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A high level of communicative skills are essential and expected for health care workers. Take Care is designed to give readers the strategies and tools to build, maintain, and repair communication within interactions that take place in health care settings. It is designed for students who are enrolled in health care training as well as nurses or health care workers who are already on the job but may want to improve their English. This text is designed to provide readers with a firm grasp of verbal and non-verbal communication strategies for more successful interactions. It will also help readers develop strategic competence by asking them to practice formulaic phrases needed to get things done. Carefully selected situations will also help readers to understand some of the social situations health care workers need to prepare for, such as apologizing, expressing condolences, or giving advice.

Take Care breaks each unit into the following sections to teach readers new skills:

• Listening for Language
• Dialogue
• Vocabulary
• Communication Strategy
• Pronunciation
• Dialogue Review
• Role Plays
• End-of-Unit Discussion
• Culture Point

This revised edition is updated to include information about pandemics, vaccines, and other medical developments. Audio files for the listening activities are available online. 

Since the late nineteenth century, medicine has sought to foster the birth of healthy children by attending to the bodies of pregnant women, through what we have come to call prenatal care. Women, and not their unborn children, were the initial focus of that medical attention, but prenatal diagnosis in its present form, which couples scrutiny of the fetus with the option to terminate pregnancy, came into being in the early 1970s.

Tangled Diagnoses examines the multiple consequences of the widespread diffusion of this medical innovation. Prenatal testing, Ilana Löwy argues, has become mainly a risk-management technology—the goal of which is to prevent inborn impairments, ideally through the development of efficient therapies but in practice mainly through the prevention of the birth of children with such impairments. Using scholarship, interviews, and direct observation in France and Brazil of two groups of professionals who play an especially important role in the production of knowledge about fetal development—fetopathologists and clinical geneticists—to expose the real-life dilemmas prenatal testing creates, this book will be of interest to anyone concerned with the sociopolitical conditions of biomedical innovation, the politics of women’s bodies, disability, and the ethics of modern medicine.

Evidence from the United States suggests that technological change is a key factor in understanding both medical expenditure growth and recent dramatic improvements in the health of people with serious illnesses. Yet little international research has examined how the causes and consequences of technological change in health care differ worldwide. Seeking to illuminate these issues, this volume documents how use of high-technology treatments for heart attack changed in fifteen developed countries over the 1980s and 1990s. Drawn from the collaborative effort of seventeen research teams in fifteen countries, it provides a cross-country analysis of microdata that illuminates the relationships between public policies toward health care, technology, costs, and health outcomes.
The comparisons presented here confirm that the use of medical technology in treatment for heart attack is strongly related to incentives, and that technological change is an important cause of medical expenditure growth in all developed countries. Each participating research team reviewed the economic and regulatory incentives provided by their country's health system, and major changes in those incentives over the 1980s and 1990s, according to a commonly used framework. Such incentives include: the magnitude of out-of-pocket costs to patients, the generosity of reimbursement to physicians and hospitals, regulation of the use of new technologies or the supply of physicians, regulation of competition, and the structure of hospital ownership. Each team also reviewed how care for heart attacks has changed in their country over the past decade.
The book will be of enormous importance to health economists, medical researchers and epidemiologists, and policymakers.
Mark McClellan is Associate Professor of Economics and of Medicine and, by courtesy, of Health Research and Policy, Stanford University. He is a National Fellow, the Hoover Institution. Daniel P. Kessler is Associate Professor of Economics, Law, and Policy in the Graduate School of Business, Stanford University, and a Research Fellow, the Hoover Institution.

"The definitive overview of health technology assessment in the U.S. and Europe, the biotech industry, adoption and use of medtech in health care."
---The World Future Society, Best Books and Reports

"This excellent book provides a broad overview of the development, impact, and evaluation of health technology in the United States. . . .The authors take a well-organized and thorough approach to address these topics, combining reviews of each with case examples of particular technologies. . . .Given the broad scope of the book, it could serve as a text for students, an introduction to the field for healthcare professionals, or a tool for academics and policymakers wishing to fill knowledge gaps outside their disciplines. . . .The book makes a compelling case for the logic and potential benefits of medical technology evaluation as a tool for improving health care."
---Journal of the American Medical Association

"By being comprehensive in their review, the authors chart a clear path to understanding the future of health care technology in America. They clarify the technical methods for evaluation and provide insight into the sociopolitical aspects of development and diffusion. Case studies are informative. Excellent reading for students and health professionals either as a textbook or as an off-the-shelf guide to methods for deciding among alternative technologies."
---Norman W. Weissman, University of Alabama

"Technology today dominates every aspect of health care. This useful book offers a diverse range of perspectives for students, professors, and medical practitioners who wish to understand how to evaluate medical technology."
---Joel Howell, University of Michigan Medical School

Technology in American Health Care is a comprehensive, multidisciplinary guide to understanding how medical advances-new drugs, biological devices, and surgical procedures-are developed, brought to market, evaluated, and adopted into health care.

