The Lancet Regional Health Americas

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Essentials of Global Health

Essentials of Global Health
  • Author : Babulal Sethia,Parveen Kumar
  • Publisher : Elsevier Health Sciences
  • Release Date : 2018-03-19
  • Total pages : 480
  • ISBN : 9780702066085
  • File Size : 45,6 Mb
  • Total Download : 858

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This unique introduction to the essentials of global health has been constructed by medical students from all over the world through the help of Medsin (now Students for Global Health) and the International Federation of Medical Students’ Association (IFMSA). The global student and trainee author team, recruited and guided initially by Drs Dan and Felicity Knights (themselves students and officers of Medsin when work commenced), identified the key areas to be covered. Then the book they put together was edited by two experts in the field: Mr B Sethia and Professor Parveen Kumar. Royalties raised from this book go to a grant fund for student global health projects. Written by medical students and junior doctors from Students for Global Health and the International Federation of Medical Students’ Association (IFMSA). Edited by two experts in the field, Mr B Sethia and Professor Parveen Kumar. Royalties go to a grant fund for student global health projects.

Our Short History

Our Short History
  • Author : Lauren Grodstein
  • Publisher : Algonquin Books
  • Release Date : 2017-03-21
  • Total pages : 352
  • ISBN : 9781616207182
  • File Size : 10,8 Mb
  • Total Download : 943

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“Lauren Grodstein breaks your heart, then miraculously pieces it back together so it’s bigger—and stronger—than before.” —Celeste Ng, author of Everything I Never Told You How can a woman learn to let go of the people she loves the most? Karen Neulander, a successful New York political consultant and single mother, has always been fiercely protective of her son, Jacob, now six. She’s had to be: when Jacob’s father, Dave, found out Karen was pregnant and made it clear that fatherhood wasn’t in his plans, Karen walked out of the relationship, never telling Dave her intention was to raise their child alone. But now Jake is asking to meet his dad, and with good reason: Karen is dying. When she finally calls her ex, she’s shocked to find Dave ecstatic about the son he never knew he had. First, he can’t meet Jake fast enough, and then he can’t seem to leave him alone. Karen quickly grows anxious as she watches Dave insinuate himself into Jake’s life just as her own strength and hold on Jake grow more tenuous. As she struggles to play out her last days in the “right” way for Jake, Karen wrestles with the knowledge that the only thing she cannot bring herself to do for her son—let his father become a permanent part of his life—is the thing he needs from her the most. With heart-wrenching poignancy, unexpected wit, and mordant humor, Lauren Grodstein has created an unforgettable story about parenthood, sacrifice, and life itself.


  • Author : Paul Harnett,John Cartmill,Paul Glare
  • Publisher : Unknown
  • Release Date : 1999
  • Total pages : 220
  • ISBN : UOM:39015047847705
  • File Size : 55,6 Mb
  • Total Download : 752

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This well-written text is designed to help students and health professionals understand oncology through real-life clinical scenarios, helping treatment and management decisions. Bridging the gap between theory and practice, this practical case-based format is fun to use and imparts a sense ofreality to the learning process. The first chapter presents clinically relevant data from molecular biology, statistics and trial analysis, and Quality of Life research with an emphasis on what practising clinicians should know, but might have difficulty finding elsewhere in a digestible form. Thesecond chapter, Making Management Decisions in Oncology presents the principles which guide decision making in oncology and covers the integration of tumour factors, patient factors and treatment factors into the decision making process. Cancer management requires the skills of a variety ofclinicians - surgical oncologists, radiation oncologists, medical oncologists, palliative care physicians, oncology nurses and others. The integration of these disciplines into the overall management of each major tumour type has been emphasised in subsequent chapters.

