Public health and safety law Books

235 products


  • Child Health in America

    Johns Hopkins University Press Child Health in America

    Out of stock

    Book SynopsisThis original and progressive work affirms the urgent need for child advocacy and provides valuable guidance to those seeking to participate in efforts to help all children live healthier, happier lives.Trade ReviewDr. Palfrey presents a well-designed, articulate description of the political climate surrounding pediatric health care... Pediatric clinicians, politicians, students, and practitioners of health policy will be well-served by a read of this text to best understand what tools and information are needed. -- Bryan R. Fine, MD, MPH JAMA 2007 A must read if you are at all serious about health advocacy for children... thank you Judith Palfrey. Thank you for not shying away from the difficult issues, thank you for bringing it all together, and thank you for creating a must-read text... I am a better child health advocate after having read this book. -- George L. Askew, MD, FAAP Ambulatory Pediatrics 2007Table of ContentsAcknowledgmentsIntroduction1. Child Health Advocacy2. A History of Child Health Advocacy3. The Current Status of Child Health4. Clinical Advocacy5. Group Advocacy6. Legislative Advocacy7. Professional Advocacy8. Political WillAppendix: Resources OnlineNotesIndex

    Out of stock

    £27.00

  • The Medicalization of Society

    Johns Hopkins University Press The Medicalization of Society

    4 in stock

    Book SynopsisThis thought-provoking study offers valuable insight into not only how medicalization got to this point but how it may continue to evolve.Trade ReviewAn accessible yet nuanced introduction to a fascinating and important topic. Readers do not need any background in medicine or academic sociology to appreciate Conrad's inquiry, and the experience of living in the 21st century United States is enough to understand what he's talking about. -- Benjamin J. Lovett Metapsychology 2007 Conrad's fine work investigates and illuminates this baleful phenomenon. -- A. Mark Clarfield, MD, FRCPC JAMA 2007 This is an enjoyable and thought-provoking book. -- H. Russell Searight PsycCRITIQUES 2007 The text is useful, especially for medical students... Recommended. Choice 2008 Recommended reading for practicing physicians, or better yet, for physicians in training. The so-called gatekeepers need to be reminded (or initially trained to understand) that reductionist medical perspectives are problematic and that the best solutions account for the social complexity that is inherent in the human condition. -- Michael Fendrich, Ph.D. New England Journal of Medicine 2008 An invaluable synopsis of 30 years' scholarship... Clearly written and presented so that it should be accessible to students in both sociology and health studies... An immense contribution to medical sociology. -- Robert Dingwall Society 2008 Conrad's accomplishment is significant. The Medicalization of Society is simply the most lucid treatise on the patterns and consequences of medicalization to date. It is also a much needed warning about the darker side of medicalization. -- Regina Smardon Culture 2008 This is an extremely interesting, timely and thought-provoking book, which will have a wide appeal amongst academics. Medical sociologists will welcome the opportunity to see Conrad's various writings brought together in one volume, and will appreciate the way he has revisited and updated his own work. -- Susie Scott Health Sociology Review 2008 The issues raised by this monograph are important, complex, and increasingly relevant for all of us who live in the modern world. -- S. Elizabeth Whitmore Themelios 2008 Peter Conrad's book is largely comprised of a series of case studies used to illustrate the changing nature of medicalization... With his 30-year history of studying this topic, Conrad is just the right person to take on the task, and this book represents a significant contribution to the area. -- Heather Hartley Contemporary Sociology 2009 Peter Conrad is the doyen of studies in medicalization. From his work on hyperactivity in the 1970s to his more recent research on 'geniticization' Conrad has documented the twists and turns of medical involvement in an ever increasing range of human problems. In this new book he does more than offer a reprise of his work or of the field. Rather, he sets out an illustrated framework for understanding and studying medicalization, with a view to future possible developments as well as current debates. -- Mike Bury Sociology of Health and Illness 2009 This short, tightly written, highly readable book deals with issues, often previously regarded as normal aging or personality flaws, that have moved under the domain of medicine... An important book that will find many readers among the general public as well as among physicians... highly recommended as required reading for medical school courses. -- Charles V. Ford Journal of Clinical Psychiatry 2010Table of ContentsPrefaceAcknowledgmentsPart I: Concepts1. Medicalization: Context, Characteristics, and ChangesPart II: Cases2. Extension: Men and the Medicalization of Andropause, Baldness, and Erectile Dysfunction3. Expansion: From Hyperactive Children to Adult ADHD4. Enhancement: Human Growth Hormone and the Temptations of Biomedical Enhancement5. Continuity: Homosexuality and the Potential for RemedicalizationPart III: Constraints and Consequences6. Measuring Medicalization: Categories, Numbers, and Treatment7. The Shifting Engines of Medicalization8. Medicalization and Its DiscontentsNotesReferencesIndex

