Though more than 150,000 AIDS-related deaths have been reported worldwide and between 5 and 10 million people are now infected with its precursor, HIV-1, the deadly and relatively new AIDS virus is still a mystery. AIDS and the Social Sciences: Common Threads, an enlightening examination of the AIDS epidemic from the viewpoints of various social sciences, provides us with clues to that mystery. The essays' original research and firsthand accounts from social scientists offer an excellent overview of the research agendas and directions for a disease that is an increasing presence in our society. Sociologists, geographers, anthropologists, psychologists, social workers, and people in government agencies converge in this book to discuss the social, political, economic, legal, moral, and ethical issues related to AIDS. Their methods of approaching the study of AIDS range from a case study approach to survey research to participant observation.Among the topics examined in this distinctive collection are the geographic origins of AIDS, the psychosocial aspects of AIDS, the impact of AIDS on women and children, and the federal funding patterns of AIDS-related research. One chapter traces the diffusion of the pandemic in major urban areas, smaller cities, and finally rural America. Another documents the devastating impact the disease has had on central and East Africa, some areas of which have as many as one in four adults who are HIV-infected.AIDS and the Social Sciences could serve as a primary or supplemental text for college courses and is an important resource for anyone interested in social science or public health.

Peter Greally first encountered asthma as a young boy when he would wake in the middle of the night, gasping for air. He was brought to an eminent professor of pediatrics, who proclaimed that his symptoms were due to anxiety. Eventually, one morning after such an episode, a young, enlightened family doctor saw him and diagnosed asthma. Most doctors now recognize that although there can be powerful mind-body interactions, the evidence for the inflammatory basis for asthma is undisputed. Thanks to the many drugs which can control asthma, virtually all asthmatic children can now lead normal lives. Childhood Asthma details what exactly can cause an asthmatic attack, how best to prevent them, and what to do when they occur. This book explains inflammation; different forms of allergies; eczema; the causes of asthma; the signs of an asthmatic attack; common triggers, and ensures any asthma sufferer and their parent, guardian or teacher is able to safely deal with an occurrence. Managed effectively there could potentially be little or no effect on a sufferer; this is evident in the number of high-profile athletes in particular that have asthma. These include Ireland and Manchester United footballer John O'Shea; his fellow Manchester United player Paul Scholes, Irish rubgy player Ronan O'Gara and former player Denis Hickie; and GAA's Martin Comerford, Aidan O'Mahony and Tommy Dowd.

This candid examination by campaigner, Irish Heart Foundation founder and former St Vincent's consultant cardiologist Risteárd Mulcahy looks back and forward at the Irish health system and its evolution, current difficulties and probable future state. Is The Health Service for Healing? is an honest and often critical examination of the way the Irish health system has evolved and the difficulties it finds itself in now. As Prof. Risteárd Mulcahy spent most of his professional life as a consultant in St Vincent's Hospital in Dublin he is uniquely placed to comment on the health system's expansion, challenges, achievements and increasingly its numerous difficulties. Ireland's two tier system; the crisis in accident and emergency departments; the medical and nursing professions; the health boards; and local and national government are all examined, discussed and often singled out for critical comments and scrutiny. For anyone within, or with a serious interest in the nation's health and its health system, this book is essential reading.

Whether it is the binding of shattered bones or the creation of herbal remedies, human agency is a central feature of the healing process. Both archaeological and anthropological research has contributed much to our understanding of the performative aspects of medicine. The papers contained in this volume, based on a session conducted at the 2010 Theoretical Archaeology Conference, take a multi-disciplinary approach to the topic, addressing such issues as the cultural conception of disease; the impact of gender roles on healing strategies; the possibilities afforded by syncretism; the relationship between material culture and the body; and the role played by the active agency of the sick.

