Showing posts with label public health. Show all posts
Showing posts with label public health. Show all posts

High Society: How Substance Abuse Ravages America and What to Do About It Review

High Society: How Substance Abuse Ravages America and What to Do About It
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High Society: How Substance Abuse Ravages America and What to Do About It ReviewThis book opened my eyes and made me realize that we are a nation of addicts. I was stunned by the fact the the US is 4 percent of the world's population, but consumes more than half the world's illegal drugs. Once you get through the mind blowing statistics, you begin to really understand the scope of this problem and how it is slowly destroying our society. I agree with Mr. Califano in saying that substance abuse is a disease and not a moral failing. Addict means addicted and when someone is addicted to something, they just can't stop. We must stop writing people off because they have a disease and focus on treating them - all of them. We are looking for cures for cancer and AIDS, we talk about them in the open and pour money into the research. Mr. Califano is right - we should do the same for substance abuse and addiction. This book offers a refreshing way to look at this horrible problem that plagues so many of our brothers, sisters, parents, grandparents, spouses, children and friends. More importantly, it offers hope and a solution. Sign me up for the revolution , I want to do my part!
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Technology, Globalization, and Sustainable Development: Transforming the Industrial State Review

Technology, Globalization, and Sustainable Development: Transforming the Industrial State
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Technology, Globalization, and Sustainable Development: Transforming the Industrial State ReviewThis book is the culmination of a lifetime of work and research on sustainable development and as such, a definitive reference on the topic. Whereas there is always room for disagreement, Ashford and Hall provide an exhaustive anaysis of sustainability in the industrial world as it relates development, respectively, to the environment, the global economy, and employment. The book is neatly packaged into these three sections but naturally addresses the inevitable overlaps among the areas. This is one of the most thoughtful and elegant works on the subject: given that Ashford and Hall are two of the finest thinkers on the subject and trying to save of us from ourselves through their rigorous empiricism, the least we can do is read their work and if not adopt all of their suggestions begin looking for solutions of our own. They are offering us way more than a head start.Technology, Globalization, and Sustainable Development: Transforming the Industrial State Overview

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Understanding Environmental Health: How We Live in the World Review

Understanding Environmental Health: How We Live in the World
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Understanding Environmental Health: How We Live in the World ReviewI used this textbook for the environmental health core class at my school of public health, and found it to be excellent--probably one of the best textbooks I've seen in 2.5 years of graduate school. I had the advantage of having the author as my instructor, but even without Dr. Maxwell teaching the course the book would have been just as useful. First, it's extremely well-written, which should be a given for any textbook but usually is not the case. The fact that she makes few, if any, grammatical errors and writes in a very clear manner makes reading material that is not intuitive a lot easier. Second, she incorporates figures, diagrams, and graphics nicely to add to the text. Some books seem to add graphics just because they think they should, but they don't really add anything content wise. Third, she has an extensive glossary of terms for virtually every major concept introduced in the book, which is incredibly helpful if you're trying to study this material.
I don't agree with the review that says she doesn't talk enough about regulation. This is meant to be an introductory level textbook, and the outline of regulatory bodies and what they oversee is sufficient for the purposes of an introduction. Environmental health policy is not necessarily straightforward, and an in-depth discussion should be saved for a more advanced or policy-specific course.
Finally, I think that the concepts presented in this book are essential for everyone to learn. Things like the environmental toxins in every day products we use, the food we eat, etc. should be a part of general curriculum so that people are aware and can make informed decisions as to how they want to live their lives. Also, the lack of sustainable modern day practices and the impact on future generations is important information for all of us, and this book gives a nice overview of both the problems and potential solution. I found myself feeling grateful that this was a required course for my graduate program, and that I had such a great textbook to facilitate learning the material.Understanding Environmental Health: How We Live in the World Overview

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Understanding Global Health (LANGE Clinical Medicine) Review

