Saturday 4 August 2018

The Healthcare Debate (Historical Guides to Controversial Issues in America)

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The Healthcare Debate (Historical Guides to Controversial Issues in America) La revue

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With the debate over health care consuming the nation, this timely book looks at the evolution of healthcare policy in the United States throughout its history.


• Includes a timeline of significant developments in the history of health care in the United States

• Tables and figures illustrate cross-time trends in expenditures, media coverage, and public opinion

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Monday 30 July 2018

The Food Police: A Well-Fed Manifesto About the Politics of Your Plate

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The Food Police: A Well-Fed Manifesto About the Politics of Your Plate Info

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A rollicking indictment of the liberal elite's hypocrisy when it comes to food.

Ban trans-fats? Outlaw Happy Meals? Tax Twinkies? What's next? Affirmative action for cows?   
     A catastrophe is looming. Farmers are raping the land and torturing animals. Food is riddled with deadly pesticides, hormones and foreign DNA. Corporate farms are wallowing in government subsidies. Meat packers and fast food restaurants are exploiting workers and tainting the food supply. And Paula Deen has diabetes!
     Something must be done. So says an emerging elite in this country who think they know exactly what we should grow, cook and eat. They are the food police.
     Taking on the commandments and condescension the likes of Michael Pollan, Alice Waters, and Mark Bittman, The Food Police casts long overdue skepticism on fascist food snobbery, debunking the myths propagated by the food elite.  You'll learn:
-   Organic food is not necessarily healthier or tastier (and is certainly more expensive).
-   Genetically modified foods haven't sickened a single person but they have made farmers more profitable  and they do hold the promise of feeding impoverished Africans.
-   Farm policies aren't making us fat.
-   Voguish locavorism is not greener or better for the economy.
-   Fat taxes won't slim our waists and "fixing" school lunch programs won't make our kids any smarter.
-   Why the food police hypocritically believe an iPad is a technological marvel but food technology is an industrial evil
So before Big Brother and Animal Farm merge into a socialist nightmare, read The Food Police and let us as Americans celebrate what is good about our food system and take back our forks and foie gras before it's too late!

Amazon Q&A with Jayson Lusk

Jayson Lusk

Q. In your book, you really pull the lid off of the hypocrisy surrounding “the food police” and the crusade against big food companies. Why?

A. Two reasons. The first is that, having grown up around many people involved in agricultural and food production, it was time to set the record straight, and to reveal that these folks are neither stupid nor sinister but rather care passionately about their land, their children, and the foods they make. Secondly, it was becoming apparent that the policies proffered by the food police were largely based on ideological agenda rather than empirical evidence that they’d actually work; rather, the evidence is that the implementation of those policies would harm the very people the food police purport to help.

Q. Do you think salt, sugar, and fat are really addictive? If so, can the “fat taxes” really save us?

A. Eating salt, sugar, and fat are enjoyable. Thus it shouldn’t be surprising that the reward centers of our brain get fired up when we eat them. The argument that these ingredients are addictive teeters on calling anything pleasurable addictive. Calling salt, sugar, and fat addictive is stretching the science to fit an agenda.

The economic research on “fat taxes” shows that the policy will have only trivial effects on weight. Adding a new tax is akin to lowering someone’s income, and few of us are happier with less money. The logic that “fat taxes” will actually help the people who are supposed to be helped is untenable.

Q. In your book, you discuss the importance of us consumers making our own choices. Are we as consumers really so weak as to succumb to the whims of Big Food and their flavor construction, marketing, and placement at the grocery store or deli?

A. There is schizophrenic paternalism that results from an awkward attempt to walk a fine line between a liberal agenda that yields to freedom of choice and expression when it comes to abortion, sex, speech, and drugs but stops short when those same freedoms might benefit evil corporations like Big Food. It is an odd position that posits us so weak as to fall for anything offered by Ronald McDonald or Tony the Tiger yet so strong as to know when to keep a baby alive or which truths to speak to power.

It is true, of course, that we are affected by advertising. However, much of the research shows that advertising is primarily used to persuade consumers to switch brands (rather than buy more). The truth is that Big Food can’t force us to buy anything, and they constantly scurry to meet our every whim.