Die Young with Me

Die Young with Me
  • Author : Rob Rufus
  • Publisher : Simon and Schuster
  • Release Date : 2016-09-20
  • Total pages : 400
  • ISBN : 9781501142635
  • File Size : 46,9 Mb
  • Total Download : 294

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In the tradition of John Green’s The Fault in Our Stars and Me and Earl and the Dying Girl, this incredibly moving and harrowing true story of a teenager diagnosed with cancer is “a resounding affirmation of how music can lift one’s spirits beyond gray skies and bad news (Kirkus Reviews).” Punk’s not dead in rural West Virginia. In fact, it blares constantly from the basement of Rob and Nat Rufus—identical twin brothers with spiked hair, black leather jackets, and the most kick-ass record collection in Appalachia. To them, school (and pretty much everything else) sucks. But what can you expect when you’re the only punks in town? When the brothers start their own band, their lives begin to change: they meet friends, they attract girls, and they finally get invited to join a national tour and get out of their rat box little town. But their plans are cut short when Rob is diagnosed with a rare form of cancer that has already progressed to Stage Four. Not only are his dreams of punk rock stardom completely shredded, there is a very real threat that this is one battle that can’t be won. While Rob suffers through nightmarish treatments and debilitating surgery, Nat continues on their band’s road to success alone. But as Rob’s life diverges from his brother’s, he learns to find strength within himself and through his music. Die Young with Me is a “raw, honest picture of the weirdness of growing up” (Marky Ramone) and the story of a brave teen’s battle with cancer and the many ways music helped him cope through his recovery.

Treating Individuals

Treating Individuals
  • Author : Peter M. Rothwell
  • Publisher : Elsevier Health Sciences
  • Release Date : 2007-08-10
  • Total pages : 344
  • ISBN : 9780080447391
  • File Size : 37,5 Mb
  • Total Download : 866

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Inspired by a hugely successful series entitled Treating Individuals, originally published in The Lancet, this volume will become essential reading for any professional involved with performance and evaluation of trials and systematic reviews or clinical patient care. There are many books explaining the importance of evidence-based medicine and how randomised clinical trials (RCTs) and systematic reviews should be performed. However, this is the first book to tackle the apparent conflict between the importance of evidence-based decision making and the widely-held view that it is often very difficult to apply the overall results of RCTs and systematic reviews to decisions about individual patients in routine clinical practice. The book brings together experienced clinicians, statisticians and trialists to focus on the two key questions that are most frequently asked by clinicians. Is the evidence relevant to my clinical practice? How can I judge whether the probability of benefit from treatment in my current patient is likely to differ substantially from the average probability of benefit reported in the relevant trial or systematic review? These questions are addressed from methodological and clinical perspectives, and potential approaches to improving the targeting of treatment are considered, with detailed reviews of several areas of medicine and surgery where useful progress has been made.

Top Tips in Gastrointestinal Surgery

Top Tips in Gastrointestinal Surgery
  • Author : Ciaran J. Walsh,Neville V. Jamieson,Victor W. Fazio
  • Publisher : Wiley-Blackwell
  • Release Date : 1999-07-16
  • Total pages : 148
  • ISBN : 0632042532
  • File Size : 24,8 Mb
  • Total Download : 332

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All surgeons treasure the practial tips that they pick up from their teachers. Unfortunately, students are only exposed to a limited number of teachers during their training. Top Tips in Gastrointestinal Surgery aims to present to surgeons, both established and in training, a host of great masters and a wealth of knowledge gleaned from many years of experience.

Collagen in Health and Disease

Collagen in Health and Disease
  • Author : Jaqueline B. Weiss,Malcolm I. V. Jayson
  • Publisher : Unknown
  • Release Date : 1982
  • Total pages : 592
  • ISBN : UOM:39015004408210
  • File Size : 20,6 Mb
  • Total Download : 274

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PDF book entitled Collagen in Health and Disease written by Jaqueline B. Weiss,Malcolm I. V. Jayson and published by Unknown which was released on 1982 with total hardcover pages 592, the book become popular and critical acclaim.

The Silver Lining

The Silver Lining
  • Author : Hollye Jacobs,Elizabeth Messina
  • Publisher : Simon and Schuster
  • Release Date : 2014-03-18
  • Total pages : 418
  • ISBN : 9781476743721
  • File Size : 30,8 Mb
  • Total Download : 198

