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Managing Epidemics in Post-Soviet Georgia
The Soviet health care infrastructure and its tuberculosis-control system were anchored in biomedicine, but the dire resurgence of tuberculosis at the end of the twentieth century changed how experts in post-Soviet nations--and globally--would treat the disease. As Free Market Tuberculosis dramatically demonstrates, market reforms and standardized treatment programs have both influenced and undermined the management of tuberculosis care in the now-independent country of Georgia. The alarming rate of tuberculosis infection in this nation at the crossroads of Eastern Europe and Asia cannot be disputed, and yet solutions to attacking the disease are very much debated.
Anthropologist Erin Koch explores the intersection of the nation's extensive medical history, the effects of Soviet control, and the highly standardized yet poorly regulated treatments promoted by the World Health Organization. Although statistics and reports tell one story--a tale of success in Georgia--Koch's ethnographic approach reveals all facets of this cautionary tale of a monolithic approach to medicine.
This book is the 2011 recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine.
U.S. Law and Policy on Nuclear Waste
For twenty-five years, the Yucca Mountain repository in Nevada was designated as the sole destination for disposal of the nation’s accumulated stockpiles of highly radioactive nuclear power and weapons wastes. Now the Obama administration has abandoned Yucca, and Congress must pass new laws to solve the resulting disposal crisis. Even as the federal government seeks to expand nuclear power, local communities and states are demanding a credible program for disposal of the wastes that we already have. The Blue Ribbon Commission on America's Nuclear Future, appointed by the Obama administration to develop a plan, is currently conducting hearings. The first comprehensive history and overview of U.S. nuclear waste law and regulation, Fuel Cycle to Nowhere traces sixty years of nuclear weapons programs, the growth of nuclear power, and their waste legacies, the rise of environmentalism, and the responses of federal agencies. Richard and Jane Stewart expertly analyze the changing policies for storing low-level waste, transuranic waste, spent nuclear fuel, and high-level waste and for regulating their transport by rail and by truck. They also chronicle “a tale of two repositories”—one, the Waste Isolation Pilot Plant in New Mexico, known as WIPP, the world’s only operating deep geologic nuclear waste disposal facility, which emerged from a contentious but ultimately successful struggle between federal and state interests; the other, Yucca Mountain, mandated top down by Congress and a failure. Fuel Cycle to Nowhere provides the critical information and analysis on the waste disposal issues and solutions that the commission, Congress, the administration, journalists, policymakers, and the public so urgently need. This book is a project of the Consortium for Risk Evaluation with Stakeholder Participation (CRESP), a Vanderbilt University–led, multi-university consortium supported as a cooperative agreement by the U.S. Department of Energy, Office of Environmental This book is a project of the Consortium for Risk Evaluation with Stakeholder Participation (CRESP), a Vanderbilt University-led, multi-university consortium supported as a cooperative agreement by the U.S. Department of Energy, Office of Environmental Management to support safe, effective, publicly credible, risk informed management of existing and future nuclear waste from government and civilian sources through independent strategic analysis, review, applied research and education.
Offering a fresh, revisionist analysis of Spanish fiction from 1900 to 1940, this study examines the work of both men and women writers and how they practiced differing forms of modernism. As Roberta Johnson notes, Spanish male novelists emphasized technical and verbal innovation in representing the contents of an individual consciousness and thus were more modernist in the usual understanding of the term. Female writers, on the other hand, were less aesthetically innovative but engaged in a social modernism that focused on domestic issues, gender roles, and relations between the sexes. Compared to the more conventional--even reactionary--ways their male counterparts treated such matters, Spanish women’s fiction in the first half of the twentieth century was often revolutionary. The book begins by tracing the history of public discourse on gender from the 1890s through the 1930s, a discourse that included the rise of feminism. Each chapter then analyzes works by female and male novelists that address key issues related to gender and nationalism: the concept of intrahistoria, or an essential Spanish soul; modernist uses of figures from the Spanish literary tradition, notably Don Quixote and Don Juan; biological theories of gender prevalent in the 1920s and 1930s; and the growth of an organized feminist movement that coincided with the burgeoning Republican movement. This is the first book dealing with this period of Spanish literature to consider women novelists, such as Maria Martinez Sierra, Carmen de Burgos, and Concha Espina, alongside canonical male novelists, including Miguel de Unamuno, Ramon del Valle-Inclan, and Pio Baroja. With its contrasting conceptions of modernism, Johnson's work provides a compelling new model for bridging the gender divide in the study of Spanish fiction.
In this provocative study, Dana Cairns Watson traces Gertrude Stein’s growing fascination with the cognitive and political ramifications of conversation and how that interest influenced her writing over the course of her career. No book in recent decades has illuminated so many of Stein’s works so extensively—from the early fiction of The Making of Americans to the poetry of Tender Buttons to her opera libretto The Mother of Us All. Seeking to sustain Stein’s lively, pleasant, populist spirit, Watson shows how the writer’s playful entanglement of sight and sound—of silent reading and social speaking—reveals the crucial ambiguity by which reading and conversation build communities of meaning, and thus form not only personal relationships but also our very selves and the larger political structures we inhabit. Stein reminds us that the residual properties of words and the implications behind the give-and-take of ordinary conversation offer alternatives to linear structures of social order, alternatives especially precious in times of political oppression. For example, her novels Mrs. Reynolds and Brewsie and Willie, both written in embattled Vichy France, contemplate the speech patterns of totalitarian leaders and the ways in which everyday discourse might capitulate to—or resist—such verbal tyranny. Like recent theorists, Stein recognized the repressiveness of conventional order—carried in language and thus in thought and social organization—but as Cairns Watson persuasively shows, she also insisted that the free will of individuals can persist in language and enable change. In the play of literary aesthetics, Stein saw a liberating force.