    4 in stock

    £21.60

  • Challenges of an Aging Society Ethical Dilemmas

    Johns Hopkins University Press Challenges of an Aging Society Ethical Dilemmas

    4 in stock

    Book Synopsis, Boston College.Trade ReviewAn excellent book... Will be exceedingly helpful to clinicians and nonclinicians who are involved in the development of public policy. JAMA 2008 Easily readable and well referenced... It is an excellent, well-thought-out resource for where the U.S. is on the issue of gerontology as it relates to ethics and public policy... Highly recommended. Choice 2008 A good survey of many aging society issues. Future Survey 2007 Some of the individual chapters are superb... contains some interesting original material as well as a useful synthesis of the literature... There is something in it for almost everyone. New England Journal of Medicine 2008 This book is well edited and presented, which makes reading it quite straightforward, even while taking on at times some complex issues. -- Karen Le Ball Age and Ageing 2008 This book... is unique in that it explores issues and challenges at hand with the current aging society through an 'ethical' lens, and brings together experts in a wide range of fields covering sociobiology, social work, economics, public policy, theology, public health, bioethics, nursing and neurology -- Erica Yoonkyung Journal of Sociology and Social Welfare 2009 There is something for everyone in this collection -- John Bond Aging and Society 2008 It is a compilation of multiple thought-provoking analyses of the status of elderly and the aging, and includes current and future ramifications. -- Susan Wegener Inside GCM 2008Table of ContentsList of ContributorsAcknowledgmentsIntroduction: The Science and Ethics of Aging WellPart I: Autonomy and End-of-Life Decisions1. The Legal Aspects of End-Of-Life Decision Making2. Assessing Compentency to Make Medical Decisions at the End of Life: Clinician and Patient Issues3. The Ethics of Long-Term Care: Recasting the Policy Discourse4. Religiosity and Spirituality at the End of Life: Challenges and OpportunitiesPart II: The Future of Family Responsibility5. The Family and the Future: Challenges, Prospects, and Resilience6. Long-Term Care, Feminism, and an Ethics of Solidarity7. Aging, Generational Opposition, and the Future of the FamilyPart III: Policies and Politics of Genrational Responsibility8. Minority Elders in the United States: Implications for Public Policy9. Allocating Resources for Lifelong Learning for Older Adults10. Transforming Age-Based Policies to Meet Fluid Life-Course Needs11. The Political Paradoxes of Thinking outside the Life-Cycle Boxes12. Is Responsibility across Generations Politically Feasible?Part IV: Health and Wealth: Whose Responsibility?13. Social Security Reform and Responsibility across the Generations: Framing the Debate14. Setting the Agenda for Social Security Reform15. A Summary of Saving Social Security: A Balanced Approach16. Assessing the Returns from the New Medicare Drug Benefit17. Prescription Drugs and Elders in the Twenty-first CenturyIndex

    4 in stock

    £46.50

  • Our Present Complaint

    Johns Hopkins University Press Our Present Complaint

    1 in stock

    Book SynopsisAt a time when clinical care and biomedical research generate as much angst as they offer cures, this volume provides valuable insight into how the practice of medicine has evolved, where it is going, and how lessons from history can improve its prognosis.Trade ReviewCogently written and well documented, the book will benefit medical practitioners, and will be especially useful to those who make medical policy. Highly recommended. Choice 2008 This collection of essays, drawing on Rosenberg's half-century career as one of our preeminent historians of medicine, will be well appreciated by fellow historians and their students, but it ought to be required reading for health care providers, payers, policy makers, and patients. -- Elizabeth Siegel Watkins Journal of American History 2008 Our Present Complaint... is a timely book. It examines important concepts and history that people need to be aware of and think through if they seek to understand and address the many problems with the American medical system. -- Sharon A. Falkenheimer Themelios 2008 [Rosenberg] reminds us that the problems addressed by disciplines such as bioethics and interdisiplinary communities such as that of health policy are inevitably situated and configured by a broader context to which ethicists and policy makers would do well to pay attention. -- Thomas S. Huddle, M.D., Ph.D. Journal of the History of Medicine 2009Table of Contents1. Introduction: The History of Our Present Complaint2. The Tyranny of Diagnosis: Specific Entities and Individual Experience3. Contested Boundaries: Psychiatry, Disease, and Diagnosis4. Banishing Risk: Or, the More Things Change, the More They Remain the Same5. Pathologies of Progress: The Idea of Civilization as Risk6. The New Enchantment: Genetics, Medicine, and Society7. Alternative to What? Complementary to Whom? On the Scientific Project in Medicine8. Holism in Twentieth-Century Medicine: Always in Opposition9. Mechanism and Morality: On Bioethics in Context10. Anticipated Consequences: Historians, History, and Health PolicyAcknowledgmentsIndex