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A NEW YORK TIMES BESTSELLER As a healthy, happy thirty-nine-year-old mother with no family history of breast cancer, being diagnosed with the disease rocked Hollye Jacobs’s world. Having worked as a nurse, social worker, and child development specialist for fifteen years, she suddenly found herself in the position of moving into the hospital bed. She was trained as a clinician to heal. In her role as patient, the healing process became personal. Exquisitely illustrated with full-color photographs by Hollye’s close friend, award-winning photographer Elizabeth Messina, The Silver Lining is both Hollye’s memoir and a practical, supportive resource for anyone whose life has been touched by breast cancer. In the first section of each chapter, she describes with humor and wisdom her personal experience and gives details about her diagnosis, treatment, side effects, and recovery. The second section of each chapter is told from Hollye’s point of view as a medical expert. In addition to providing a glossary of important terms and resources, she addresses the physical and emotional aspects of treatment, highlights what patients can expect, and provides action steps, including: What to do when facing a diagnosis How to find the best and most supportive medical team What questions to ask What to expect at medical tests How to talk with and support children How to relieve or avoid side effects How to be a supportive friend or family member How to find Silver Linings Looking for and finding Silver Linings buoyed Hollye from the time of her diagnosis throughout her double mastectomy, chemotherapy, radiation, and recovery. They gave her the balance and perspective to get her through the worst days, and they compose the soul of the book. The Silver Lining of Hollye’s illness is that she can now use the knowledge gleaned from her experience to try to make it better for those who have to follow her down this difficult path. This is why she is sharing her story. Hollye is the experienced girlfriend who wants to help shed some light in the darkness, provide guidance through the confusion, and hold your hand every step of the way. At once comforting and instructive, realistic and inspiring, The Silver Lining is a visually beautiful, poignant must-read for everyone who has been touched by cancer.

Denying AIDS

Denying AIDS
  • Author : Seth C. Kalichman
  • Publisher : Springer Science & Business Media
  • Release Date : 2009-01-16
  • Total pages : 205
  • ISBN : 9780387794761
  • File Size : 11,6 Mb
  • Total Download : 697

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Paralleling the discovery of HIV and the rise of the AIDS pandemic, a flock of naysayers has dedicated itself to replacing genuine knowledge with destructive misinformation—and spreading from the fringe to the mainstream media and the think tank. Now from the editor of the journal AIDS and Behavior comes a bold exposé of the scientific and sociopolitical forces involved in this toxic evasion. Denying AIDS traces the origins of AIDS dissidents disclaimers during the earliest days of the epidemic and delves into the psychology and politics of the current denial movement in its various incarnations. Seth Kalichman focuses not on the “difficult” or doubting patient, but on organized, widespread forms of denial (including the idea that HIV itself is a myth and HIV treatments are poison) and the junk science, faulty logic, conspiracy theories, and larger forces of homophobia and racism that fuel them. The malignant results of AIDS denial can be seen in those individuals who refuse to be tested, ignore their diagnoses, or reject the treatments that could save their lives. Instead of ignoring these currents, asserts Kalichman, science has a duty to counter them. Among the topics covered: Why AIDS denialism endures, and why science must understand it. Pioneer virus HIV researcher Peter Duesberg’s role in AIDS denialism. Flawed immunological, virological, and pharmacological pseudoscience studies that are central to texts of denialism. The social conservative agenda and the politics of AIDS denial, from the courts to the White House. The impact of HIV misinformation on public health in South Africa. Fighting fiction with reality: anti-denialism and the scientific community. For anyone affected by, interested in, or working with researchers in HIV/AIDS, and public health professionals in general, the insight and vision of Denying AIDS will inspire outrage, discussion, and ultimately action. See for more information.

Reaching Down the Rabbit Hole

Reaching Down the Rabbit Hole
  • Author : Dr. Allan H. Ropper,Brian David Burrell
  • Publisher : St. Martin's Press
  • Release Date : 2014-09-30
  • Total pages : 272
  • ISBN : 9781250034991
  • File Size : 20,5 Mb
  • Total Download : 546

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"Tell the doctor where it hurts." It sounds simple enough, unless the problem affects the very organ that produces awareness and generates speech. What is it like to try to heal the body when the mind is under attack? In this book, Dr. Allan Ropper and Brian Burrell take the reader behind the scenes at Harvard Medical School's neurology unit to show how a seasoned diagnostician faces down bizarre, life-altering afflictions. Like Alice in Wonderland, Dr. Ropper inhabits a world where absurdities abound: • A figure skater whose body has become a ticking time-bomb • A salesman who drives around and around a traffic rotary, unable to get off • A college quarterback who can't stop calling the same play • A child molester who, after falling on the ice, is left with a brain that is very much dead inside a body that is very much alive • A mother of two young girls, diagnosed with ALS, who has to decide whether a life locked inside her own head is worth living How does one begin to treat such cases, to counsel people whose lives may be changed forever? How does one train the next generation of clinicians to deal with the moral and medical aspects of brain disease? Dr. Ropper and his colleague answer these questions by taking the reader into a rarified world where lives and minds hang in the balance.