Q. Are organic or locally grown foods actually better for you?

A. By and large, the answer is no. Numerous scientific studies have shown that the nutritional content of organic is essentially equivalent to conventional. Furthermore, it is a complete misnomer that organics are pesticide-free. Organic producers do use “natural” pesticides, many of which are more toxic than “synthetic” pesticides used on conventional farms. You have to remember that organics are much more expensive than the conventional, and if the choice is between eating fewer organic veggies (because they are more expensive) or more conventional veggies (because they are cheaper), the healthier choice is probably to go with the conventional. Local is a whole other issue, which I unpack in the book. You can eat unhealthy local food or healthy foreign food. One has nothing to do with the other.

Q. Are you concerned with the rise in obesity in America? What are some things that you think can improve this issue?

A. I think a better question is: what should the government do about your weight? That is a much more uncomfortable question but it is the better question to ask. There are a lot of personal incentives to reduce weight. The evidence suggests that people with very high levels of obesity earn lower wages, die sooner, have higher medical costs, and face a lot of social scorn. So, the question isn’t whether I’m concerned about obesity but rather whether the obese are concerned about it themselves.

The good news is that the upward trend in obesity is beginning to level off, and among some groups, has actually begun to decline in recent years. It is important to keep in mind the reasons why we experienced a rise in obesity in the first place, and many of those reasons—from less strenuous jobs to more convenient foods to more air-conditioned offices to less expensive food to the development of microwaves and dishwashers—are cause for rejoicing rather than dismay. That doesn’t mean we can look for ways to have our cake and eat it, too, only that we shouldn’t forget how we got the cake.

A rollicking indictment of the liberal elite's hypocrisy when it comes to food.

Ban trans-fats? Outlaw Happy Meals? Tax Twinkies? What's next? Affirmative action for cows?   
     A catastrophe is looming. Farmers are raping the land and torturing animals. Food is riddled with deadly pesticides, hormones and foreign DNA. Corporate farms are wallowing in government subsidies. Meat packers and fast food restaurants are exploiting workers and tainting the food supply. And Paula Deen has diabetes!
     Something must be done. So says an emerging elite in this country who think they know exactly what we should grow, cook and eat. They are the food police.
     Taking on the commandments and condescension the likes of Michael Pollan, Alice Waters, and Mark Bittman, The Food Police casts long overdue skepticism on fascist food snobbery, debunking the myths propagated by the food elite.  You'll learn:
-   Organic food is not necessarily healthier or tastier (and is certainly more expensive).
-   Genetically modified foods haven't sickened a single person but they have made farmers more profitable  and they do hold the promise of feeding impoverished Africans.
-   Farm policies aren't making us fat.
-   Voguish locavorism is not greener or better for the economy.
-   Fat taxes won't slim our waists and "fixing" school lunch programs won't make our kids any smarter.
-   Why the food police hypocritically believe an iPad is a technological marvel but food technology is an industrial evil
So before Big Brother and Animal Farm merge into a socialist nightmare, read The Food Police and let us as Americans celebrate what is good about our food system and take back our forks and foie gras before it's too late!.


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Friday 20 July 2018

Oxford Handbook of Public Health Practice (Oxford Medical Handbooks)

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Oxford Handbook of Public Health Practice (Oxford Medical Handbooks) La revue

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Fully revised and updated for the third edition, the Oxford Handbook of Public Health Practice remains the first resort for all those working in this broad field. Structured to assist with practical tasks, translating evidence into policy, and providing concise summaries and real-world issues from across the globe, this literally provides a world of experience at your fingertips.

Easy-to-use, concise and practical, it is structured into seven parts that focus on the vital areas of assessment, data and information, direct action, policy, health-care systems, personal effectiveness and organisational development. Reflecting recent advances, the most promising developments in practical public health are presented, as well as maintaining essential summaries of core disciplines. This handbook is designed to assist students and practitioners around the world, for improved
management of disasters, epidemics, health behaviour, acute and chronic disease prevention, community and government action, environmental health, vulnerable populations, and more..


