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Addiction and Art Cover

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Addiction and Art

edited by Patricia B. Santora, Margaret L. Dowell, and Jack E. Henningfield

Addiction to alcohol, tobacco, and other drugs is one of the major public health issues of our time. It accounts for one of every five deaths in the United States and costs approximately one-half trillion dollars per year in health care expenditures and lost productivity. Its human costs are untold and perhaps uncountable. Addiction and Art puts a human face on addiction through the creative work of individuals who have been touched by it. The art included here presents unique stories about addiction. Many pieces are stark representations of life on the edge. Others are disturbing contemplations of life, meaning, and death. Some even reflect the allure of addiction and a fondness for substance abuse. A panel of addiction scientists, artists, and professionals from the art world selected the 61 pieces included here from more than 1,000 submissions. Accompanied by a written statement from the artist, each creation is emblematic of the destructive power of addiction and the regenerative power of recovery. Stunning and occasionally unsettling, this unique portfolio reveals addiction art as a powerful complement to addiction science.

Adolescence et affiliation Cover

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Adolescence et affiliation

Les risques de devenir soi

Edited by Robert Letendre

S’adressant aux intervenants et aux professionnels de toutes les disciplines, les auteurs se sont penchés sur la réalité des jeunes engagés dans un parcours d’études tout autant que sur celle d’adolescents en marge de la société. À cet égard, ils ont examiné la problématique des jeunes de la rue, le devenir des jeunes autochtones ou encore la situation de jeunes d’origine étrangère, en considérant la conflictualité souvent traumatique ainsi que les enjeux filiatifs qu’ont à affronter ces adolescents et, par suite, les modalités d’intervention qu’appelle la rencontre avec eux.

Adrenaline and the Inner World Cover

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Adrenaline and the Inner World

An Introduction to Scientific Integrative Medicine

David S. Goldstein, M.D., Ph.D.

This accessible work is the first in more than seventy-five years to discuss the many roles of adrenaline in regulating the "inner world" of the body. David S. Goldstein, an international authority and award-winning teacher, introduces new concepts concerning the nature of stress and distress across the body's regulatory systems. Discussing how the body's stress systems are coordinated, and how stress, by means of adrenaline, may affect the development, manifestations, and outcomes of chronic diseases, Goldstein challenges researchers and clinicians to use scientific integrative medicine to develop new ways to treat, prevent, and palliate disease. Goldstein explains why a former attorney general with Parkinson disease has a tendency to faint, why young astronauts in excellent physical shape cannot stand up when reexposed to Earth's gravity, why professional football players can collapse and die of heat shock during summer training camp, and why baseball players spit so much. Adrenaline and the Inner World is designed to supplement academic coursework in psychology, psychiatry, endocrinology, cardiology, complementary and alternative medicine, physiology, and biochemistry. It includes an extensive glossary.

The Adventures of Cancer Bitch Cover

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The Adventures of Cancer Bitch

S. L. Wisenberg

Wisenberg may have lost a breast, but she retained her humor, outrage, and skepticism toward common wisdom and most institutions. While following the prescribed protocols at the place she called Fancy Hospital, Wisenberg is unsparing in her descriptions of the fumblings of new doctors, her own awkward announcement to her students, and the mounds of unrecyclable plastic left at a survivors’ walk. Combining the personal with the political, she shares her research on the money spent on pink ribbons instead of preventing pollution, and the disparity in medical care between the insured and the uninsured. When chemotherapy made her bald, she decorated her head with henna swirls in front and an antiwar protest in back. During treatment, she also recorded the dailiness of life in Chicago as she rode the L, taught while one-breasted, and attended High Holiday services and a Passover seder.

Wisenberg’s writing has been compared to a mix of Leon Wieseltier and Fran Lebowitz, and in this book, she has Wieseltier’s erudition and Lebowitz’s self-deprecating cleverness: “If anybody ever offers you the choice between suffering and depression, take the suffering. And I don't mean physical suffering. I mean emotional suffering. I am hereby endorsing psychic suffering over depression.”

From The Adventures of Cancer Bitch:

I found that when you invite people to a pre-mastectomy party, they show up. Even those with small children. The kids were so young that they didn't notice that most of the food had nipples. . . . I talked to everyone—about what I'm not sure. Probably about my surgery. Everyone told me how well I looked. I felt giddy. I was going to go under, but not yet; I was going to be cut, but not yet; I was going to be bald, but not yet. As my friend who had bladder cancer says: The thing about cancer is you feel great until they start treating you for it.

Affirmative Action in Medicine Cover

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Affirmative Action in Medicine

Improving Health Care for Everyone

James L. Curtis, M.D.