Adverse Reactions

Adverse Reactions
  • Author : Neil Pearce
  • Publisher : Auckland University Press
  • Release Date : 2007-04-01
  • Total pages : 232
  • ISBN : 9781775580119
  • File Size : 39,9 Mb
  • Total Download : 147

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Recounting the fenoterol epidemic—a major medical controversy that took place more than 15 years ago—this narrative explores the involvement of the asthma drug that caused numerous asthma deaths. Although the epidemic occurred in New Zealand, its shocking discoveries and subsequent consequences attracted worldwide attention in medical journals and conferences. Neil Pearce, the researcher who discovered that fenoteral was the cause of the epidemic, tells this personal story while raising concerns about drug safety internationally and analyzing the battle between money and science in medical research.

Cultures of Contagion

Cultures of Contagion
  • Author : Beatrice Delaurenti,Thomas Le Roux
  • Publisher : MIT Press
  • Release Date : 2021-10-19
  • Total pages : 360
  • ISBN : 9780262365765
  • File Size : 21,8 Mb
  • Total Download : 826

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Contagion as process, metaphor, and timely interpretive tool, from antiquity to the twenty-first century. Cultures of Contagion recounts episodes in the history of contagions, from ancient times to the twenty-first century. It considers contagion not only in the medical sense but also as a process, a metaphor, and an interpretive model--as a term that describes not only the transmission of a virus but also the propagation of a phenomenon. The authors describe a wide range of social, cultural, political, and anthropological instances through the prism of contagion--from anti-Semitism to migration, from the nuclear contamination of the planet to the violence of Mao's Red Guard. The book proceeds glossary style, with a series of short texts arranged alphabetically, beginning with an entry on aluminum and "environmental contagion" and ending with a discussion of writing and "textual resemblance" caused by influence, imitation, borrowing, and plagiarism. The authors--leading scholars associated with the Center for Historical Research (CRH, Centre de recherches historiques), Paris--consider such topics as the connection between contagion and suggestion, "waltzmania" in post-Terror Paris, the effect of reading on sensitive imaginations, and the contagiousness of yawning. They take two distinct approaches: either examining contagion and what it signified contemporaneously, or deploying contagion as an interpretive tool. Both perspectives illuminate unexpected connections, unnoticed configurations, and invisible interactions.

Remaking a Life

Remaking a Life
  • Author : Celeste Watkins-Hayes
  • Publisher : Univ of California Press
  • Release Date : 2019-08-20
  • Total pages : 336
  • ISBN : 9780520968738
  • File Size : 41,5 Mb
  • Total Download : 733

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In the face of life-threatening news, how does our view of life change—and what do we do it transform it? Remaking a Life uses the HIV/AIDS epidemic as a lens to understand how women generate radical improvements in their social well being in the face of social stigma and economic disadvantage. Drawing on interviews with nationally recognized AIDS activists as well as over one hundred Chicago-based women living with HIV/AIDS, Celeste Watkins-Hayes takes readers on an uplifting journey through women’s transformative projects, a multidimensional process in which women shift their approach to their physical, social, economic, and political survival, thereby changing their viewpoint of “dying from” AIDS to “living with” it. With an eye towards improving the lives of women, Remaking a Life provides techniques to encourage private, nonprofit, and government agencies to successfully collaborate, and shares policy ideas with the hope of alleviating the injuries of inequality faced by those living with HIV/AIDS everyday.

Rethinking Health Care Ethics

Rethinking Health Care Ethics
  • Author : Stephen Scher,Kasia Kozlowska
  • Publisher : Springer
  • Release Date : 2018-08-02
  • Total pages : 169
  • ISBN : 9789811308307
  • File Size : 36,9 Mb
  • Total Download : 510

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​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.