The analysis of animal bone assemblages from archaeological sites provides much valuable data concerning economic and husbandry practices in the past, as well as insights into cultural and symbolic or ritual activity. Animal palaeopathology can identify diseases in archaeozoological assemblages but little interest has been expressed in investigating and understanding the cultural aspects of the diseases identified. Such assemblages represent the cumulative effects of human attitudes, decisions and influences regarding the keeping, care, treatment, neglect and exploitation of animals which result in a range of conditions, non-infectious diseases and injuries that can be recognised on ancient skeletal material. Additionally, ever since the domestication of a handful of animal species around 10,000 years ago, close physical proximity has been a mutual source of infectious disease and traumatic injury for humans and animals alike. Shuffling Nags, Lame Ducks provides an invaluable guide to the investigation of trauma and disease in archaeozoological assemblages. It provides a clear methodological approach, and describes and explains the wide range of traumatic lesions, infections, diseases, inherited disorders and other pathological changes and anomalies that can be identified. In so doing, it explores the impact that “man-made” decisions have had on animals, including special aspects of culture that may be reflected in the treatment of diseased or injured animals often incorporating powerful symbolic or religious roles, and seeks to enhance our understanding of the relationship between man and beast in the past. Chapters include:· History of studying pathological animal remains· Differences between human and animal palaeopathology· Methodology· Growth, development and ageing· Traumatic lesions· Inflammatory diseases and bone· Pathological lesions in working animals· Diseases connected to the environment

This book is an ambitious project uniting various fields in a multidisciplinary venture drawing on academics and clinicians from medicine, psychology and educational sciences. The interdisciplinary approach has assembled medical, educational and health specialists - many of whom are a rare assemble of outstanding academics and clinicians - with scholarly contributions from many different countries and institutes. It provides a plethora of essays and reviews by clinicians and academics, many contributions self-confessional, disclosing details of their own personal pain and suffering with critical life events including either physical or psychological illnesses, and a description of their own resources and strengths. There are also chapters provided by academics with creative and novel ideas drawing on insight derived from literature, arts and psychology as well as medicine, creating models for encouraging personal development coping despite adversity and eventually finding meaning towards recovery both physically and psychologically. This process of recovery frequently required the support of trusted families and friends, teachers, and fellow physicians and psychologists, enabling them to pursue interesting and outstanding careers "despite" these apparent disadvantages. The authors are all very reflective, providing good advice for young practitioners and "afflicted" alike. The distinguished contributors show the power of the role of psycho-history and biography in understanding who researchers have been influenced by, and what and why. This book will be useful for practitioners and researchers, but also for laymen and social policy makers. The intended readership thus includes those interested in health psychology, sociology, anthropology, public health and mental health sciences.

Public health refers to the management and prevention of disease within a population by promoting healthy behaviors and environments in an effort to create a higher standard of living. In this comprehensive volume, editor James W. Holsinger Jr. and an esteemed group of scholars and practitioners offer a concise overview of this burgeoning field, emphasizing that the need for effective services has never been greater.Designed as a supplemental text for introductory courses in public health practice at the undergraduate and graduate levels, Contemporary Public Health provides historical background that contextualizes the current state of the field and explores the major issues practitioners face today. It addresses essential topics such as the social and ecological determinants of health and their impact on practice, marginalized populations, the role of community-oriented primary care, the importance of services and systems research, accreditation, and the organizational landscape of the American public health system. Finally, it examines international public health and explores the potential of systems based on multilevel partnerships of government, academic, and nonprofit organizations.With fresh historical and methodological analyses conducted by an impressive group of distinguished authors, this text is an essential resource for practitioners, health advocates, and students.

A History of Organ Transplantation is a comprehensive and ambitious exploration of transplant surgery—which, surprisingly, is one of the longest continuous medical endeavors in history. Moreover, no other medical enterprise has had so many multiple interactions with other fields, including biology, ethics, law, government, and technology. Exploring the medical, scientific, and surgical events that led to modern transplant techniques, Hamilton argues that progress in successful transplantation required a unique combination of multiple methods, bold surgical empiricism, and major immunological insights in order for surgeons to develop an understanding of the body's most complex and mysterious mechanisms. Surgical progress was nonlinear, sometimes reverting and sometimes significantly advancing through luck, serendipity, or helpful accidents of nature.The first book of its kind, A History of Organ Transplantation examines the evolution of surgical tissue replacement from classical times to the medieval period to the present day. This well-executed volume will be useful to undergraduates, graduate students, scholars, surgeons, and the general public. Both Western and non-Western experiences as well as folk practices are included.

Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs.In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs.