Understanding Global Health (LANGE Clinical Medicine)
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Understanding Global Health (LANGE Clinical Medicine) ReviewI chose this book as a textbook for an undergraduate summer course on global and public health. The book is probably among the best available and I found it providing the level of information needed for a short course. The chapters are short enough to each be read in a couple of hours or so making them good homework assignments. The book covers the main areas of global health. Some chapters would have benefited from expansive discussion such as the environmental health chapter that focused on water quality and sanitation or infectious diseases chapter. Topics of tobacco or chronic diseases are not covered or missed from the book. But in all, this is a good book and written in an easy and understandalbe language even for the lay person and I would recommend it.Understanding Global Health (LANGE Clinical Medicine) Overview

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Doubt is Their Product: How Industry's Assault on Science Threatens Your Health Review

Doubt is Their Product: How Industry's Assault on Science Threatens Your Health
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Doubt is Their Product: How Industry's Assault on Science Threatens Your Health ReviewIf we believe David Michaels, industry charlatans all learned from the tobacco industry 50 years ago. The industries that rely on doubt have been blossoming ever since: beryllium (did you know that there was a beryllium industry? I did not), asbestos, and popcorn, among others.
Yes, popcorn. Were you aware that there is a condition called "popcorn lung" (officially bronchiolitis obliterans)? I was not. It's called that because one of the main ways to contract it is by working in a factory that manufactures one of the ingredients -- namely diacetyl -- for the butter flavoring in popcorn. Every time you open a steaming bag of butter-flavored microwave popcorn, you are inhaling a bit of this chemical. The more of it you eat, the more likely you are to contract a devastating lung ailment. (And this isn't the sort of disease that you'd only get by eating an implausibly large quantity of popcorn. Real popcorn consumers have actually acquired it.)
The agency responsible for protecting workers from this sort of hazard is OSHA. The one responsible for protecting food consumers is the FDA. This division of labor comes in for some well-deserved scorn in Doubt Is Their Product; it has left the government fairly impotent to respond to threats against the public health. This book could be read alongside Marion Nestle's Food Politics and What To Eat as a single thread about the assault on helpful government regulation.
In their nonstop fight against that sort of regulation, companies have pulled out all the stops to inject systematic doubt into the public discussion. The most pernicious of these, it seems to me, is the creation of sham peer-reviewed journals. Peer review is a negative process: if you can't pass peer review, your ideas are unlikely to have merit (though there are cases, says Michaels, where brilliant scientists -- future Nobelists -- have been denied peer approval). Passing peer review doesn't mean that your ideas are any good. Something similar applies to the references you give a potential employer: if you can't find anyone in the world to say something nice about you, that is a warning sign. If three people will say good things about you, that doesn't mean that you're going to be a good employee. The public doesn't understand this distinction, and doesn't know which journals have any respect within the field. So regulated industries have dutifully gone and created journals that will say whatever they're paid to say -- just as the creationists have done. The news reports then compile, say, a "list of scientists opposing the mainstream scientific assessment of global warming" as though scientific consensus were decided by majority vote among equals.
If there's the slightest bit of doubt about, say, the cause of a disease, industry pounces and insists that more research is necessary. More research will always be necessary: science never attains the truth, only better and better approximations to the truth. The situation is complicated in public health by scientists' inability to conduct controlled experiments: it is immoral to subject patients to a potentially crippling disease. So scientists are forced to make educated guesses: this population -- of popcorn-factory workers, say -- has probably been subjected to thus-and-such a daily dosage of diacetyl for thus-and-so many years, whereas this other group of workers in the same factory has had less exposure. Meanwhile, people living near the factory but not working in it almost never experience popcorn lung. Hence we make the educated guess that the additional cases of bronchiolitis obliterans are due to diacetyl exposure within the factory.
Having reached a tentative conclusion about what's making people sick, we have some options. We can mandate that factories use a different chemical. Does industry have other, safer alternatives? Presumably it does, but those alternatives are more expensive; otherwise it would already be using them. If industry were forced to use safer alternatives, would economies of scale drive the price down to the point that consumers wouldn't notice?
That approach seems ethically sterile to me. It seems better to start with the assumption that no one should get sick at work. Being ethical about this means, in many cases, taking Paul Farmer's "preferential option for the poor" seriously. You'd probably find that most people getting sick at work are not wealthy; hedge-fund managers and computer scientists aren't coming into daily contact with beryllium; even if they are, wealthier folks can insist on workplace-safety measures in a way that the poor cannot. I'd wager that workplace safety is another front in the fight for distributive justice.
Michaels is a former Department of Energy official whose work centered on the safety of nuclear plants. As such, he has a somewhat reflexive faith in the power of regulation. To me it rang hollow: one regulation will limit diacetyl, another will limit beryllium, another will prevent factory workers from acquiring repetitive-strain disorders -- but will any real problems be solved? Companies' desire and ability to game the system is virtually limitless. When they lose the regulatory war, they invent a public-relations campaign to convince Americans that tort reform is necessary. They demonize "trial lawyers" (lawyers who write briefs and stay out of the courtroom are off the hook, as are lawyers who resolve cases before they reach the court). They challenge the very epistemology of the scientific revolution. If worse comes to worst, they move production of noxious chemicals to countries with lower environmental and health standards.
What I'm getting at is that we have a much more systemic problem on our hands. I applaud regulation where it helps, but I do wonder if it's tinkering at the edges of a massive problem that lies at the heart of our society. We need regulation; we also need education to explain to Americans what science is. We need Americans to believe that we owe much to the least fortunate among us. Until that message gets through, we'll have to content ourselves with putting out little brushfires while the forest burns.Doubt is Their Product: How Industry's Assault on Science Threatens Your Health Overview

