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Para-States and Medical Science: Making African Global Health

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Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357490 Year: Pages: 376 DOI: 10.26530/OAPEN_530530 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2015-03-20 11:01:17
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In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

The Territory of Medical Research: Experimentation in Africa’s Smallest State (Book chapter)

Book title: Para-States and Medical Science: Making African Global Health

Author:
Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357353 9780822357490 Year: Pages: 376 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2018-06-22 11:01:04
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In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

Introduction: A Life Science in Its African Para-State (Book chapter)

Book title: Para-States and Medical Science: Making African Global Health

Author:
Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357353 9780822357490 Year: Pages: 376 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2018-06-22 11:01:04
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In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

What Future Remains? Remembering an African Place of Science (Book chapter)

Book title: Para-States and Medical Science: Making African Global Health

Author:
Book Series: Critical Global Health: Evidence, Efficacy, Ethnography ISBN: 9780822357353 9780822357490 Year: Pages: 376 Language: English
Publisher: Duke University Press Grant: Wellcome Trust - 077430, 081507
Subject: Public Health --- Medicine (General) --- Sociology --- Social Sciences
Added to DOAB on : 2018-06-22 11:01:04
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Abstract

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Keywords

africa --- medicine --- public health

Lichtduschen Geschichte einer Gesundheitstechnik, 1890–1975

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ISBN: 9783034012768 Year: Pages: 280 DOI: 10.26530/OAPEN_625137 Language: German
Publisher: Chronos Verlag Grant: Swiss National Science Foundation (SNSF) - OAPEN-CH - 170349
Subject: History
Added to DOAB on : 2017-03-08 11:01:18
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Light showers History of a Health Technology, 1890-1960&#xD;&#xD;In the interwar period, western health experts considered ultraviolet light a powerful means for stimulating the population. In Germany, the electrical industry started to sell sunlamps for daily use, while hy-gienists and the spokesmen of the health reform movement celebrated the health effects of “light showers” in the popular press. Based on a careful reading of a wide variety of scientific and popular texts, the book maps the functions of sunlight in western medicine and culture. It studies the history of light and heliotherapy in medicine and inves-tigates the transition of medical practices towards a marketed con-sumer product. The book argues that the electrification of light thera-py shaped a new rationale for the application of light on the human body in medicine and beyond at the start of the 20th century.

The Voices and Rooms of European Bioethics

Authors: ---
ISBN: 9781315814469 Year: Pages: 210 DOI: 10.26530/OAPEN_575252 Language: English
Publisher: Taylor & Francis Grant: Wellcome Trust - 097725
Subject: Biology
Added to DOAB on : 2015-09-15 11:01:13
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This book reflects on the many contributions made in and to European bioethics to date, in various locations, and from various disciplinary perspectives. In so doing, the book advances understanding of the academic and social status of European bioethics as it is being supported and practiced by various disciplines such as philosophy, law, medicine, and the social sciences, applied to a wide range of areas. The European focus offers a valuable counter-balance to an often prominent US understanding of bioethics. The volume is split into four parts. The first contains reflection on bioethics in the past, present and future, and also considers how comparison between countries and disciplines can enrich bioethical discourse. The second looks at bioethics in particular locations and contexts, including: policy, boardrooms and courtrooms; studios and virtual rooms; and society, while the third part explores the translation of theories and concepts of bioethics into the clinical setting. The fourth and final section focuses on academic expressions of bioethics, as it is theorised in various disciplines and also as it is taught, whether in classrooms or at the patient’s bedside. The book features unique contributions from a range of experts including: Alastair V Campbell; Ruth Chadwick; Angus Dawson; Raymond G. De Vries; Suzanne Ost; Renzo Pegoraro; Rouven Porz; Paul Schotsmans;Jochen Vollmann; Guy Widdershoven and Hub Zwart.

‘You don’t Need Proof When You’ve Got Instinct!’: Gut Feelings and Some Limits to Parental Authority (Book chapter)

Book title: The Voices and Rooms of European Bioethics

Authors: ---
ISBN: 9780415737197 9781315814469 Year: Pages: 210 Language: English
Publisher: Taylor & Francis Grant: Wellcome Trust - 097725
Subject: Biology
Added to DOAB on : 2018-06-22 11:01:04
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This book reflects on the many contributions made in and to European bioethics to date, in various locations, and from various disciplinary perspectives. In so doing, the book advances understanding of the academic and social status of European bioethics as it is being supported and practiced by various disciplines such as philosophy, law, medicine, and the social sciences, applied to a wide range of areas. The European focus offers a valuable counter-balance to an often prominent US understanding of bioethics. The volume is split into four parts. The first contains reflection on bioethics in the past, present and future, and also considers how comparison between countries and disciplines can enrich bioethical discourse. The second looks at bioethics in particular locations and contexts, including: policy, boardrooms and courtrooms; studios and virtual rooms; and society, while the third part explores the translation of theories and concepts of bioethics into the clinical setting. The fourth and final section focuses on academic expressions of bioethics, as it is theorised in various disciplines and also as it is taught, whether in classrooms or at the patient’s bedside. The book features unique contributions from a range of experts including: Alastair V Campbell; Ruth Chadwick; Angus Dawson; Raymond G. De Vries; Suzanne Ost; Renzo Pegoraro; Rouven Porz; Paul Schotsmans;Jochen Vollmann; Guy Widdershoven and Hub Zwart.