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Thursday 14 June 2018

To Repair the World: Paul Farmer Speaks to the Next Generation (California Series in Public Anthropology)

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To Repair the World: Paul Farmer Speaks to the Next Generation (California Series in Public Anthropology) Info

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Here, for the first time, is a collection of short speeches by the charismatic doctor and social activist Paul Farmer. One of the most passionate and influential voices for global health equity and social justice, Farmer encourages young people to tackle the greatest challenges of our times. Engaging, often humorous, and always inspiring, these speeches bring to light the brilliance and force of Farmer’s vision in a single, accessible volume.

A must-read for graduates, students, and everyone seeking to help bend the arc of history toward justice, To Repair the World:

• Challenges readers to counter failures of imagination that keep billions of people without access to health care, safe drinking water, decent schools, and other basic human rights;

• Champions the power of partnership against global poverty, climate change, and other pressing problems today;

• Overturns common assumptions about health disparities around the globe by considering the large-scale social forces that determine who gets sick and who has access to health care;

• Discusses how hope, solidarity, faith, and hardbitten analysis have animated Farmer’s service to the poor in Haiti, Peru, Rwanda, Russia, and elsewhere;

• Leaves the reader with an uplifting vision: that with creativity, passion, teamwork, and determination, the next generations can make the world a safer and more humane place.

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Thursday 10 May 2018

Overdiagnosed: Making People Sick in the Pursuit of Health

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Overdiagnosed: Making People Sick in the Pursuit of Health La revue

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From a nationally recognized expert, an exposé of the worst excesses of our zeal for medical testing
 
After the criteria used to define osteoporosis were altered, seven million American women were turned into patients—literally overnight. The proliferation of fetal monitoring in the 1970s was associated with a 66 percent increase in the number of women told they needed emergency C-sections, but it did not affect how often babies needed intensive care—or the frequency of infant death. The introduction of prostate cancer screening resulted in over a million additional American men being told they have prostate cancer, and while studies disagree on the question of whether a few have been helped—there’s no disagreement that most have been treated for a disease that was never going to bother them. As a society consumed by technological advances and scientific breakthroughs, we have narrowed the definition of normal and increasingly are turning more and more people into patients. Diagnoses of a great many conditions, including high blood pressure, osteoporosis, diabetes, and even cancer, have skyrocketed over the last few decades, while the number of deaths from those diseases has been largely unaffected.
 
Drawing on twenty-five years of medical practice and research, Dr. H. Gilbert Welch and his colleagues, Dr. Lisa M. Schwartz and Dr. Steven Woloshin, have studied the effects of screenings and presumed preventative measures for disease and “pre-disease.” Welch argues that while many Americans believe that more diagnosis is always better, the medical, social, and economic ramifications of unnecessary diagnoses are in fact seriously detrimental. Unnecessary surgeries, medication side effects, debilitating anxiety, and the overwhelming price tag on health care are only a few of the potential harms of overdiagnosis.
 
Through the stories of his patients and colleagues, and drawing from popular media, Dr. Welch illustrates how overdiagnosis occurs and the pitfalls of routine tests in healthy individuals. We are introduced to patients such as Michael, who had a slight pain in his back. Despite soon feeling fine, a questionable abnormal chest X-ray led to a sophisticated scan that detected a tiny clot in his lung. Because it could not be explained, his doctors suggested that it could be a sign of cancer. Michael did not have cancer, but he now sees a psychiatrist to deal with his anxiety about cancer.
 
According to Dr. Welch, a complex web of factors has created the phenomenon of overdiagnosis: the popular media promotes fear of disease and perpetuates the myth that early, aggressive treatment is always best; in an attempt to avoid lawsuits, doctors have begun to leave no test undone, no abnormality—no matter how incidental—overlooked; and, inevitably, profits are being made from screenings, a wide array of medical procedures, and, of course, pharmaceuticals. Examining the social, medical, and economic ramifications of a health care system that unnecessarily diagnoses and treats patients, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, debilitating anxiety, and exorbitant costs..