Cost-effective delivery of evidence-based health care is the sine qua non of American medicine in the twenty-first century. Health care decision makers, providers, payers, policymakers, and consumers all need vital information about the risks, benefits, and costs of new technologies in order to make informed decisions about which ones to adopt and how to use them. Alan B. Cohen and Ruth S. Hanft explore the evolving field of medical technology evaluation (MTE), as well as the current controversies surrounding the evaluation and diffusion of medical technologies, including the methods employed in their assessment and the policies that govern their adoption and use.

The book opens with an introduction that provides basic definitions and the history of technological change in American medicine, and a second chapter that explores critical questions regarding medical technology in health care. Part I discusses biomedical innovation, the development and diffusion of medical technology, and the adoption and use of technology by hospitals, physicians, and other health care organizations and professions under changing health care market conditions. Part II examines the methods of MTE-including randomized controlled trials, meta-analyses, economic evaluation methods (such as cost-benefit, cost-effectiveness, and cost-utility analyses), and clinical decision analysis. Part III focuses on key public policy issues and concerns that affect the organization, financing, and delivery of health care and that relate importantly to medical technology, including safety, efficacy, quality, cost, access, equity, social, ethical, legal, and evaluation concerns. All three parts of the book provide a historical perspective on the relevant issues, methods, and policy concerns and contain examples of technologies whose development, adoption, evaluation, and use have contributed to our understanding of the field.

This book will be invaluable in making MTE more accessible to individuals who are directly involved in the evaluation process and those who are touched by it in their professional lives-policymakers, clinicians, managers, and researchers.

Tell Me Why My Children Died tells the gripping story of indigenous leaders' efforts to identify a strange disease that killed thirty-two children and six young adults in a Venezuelan rain forest between 2007 and 2008. In this pathbreaking book, Charles L. Briggs and Clara Mantini-Briggs relay the nightmarish and difficult experiences of doctors, patients, parents, local leaders, healers, and epidemiologists; detail how journalists first created a smoke screen, then projected the epidemic worldwide; discuss the Chávez government's hesitant and sometimes ambivalent reactions; and narrate the eventual diagnosis of bat-transmitted rabies. The book provides a new framework for analyzing how the uneven distribution of rights to produce and circulate knowledge about health are wedded at the hip with health inequities. By recounting residents' quest to learn why their children died and documenting their creative approaches to democratizing health, the authors open up new ways to address some of global health's most intractable problems. 

 

Within forty-eight hours after birth, the heel of every baby in the United States has been pricked and the blood sent for compulsory screening to detect or rule out a large number of disorders. Newborn screening is expanding rapidly, fueled by the prospect of saving lives. Yet many lives are also changed by it in ways not yet recognized.

Testing Baby is the first book to draw on parents’ experiences with newborn screening in order to examine its far-reaching sociological consequences. Rachel Grob’s cautionary tale also explores the powerful ways that parents’ narratives have shaped this emotionally charged policy arena. Newborn screening occurs almost always without parents’ consent and often without their knowledge or understanding, yet it has the power to alter such things as family dynamics at the household level, the context of parenting, the way we manage disease identity, and how parents’ interests are understood and solicited in policy debates.

In today’s world, responsible biocitizenship has become a new way of belonging in society. Individuals are expected to make “responsible” medical choices, including the decision to be screened for genetic disease. Paradoxically, we have even come to see ourselves as having the right to be responsible vis-à-vis the proactive mitigation of genetic risk. At the same time, the concept of genetic disease has become a new and powerful way of defining the boundaries between human groups. Tay-Sachs, an autosomal recessive disorder, is a case in point—with origins in the period of Eastern European Jewish immigration to the United States and United Kingdom that spanned the late nineteenth and early twentieth centuries, it has a long and fraught history as a marker of Jewish racial difference. 