    1 in stock

    £19.35

  • Medicare Prospective Payment and the Shaping of

    Johns Hopkins University Press Medicare Prospective Payment and the Shaping of

    15 in stock

    Book Synopsishealth care system.Trade ReviewThis slender volume offers value on several dimensions. First, it is an explication of recent history that connects the dots from prospective payment to Medicare-based deficit reduction to cost shifting to managed care. By the same token, the story here serves as a bracing corrective to the mythology of market-based reform and the assumption that government's role in health is inescapably a negative one. Health Affairs 2007 Whether discussing the Social Security Amendments of 1972 or the Balanced Budget Act of 1997, Mayes and Berenson entertain readers with insider anecdotes about the ideological and practical battles government policymakers fought with powerful provider lobbies. New England Journal of Medicine A highly readable book that traces the history of Medicare prospective payment systems from their enactment in 1983 until today. Journal of Health Politics, Policy and Law This book provides an excellent primer for physician leaders on the recent history of Medicare and the politics of elected officials using it as a cash cow. The authors challenge practicing physicians to carefully consider what may work in society's best interests to improve health outcomes, rather than primarily focusing on how Medicare benefits their net incomes. JAMA 2008 Mayes and Berenson offer an admirable product in this book, one that we should use to improve our own studies of the state and the agents who help define it. -- Andrew B. Whitford International Public Management Journal 2009Table of ContentsAcknowledgmentsList of AcronymsIntroduction1. Origins and Policy Gestation2. Development, Growing Appeal, and Passage of Prospective Payment3. The Phase-In Years and Beginning of "Rough Justice" for Hospitals4. Medicare Policy's Subordination to Budget Policy, Increased Hospital Cost Shifting, and the Rise of Managed Care5. The Resource-Based Relative-Value Scale Reforms for Physician Payment6. The Calm before the Storm7. The Reckoning and ReversalConclusion: How Medicare Does and Should Shape U.S. Health CareAppendix: InterviewsNotesReferencesIndex

    15 in stock

    £31.04

  • Talking with Patients and Families about Medical

    Johns Hopkins University Press Talking with Patients and Families about Medical

    15 in stock

    Book SynopsisNarrative examples of common situations demonstrate how conversations about medical error can lead to healing.Trade ReviewProfessional health collections will consider this essential. Midwest Book Review 2011Table of ContentsForeword, by Lucian L. Leape, M.D.AcknowledgmentsIntroduction1. Medical Error through the Eyes of Clinicians, Patients, and Families2. What Is a Medical Error?3. A Brief Overview of the Patient Safety Movement4. Communicating about Adverse Events and Medical Error5. Supporting Clinicians in Disclosure: The Coaching Model6. Practice-Based Learning for Coaches and Clinicians7. Practical Guidelines for Disclosure8. Learning through Enacting9. The Broad Spectrum of Adverse Events and Medical Error10. Organizational Strategies for Improving Disclosure Practice11. Future Directions and Closing ThoughtsAppendix: Practical Guidelines for DisclosureAnnotated Bibliography of Key WorksReferencesIndex

    15 in stock

    £32.63

  • Import Safety

    University of Pennsylvania Press Import Safety

    1 in stock

    Book SynopsisWritten by leading scholars and analysts, the essays in Import Safety provide background and policy guidance on improving consumer safety in imported food, pharmaceuticals, medical devices, and toys and other consumer products aimed at children.Trade Review"Import Safety provides a timely and comprehensive overview of the challenges faced by both governments and domestic and foreign firms in protecting consumers from unsafe imported goods. It not only describes and documents the magnitude of this challenge but also offers a number of creative legal and administrative solutions to address it." * David Vogel, Solomon P. Lee Chair in Business Ethics, University of California, Berkeley *"An important book. I am impressed by the way it tackles the food safety problems created by globalization and explains why our current regulatory systems are failing to protect the public. Best, it offers highly innovative ways to solve food safety problems and should be welcomed by policy makers the world over. Anyone who cares about the safety of food and other imports needs to read this book." * Marion Nestle, Paulette Goddard Professor of Nutrition, Food Studies, and Public Health, New York University *"This timely volume provides a broad perspective on the complexities and problems involved in controlling the quality of imported products in world trade. . . . A valuable resource for anyone interested in this topic, which touches all of our lives." * Choice *Table of ContentsPreface PART I: PERSPECTIVES ON THE PROBLEM 1. Consumer Protection in an Era of Globalization —Cary Coglianese, Adam M. Finkel, and David Zaring 2. The Other China Trade Deficit: Export Safety Problems and Responses —Jacques deLisle 3. Parochialism About the Safety of Imports —Jonathan Baron PART II: INTERNATIONAL TRADE INSTITUTIONS 4. Import Safety Regulation and International Trade —Tracey Epps and Michael J. Trebilcock 5. The Politics of Food Safety in the Age of Global Trade: The Codex Alimentarius Commission in the SPS Agreement of the WTO —Tim Büthe 6. Import Safety Rules and Generic Drug Markets —Kevin Outterson PART III: TOWARD SMARTER REGULATION 7. Forecasting Consumer Safety Violations and Violators —Richard Berk 8. Risk-Based Regulation for Import Safety —Lorna Zach and Vicki Bier 9. Solving the Problem of Scale: The European Approach to Import Safety and Security Concerns —Alberto Alemanno PART IV: LEVERAGING THE PRIVATE SECTOR 10. Importers as Regulators: Product Safety in a Globalized World —Kenneth A. Bamberger and Andrew T. Guzman 11. Bonded Import Safety Warranties —Tom Baker 12. Private Import Safety Regulation and Transnational New Governance —Errol Meidinger PART V: THE WAY FORWARD 13. Delegated Governance: Consumer Safety in the Global Marketplace —David Zaring and Cary Coglianese List of Contributors Index Acknowledgments

    1 in stock

    £52.70

  • Policy Studies Institute Decision Making by Mental Health Review Tribunals

    Out of stock

    Book Synopsis

    Out of stock

    £15.75

  • The Modern Military and the Environment

    Government Institutes The Modern Military and the Environment

    Out of stock

    Book SynopsisAnalysing the conflict between national security requirements and environmental responsibility, this book examines the common environmental issues that the military faces and gives an introduction to the legal authorities, including statutes, regulations, and executive orders, governing the application of environmental law to military activities.

