medicine.
Braunwald’s personal story demonstrates how the forces of history affected the generation of researchers responsible for so many medical advances in the second half of the twentieth century. In 1938 Nazi occupiers forced his family to flee Vienna for Brooklyn. Because of Jewish quotas in medical schools, he was the last person admitted to his class, but went on to graduate number one. When the Doctor Draft threatened to interrupt his medical training during the Korean War, he joined the National Institutes of Health instead of the Navy, and there he began the research that made him the most influential cardiologist of his time.
In Eugene Braunwald and the Rise of Modern Medicine, Thomas H. Lee offers insights that only authoritative firsthand interviews can provide, to bring us closer to this iconic figure in modern medicine.
Oxidants are naturally occuring chemicals in our bodies that derive from oxygen to facilitate essential biochemical processes. However, most oxidants are potentially toxic molecules and the body contains a number of antioxidants for protection against these toxic effects. Overproduction of oxidants, or underproduction of antioxidants, leads to oxidative stress, which has been linked to a wide range of chronic diseases, including heart disease, cancer, diabetes, and Alzheimer's. Smythies thoroughly evaluates current scientific work on this subject and suggests that a high proportion of many of these diseases can be prevented, or their onset delayed, by proper intake of antioxidants. He examines the pros and cons of the debate over how this necessary intake should be achieved, by eating more fruits and vegetables or by taking supplements in pill form. Smythies surveys the toxicity of antioxidants and recommends under what circumstances they should be given with caution or not at all. He also discusses whether taking supplements requires medical supervision and lists good sources of antioxidants in fruits and vegetables
Oxidants are naturally occuring chemicals in our bodies that derive from oxygen to facilitate essential biochemical processes. However, most oxidants are potentially toxic molecules and the body contains a number of antioxidants for protection against these toxic effects. Overproduction of oxidants, or underproduction of antioxidants, leads to oxidative stress, which has been linked to a wide range of chronic diseases, including heart disease, cancer, diabetes, and Alzheimer's. Smythies thoroughly evaluates current scientific work on this subject and suggests that a high proportion of many of these diseases can be prevented, or their onset delayed, by proper intake of antioxidants. He examines the pros and cons of the debate over how this necessary intake should be achieved, by eating more fruits and vegetables or by taking supplements in pill form. Smythies surveys the toxicity of antioxidants and recommends under what circumstances they should be given with caution or not at all. He also discusses whether taking supplements requires medical supervision and lists good sources of antioxidants in fruits and vegetables
Women have long needed a book devoted to their unique issues with diabetes. This up-to-date and practical guide advocates simple lifestyle changes that can help women reduce their risk of getting diabetes or, if already diagnosed, prevent the disease’s most serious complications. Every Woman’s Guide to Diabetes translates the latest findings from diabetes research into proven strategies busy women can use to stay healthy and gain control over an often overwhelming disease. The authors discuss the nature of diabetes, helping readers through the complex medical decisions involved in diabetes treatment. They highlight strategies to decrease the emotional stress and social isolation that often accompany diagnosis, and offer everyday techniques for managing blood sugar.
Key features include:
— Unique aspects of diabetes for women throughout the life cycle
— Timetable of recommended tests and check-ups
— Guide to medications with common dosages
— Charts to help organize diabetes-care tasks and supplies
— Time-management tips for better disease regulation
— Guide to contraceptives available to women with diabetes
— Review of issues critical to women before, during, and following pregnancy
— Advice for overcoming barriers to weight loss and exercise
— Plan for intelligent diet trade-offs while still enjoying meals
— Practical tips for planning exercise
— Strategies to avoid diabetes “burn-out”
Written by two physicians (one of whom is a woman living with diabetes) and an experienced medical writer, Every Woman’s Guide to Diabetes recognizes the power that women have in their households to effect lifestyle changes that will benefit themselves and loved ones, including their mothers, daughters, sisters, and partners. This power can reduce the toll of the diabetes epidemic.
In Contraception and Abortion from the Ancient World to the Renaissance, John M. Riddle showed, through extraordinary scholarly sleuthing, that women from ancient Egyptian times to the fifteenth century had relied on an extensive pharmacopoeia of herbal abortifacients and contraceptives to regulate fertility. In Eve’s Herbs, Riddle explores a new question: If women once had access to effective means of birth control, why was this knowledge lost to them in modern times?
Beginning with the testimony of a young woman brought before the Inquisition in France in 1320, Riddle asks what women knew about regulating fertility with herbs and shows how the new intellectual, religious, and legal climate of the early modern period tended to cast suspicion on women who employed “secret knowledge” to terminate or prevent pregnancy. Knowledge of the menstrual-regulating qualities of rue, pennyroyal, and other herbs was widespread through succeeding centuries among herbalists, apothecaries, doctors, and laywomen themselves, even as theologians and legal scholars began advancing the idea that the fetus was fully human from the moment of conception.
Drawing on previously unavailable material, Riddle reaches a startling conclusion: while it did not persist in a form that was available to most women, ancient knowledge about herbs was not lost in modern times but survived in coded form. Persecuted as “witchcraft” in centuries past and prosecuted as a crime in our own time, the control of fertility by “Eve’s herbs” has been practiced by Western women since ancient times.
The Experiment Must Continue is a beautifully articulated ethnographic history of medical experimentation in East Africa from 1940 through 2014. In it, Melissa Graboyes combines her training in public health and in history to treat her subject with the dual sensitivities of a medical ethicist and a fine historian. She breathes life into the fascinating histories of research on human subjects, elucidating the hopes of the interventionists and the experiences of the putative beneficiaries.
Historical case studies highlight failed attempts to eliminate tropical diseases, while modern examples delve into ongoing malaria and HIV/AIDS research. Collectively, these show how East Africans have perceived research differently than researchers do and that the active participation of subjects led to the creation of a hybrid ethical form.
By writing an ethnography of the past and a history of the present, Graboyes casts medical experimentation in a new light, and makes the resounding case that we must readjust our dominant ideas of consent, participation, and exploitation. With global implications, this lively book is as relevant for scholars as it is for anyone invested in the place of medicine in society.
A sharp exposé of the roots of the cost-exposure consensus in American health care that shows how the next wave of reform can secure real access and efficiency.
The toxic battle over how to reshape American health care has overshadowed the underlying bipartisan agreement that health insurance coverage should be incomplete. Both Democrats and Republicans expect patients to bear a substantial portion of health care costs through deductibles, copayments, and coinsurance. In theory this strategy empowers patients to make cost-benefit tradeoffs, encourages thrift and efficiency in a system rife with waste, and defends against the moral hazard that can arise from insurance. But in fact, as Christopher T. Robertson reveals, this cost-exposure consensus keeps people from valuable care, causes widespread anxiety, and drives many patients and their families into bankruptcy and foreclosure.
Marshalling a decade of research, Exposed offers an alternative framework that takes us back to the core purpose of insurance: pooling resources to provide individuals access to care that would otherwise be unaffordable. Robertson shows how the cost-exposure consensus has changed the meaning and experience of health care and exchanged one form of moral hazard for another. He also provides avenues of reform. If cost exposure remains a primary strategy, physicians, hospitals, and other providers must be held legally responsible for communicating those costs to patients, and insurance companies should scale cost exposure to individuals’ ability to pay.
New and more promising models are on the horizon, if only we would let go our misguided embrace of incomplete insurance.
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