In Testing Fate, Shelley Z. Reuter asks: Can the biocitizen, especially one historically defined as a racialized and pathologized Other, be said to be exercising authentic, free choice in deciding whether to undertake genetic screening? Drawing on a range of historical and contemporary examples—doctors’ medical reports of Tay-Sachs since the first case was documented in 1881, the medical field’s construction of Tay-Sachs as a disease of Jewish immigrants, YouTube videos of children with Tay-Sachs that frame the disease as tragic disability avoidable through a simple genetic test, and medical malpractice suits since the test for the disease became available—Reuter shows that true agency in genetic decision-making can be exercised only from a place of cultural inclusion. Choice in this context is in fact a kind of unfreedom—a moral duty to act that is not really agency at all.  

Written by experts from London’s renowned Royal Free Hospital, Textbook of Plastic and Reconstructive Surgery offers a comprehensive overview of the vast topic of reconstructive plastic surgery and its various subspecialties for introductory plastic surgery and surgical science courses. The book comprises five sections covering the fundamental principles of plastic surgery, cancer, burns and trauma, paediatric plastic surgery and aesthetic surgery, and covers the breadth of knowledge that students need to further their career in this exciting field. Additional coverage of areas in which reconstructive surgery techniques are called upon includes abdominal wall reconstruction, ear reconstruction and genital reconstruction. A chapter on aesthetic surgery includes facial aesthetic surgery and blepharoplasty, aesthetic breast surgery, body contouring and the evolution of hair transplantation. The broad scope of this volume and attention to often neglected specialisms such as military plastic surgery make this a unique contribution to the field. Heavily illustrated throughout, Textbook of Plastic and Reconstructive Surgery is essential reading for anyone interested in furthering their knowledge of this exciting field. This book was produced as part of JISC's Institution as e-Textbook Publisher project. Find out more at https://www.jisc.ac.uk/rd/projects/institution-as-e-textbook-publisher

In That’s Gotta Hurt, the orthopaedist David Geier shows how sports medicine has had a greater impact on the sports we watch and play than any technique or concept in coaching or training. Injuries among professional and college athletes have forced orthopaedic surgeons and other healthcare providers to develop new surgeries, treatments, rehabilitation techniques, and prevention strategies. In response to these injuries, sports themselves have radically changed their rules, mandated new equipment, and adopted new procedures to protect their players. Parents now openly question the safety of these sports for their children and look for ways to prevent the injuries they see among the pros. The influence that sports medicine has had in effecting those changes and improving both the performance and the health of the athletes has been remarkable. Through the stories of a dozen athletes whose injuries and recovery advanced the field (including Joan Benoit, Michael Jordan, Brandi Chastain, and Tommy John), Dr. Geier explains how sports medicine makes sports safer for the pros, amateurs, student-athletes, and weekend warriors alike. That’s Gotta Hurt is a fascinating and important book for all athletes, coaches, and sports fans.

The ABC of Acid-Base Chemistry provides physiologists, medical students, and physicians with an intelligible outline of the elements of physiological acid-base chemistry. 

This new edition of Horace W. Davenport's standard text takes into account different ways of looking at the problems of acid-base derived from new instrumentation. The exposition has been modified to allow the student to apply his understanding to other systems of description of the acid-base status. Although the pH system has been retained, there is increasing emphasis on the use of hydrogen ion concentration. 

Topics discussed include: partial pressure of gases, composition of alveolar gas, transport of oxygen and carbon dioxide in the blood, buffer action of hemoglobin and separated plasma, oxygenated whole blood and reduced blood, concepts of base excess and base deficit, and chemical regulation of respiration. 

"Any reader who clearly understands the subject matter of this book will have a firm grounding in the principles of the subject; I find it the clearest text of this type that I have read."—British Journal of Hospital Medicine 

"This little book is of great value to chemically trained physicians and medical students who want to get a clearer idea of the physiology of acid base chemistry in the blood."—The Journal of Gastroenterology 
 

The body plays a central role in shaping our experience of the world. Why, then, are we so frequently oblivious to our own bodies? We gaze at the world, but rarely see our own eyes. We may be unable to explain how we perform the simplest of acts. We are even less aware of our internal organs and the physiological processes that keep us alive. In this fascinating work, Drew Leder examines all the ways in which the body is absent—forgotten, alien, uncontrollable, obscured.