Affirmative action programs have significantly changed American medicine for the better, not only in medical school admissions and access to postgraduate training but also in bringing a higher quality of health care to all people. James L. Curtis approaches this important transition from historical, statistical, and personal perspectives. He tells how over the course of his medical education and career as a psychiatrist and professor--often as the first or only African American in his cohort--the status of minorities in the medical professions grew from a tiny percentage to a far more equitable representation of the American population. Advancing arguments from his earlier book, Blacks, Medical Schools, and Society, Curtis evaluates the outcomes of affirmative action efforts over the past thirty years. He describes formidable barriers to minority access to medical-education opportunities and the resulting problems faced by minority patients in receiving medical treatment. His progress report includes a review of two thousand minority students admitted to U.S. medical schools in 1969, following them through graduation and their careers, comparing them with the careers of two thousand of their nonminority peers. These samples provide an important look at medical schools that, while heralding dramatic progress in physician education and training opportunity, indicates much room for further improvement. A basic hurdle continues to face African Americans and other minorities who are still confined to segregated neighborhoods and inferior school systems that stifle full scholastic development. Curtis urges us as a nation to develop all our human resources through an expansion of affirmative action programs, thus improving health care for everyone. James L. Curtis is Clinical Professor Emeritus of Psychiatry, Columbia University College of Physicians and Surgeons.

Affordable Excellence Cover

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Affordable Excellence

The Singapore Healthcare Story

William A. Haseltine

This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path.

The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.

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Africa: A Practical Guide for Global Health Workers

A Practical Guide for Global Health Workers

Laurel A. Spielberg

Written by authors who speak directly from their years of personal and professional experience with health projects in Africa, this book provides an integrated historical, social, political, economic, and health introduction to a series of African countries. It also offers a comprehensive view of major health issues for those aiming to undertake humanitarian and global health work in Africa.

In the introductory chapter, the editors discuss the concepts of globalism and humanitarianism, and provide a framework for thinking about global health. They introduce readers to significant aspects of African history and agencies that play major roles in global health work in Africa. The "Tips for Travelers to Africa" chapter provides a wealth of information on preparing for travel to Africa and working successfully and effectively in African cultures.

Individual chapters on Botswana, Ghana, The Maghreb, Rwanda, South Africa, Tanzania, and Uganda focus on key health or environmental issues, projects, and solutions unique to each country. Written jointly by U.S. and African medical personnel participating in major health initiatives, the chapters offer vibrant accounts of work on leading causes of disease and death or environmental problems.

Africa Focus Debates on Contemporary Contentious Biomedical Issues Cover

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Africa Focus Debates on Contemporary Contentious Biomedical Issues

This is a vivid, thought-provoking and fascinating text on some contentious issues in contemporary medical ethics. The book acknowledges the contribution of ìAfrican traditionî and Western scholarship to the development of medical ethics as a university discipline. It questions the lack of consensus around such biomedical issues as euthanasia and traditional medicine. In many countries, the failure has resulted in public outcries. Its thrust centres on the nexus of practice and theory, and the importance of pragmatism and critical questioning in dealing with different cases on and around biomedicine. Its virtue is its significant shift from the traditional positions on selected biomedical issues to a more rigorous, pragmatic and critical questioning and understanding of the reasoning and positions of all involved and/or affected parties.

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African American Bioethics

Culture, Race, and Identity

Lawrence J. Prograis Jr., MD, and Edmund D. Pellegrino, MD, Editors

Do people of differing ethnicities, cultures, and races view medicine and bioethics differently? And, if they do, should they? Are doctors and researchers taking environmental perspectives into account when dealing with patients? If so, is it done effectively and properly? In African American Bioethics, Lawrence J. Prograis Jr. and Edmund D. Pellegrino bring together medical practitioners, researchers, and theorists to assess one fundamental question: Is there a distinctive African American bioethics? The book's contributors resoundingly answer yesùyet their responses vary. They discuss the continuing African American experience with bioethics in the context of religion and tradition, work, health, and U.S. society at largeùfinding enough commonality to craft a deep and compelling case for locating a black bioethical framework within the broader practice, yet recognizing profound nuances within that framework. As a more recent addition to the study of bioethics, cultural considerations have been playing catch-up for nearly two decades. African American Bioethics does much to advance the field by exploring how medicine and ethics accommodate differing cultural and racial norms, suggesting profound implications for growing minority groups in the United States.

After Harm Cover

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After Harm

Medical Error and the Ethics of Forgiveness

Nancy Berlinger

Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS. While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models. In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers.

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