    Out of stock

    £78.30

  • Paul Appelbaum on Law and Psychiatry  Collected Articles from Hospital and Community Psychiatry

    John Wiley & Sons Paul Appelbaum on Law and Psychiatry Collected Articles from Hospital and Community Psychiatry

    Out of stock

    Book SynopsisThe book is a compendium of articles from Hospital and Community Psychiatry on law and psychiatry.Table of ContentsIntroduction. AIDS, psychiatry, and the law. Legal liability for tradive dyskinesia. How flexible are our civil commitment statutes. England's new commitment law. Competency to stand trial: neuroleptic medication and demeanor in court. Confidentiality: winning for a change. Do the mentally disabled have the right to be physicians?. Resurrecting the right to treatment. Competence to be executed: another conundrum for mental health professionals. The role of thr mental health professional in court. The rising tide of patients' rights advocacy. Patients' rights: the action moves to state courts. Refusing treatment: the uncertainty continues. Protecting child witnesses in sexual abuse cases. Admitting children to psychiatric hospitals: a controversy revived. Allen v. Illinois: the fifth amendment and the sexually dangerous person. DRGs and mental health law: a glimpse of the future. Hypnosis in the courtroom. The expansion of liability for patients's violent acts. Death, the expert witness, and the dangers of going barefoot. The Zoning out of the mentally disabled. Housing for the mentally ill: an unexpexted outcome of class-action suit against ssa. Paternalism and the role of the mental health lawyer. Te cautious advance on the right to treatment. Civil commitment: is the pendulum changing direction?. The issue of sterilization and the mentally retarded. Limitations on guardianship of the mentally disabled. The insanity defense: new calls for reform. Psychiatrists' role in the death penalty.

    Out of stock

    £18.04

  • Cambridge University Press The Future of the Criminology of Place

    1 in stock

    Book SynopsisMicrogeographic units of analysis have moved to the center of criminological inquiry. This Element brings together leading crime-and-place scholars to identify promising areas for future study. Section 1 introduces the Element and the importance of focusing on the future of studies of crime and place. Section 2 examines the development of hot-spots policing and the importance of focusing on its impact on communities. It also looks at how ''pracademics'' can advance the science and practice of place-based policing. Section 3 focuses on place managers as prevention agents and examines how city government can influence crime at place. It further contends that rural communities need to become a key focus of crime-and-place scholarship. Section 4 emphasizes the importance of the connection of health, crime, and place. It also argues for the importance of expanding the methodological tools of crime and place to include careful ethnographic and qualitative research.

    1 in stock

    £17.00

  • Governance and Leadership in Health and Safety

    Taylor & Francis Ltd Governance and Leadership in Health and Safety

    1 in stock

    Book SynopsisThis book is a leadership guide to the effective implementation of the ISO 45001:2018 standard. It takes the high-level leadership and top management principles put forward in ISO 45001 and develops them into a comprehensive discourse on how, at the very top of any organization, large or small, leaders can drive the occupational health and safety (OH&S) agenda and ensure the effective implementation of the OH&S management systems. While the standard sets out expectations for top management, this book provides a clear explanation of the OH&S roles, responsibilities, and accountabilities between those who direct the organization and drive it towards achieving its strategic aims and those who lead the day-to-day operations. It puts forward a purposeful, easy-to-follow, and effective system for the implementation of ISO 45001 whilst also, and more importantly, maximizing the value proposition of such a global standard, regardless of industry. The book is written for tTable of Contents1. Effective health and safety governance and leadership 2. Value creation through high reliability 3. The model for effective health and safety governance and ;eadership: The health and safety role of the board 4. Health and safety in strategic and business planning 5. Policy setting: setting the "Tone from the Top" 6. Setting the plan, targets, and ensuring integration with the business plans and creating ingredients for success 7. Stewardship for implementation of the health and safety plan 8. Ensuring effectiveness, performance oversight, and continual improvement 9. Training and implementation 10. Epilogue

    1 in stock

    £31.34

  • Privacy and Medical Confidentiality in Healthcare

    Edward Elgar Publishing Ltd Privacy and Medical Confidentiality in Healthcare

    15 in stock

    Book SynopsisThis seminal book delivers an international examination of the duty of medical confidentiality and a patientâs right to privacy in the face of contemporary threats such as cyber-security, patient autonomy, and the greater reliance on telemedicine post Covid-19 pandemic.Trade Review‘In an era where our health data is increasingly collected, shared, and exploited by a variety of actors—including, at times, without our knowledge or consent—Vansweevelt and Glover-Thomas offer a timely international comparative overview of how privacy and medical confidentiality are protected and promoted in healthcare, and how to attain an effective balance of interests between patients and medical professionals, and wider public interests. This is a must-read for all health privacy law scholars.’ -- Edward S. Dove, University of Edinburgh, UKTable of ContentsContents: Foreword viii 1 Introduction: privacy and medical confidentiality in healthcare 1 Thierry Vansweevelt and Nicola Glover-Thomas 2 Privacy and health in Belgium 5 Thierry Vansweevelt, Nils Broeckx and Filip Dewallens 3 Privacy and health in Canada 24 Emily Baron and Trudo Lemmens 4 Privacy and health in Germany 55 Benedikt Buchner 5 Japanese law of privacy and health 72 Eiji Maruyama 6 Privacy and health in the Nordic countries 91 Mette Hartlev 7 Data protection, privacy, and confidentiality in Qatar’s health system 114 Barry Solaiman 8 Privacy, medical confidentiality, and health in Tanzania 140 Ferdinand Marcel Temba 9 Patient confidentiality rules in South Africa: a legal and ethical perspective 164 Sylvester C. Chima 10 Patient privacy and health information confidentiality in the United States of America 241 Stacey A. Tovino 11 The obligation of medical confidence in the UK 271 Nicola Glover-Thomas 12 Comparative conclusions: towards a global vision of privacy and medical confidentiality? 293 Thierry Vansweevelt and Nicola Glover-Thomas Index 304