In part 1, Leder explores a wide range of bodily functions with an eye to structures of concealment and alienation. He discusses not only perception and movement, skills and tools, but a variety of "bodies" that philosophers tend to overlook: the inner body with its anonymous rhythms; the sleeping body into which we nightly lapse; the prenatal body from which we first came to be. Leder thereby seeks to challenge "primacy of perception." In part 2, Leder shows how this phenomenology allows us to rethink traditional concepts of mind and body. Leder argues that Cartesian dualism exhibits an abiding power because it draws upon life-world experiences. Descartes' corpus is filled with disruptive bodies which can only be subdued by exercising "disembodied" reason. Leder explores the origins of this notion of reason as disembodied, focusing upon the hidden corporeality of language and thought. In a final chapter, Leder then proposes a new ethic of embodiment to carry us beyond Cartesianism.

This original, important, and accessible work uses examples from the author's medical training throughout. It will interest all those concerned with phenomenology, the philosophy of mind, or the Cartesian tradition; those working in the health care professions; and all those fascinated by the human body.

Beginning with the colonial era, Western biomedicine has radically transformed African medical beliefs and practices. Conversely, in using Western biomedicine, Africans have also transformed it. The African Transformation of Western Medicine and the Dynamics of Global Cultural Exchange contends that contemporary African medical systems—no less “biomedical” than Western medicine—in fact greatly enrich and expand the notion of biomedicine, reframing it as a global cultural form deployed across global networks of cultural exchange.

The book analyzes biomedicine as a complex and dynamic sociocultural form, the conceptual premises of which make it necessarily subject to ongoing change and development as it travels the globe. David Baronov captures the complexities of this cultural exchange by using world-systems analysis in a way that places global cultural processes on equal footing with political and economic processes. In doing so, he both allows the story of Africa’s transformation of “Western” biomedicine to be told and offers new insights into the capitalist world system.

In 1739 China’s emperor authorized the publication of a medical text that included images of children with smallpox to aid in the diagnosis and treatment of the disease. Those images made their way to Europe, where they were interpreted as indicative of the ill health and medical backwardness of the Chinese. In the mid-nineteenth century, the celebrated Cantonese painter Lam Qua collaborated with the American medical missionary Peter Parker in the creation of portraits of Chinese patients with disfiguring pathologies, rendered both before and after surgery. Europeans saw those portraits as evidence of Western medical prowess. Within China, the visual idiom that the paintings established influenced the development of medical photography. In The Afterlife of Images, Ari Larissa Heinrich investigates the creation and circulation of Western medical discourses that linked ideas about disease to Chinese identity beginning in the eighteenth century.

Combining literary studies, the history of science, and visual culture studies, Heinrich analyzes the rhetoric and iconography through which medical missionaries transmitted to the West an image of China as “sick” or “diseased.” He also examines the absorption of that image back into China through missionary activity, through the earliest translations of Western medical texts into Chinese, and even through the literature of Chinese nationalism. Heinrich argues that over time “scientific” Western representations of the Chinese body and culture accumulated a host of secondary meanings, taking on an afterlife with lasting consequences for conceptions of Chinese identity in China and beyond its borders.

In this fascinating and inventive work, A. David Napier argues that the central assumption of immunology—that we survive through the recognition and elimination of non-self—has become a defining concept of the modern age. Tracing this immunological understanding of self and other through an incredibly diverse array of venues, from medical research to legal and military strategies and the electronic revolution, Napier shows how this defensive way of looking at the world not only destroys diversity but also eliminates the possibility of truly engaging difference, thereby impoverishing our culture and foreclosing tremendous opportunities for personal growth.

To illustrate these destructive consequences, Napier likens the current craze for embracing diversity and the use of politically correct speech to a cultural potluck to which we each bring different dishes, but at which no one can eat unless they abide by the same rules. Similarly, loaning money to developing nations serves as a tool both to make the peoples in those nations more like us and to maintain them in the nonthreatening status of distant dependents. To break free of the resulting downward spiral of homogenization and self-focus, Napier suggests that we instead adopt a new defining concept based on embryology, in which development and self-growth take place through a process of incorporation and transformation. In this effort he suggests that we have much to learn from non-Western peoples, such as the Balinese, whose ritual practices require them to take on the considerable risk of injecting into their selves the potential dangers of otherness—and in so doing ultimately strengthen themselves as well as their society.

The Age of Immunology, with its combination of philosophy, history, and cultural inquiry, will be seen as a manifesto for a new age and a new way of thinking about the world and our place in it.