In 1976, the outbreak of a new strain of swine flu at the Fort Dix, New Jersey, army base prompted an unprecedented inoculation campaign. Some forty-two million Americans were vaccinated as the National Influenza Immunization Program hastened to prevent a pandemic, while the World Health Organization (WHO) took a wait-and-see approach. Fortunately, the virus did not spread, and only one death occurred. But instead of being lauded, American actions were subsequently denounced as a \u201cfiasco\u201d and instigator of mass panic. In Influenza, George Dehner examines the wide disparity in national and international responses to influenza pandemics, from the Russian flu of 1889 to the swine flu outbreak in 2009. He chronicles the technological and institutional progress made along the way and shows how these developments can shape an effective future policy. Early pandemic response relied on methods of quarantine and individual scientific research. In the aftermath of World War II, a consensus for cooperation and shared resources led to the creation of the WHO, under the auspices of the United Nations. Today, the WHO maintains a large and proactive role in responding to influenza outbreaks. International pandemic response, however, is only as strong as its weakest national link—most recently evidenced in the failed early detection of the 2009 swine flu in Mexico and the delayed reporting of the 2002 SARS outbreak in China. As DehnerÆs study contends, the hard lessons of the past highlight the need for a coordinated early warning system with full disclosure, shared technologies, and robust manufacturing capabilities. Until the \u201cnational\u201d aspect can be removed from the international equation, responses will be hampered, and a threat to an individual remains a threat to all.

How did governments in the past act to stop the spread of venereal disease? Did legislation reflect medical opinion, and how did it treat the interests represented by women's or homosexual organisations? How can similarities and differences in national legislation be explained? In this book celebrated historian Ida Blom analyses the political culture of five welfare states -- the three social-democratic states of Scandinavia, the conservative German state, and the liberal British state -- with a view to understanding how relations between the individual citizen and the state vary. Pointing to important differences between the Scandinavian countries, the book charts the interaction of medicine and sexual morality, indicating the influence -- or lack of influence -- of medical opinion, and the impact of debates about gender, sexuality, and religion on policies intended to combat venereal disease. Ida Blom identifies the far-reaching consequences of these policies, be they fresh solutions or repeats of past political decisions, and establishes their effectiveness in hindering the spread of disease.

Complex regional pain syndrome type I (CRPS-I), formerly known as Reflex Sympathetic Dystrophy, can occur after a trauma to an arm or leg. CRPS is frequently seen after wrist fractures. The diagnosis of CRPS is based on clinical signs and symptoms. According to Veldman et al. it is characterized by unexplained diffuse pain, differences in skin colour and temperature relative to the other limb, diffuse oedema, and limited active range of motion. These signs and symptoms occur or increase after use and are present in an area larger than the area of primary trauma. CRPS is one of the most important causes of invalidation after an injury to an extremity and the therapy is difficult, time consuming and costly. When it occurs it has a devastating impact on the patient in personal, social and economic view. The emphasis of treatment should therefore be on prevention. This thesis, by orthopaedic surgeon Paul Zollinger, gives an overview of the evidence-based therapy of CRPS in an outline of the Dutch clinical practice guideline Complex regional pain syndrome type I. A general exposé on the chemical, pharmacodynamic and clinical aspects of vitamin C (ascorbic acid) is presented. In two placebo-controlled randomized clinical trials Zollinger et al. show that 500 mg vitamin C daily, reduces the chance for the occurrence of CRPS after wrist fractures. In addition, this application of vitamin C is proposed in hand surgery as well. An alphabetical list of the relevant literature and summaries in English, Dutch and German complete this book on CRPS, which may be of interest for a variety of health care professionals (general practitioners, physiotherapists, trauma and orthopaedic surgeons, etc.).

The present work offers an extensive introduction to the text and transmission of the ancient Latin version of the medical works "Therapeutica" and "On Fevers" of the great sixth-century Greek doctor Alexander of Tralles. The importance of the Latin Alexander in medieval medicine in the West is seen in the richness of both mainstream and secondary, excerpting manuscript-traditions. The tradition is such that the reconstructed Latin text promises to be a much more important witness to the Greek text than the Greek is to the Latin, and of course a reliable edition is a prerequisite for any systematic work on questions such as the provenance of the translation and the Latinity of the translator(s). The volume comprises an introduction to Alexander; an outline account of his works in Greek compared with the Latin version; a description of the Latin manuscript copies, and a proposed reconstruction of the genetic relations between them; some preliminary remarks on the Latinity of the Latin Alexander; and a sample edition, with translation, critical apparatus, and extensive notes, of the chapters on coughing at the start of Book 2.

