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Improvising Medicine

Autor: Julie Livingston
Publisher: Duke University Press
ISBN: 0822353423
File Size: 21,21 MB
Format: PDF
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Focused on Botswana's only dedicated oncology ward, Improvising Medicine renders the experiences of patients, their relatives, and clinical staff during a cancer epidemic.

Improvised Medicine Providing Care In Extreme Environments

Autor: Kenneth Iserson
Publisher: McGraw Hill Professional
ISBN: 0071770011
File Size: 19,36 MB
Format: PDF
Read: 5816
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Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable—or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in seconds Perform digital-oral and blind-nasotracheal intubations Make plaster bandages for splints/casts Give open-drop ether, ketamine drips, and halothane Use subcutaneous/intraperitoneal rehydration/transfusion Make ORS and standard nutrition formulas Clean, disinfect, and sterilize equipment for reuse Warm blood units in seconds inexpensively Take/view stereoscopic x-rays with standard equipment Quickly and easily stop postpartum hemorrhage Fashion surgical equipment from common items Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel

Improvised Medicine Providing Care In Extreme Environments

Autor: Kenneth Iserson
Publisher: McGraw Hill Professional
ISBN: 0071770011
File Size: 29,37 MB
Format: PDF
Read: 9621
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Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable—or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in seconds Perform digital-oral and blind-nasotracheal intubations Make plaster bandages for splints/casts Give open-drop ether, ketamine drips, and halothane Use subcutaneous/intraperitoneal rehydration/transfusion Make ORS and standard nutrition formulas Clean, disinfect, and sterilize equipment for reuse Warm blood units in seconds inexpensively Take/view stereoscopic x-rays with standard equipment Quickly and easily stop postpartum hemorrhage Fashion surgical equipment from common items Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel

The Oxford Handbook Of Critical Improvisation Studies

Autor: Edwin H Case Professor of American Music George E Lewis
Publisher: Oxford University Press
ISBN: 0195370937
File Size: 5,60 MB
Format: PDF
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Improvisation informs a vast array of human activity, from creative practices in art, dance, music, and literature to everyday conversation and the relationships to natural and built environments that surround and sustain us. The two volumes of the Oxford Handbook of Critical Improvisation Studies gather scholarship on improvisation from an immense range of perspectives, with contributions from more than sixty scholars working in architecture, anthropology, art history, computer science, cognitive science, cultural studies, dance, economics, education, ethnomusicology, film, gender studies, history, linguistics, literary theory, musicology, neuroscience, new media, organizational science, performance studies, philosophy, popular music studies, psychology, science and technology studies, sociology, and sound art, among others.

Ditch Medicine

Autor: Hugh Coffee
Publisher: Paladin Press
ISBN: 9781581603903
File Size: 18,46 MB
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Whether it's a war zone or a civil disaster area, traumatic injuries often occur in remote, unsanitary locations. This book teaches advanced field procedures for small wound repair, care of the infected wound, IV therapy, pain control, amputations, treatment of burns, airway procedures and more.

The Social Basis Of Health And Healing In Africa

Autor: Steven Feierman
Publisher: Univ of California Press
ISBN: 9780520066816
File Size: 8,31 MB
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Until now our knowledge of African health and healing has been extensive but fragmented. The 18 essays included in this book are an account of disease, health and healing practices on the African continent. The contributors all emphasize the social conditions linked to ill health and the development of local healing traditions, from Morocco to South Africa and from the precolonial era to the present. The editors provide in troductory overviews explaining why and how health and disease are related to historical, economic and political phenomena.

Bodies Politics And African Healing

Autor: Stacey A. Langwick
Publisher: Indiana University Press
ISBN: 025300196X
File Size: 6,49 MB
Format: PDF, ePub
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This subtle and powerful ethnography examines African healing and its relationship to medical science. Stacey A. Langwick investigates the practices of healers in Tanzania who confront the most intractable illnesses in the region, including AIDS and malaria. She reveals how healers generate new therapies and shape the bodies of their patients as they address devils and parasites, anti-witchcraft medicine, and child immunization. Transcending the dualisms between tradition and science, culture and nature, belief and knowledge, Langwick tells a new story about the materiality of healing and postcolonial politics. This important work bridges postcolonial theory, science, public health, and anthropology.

A Heart For The Work

Autor: Claire L. Wendland
Publisher: University of Chicago Press
ISBN: 0226893278
File Size: 14,27 MB
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Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility. Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.

Letting Them Die

Autor: Catherine Campbell
Publisher: Indiana University Press
ISBN: 9780253343284
File Size: 18,90 MB
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In the old South Africa we killed people. Now we're just letting them die." --Pieter Dirk Uys, South African satirist Today in South Africa, HIV/AIDS kills about 5 in 10 young people. Many of the victims are miners and commercial sex workers who ply their trade in mining communities. In this critique of government-sponsored and privately funded HIV/AIDS prevention programs in South Africa, Catherine Campbell exposes why it has been so difficult to stop the HIV/AIDS epidemic. Campbell's research focuses on local vectors of the disease such as what people believe about the spread and prevention of AIDS, what measures they take to prevent disease, and whether they are likely to seek treatment at local AIDS clinics. "Letting Them Die" is not just an investigation into sexuality, social relations, health, and medicine; it is also a sharp review of the kinds of programs that are becoming the standard method of HIV/AIDS intervention throughout Africa.