The inspiring story of the men and women who risked their lives alongside the soldiers fighting some of the most desperate actions in American history
Bataan, Anzio, Bastogne, Chosin, Khe Sanh: names that define the American spirit. They are synonymous with courage, resilience, and determination against great odds. At each of these battles American soldiers and Marines weathered desperation and fear to survive, advance, and triumph. Along with these heroes of the battlefield were no less determined and courageous providers of medical care. From the heat and disease-ridden jungles of Bataan, the precarious beachhead of Anzio, the encircled town of Bastogne, the frozen fields of Chosin, and the forsaken plateau of Khe Sanh, doctors and nurses worked under intense conditions with whatever means at hand, to staunch bleeding, repair damage, and resurrect the dying. In so doing they gave a glimmer of hope for the warriors facing possible death or capitulation. Often completely cut off from vital supplies and modern technology, and under the threat of enemy fire, these medical professionals—men and women—never lost sight of their passionate commitment to the sick and wounded. As noncombatants, this took extraordinary resolve to ignore the mortal threats of explosions and gunfire to focus on the mission of relieving pain, dragging from the brink of death damaged soldiers completely dependent on their resourcefulness. Some of these brave men and women would suffer the same fate as their fighting comrades, cut down by enemy fire in the prime of life, many times in the very task of rendering the bottomless compassion that was their hallmark and sometimes their only tonic. 
In The Agony of Heroes: Medical Care for America’s Besieged Legions from Bataan to Khe Sanh, distinguished surgeon Thomas S. Helling relates the inspirational and compelling stories of the doctors, nurses, corpsmen, aides, and others who braved the most frightening conditions in order to save lives. Their experiences testify to the indomitable human grit that, when asked, transforms ordinary behavior into extraordinary achievements.

For decades, tuberculosis in Buenos Aires was more than a dangerous bacillus. It was also an anxious state of mind shaped not only by fears of contagion and death but also by broader social and cultural concerns. These worries included changing work routines, rapid urban growth and its consequences for housing and living conditions, efforts to build a healthy “national race,” and shifting notions of normality and pathology. In The Ailing City, the historian Diego Armus explores the metaphors, state policies, and experiences associated with tuberculosis in Buenos Aires between 1870 and 1950. During those years, the disease was conspicuous and frightening, and biomedicine was unable to offer an effective cure. Against the background of the global history of tuberculosis, Armus focuses on the making and consolidation of medicalized urban life in the Argentine capital. He discusses the state’s intrusion into private lives and the ways that those suffering from the disease accommodated and resisted official attempts to care for them and to reform and control their morality, sociability, sexuality, and daily habits. The Ailing City is based on an impressive array of sources, including literature, journalism, labor press, medical journals, tango lyrics, films, advertising, imagery, statistics, official reports, and oral history. It offers a unique perspective on the emergence of modernity in a cosmopolitan city on the periphery of world capitalism.

Since ancient times people have depended on medical practitioners to enhance life, to treat illness and injuries, and to help reduce pain and suffering. The scientifically based discipline that we know today stands beside diverse traditions, belief systems, and bodies of medical knowledge that have evolved in fascinating ways across cultures and continents. Throughout this history, successive generations have created artistic representations of these varied aspects of medicine, illustrating instruction manuals, documenting treatments, and creating works of art that enable individuals to express their feelings and ideas about medicine, health, and illness. From ancient wall paintings and tomb carvings to sculpture, installations, and digitally created artworks, the results are extraordinary and pay tribute to how medicine has affected our lives and the lives of our ancestors.  

           

Drawing on the remarkable holdings of the Wellcome Collection in London, The Art of Medicine offers a unique gallery of rarely seen paintings, artifacts, drawings, prints, and extracts from manuscripts and manuals to provide a fascinating visual insight into our knowledge of the human body and mind, and how both have been treated with medicine. Julie Anderson, Emm Barnes, and Emma Shackleton take readers on a fascinating visual journey through the history of medical practice, exploring contemporary biomedical images, popular art, and caricature alongside venerable Chinese scrolls, prehistoric Mesoamerican drawings, paintings of the European Renaissance, medieval Persian manuscripts, and more. The result is a rare and remarkable visual account of what it was and is to be human in sickness and health.

In recent years, emotions have become a major, vibrant topic of research not merely in the biological and psychological sciences but throughout a wide swath of the humanities and social sciences as well. Yet, surprisingly, there is still no consensus on their basic nature or workings.
 