A Series of Catastrophes and Miracles

A Series of Catastrophes and Miracles
  • Author : Mary Elizabeth Williams
  • Publisher : National Geographic Books
  • Release Date : 2016-04-26
  • Total pages : 306
  • ISBN : 9781426216343
  • File Size : 41,6 Mb
  • Total Download : 572

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A wry, witty account of what it is like to face death—and be restored to life. After being diagnosed in her early 40s with metastatic melanoma—a "rapidly fatal" form of cancer—journalist and mother of two Mary Elizabeth Williams finds herself in a race against the clock. She takes a once-in-a-lifetime chance and joins a clinical trial for immunotherapy, a revolutionary drug regimen that trains the body to vanquish malignant cells. Astonishingly, her cancer disappears entirely in just a few weeks. But at the same time, her best friend embarks on a cancer journey of her own—with very different results. Williams's experiences as a patient and a medical test subject reveal with stark honesty what it takes to weather disease, the extraordinary new developments that are rewriting the rules of science—and the healing power of human connection.

The Vaccine Race

The Vaccine Race
  • Author : Meredith Wadman
  • Publisher : Penguin
  • Release Date : 2017-02-07
  • Total pages : 464
  • ISBN : 9780698177789
  • File Size : 21,5 Mb
  • Total Download : 846

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"A real jewel of science history...brims with suspense and now-forgotten catastrophe and intrigue...Wadman’s smooth prose calmly spins a surpassingly complicated story into a real tour de force."—The New York Times “Riveting . . . [The Vaccine Race] invites comparison with Rebecca Skloot's 2007 The Immortal Life of Henrietta Lacks.”—Nature The epic and controversial story of a major breakthrough in cell biology that led to the conquest of rubella and other devastating diseases. Until the late 1960s, tens of thousands of American children suffered crippling birth defects if their mothers had been exposed to rubella, popularly known as German measles, while pregnant; there was no vaccine and little understanding of how the disease devastated fetuses. In June 1962, a young biologist in Philadelphia, using tissue extracted from an aborted fetus from Sweden, produced safe, clean cells that allowed the creation of vaccines against rubella and other common childhood diseases. Two years later, in the midst of a devastating German measles epidemic, his colleague developed the vaccine that would one day wipe out homegrown rubella. The rubella vaccine and others made with those fetal cells have protected more than 150 million people in the United States, the vast majority of them preschoolers. The new cells and the method of making them also led to vaccines that have protected billions of people around the world from polio, rabies, chicken pox, measles, hepatitis A, shingles and adenovirus. Meredith Wadman’s masterful account recovers not only the science of this urgent race, but also the political roadblocks that nearly stopped the scientists. She describes the terrible dilemmas of pregnant women exposed to German measles and recounts testing on infants, prisoners, orphans, and the intellectually disabled, which was common in the era. These events take place at the dawn of the battle over using human fetal tissue in research, during the arrival of big commerce in campus labs, and as huge changes take place in the laws and practices governing who “owns” research cells and the profits made from biological inventions. It is also the story of yet one more unrecognized woman whose cells have been used to save countless lives. With another frightening virus--measles--on the rise today, no medical story could have more human drama, impact, or urgency than The Vaccine Race.

Cancer Is Funny

Cancer Is Funny
  • Author : Jason Micheli
  • Publisher : Fortress Press
  • Release Date : 2019-02
  • Total pages : 226
  • ISBN : 1506456987
  • File Size : 17,9 Mb
  • Total Download : 614

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This is not a book for people who have cancer. This is a book for people who are mortal. --Brian Zahnd, Pastor of Word of Life ChurchJason Micheli, a young father, husband, and pastor, was diagnosed with a bone cancer so rare and deadly that his doctors didn't classify it with one of the normal four stages - they simply called it stage-serious. As Micheli struggled with despair and faced his own mortality, he resolved that although cancer kills the body, it would not kill his spirit, faith, or sense of humorMicheli knew that the promise of faith makes hope possible. And approaching cancer as fodder for some bowel-busting humor helps, too. His reflections are not trite. Instead, he writes honestly about being stricken with lethal cancer in the midst of a promising career and raising two young children. He struggles with his commitment to the God who, as he writes, may or may not be doing this to him. Because figuring this out for himself--not to mention explaining it to his congregation and his sons--is so important that theology is now a matter of life and death. This is a funny, no-holds-barred, irreverent-yet-faithful take on a disease that touches every family. Micheli's story teaches us all how to stay human in dehumanizing situations--how to keep living in the face of death.