    15 in stock

    £114.00

  • The Virtual Workplace

    Cambridge University Press The Virtual Workplace

    1 in stock

    Book SynopsisThe recent pandemic has clarified the overwhelming connection between the workplace and technology. With thousands of employees suddenly forced to work at home, a large segment of the workforce quickly received crash courses in videoconferencing and other technologies, and society as a whole took a step back to redefine what employment actually means. The virtual workplace is the blending of brick-and-mortar physical places of business with the advanced technologies that now make it possible for workers to perform their duties outside of the office. Trying to regulate in this area requires the application of decades old employment laws to a context never even contemplated by the legislatures that wrote those rules. This book explores the emerging issues of virtual workdefining employment, litigating claims, aggregating cases, unionizing workers, and preventing harassmentand provides clarity to these areas, synthesizing the current case law, statutory rules, and academic literature to pTable of Contents1. Introduction; 2. Who is an employee?; 3. Pleading standards and the technology sector; 4. Aggregating claims; 5. Collective bargaining agreements and unions in the modern economy; 6. Harassment and the virtual workplace; 7. A few final thoughts.

    1 in stock

    £31.37

  • Guide to US Food Laws and Regulations

    John Wiley and Sons Ltd Guide to US Food Laws and Regulations

    15 in stock

    Book SynopsisThis compact resource outlines major U.S. food laws, factors that led to their passage, and explains the role of key agencies like the FDA and FSIS in regulation and enforcement. Students are directed to internet sites as well as to indexes and resources available from the Federal government.Table of ContentsList of Contributors xv About the Companion Website xvii Chapter 1 Introduction to Laws and Regulations 1 Patricia A. Curtis Introduction 1 Sources of American Law 2 The Constitution 2 Statutory Law 3 Common Law 3 Equity 3 Public and Private Law 3 Private Law 3 Public Law 3 Legislative Branch 4 Judicial Branch 5 Federal Court System 5 The Supreme Court 5 Courts of Appeals 5 US District Courts 6 Special Courts 6 Executive Branch 6 Sources of Legislation 7 How a Bill Becomes a Law 8 Introduction 8 Considered in Committee 8 Reintroduction 9 Debate in Congress 9 Presidential Action 10 Enrollment Where to Find Legal Information 11 Law-making Process 12 The Laws 13 Conventional Search Method 16 Example Search 16 How Regulations are Made 17 The Rule-making Process and Publication 17 Example 18 Code of Federal Regulations 18 Using the Code of Federal Regulations 19 Example 19 References 20 Additional Resources 21 Chapter 2 How Did We Get Where We Are Today? 23 Patricia A. Curtis, Emily L. Steinberg, Michelle A. Parisi, and Julie K. Northcutt Introduction 23 Reasons for Food Laws 24 American Food Laws 25 The “Poison Squad” 28 The Jungle 31 The Need for a New Food and Drug Law 33 Elixir of Sulfanilamide: Raspberry Flavored Death 36 Food Drug and Cosmetic Act of 1938 37 Silent Spring and the Environmental Protection Agency 38 First Amendment to the Food, Drug and Cosmetic Act 38 Public Health Service Act 39 Milestones in US Food and Drug History (FDA 2010) 39 A Brief History of Agricultural-Related Agencies 46 USDA 47 State Departments of Agriculture 47 Environmental Protection Agency 47 Food and Drug Administration 48 Current Consumer and Regulatory Concerns 48 Summary of Major Food Laws 49 Pure Food and Drug Act of 1906 49 Federal Meat Inspection Act of 1906 49 Food Drug and Cosmetic Act of 1938 49 Poultry Products Inspection Act of 1957 (as amended 1968) 49 Food Additive Amendment of 1958 49 Color Additive Amendment of 1960 50 Fair Packaging and Labeling Act of 1966 50 Egg Products Inspection Act of 1970 50 Nutrition Labeling and Education Act of 1990 50 Dietary Supplement Health and Education Act of 1994 50 Saccharin Notice Repeal Act of 1996 50 Food Quality Protection Act of 1996 50 Food and Drug Administration Modernization Act of 1997 50 Pediatric Rule (1999) 51 The Best Pharmaceuticals for Children Act of 2002 51 Public Health Security and Bioterrorism Preparedness and Response Act of 2002 51 Project BioShield Act of 2004 51 Food Allergy Labeling and Consumer Protection Act of 2004 51 Anabolic Steroid Control Act of 2004 51 Minor Use and Minor Species Animal Health Act of 2004 52 References 52 Further Reading 53 Chapter 3 Federal, State, and Local Laws 55 Patricia A. Curtis Introduction 55 National versus State Government 56 National Government 56 State Government 57 The Civil War Amendments 58 Powers of the National Government and State Governments 58 Food-related Laws and Regulations 60 Food Safety and Inspection Service 60 Food and Drug Administration 62 Shellfish Program 62 Milk Program 63 Retail Food Protection Program 64 Food Safety 65 Local Government 67 Tribal Governments 69 Summary 70 References 70 Chapter 4 Major Food Laws and Regulations 73 Julie K. Northcutt and Michelle A. Parisi Introduction 73 Pure Food and Drug Act (1906) and Federal Meat Inspection Act (1906) 73 Amendments to the Federal Meat Inspection Act (1906) 76 Poultry Products Inspection Act (PPIA) of 1957 76 Wholesome Meat Act of 1967 and Wholesome Poultry Product Act of 1968 77 Food, Drug and Cosmetic Act (FDCA), 1938 77 Amendments to the Food, Drug and Cosmetic Act, 1938 80 Miller Pesticide Amendment, 1954 81 Food Additive Amendment, 1958 82 Color Additive Amendment, 1960 83 Dietary Supplement Health Education Act (DSHEA) of 1994 86 Public Health Security and Bioterrorism Preparedness Response Act of 2002 89 FDA Food Safety Modernization Act (FFSMA) of 2011 91 Patient Protection and Affordable