Ruth Leys’s brilliant, much anticipated history, therefore, is a story of controversy and disagreement. The Ascent of Affect focuses on the post–World War II period, when interest in emotions as an object of study began to revive. Leys analyzes the ongoing debate over how to understand emotions, paying particular attention to the continual conflict between camps that argue for the intentionality or meaning of emotions but have trouble explaining their presence in non-human animals and those that argue for the universality of emotions but struggle when the question turns to meaning. Addressing the work of key figures from across the spectrum, considering the potentially misleading appeal of neuroscience for those working in the humanities, and bringing her story fully up to date by taking in the latest debates, Leys presents here the most thorough analysis available of how we have tried to think about how we feel.
 

The Bartonellas and Peruvian Medicine explores the events surrounding the discovery of the etio-pathogenic agent of the Oroya Fever, also known as Peruvian Verruga or Carrión’s disease (an endemic infectious disease in South America’s Andean regions) by Dr. Alberto Leonardo Barton. Graciela S. Alarcón and Renato D. Alarcón recount Barton’s persistent work against skepticism, obstacles, and limitations imposed by members of Peru’s medical elites of the time, as well as his eventual successful scientific career and the delayed but well-deserved global recognition of his contributions.
 
The book is the result of intense bibliographic research and of original documents aimed not just at the examination of Barton’s life and work, but also the examination of today’s perspectives and future work in the field of infectious and “neglected” diseases. The authors address current scientific information on the relevant bacteria Bartonella bacilliformis, besides current research and clinical status of the other Bartonellas, making it a useful and practical text for those studying infectious diseases. 

“Visceral.”—Wall Street Journal     “Illuminating.”—Publishers Weekly     “Heroic.”—Science

The immune system holds the key to human health. In The Beautiful Cure, leading immunologist Daniel M. Davis describes how the scientific quest to understand how the immune system works—and how it is affected by stress, sleep, age, and our state of mind—is now unlocking a revolutionary new approach to medicine and well-being.

The body’s ability to fight disease and heal itself is one of the great mysteries and marvels of nature. But in recent years, painstaking research has resulted in major advances in our grasp of this breathtakingly beautiful inner world: a vast and intricate network of specialist cells, regulatory proteins, and dedicated genes that are continually protecting our bodies. Far more powerful than any medicine ever invented, the immune system plays a crucial role in our daily lives. We have found ways to harness these natural defenses to create breakthrough drugs and so-called immunotherapies that help us fight cancer, diabetes, arthritis, and many age-related diseases, and we are starting to understand whether activities such as mindfulness might play a role in enhancing our physical resilience.

Written by a researcher at the forefront of this adventure, The Beautiful Cure tells a dramatic story of scientific detective work and discovery, of puzzles solved and mysteries that linger, of lives sacrificed and saved. With expertise and eloquence, Davis introduces us to this revelatory new understanding of the human body and what it takes to be healthy.

A History of the Most Catastrophic Plague Through Contemporary Accounts and How Humans Reacted
Hailed by the New York Times as "unusually interesting both as history and sociological study," The Black Death: A Chronicle of the Plague traces the ebb and flow of European pandemics over the course of centuries through translations of contemporary accounts. Originally published in 1926 and now in paperback for the first time, Nohl's volume is unique for its geographical and historical scope as well as its combination of detailed accounts and overarching contemporary views of the history of the plague in Europe, a disease that claimed nearly 40 million people during the fourteenth century alone. With current concerns about pandemics, The Black Death provides lessons on how humans reacted to and survived catastrophic loss of life to disease.

Contents
Preface
1. The Aspect of the Plague
2. The Precursors of the Plague
3. The Medical Profession and the Plague
4. Plague Remedies
5. Administrative Precautions
6. Attitude of the Church
7. The Diabolical Element of the Plague
8. Persecutions of the Jews
9. The Erotic Element of the Plague
10. The Flagellants
11. Choreomania and Children's Pilgrimages
12. Life Victorious
Bibliography
Geographical Index
Index of Persons