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Inside National Health Reform (California/Milbank Books on Health and the Public) Review

Inside National Health Reform (California/Milbank Books on Health and the Public)
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Inside National Health Reform (California/Milbank Books on Health and the Public) ReviewInside National Health Reform offers an uncommon combination of both the political process and policy substance of the Affordable Care Act. From his unique perspective, John McDonough provides a first-hand, thoughtful account of the politics surrounding health reform, and supplies the context for how our health care system, and its many problems, came to be. Further, McDonough's thorough and balanced description of the provisions included in the ACA go far to educate readers on the substance and potential implications of the new law, written in both an entertaining and accessible way. The book revives much-needed optimism about the future of our health care system at a time when we are too quick to forget the historic accomplish and sweeping benefits the ACA.Inside National Health Reform (California/Milbank Books on Health and the Public) Overview

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Health Communication: From Theory to Practice (J-B Public Health/Health Services Text) - Key words: health communication, public health, health behavior, behavior change communications Review

Health Communication: From Theory to Practice (J-B Public Health/Health Services Text) - Key words: health communication, public health, health behavior, behavior change communications
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Health Communication: From Theory to Practice (J-B Public Health/Health Services Text) - Key words: health communication, public health, health behavior, behavior change communications ReviewWell, I don't know how objective I can be in my review as I purchased this book for a class but I will say that the book is comprehensive. I found some of the steps in the book to be very helpful and for that reason will hold on to it, however it is hard to read especially in the beginning with all the references and citations within the text. Health communciation is an up and coming field so this book will help especially since the reference selection is low for this area.Health Communication: From Theory to Practice (J-B Public Health/Health Services Text) - Key words: health communication, public health, health behavior, behavior change communications Overview

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Health Policy Issues: An Economic Perspective Review

Health Policy Issues: An Economic Perspective
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Health Policy Issues: An Economic Perspective ReviewThis is an excellent book that provides the reader with a great overview of relevant issues in HealthCare. The format is extremely user-friendly, and the content is superior. This book was required for my Health Policy class, and it will be a keeper. Regardless of your opinions on the status of healthcare in this country, you can find useful information to defend any perspective, as well as information that will be eye-opening, possibly changing your perspective on certain issues. I thought I knew it all until I read this book. It's one of the best I've ever read. By the way, did I say how READABLE it is? As a busy physician, I hardly have time to read anything; but this was well-worth it! This updated version even covers Medicare, Part D.Health Policy Issues: An Economic Perspective Overview

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Introduction To Public Health Review

Introduction To Public Health
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Introduction To Public Health ReviewI particularly enjoyed the chapter on health care reform. This book provides useful information on chronic, and infectious disease and how they tie in with public health.Introduction To Public Health Overview

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