Care Act (PPACA) of 2010 93 Conclusion 95 References 95 Chapter 5 US Federal Laws affecting Food Labeling 97 Michelle A. Parisi, Julie K. Northcutt, and Emily L. Steinberg Introduction 97 History of food labeling 98 Standards of identity 98 Overview of major food labeling laws 99 Construction of a food label 103 The principal display panel (PDP) 103 NLEA of 1990 105 The nutrition facts panel 107 Food labeling nutrient and health claims 113 The FDA Modernization Act of 1997 116 Labeling exemptions 117 Results of over 70 years of food labeling regulation 117 Conclusion 118 References 118 Chapter 6 Environmental Regulations and the Food Industry 121 Theodore A. Feitshans Introduction 121 Discharges to surface and ground waters 121 Solid waste 124 Hazardous waste 126 Use of water 126 Regulation of water sources 128 Discharges to air 129 Chemical use, storage, release, and transport 131 Toxic Substance Control Act (TSCA) 131 Emergency Planning and Community Right-to-Know Act 132 Siting and operation of facilities 137 Environmental risk management 138 References 140 Legal authorities 141 Chapter 7 OSHA Regulations and the Food Industry 143 Patricia A. Curtis Introduction 143 Mission 144 OSHA statistics 145 Women of Hispanic or Latino ethnicity 145 Workplace fatalities 146 Retail trade sector 146 Food manufacturing 147 Food service 148 Government workers 148 Rights and responsibilities under OSHA law 149 Selected OSHA Standards and Guidelines 151 Hazard communications 151 Ergonomics 152 Enforcement 153 Inspections 154 Outreach, education, and compliance assistance 155 Filing a complaint with OSHA 156 Complaint filing options 157 Summary 157 References 158 Further Reading 159 Chapter 8 Federal Trade Commission Regulations and the Food Industry 161 Patricia A. Curtis Introduction 161 Mission 161 Authorizing Acts 162 Bureau of Consumer Protection 162 The Division of Advertising Practices 163 The Division of Enforcement 164 Division of Consumer and Business Education 165 Division of Financial Services 165 Division of Marketing Practices 166 Division of Planning and Information 167 Division of Privacy and Identity Protection 168 Bureau of Competition 169 Bureau of Economics 169 Sample enforcement actions 169 References 170 Chapter 9 An Introduction to Kosher and Halal Food Laws 171 Joe M. Regenstein, Muhammad M. Chaudry, and Carrie E. Regenstein Introduction 171 The kosher and halal laws 172 The kosher and halal market 175 Kosher 176 The kosher dietary laws 176 Kosher: special foods 184 Passover 187 Kosher: other processing issues 188 Halal 194 Halal dietary laws 194 Halal cooking, food processing, and sanitation 200 Both kosher and halal 200 Science 200 Pet food 202 Health 202 Regulatory 203 Federal and State Regulations 209 Animal welfare 210 Acknowledgment 211 References 211 Further Reading 212 Additional Resources 212 Chapter 10 Biotechnology and Genetically Modified Agricultural Crops and Food 213 Emily L. Steinberg, Michelle A. Parisi, and Julie K. Northcutt Introduction 213 Biotechnology, genetically modified, and genetic engineering 215 Regulation of GM foods in the United States 216 USDA 216 EPA 216 FDA 217 Biotechnology versus organic agriculture 220 Legal issues – NOP and biotechnology 221 Common examples of GM products 221 Flavr Savr TomatoTM 221 Bt corn 222 L-tryptophan 223 Biotechnology-related court cases 224 International Dairy Foods Assoc. v. Boggs 224 Alliance for Bio-Integrity v. Shalala 225 Monsanto v. Geertson Farms 225 Conclusion 225 References 226 Chapter 11 Animal Welfare Regulations and Food Production 227 Kenneth E. Anderson Introduction 227 Participants in the welfare debate 229 Impact on public perception 232 Economics 233 What needs to be done 234 References 235 Further Reading 238 Chapter 12 Egg Laws and Regulations 239 Patricia A. Curtis Introduction 239 History 239 Federal Egg Laws 241 Egg Products Inspection Act (EPIA) 243 Federal-State Agreements 243 Egg Safety Final Rule Implementation 246 Compliance Dates 246 Salmonella Enteritidis 246 Required SE Prevention Measures 247 State Egg Laws 254 References 254 Additional Resources 255 Chapter 13 Regulations Governing Poultry Processing 257 Brooke Caudill Introduction 257 Poultry Products Inspection Act (21 USC 451) 260 Poultry Products Inspection Regulations (9 CFR 381) 263 Poultry Processing Operations 265 Ante-mortem 266 Slaughter 267 Feather Removal 267 Evisceration and Post-mortem Inspection 268 Reinspection 272 Finished Product Standards (FPS) 273 Facilities Required for Inspection 276 Chilling 278 Post-chill 279 Pathogen Reduction Standards 279 HACCP Systems (9 CFR 417) 280 New Inspection System Proposal 281 New Poultry Inspection System for Young Chickens and Turkeys 282 Online Carcass Inspection 283 Offline Verification Inspection 283 Elimination of Finished Product Standards 284 Maximum Line Speeds 284 Proposed Changes Affecting All Poultry Slaughter Establishments 285 Zero Tolerance for Visible Fecal Material Before Chilling 285 Generic E. coli Testing and Salmonella Performance Standards 287 HACCP 288 Proposed Changes Affecting Only Traditional Inspection 289 Poultry Products Inspection Regulations (9 CFR 381) 292 Definitions of Nonconformances 300 References 305 Chapter 14 What Are They Doing Up There? Contacting Your Congressional (House) Member 307 Jessica Butler Writing to your Congressman/Congresswoman 307 Calling your Congressman/Congresswoman 308 District office 308 DC office 309 Visiting your Congressman/Congresswoman 309 Jobs on the Hill (House of Representatives) 310 Intern 310 Staff Assistant (SA) 311 Legislative Correspondent (LC) 311 Communications Director (Comm’s Director) 312 Legislative Assistant (LA) 312 Legislative Director (LD) 313 Chief of Staff (COS) 313 Fellowships 313 When traveling to Washington DC 314 Index 317