The last thirty years of cultural theory have seen a vigorous analytic focus on the human body both as the subject of cultural representations and as an escape from their repressive influence. Rare is the account that focuses on the most obvious fact about the body: it is the stuff out of which human beings are made.
Generously and variously illustrated, this volume gathers together the work of literary critics and artists, classicists, art historians, and specialists on the history of the body, who survey the strangeness and variety with which the body has given human beings form. Richard Leppert traces how the representation of little girls responds directly to the cultural anxieties of modernity. René Girard plots how starvation becomes an art form, while Eric Gans surveys the contemporary phenomenon of body modification. Sander Gilman explores aesthetic surgery as a response to human unhappiness. Simon Goldhill discovers in the Roman empire the initial stirrings of institutions that focus on the spectacle of the body, and Cynthia S. Greig provides a glimpse of what the history of photography would look like if male nudes replaced female ones. Marion Jackson details how the different physical existence of the Inuit guides the way they make art. Joseph Grigely transforms aesthetics as usual by focusing on the disabled body, while Tobin Siebers describes the traumatic appeal in both fine art and the media of wounded flesh, whether human or animal.
The Body Aesthetic is a broad exercise in cultural studies and will address a variety of readers, from those interested in detailed, theoretical accounts of the body, to those interested in belles lettres, to those interested in fine art.
Tobin Siebers is Professor of English, University of Michigan.

The Body Multiple is an extraordinary ethnography of an ordinary disease. Drawing on fieldwork in a Dutch university hospital, Annemarie Mol looks at the day-to-day diagnosis and treatment of atherosclerosis. A patient information leaflet might describe atherosclerosis as the gradual obstruction of the arteries, but in hospital practice this one medical condition appears to be many other things. From one moment, place, apparatus, specialty, or treatment, to the next, a slightly different “atherosclerosis” is being discussed, measured, observed, or stripped away. This multiplicity does not imply fragmentation; instead, the disease is made to cohere through a range of tactics including transporting forms and files, making images, holding case conferences, and conducting doctor-patient conversations.

The Body Multiple juxtaposes two distinct texts. Alongside Mol’s analysis of her ethnographic material—interviews with doctors and patients and observations of medical examinations, consultations, and operations—runs a parallel text in which she reflects on the relevant literature. Mol draws on medical anthropology, sociology, feminist theory, philosophy, and science and technology studies to reframe such issues as the disease-illness distinction, subject-object relations, boundaries, difference, situatedness, and ontology. In dialogue with one another, Mol’s two texts meditate on the multiplicity of reality-in-practice.

Presenting philosophical reflections on the body and medical practice through vivid storytelling, The Body Multiple will be important to those in medical anthropology, philosophy, and the social study of science, technology, and medicine.

In 1918 the People's Commissariat of Public Health began a quest to protect the health of all Soviet citizens, but health became more than a political platform or a tactical decision. The Soviets defined and categorized the world by interpreting political orthodoxy and citizenship in terms of hygiene. The assumed political, social, and cultural benefits of a regulated, healthy lifestyle informed the construction of Soviet institutions and identity. Cleanliness developed into a political statement that extended from domestic maintenance to leisure choices and revealed gender, ethnic, and class prejudices. Dirt denoted the past and poor politics; health and cleanliness signified mental acuity, political orthodoxy, and modernity.

Health, though essential to the revolutionary vision and crucial to Soviet plans for utopia, has been neglected by traditional histories caught up in Cold War debates. The Body Soviet recovers this significant aspect of Soviet thought by providing a cross-disciplinary, comparative history of Soviet health programs that draws upon rich sources of health care propaganda, including posters, plays, museum displays, films, and mock trials. The analysis of propaganda makes The Body Soviet more than an institutional history; it is also an insightful critique of the ideologies of the body fabricated by health organizations.

"A masterpiece that will thoroughly fascinate and delight readers. Starks's understanding of propaganda and hygiene in the early Soviet state is second to none. She tells the stories of Soviet efforts in this field with tremendous insight and ingenuity, providing a rich picture of Soviet life as it was actually lived."— Elizabeth Wood, author of From Baba to Comrade: Gender and Politics in Revolutionary Russia

For years the subject of human disability has engaged those in the biological, social and cognitive sciences, while at the same time, it has been curiously neglected within the humanities. The Body and Physical Difference seeks to introduce the field of disability studies into the humanities by exploring the fantasies and fictions that have crystallized around conceptions of physical and cognitive difference. Based on the premise that the significance of disabilities in culture and the arts has been culturally vexed as well as historically erased, the collection probes our society's pathological investment in human variability and "aberrancy." The contributors demonstrate how definitions of disability underpin fundamental concepts such as normalcy, health, bodily integrity, individuality, citizenship, and morality--all terms that define the very essence of what it means to be human.
The book provides a provocative range of topics and perspectives: the absence of physical "otherness" in Ancient Greece, the depiction of the female invalid in Victorian literature, the production of tragic innocence in British and American telethons, the reconstruction of Civil War amputees, and disability as the aesthetic basis for definitions of expendable life within the modern eugenics movement. With this new, secure anchoring in the humanities, disability studies now emerges as a significant strain in contemporary theories of identity and social marginality.
Moving beyond the oversimplication that disabled people are marginalized and made invisible by able-ist assumptions and practices, the contributors demonstrate that representation is founded upon the perpetual exhibition of human anomalies. In this sense, all art can be said to migrate toward the "freakish" and the "grotesque." Such a project paradoxically makes disability the exception and the rule of the desire to represent that which has been traditionally out-of-bounds in polite discourse.
The Body and Physical Difference has relevance across a wide range of academic specialties such as cultural studies, the sociology of medicine, history, literature and medicine, the allied health professions, rehabilitation, aesthetics, philosophical discourses of the body, literary and film studies, and narrative theory.
David T. Mitchell is Assistant Professor of English, Northern Michigan University. Sharon L. Snyder teaches film and literature at Northern Michigan University.