Stress in Post-War Britain

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Book Series: Studies for the Society for the Social History of Medicine ISBN: 9781315654096 9781848934733 9781138630130 9781317318040 9781317318033 9781317318026 Year: DOI: 10.4324/9781315654096 Language: English
Publisher: Taylor & Francis
Subject: Medicine (General) --- Social Sciences
Added to DOAB on : 2019-11-08 11:21:11
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In the years following World War II the health and well-being of the nation was of primary concern to the British government. The essays in this collection examine the relationship between health and stress in post-war Britain through a series of carefully connected case studies.

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A COPD Primer

Authors: ---
ISBN: 9783110468007 9783110468113 Year: Pages: 412 DOI: 10.1515/9783110468007 Language: English
Publisher: De Gruyter
Subject: Internal medicine
Added to DOAB on : 2016-01-07 14:19:43
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In 2012 we received a grant from the Veterans Health Administration Office of Specialty Care entitled, “Patient-Centered Model for the Management of Chronic Obstructive Pulmonary Disease.” The grant’s goals were to enhance the recognition and diagnosis of COPD and implement a Patient-Centered Model for the Management of COPD. As the work on that proposal progressed, we realized that providers did not have an up-to-date, comprehensive, easily read, “how to” manual for the management of COPD despite all the advances in COPD care that have occurred over the past 5 years. Consensus documents such as the VA-DOD Guidelines were abbreviated summaries that were rarely used. From those discussions, the concept for this volume, a COPD Primer, developed. The goal was to develop a practical book that concisely presented COPD to providers with sufficient background and explanation of the physiologic and scientific rationale for various management strategies without becoming an esoteric academic work. We hope that this COPD Primer has achieved that goal and will be a useful, practical text for practitioners and medical trainees alike.The COPD Primer begins with an examination of what COPD is; it is really a syndrome, a constellation of historical features and clinical, physiologic, and radiographic findings. However, those elements come together in many different ways to create multiple different COPD phenotypes that are only now being recognized and used to define specific management strategies. COPD research has progressed beyond the simple classification of “blue bloaters” and “pink puffers.” Next, the epidemiology and economic consequences of COPD are reviewed. Bill Eschenbacher presents an approach to the patient with respiratory symptoms with detailed discussions of pulmonary function testing and how airflow limitation/obstruction is identified by spirometry and the use of lung imaging to identify individuals with COPD. Michael Borchers and Gregory Motz summarize current evidence implicating genetics, proteolytic imbalance, oxidative stress, inflammation, occupational and environmental exposures, and innate and adaptive immune function in the pathogenesis of COPD and the implication of these findings to future treatments. The single most important intervention in the prevention and treatment of COPD is smoking cessation. Shari Altum, Katherine Butler, and Rachel Juran present a practical approach to smoking cessation utilizing motivational interviewing in combination with pharmacologic interventions. Then, they expand upon these concepts to provide practitioners with convenient, realistic suggestions to encourage patient self-management in all aspects of COPD care and overall health. Ahsan Zafar reviews the natural history, recently described COPD phenotypes, and gender differences that clearly illustrate the broad spectrum of disease that comprises the term, COPD. The cover illustration highlights Dr. Zafar’s creative and artistic talents. The extensive nonpulmonary aspects of COPD are reviewed by Ralph Panos in an examination of COPD’s multi-organ manifestations. Next, the effect of COPD on sleep and the overlap syndrome, the concurrence of COPD and obstructive sleep apnea, and its consequences are presented. Jean Elwing examines the effect of COPD on the pulmonary vasculature with a detailed discussion of the evaluation and management of pulmonary hypertension associated with COPD. COPD’s effects on psychosocial functioning and familial interactions are presented by Mary Panos and Ralph Panos.The focus of the Primer then shifts from manifestations to treatment with a discussion of stable COPD management. With the current plethora of devices for delivering respiratory medications, it is difficult for both patients and providers to sustain knowledge of their proper use. Aaron Mulhall presents a practical guide to correct inhaler use that reviews all the current devices. Folarin Sogbetun then reviews the management of outpatient COPD exacerbations and Nishant Gupta discusses the approach to the patient hospitalized with COPD. Because patients with COPD often see multiple subspecialty physicians in addition to their primary care providers, interdisciplinary communication and coordination of care is essential for their management; Sara Krzywkowski-Mohn reviews the interactions between primary and specialty care for the patient with COPD with suggestions for improved communication and care coordination. Finally, advance care planning including palliative care and hospice is reviewed with a discussion of how end stage COPD affects not only the patient but also their family and social network.This COPD Primer incorporates the knowledge that we have learned over the past several years during the development and implementation of a patient-centered model for the management of COPD. It was written with the explicit goal of assisting both the practicing provider and medical trainee in the care of patients with COPD.

Comorbidity of Mental and Physical Disorders

Authors: --- ---
ISBN: 9783318026030 9783318026047 Year: Language: English
Publisher: Karger Grant: Knowledge Unlatched - 103012
Subject: Public Health
Added to DOAB on : 2019-11-26 11:22:14
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This publication presents evidence about the magnitude and severe consequences of comorbidity of mental and physical illnesses from a personal and societal perspective. Leading experts address the huge burden of co-morbidity to the affected individual as well as the public health aspects, the costs to society and interaction with factors stemming from the context of socioeconomic developments. The authors discuss the clinical challenge of managing cardiovascular illnesses, cancer, infectious diseases and other physical illness when they occur with a range of mental and behavioral disorders, including substance abuse, eating disorders and anxiety. Also covered are the organization of health services, the training of different categories of health personnel and the multidisciplinary engagement necessary to prevent and manage comorbidity effectively.

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