    15 in stock

    £63.86

  • Chemical Risk Assessment

    John Wiley & Sons Inc Chemical Risk Assessment

    10 in stock

    Book SynopsisThis bookis an essential guide and support to understanding of the science and policy, procedure and practice that underpins the REACH risk assessments required for the use and placing on the market of chemicals in the European Union. A clear understanding of information provision and how this affects the assessment of chemical safety is fundamentally important to the success of policy on chemicals and ultimately to the sustainability of the chemicals industry. Within the book, the scientific processes that underpin the policy are explained in a practical way. Importantly, it includes coverage of techniques to help solve the problems of using potentially risky and hazardous chemicals through the use of less hazardous alternatives and green chemistry', and also the analysis of the risks of the use of the most hazardous substances against the social and economic benefits of use. Chemical Risk Assessment: A Manual for REACHcovers the following main themes: <Table of ContentsList of Figures xv List of Tables xvii List of Contributors xix Introduction xxi 1. Introduction: Policy and Scientific Context of Chemicals Risk and Risk Management 1 1.1 Overview of the Risk Assessment of Chemical Substances 4 1.2 Chemical Hazard and Risk Programmes 5 1.2.1 REACH Overview 5 1.2.2 Registration 6 1.2.3 Evaluation 8 1.2.4 Authorisation and Restriction 11 1.2.5 Hazard and Risk Communication 14 1.2.6 Hazards 16 1.2.7 Overview of Types of Exposure 17 1.2.8 Overview of Risk Characterisation 19 1.2.9 Successful Interaction with REACH: Registration, Evaluation and Authorisation 21 1.2.10 Regulation and Assessment of Hazardous Chemicals Outside of the European Union 24 2. Roles and Responsibilities in REACH 39 2.1 The Structure and Responsibilities of the Authorities 39 2.1.1 Role of the ECHA 39 2.1.2 The Role of the Member State Committee (MSC) 40 2.1.3 The Role of the Member State Competent Authorities (MSCA) 40 2.2 Forum Enforcement Project – REACH-EN-FORCE-1 41 2.3 Future Aims of the HSE (an Example of a ECHA-Related Authority Acting in the UK) 41 2.4 What Does REACH Require as Regards Enforcement? 41 2.5 What Powers Do Enforcing Authorities Have? 42 2.6 The Responsibilities of Industry 42 2.6.1 Responsibilities of the Manufacturer 42 2.6.2 Responsibilities of the Importer 43 2.6.3 The Only Representative 43 2.6.4 Responsibilities of the Downstream User 43 2.7 Communication in the Supply Chain and with Regulators 44 2.7.1 Use Descriptor System 44 3. Control of Chemicals – Legislative and Policy Context 57 3.1 How EU Chemical Legislation Evolved 57 3.2 Air Quality Regulations 63 3.3 Water Framework Directive 64 3.4 Carcinogens at Work 65 3.5 Cosmetics 66 3.6 Biocidal and Plant Protection Products 67 3.7 Nationally (UK)-Implemented Legislative and Policy Frameworks 68 3.7.1 Workplace Exposure 68 3.7.2 Control of Substances Hazardous to Health Regulations (COSHH) 2002 69 3.7.3 Dangerous Substances and Explosive Atmospheres Regulations (DSEAR) 2002 72 3.8 UK Environmental Regulation 74 3.8.1 Overview and IPPC 74 3.8.2 Waste (England and Wales) Regulations 2011 SI 988 75 3.8.3 Water Legislation in the UK 75 3.8.4 Directive 2006/118/EC on the Protection of Groundwater against Pollution and Deterioration 77 3.8.5 Groundwater (England and Wales) Regulations 2009 (SI 2009 No. 2902) 77 3.8.6 Air Legislation in the UK 77 