A review of the original edition of The Burdens of Disease that appeared in ISIS stated, "Hays has written a remarkable book. He too has a message: That epidemics are primarily dependent on poverty and that the West has consistently refused to accept this." This revised edition confirms the book's timely value and provides a sweeping approach to the history of disease.

In this updated volume, with revisions and additions to the original content, including the evolution of drug-resistant diseases and expanded coverage of HIV/AIDS, along with recent data on mortality figures and other relevant statistics, J. N. Hays chronicles perceptions and responses to plague and pestilence over two thousand years of western history. Disease is framed as a multidimensional construct, situated at the intersection of history, politics, culture, and medicine, and rooted in mentalities and social relations as much as in biological conditions of pathology. This revised edition of The Burdens of Disease also studies the victims of epidemics, paying close attention to the relationships among poverty, power, and disease.

Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources.

The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization.

Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.

Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room.

Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources.

The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care.

John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan.

Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

In recent years, the hospital industry has been undergoing massive change and reorganization with technological innovations and the spread of managed care. As a result, the total number of hospitals countrywide has been declining, and a growing number of not-for-profit hospitals have converted to for-profit status. These changes raise two fundamental questions: What determines a hospital's choice of for-profit or not-for-profit organizational form? And how does that form affect patients and society?

This timely volume provides a factual basis for discussing for-profit versus not-for-profit ownership of hospitals and gives a first look at the evidence about new and important issues in the hospital industry. The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions will have significant implications for public-policy reforms in this vital industry and will be of great interest to scholars in the fields of health economics, public finance, hospital organization, and management; and to health services researchers.

Unlike any existing studies of the medical humanities, The Chief Concern of Medicinebrings to the examination of medical practices a thorough—and clearly articulated—exposition of the nature of narrative. The book builds on the work of linguistics, semiotics, narratology, and discourse theory and examines numerous literary works and narrative "vignettes" of medical problems, situations, and encounters. Throughout, the book presents usable expositions of the ways storytelling organizes itself to allow physicians and other healthcare workers (and even patients themselves) to be more attentive to and self-conscious about the information—the "narrative knowledge"—of the patient's story.

AIDS is now the leading cause of death in Africa, where twenty-eight million people are HIV-positive, and where some twelve million children have lost one or both parents to AIDS. In Zimbabwe, 45 percent of children under the age of five are HIV-positive, and the epidemic has shortened life expectancy by twenty-two years. A fifteen-year-old in Botswana or South Africa has a one-in-two chance of dying of AIDS. AIDS deaths are so widespread in sub-Saharan Africa that small children now play a new game called “Funerals.” The Children of Africa Confront AIDS depicts the reality of how African children deal with the AIDS epidemic, and how the discourse of their vulnerability affects acts of coping and courage. A project of the Institute for the African Child at Ohio University, The Children of Africa Confront AIDS cuts across disciplines and issues to focus on the world’s most marginalized population group, the children of Africa. Editors Arvind Singhal and Stephen Howard join conversations between humanitarian and political activists and academics, asking, “What shall we do?” Such discourse occurs in African contexts ranging from a social science classroom in Botswana to youth groups in Kenya and Ghana. The authors describe HIV/AIDS in its macro contexts of vulnerable children and the continent’s democratization movements and also in its national contexts of civil conflict, rural poverty, youth organizations, and agencies working on the ground. Singhal, Howard, and other contributors draw on compelling personal experience in descriptions of HIV/AIDS interventions for children in difficult circumstances and present thoughtful insights into data gathered from surveys and observations concerning this terrible epidemic.