A Reader In Medical Anthropology

Autor: Byron J. Good
Publisher: John Wiley & Sons
ISBN: 1405183152
File Size: 26,82 MB
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A Reader in Medical Anthropology: Theoretical Trajectories, Emergent Realities brings together articles from the key theoretical approaches in the field of medical anthropology as well as related science and technology studies. The editors’ comprehensive introductions evaluate the historical lineages of these approaches and their value in addressing critical problems associated with contemporary forms of illness experience and health care. Presents a key selection of both classic and new agenda-setting articles in medical anthropology Provides analytic and historical contextual introductions by leading figures in medical anthropology, medical sociology, and science and technology studies Critically reviews the contribution of medical anthropology to a new global health movement that is reshaping international health agendas

God S Laboratory

Autor: Elizabeth F. S. Roberts
Publisher: Univ of California Press
ISBN: 0520952251
File Size: 13,49 MB
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Assisted reproduction, with its test tubes, injections, and gamete donors, raises concerns about the nature of life and kinship. Yet these concerns do not take the same shape around the world. In this innovative ethnography of in vitro fertilization in Ecuador, Elizabeth F.S. Roberts explores how reproduction by way of biotechnological assistance is not only accepted but embraced despite widespread poverty and condemnation from the Catholic Church. Roberts’ intimate portrait of IVF practitioners and their patients reveals how technological intervention is folded into an Andean understanding of reproduction as always assisted, whether through kin or God. She argues that the Ecuadorian incarnation of reproductive technology is less about a national desire for modernity than it is a product of colonial racial history, Catholic practice, and kinship configurations. God’s Laboratory offers a grounded introduction to critical debates in medical anthropology and science studies, as well as a nuanced ethnography of the interplay between science, religion, race and history in the formation of Andean families.

The Slumbering Masses

Autor: Matthew J. Wolf-Meyer
Publisher: U of Minnesota Press
ISBN: 0816674744
File Size: 29,79 MB
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Addresses the phenomenon of sleep and sleeplessness in the United States, tracing the influence of medicine and industrial capitalism on the sleeping habits of Americans from the 19th century to the present

Improvisational Therapy

Autor: Bradford P. Keeney
Publisher: Guilford Press
ISBN: 9780898624861
File Size: 20,23 MB
Format: PDF, Kindle
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In this unusual volume, Bradford Keeney depicts psychotherapy as a performing art. Emphasizing the advantages of improvising one's own therapeutic style, he presents a host of tried-and-true strategic interventions, a short course on brief intervention design, a way of "scoring' conversations with clients much like one would score music, a collection of therapeutic moves, and chapters on creating one's own clinical design. As such, IMPROVISATIONAL THERAPY is a book that will be valued by all who do clinical work.

When People Come First

Autor: João Biehl
Publisher: Princeton University Press
ISBN: 0691157391
File Size: 11,22 MB
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When People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach. Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast. When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures.

Improving Diagnosis In Health Care

Autor: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309377692
File Size: 30,87 MB
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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001) finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Testing Women Testing The Fetus

Autor: Rayna Rapp
Publisher: Routledge
ISBN: 1135963924
File Size: 15,69 MB
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Rich with the voices and stories of participants, these touching, firsthand accounts examine how women of diverse racial, ethnic, class and religious backgrounds perceive prenatal testing, the most prevalent and routinized of the new reproducing technologies. Based on the author's decade of research and her own personal experiences with amniocentesis, Testing Women, Testing the Fetus explores the "geneticization" of family life in all its complexity and diversity.

Unsafe Motherhood

Autor: Nicole S. Berry
Publisher: Berghahn Books
ISBN: 9781845459963
File Size: 16,22 MB
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Since 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Sololá, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women. The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally.

Surface Tensions

Autor: Lenore Manderson
Publisher: Left Coast Press
ISBN: 1611320984
File Size: 3,16 MB
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Using a narrative epistemology approach against the backdrop of popular culture and the history of science, Manderson shows how people remake their bodies, identities, and biographies after catastrophic bodily loss and change.

A History Of Global Health

Autor: Randall M. Packard
Publisher: JHU Press
ISBN: 1421420333
File Size: 25,14 MB
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Over the past century, hundreds of billions of dollars have been invested in programs aimed at improving health on a global scale. Given the enormous scale and complexity of these lifesaving operations, why do millions of people in low-income countries continue to live without access to basic health services, sanitation, or clean water? And why are deadly diseases like Ebola able to spread so quickly among populations? In A History of Global Health, Randall M. Packard argues that global-health initiatives have saved millions of lives but have had limited impact on the overall health of people living in underdeveloped areas, where health-care workers are poorly paid, infrastructure and basic supplies such as disposable gloves, syringes, and bandages are lacking, and little effort has been made to address the underlying social and economic determinants of ill health. Global-health campaigns have relied on the application of biomedical technologies—vaccines, insecticide-treated nets, vitamin A capsules—to attack specific health problems but have failed to invest in building lasting infrastructure for managing the ongoing health problems of local populations. Designed to be read and taught, the book offers a critical historical view, providing historians, policy makers, researchers, program managers, and students with an essential new perspective on the formation and implementation of global-health policies and practices.

Seeing Patients

Autor: Augustus A. White III, M.D.
Publisher: Harvard University Press
ISBN: 0674058771
File Size: 12,16 MB
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This book uses the story of one of the authors, Gus White, as a way to talk about unconscious biases and their consequences to the medical profession and beyond. White is an orthopedic surgeon, who grew up in Tennessee under Jim Crow, went to Brown, and was the only black student at Stanford Medical School. He was the first black chief resident at Yale, the only black surgeon in Vietnam, and was the first black chief of service in a Harvard teaching hospital. His life spans an enormous change in American race relations, and he has many eye opening stories to tell. His description of his early years in an extremely segregated and racist society now reads like something from another world. White and Chanoff want to use the autobiographical approach of this book to show how great the disparities still are, and make the case for “culturally competent” medical training, in a way that is more vivid and memorable than a research review or policy paper. The book looks at White’s life, but always with an eye to what moved him to the idea of equality in medicine and problems of disparities in medicine.