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Wednesday 2 May 2018

Altered Genes, Twisted Truth: How the Venture to Genetically Engineer Our Food Has Subverted Science, Corrupted Government, and Systematically Deceived the Public

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Altered Genes, Twisted Truth: How the Venture to Genetically Engineer Our Food Has Subverted Science, Corrupted Government, and Systematically Deceived the Public Description

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This book uncovers the biggest scientific fraud of our age. It tells the fascinating and frequently astounding story of how the massive enterprise to restructure the genetic core of the world's food supply came into being, how it advanced by consistently violating the protocols of science, and how for more than three decades, hundreds of eminent biologists and esteemed institutions have systematically contorted the truth in order to conceal the unique risks of its products–and get them onto our dinner plates.

Altered Genes, Twisted Truth provides a graphic account of how this elaborate fraud was crafted and how it not only deceived the general public, but Bill Clinton, Bill Gates, Barack Obama and a host of other astute and influential individuals as well. The book also exposes how the U.S. Food and Drug Administration (FDA) was induced to become a key accomplice--and how it has broken the law and repeatedly lied in order to usher genetically engineered foods onto the market without the safety testing that's required by federal statute. As a result, for fifteen years America's families have been regularly ingesting a group of novel products that the FDA's own scientific staff had previously determined to be unduly hazardous to human health.

By the time this gripping story comes to a close, it will be clear that the degradation of science it documents has not only been unsavory but unprecedented--and that in no other instance have so many scientists so seriously subverted the standards they were trained to uphold, misled so many people, and imposed such magnitude of risk on both human health and the health of the environment.

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Monday 9 April 2018

Shaping Health Policy Through Nursing Research

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Shaping Health Policy Through Nursing Research Info

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Named a 2013 Doody's Core Title!

2011 AJN Book of the Year Winner in Nursing Research!

"This is a much needed addition to nursing's arsenal of policy books. It is the first to really examine the need for scientific evidence to underpin policy. The two editors are pioneers in research and have led nursing research to new levels. It is fitting they do the same in underscoring the important role nurses have in using their programs of research to develop policy agendas."Score: 94, 4 stars

--Doody's

A must-read for health care policy makers, as well as nursing students, faculty, and professionals, this groundbreaking text provides actual strategies for translating nursing research to health policy at all levels of policy-making. The editors, both leaders in nursing research, provide key findings from research programs that have positively influenced health policy decisions and programs at community, state, national, and international levels.

The first compilation of information linking health policy and nursing research, this text presents perspectives and frameworks for understanding the processes bridging research and health policy; multiple factors influencing the processes; and actual examples of National Institute of Nursing Research (NINR)-funded research that has influenced health policy programs.

Key Features:
  • Examples of NINR-funded research that has been used at all levels to influence health policy, including settings, populations, and age spectrums
  • Models and strategies for linking research and health policy
  • Lessons learned from pioneer nurse scientists who have shaped health policy with nursing research
  • Recommendations for improving nurses' work environments for better patient outcomes

Named a 2013 Doody's Core Title!

2011 AJN Book of the Year Winner in Nursing Research!

"This is a much needed addition to nursing's arsenal of policy books. It is the first to really examine the need for scientific evidence to underpin policy. The two editors are pioneers in research and have led nursing research to new levels. It is fitting they do the same in underscoring the important role nurses have in using their programs of research to develop policy agendas."Score: 94, 4 stars

--Doody's

A must-read for health care policy makers, as well as nursing students, faculty, and professionals, this groundbreaking text provides actual strategies for translating nursing research to health policy at all levels of policy-making. The editors, both leaders in nursing research, provide key findings from research programs that have positively influenced health policy decisions and programs at community, state, national, and international levels.

The first compilation of information linking health policy and nursing research, this text presents perspectives and frameworks for understanding the processes bridging research and health policy; multiple factors influencing the processes; and actual examples of National Institute of Nursing Research (NINR)-funded research that has influenced health policy programs.

Key Features:
  • Examples of NINR-funded research that has been used at all levels to influence health policy, including settings, populations, and age spectrums
  • Models and strategies for linking research and health policy
  • Lessons learned from pioneer nurse scientists who have shaped health policy with nursing research
  • Recommendations for improving nurses' work environments for better patient outcomes
.


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