First-Generation College Graduates Who Lead Activist Lives
How do children from undereducated and impoverished backgrounds get to college? What are the influences that lead them to overcome their socioeconomic disadvantages and sometimes the disapproval of families and friends to succeed in college? These are the basic questions Sandria Rodriguez posed to seventeen first-generation college graduates, and their compelling life stories make important contributions to what little is known about this phenomenon. The daughter of parents who didn't finish elementary school, Rodriguez uses many examples from her own life in the course of examining the participants' experiences before, during, and after college that directed them toward social or educational activism. Together, the seventeen represent a wide range of diversity in terms of race, ethnicity, age, geographical area of childhood, and profession. Twelve of the seventeen hold advanced degrees, all are working professionals, and all come from families who were poor. Jerry, the son of German immigrants, owns an engineering company in Chicago; Chang, a native of China, is the first from his village to go to college; Grant, a sharecropper's son, is a lawyer with a nationally prominent law firm in Washington, D.C., and patron of fine arts; Arlene, a Mohawk Indian, is a storyteller and social activist; Alex, from Spanish Harlem, is an elementary school principal. The book is divided into four parts. In the first two chapters, we meet the participants. In the three chapters that follow, Rodriguez examines how the participants as children perceived themselves within their families, schools, and communities. Chapters four and five focus on the campus life and the participants' activist experiences. Finally, chapter six offers recommendations for mentoring disadvantaged children, so that they can successfully "switch the track" and aim for something better. Giants among Us is an essential resource for college administrators, faculty, counselors, and student support-services staff--as well as K-12 educators--concerned with preparing, retaining and mentoring first-generation students. "If I believe in you, I'm going to do everything in my power to convince that committee to give you that loan. I can offer that comfort, and I really, really like what I do because I'm giving back something to the community. The clients don't go through anything alone. Whatever that business goes through, I go through, too. They need somebody to believe in them."--Maria, business advisor for a nonprofit organization
Women’s Experiences in Formerly Men’s Colleges and Universities, 1950-2000
More than a quarter-century ago, the last great wave of coeducation in the United States resulted in the admission of women to almost all of the remaining men’s colleges and universities. In thirteen original essays, Going Coed investigates the reasons behind this important phenomenon, describes how institutions have dealt with the changes, and captures the experiences of women who attended these schools. Informed by a wealth of fresh research, the book is rich in both historical and sociological insights. It begins with two overview chapters—one on the general history of American coeducation, the other on the differing approaches of Catholic and historically black colleges to admitting women students—and then offers case studies that consider the ways in which the problems and promise of coeducation have played out in a wide range of institutions. One essay, for example, examines how two bastions of the Ivy League, Yale and Princeton, influenced the paths taken by less prestigious men’s colleges. Among the topics addressed in other chapters are how the presence of women affected schools with strong masculine traditions, such as Virginia and Dartmouth; how prior cooperation with a women’s college eased Hamilton College’s transition to coeducation; and how institutions outside the liberal-arts tradition, from West Point to for-profit vocational schools, have incorporated women students. In exploring specific cases, the essays illuminate such key issues as the impact of the women’s movement and the development of women’s studies as an academic discipline, the pressures exerted on institutions by economic necessities and legal challenges, and the strategies women have utilized in adapting to formerly all-male environments. In their conclusion, the editors synthesize some common trends among the case studies and assess what remains to be done to achieve gender equity in higher education.
New York, London, Paris, and Tokyo
Population aging often provokes fears of impending social security deficits, uncontrollable medical expenditures, and transformations in living arrangements, but public policy could also stimulate social innovations. These issues are typically studied at the national level; yet they must be resolved where most people live—in diverse neighborhoods in cities. New York, London, Paris, and Tokyo are the four largest cities among the wealthiest, most developed nations of the world. The essays commissioned for this volume compare what it is like to grow older in these cities with respect to health care, quality of life, housing, and long-term care. The contributors look beyond aggregate national data to highlight the importance of how local authorities implement policies.
Literature and Politics in Latin America
The product of a unique collaboration between a literary critic (Van Delden) and a political scientist (Grenier), this book looks at the relationship between literature and politics in Latin America, a region where these two domains exist in closer proximity than perhaps anywhere else in the Western world. The apparently seamless blending of literature and politics is reflected in the explicitly political content of much of the continent's writing, as well as in the highly visible political roles played by many Latin American intellectuals.
Yet the authors of this book argue that the relationship between the two realms is much more complex and fraught with tension than is nowadays recognized. In examining these tensions, and in revealing the diverse ways in which literature and politics intersect in the Latin American cultural tradition, Gunshots at the Fiesta offers a lively challenge to the current tendency--especially strong in the U.S. academy--to read Latin American literature through a narrowly political prism.
The authors argue that one can only understand the nature of the dialogue between literature and politics if one begins by recognizing the different logics that operate in these different domains. Using this idea of the different logics of politics and literature as a guiding thread, Van Delden and Grenier offer bold new readings of major authors such as José Martí, Octavio Paz, Carlos Fuentes, Gabriel García Márquez, and Mario Vargas Llosa, as well as compelling interpretations of works by less-frequently-discussed figures such as Claribel Alegría, Marisol Martín del Campo and Víctor Hugo Rascón Banda.
Composed entirely of specially commissioned chapters by some of the outstanding scholars in medical sociology, this edition reflects important changes in the study of health and illness. In addition to updated and reconceived chapters on the impacts of gender, race, and inequality on health, this volume has new chapters on topics that include: --social networks, neighborhoods, and social capital --disability --dying and "the right to die" --health disparities --the growing influence of the pharmaceutical industry --patient safety --evidence-based medicine and quality of care --health social movements --genetics --religion, spirituality, and health