For thousands of years, cultures around the world have relied on herbal medicine for healing. Only recently have Americans flocked to once-suspect botanical treatments for the promise of good health and longevity. Among the most treasured of these plants is American ginseng, revered by millions of Asians as a virtual panacea that sustains every system of the human body. In Ginseng Dreams, Kristin Johannsen chronicles the remarkable world of the mysterious plant that commands as much as two thousand dollars a pound. She unfolds ginseng's history and its future through the stories of seven people whose lives center on it: a huckster, a field researcher, a farmer, a ginseng "missionary," a criminal investigator, a broker, and a cancer researcher. Each of them brings a different perspective to the elusive root -- and each is consumed by a different dream. Despite its venerable past and medicinal promise, American ginseng faces an uncertain future. Urban sprawl and environmental destruction threaten its fragile forest habitat, and the law provides little recourse against ginseng thieves who roam the backwoods. One step away from endangered species status, this precious plant of so much promise could soon be lost to us forever. Ginseng Dreams tells the extraordinary story of a natural treasure and the spell it casts on those who seek it.

Women have traditionally been expected to tend the sick as part of their domestic duties; yet throughout history they have faced an uphill struggle to be accepted as healers outside the household.In this provocative anthology, twelve essays by historians and literary scholars explore the work of women as healers and physicians. The essays range across centuries, nations, and cultures to focus on the ideological and practical obstacles women have faced in the world of medicine. Each examines the situation of women healers in a particular time and place through cases that are emblematic of larger issues and controversies in that period.The stories presented here are typical of different but parallel facets of women's history in medicine. The first six concern the controversial relationship between magic and medicine and the perception that women healers can harm or enchant as well as cure. Women frequently were banished to the edges of medical practice because their spiritualism or unorthodoxy was considered a threat to conventional medicine. These chapters focus mainly on the Middle Ages and the Renaissance but also provide continuity to women healers in African American culture of our own time. The second six essays trace women healers' efforts to seek professional standing, first in fifth-century Greece and Rome and later, on a global scale, in the mid-nineteenth century. In addition to actual case studies from Germany, Russia, England, and Australia, these essays consider treatments of women doctors in American fiction and in the writings of Virginia Woolf.Women Healers and Physicians complements existing histories of women in medicine by drawing on varied historical and literary sources, filling gaps in our understanding of women healers and nulling social attitudes about them. Although the contributions differ dramatically, all retain a common focus and create a unique comparative picture of women's struggles to climb the long hill to acceptance in the medical profession.

This exciting work by a nationally known fitness and health expert is a realistic and practical guide to a healthier and happier lifestyle. Dr. Bryant Stamford, author of the highly acclaimed Fitness Without Exercise and a syndicated health columnist, and co-author Becca Coffin, a registered nurse, show how making the right choices in diet can improve health and reduce fat while allowing people to enjoy a fuller and more varied diet than other weight-loss plans permit. Americans are obsessed with diets and dieting, and yet we grow fatter every year. Traditional diets offer only temporary weight loss through loss of water and muscle and do not address the real problems of dietary fat and poor eating habits. Fat is sinister, wreaking havoc on every system of the body. Eating fat results in fat people, but it also clogs the arteries, raises blood pressure, overloads the bowels, and causes diabetes. To avoid the dangers of dietary fat, we need to change our eating habits. Happily, we don't have to eat less; we just need to make smarter choices about what we eat.The Jack Sprat diet plan uses a guided day-by-day approach geared to gender, size, and physical activity level. Each of the four weeks in the plan starts with a complete grocery list, including daily menus that have been analyzed to show how many calories and grams of fat will be consumed. All menus have been analyzed also to assure fulfillment of RDA guidelines. Recipes are provided for all home-prepared items in the plan, and specially designed "On-Your-Own" tables help with substitutions in the daily menus. There are even sections for including fast foods and a system of "controlled cheating."To help ensure success, Stamford and Coffin provide not only day-by-day and meal-by-meal details of what to eat but also insightful scientific background that explains why. These chapters include information on how much fat one should eat, how to make smart choices when choosing a menu, and the benefits of light exercise. The authors also present a wealth of more specific information on physiology and metabolism, hormones, antioxidants, and phytochemicals, as well as on frauds such as cellulite-reducing creams and diet pills.Stamford and Coffin do not offer miracles or magic, but they do provide sound advice and practical guides that will be invaluable to anyone interested in losing weight and making positive lifestyle changes.