Mentored by a Madman: The William Burroughs Experiment

Mentored by a Madman: The William Burroughs Experiment
  • Author : A.J. Lees
  • Publisher : New York Review of Books
  • Release Date : 2017-09-19
  • Total pages : 236
  • ISBN : 9781910749388
  • File Size : 49,8 Mb
  • Total Download : 357

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A fascinating account by one of the world's leading neurologists of the profound influence of William Burroughs on his medical career. Lees relates how Burroughs, author of Naked Lunch and troubled drug addict, inspired him to discover a ground-breaking treatment for Parkinson's Disease. Lees journeys to the Amazonian rainforest in search of cures, and through self-experimentation seeks to find the answers his patients crave. He enters a powerful plea for the return of imagination to medical research.

Selling Sickness

Selling Sickness
  • Author : Ray Moynihan,Alan Cassels
  • Publisher : Greystone Books
  • Release Date : 2008-09-01
  • Total pages : 272
  • ISBN : 9781926706689
  • File Size : 11,7 Mb
  • Total Download : 457

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In this hard-hitting indictment of the pharmaceutical industry, Ray Moynihan and Allan Cassels show how drug companies are systematically using their dominating influence in the world of medical science, drug companies are working to widen the very boundaries that define illness. Mild problems are redefined as serious illness, and common complaints are labeled as medical conditions requiring drug treatments. Runny noses are now allergic rhinitis, PMS has become a psychiatric disorder, and hyperactive children have ADD. Selling Sickness reveals how expanding the boundaries of illness and lowering the threshold for treatments is creating millions of new patients and billions in new profits, in turn threatening to bankrupt national healthcare systems all over the world. This Canadian edition includes an introduction placing the issue in a Canadian context and describing why Canadians should be concerned about the problem.

Health Professionals for a New Century

Health Professionals for a New Century
  • Author : Anonim
  • Publisher : Harvard School of Public Health, Frangois-Xavier Bagnoud Cen
  • Release Date : 2011
  • Total pages : 95
  • ISBN : 0674061489
  • File Size : 43,6 Mb
  • Total Download : 694

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One hundred years ago a series of seminal documents, starting with the Flexner Report of 1910, sparked an enormous burst of energy to harness the power of science to transform higher education in health. Professional education, however, has not been able to keep pace with the challenges of the 21st century. A new generation of reforms is needed to meet the demands of health systems in an interdependent world. The report of the Commission on the Education of Health Professionals for the 21st Century, a global independent initiative consisting of 20 leaders from diverse disciplinary backgrounds and institutional affiliations, articulates a fresh vision and recommends renewed actions. Building on a rich legacy of educational reforms during the past century, the Commission's findings and recommendations adopt a global and multi-professional perspective using a systems approach to analyze education and health, with a focus on institutional and instructional reforms.

Vesper Flights

Vesper Flights
  • Author : Helen Macdonald
  • Publisher : Penguin
  • Release Date : 2020-08-25
  • Total pages : 249
  • ISBN : 9780735235519
  • File Size : 52,7 Mb
  • Total Download : 565

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NEW YORK TIMES BESTSELLER SILVER MEDALIST for the National Outdoor Book Award for Natural History Literature From the bestselling author of H is for Hawk, a brilliant and insightful work about our relationship to the natural world Our world is a fascinating place, teeming not only with natural wonders that defy description, but complex interactions that create layers of meaning. Helen Macdonald is gifted with a special lens that seems to peer right through it all, and she shares her insights--at times startling, nostalgic, weighty, or simply entertaining--in this masterful collection of essays. From reflections on science fiction to the true story of an Iranian refugee's flight to the UK, Macdonald has a truly omnivorous taste when it comes to observations of both the banal and sublime. Peppered throughout are reminisces of her own life, from her strange childhood in an estate owned by the Theosophical Society to watching total eclipses of the sun, visits to Uzbek solar power plants, eccentric English country shows, and desert hunting camps in the Gulf States. These essays move from personal experiences into wider meditations about love and loss and how we build the world around us. Whether more journalistic in tone, or literary--even formally experimental--each piece is generous, lyrical, and speaks to one another. Macdonald creates a strong thematic undertow that quietly takes the reader along piece to piece and sets them down, finally, at a place they've never been before.