4. Identification of Substances for REACH – Practicalities 81 4.1 Substance Identification 81 4.1.1 Types of Substances 82 4.1.2 Mono-Constituent Substances 82 4.1.3 Multi-Constituent Substances (MCSs) 82 4.1.4 Substances with Unknown or Variable Composition, or of Biological Origin (UVCBs) 82 4.1.5 Nanomaterials 83 4.1.6 Articles 84 4.1.7 EC Number 84 4.2 Sameness 85 4.3 Essentially-Pure Substances 85 4.4 Approaching the Substance Data Set – Understanding the Substance 86 5. Physico-Chemical Properties for REACH – Purpose and Practicalities 89 5.1 Physico-Chemical Properties 89 5.2 Strategy in Physico-Chemical Testing Plans 91 5.2.1 Tier 1 Tests 91 5.2.2 Tier 2 Tests 92 5.2.3 Tier 3 Tests 93 5.3 Difficult-to-Measure Substances 94 5.3.1 Multiconstituent or UVCB Substances (Mixtures) 94 5.3.2 Poorly Soluble Substances 94 5.3.3 Volatile Substances 94 5.3.4 Unstable Substances Either by Hydrolysis, Photolysis or Oxidation 94 5.3.5 Ionisable Substances 95 5.3.6 Surface Active Substances 95 5.4 Hazardous Physico-Chemical Data 95 5.5 Relationship between Physico-Chemical Tests 95 5.6 Application of Physico-Chemical Test Data 96 5.7 Can Physico-Chemical Tests Be Omitted? 96 5.8 (Q)SAR and Physico-Chemical Tests 97 5.9 (Quantitative) Structure-Activity Relationships ((Q)SAR) 97 6. Assessing and Documenting the Intrinsic Properties of Substances in REACH 103 6.1 Introduction to REACH Data Requirements 103 6.1.1 Strictly Controlled Conditions 104 6.2 Hazards 108 6.3 PBT 108 6.4 Equivalent Concern 109 6.4.1 Adversity 109 6.4.2 Mode of Action 110 6.5 Test Proposal Rule 110 6.6 Availability of Existing Data and Rights of Access 111 6.7 Data Reliability 111 6.8 Data Gaps – Options for Surrogate Data for Description of Hazard and Risk – Including Read-Across 111 6.9 Read-Across 113 7. Assessing Environmental Properties Data 115 7.1 Environmental Properties Data 115 7.1.1 PNECs 115 7.1.2 Classification and Labelling (C&L) 116 7.1.3 PBT 116 7.2 Environmental Fate 116 7.2.1 Degradation 117 7.2.2 Bioaccumulation 120 7.2.3 Adsorption 121 7.3 Ecotoxicology 123 7.3.1 Introduction 123 7.3.2 Hazard Assessment and Risk Characterisation 123 7.3.3 Data Review 127 7.3.4 Testing of Difficult Substances 127 7.3.5 (Q)SARs, Data Waiving and EPM 128 7.3.6 Further Testing 129 7.3.7 Toxicity to Sewage Treatment Plant Microorganisms 129 7.4 Turning Intrinsic Properties into ‘No-Effect’ Concentrations 130 7.4.1 Selecting a Suitable Starting Point for a PNEC Calculation 131 7.4.2 Calculating a PNEC Using Assessment Factors 131 7.4.3 Calculating a PNEC Using Sensitivity Distribution 133 7.4.4 Calculating a PNEC Using Equilibrium Partitioning 133 7.4.5 Intermittent versus Continuous Releases 134 8. Environmental Exposure 137 8.1 Substance Identity and Approach to Exposure Assessment 137 8.2 Characterising Releases 138 8.2.1 Evaluating Use Pattern 138 8.3 Evaluating Releases 139 8.3.1 Reality Checking – Top Down and Bottom Up 141 8.4 Documentation for the Registration 142 8.4.1 Uncertainty 142 8.5 Local Scale Releases 142 8.5.1 Site Size 142 8.5.2 Site Inspections 143 8.6 Exposure Assessment – Models or Measurements? 143 8.6.1 Using Measurements 143 8.6.2 Using Models 145 8.6.3 Models or Measurements – Recommended Approach 145 8.6.4 Tools 145 8.7 Water 146 8.7.1 Release via Waste-Water 146 8.7.2 River Environment 148 8.7.3 Marine Environment 149 8.7.4 Sediments 149 8.8 Soil 149 8.8.1 WWTP Sludge and Agricultural Soil 149 8.8.2 Deposition 149 8.8.3 Biodegradation in Soil 150 8.8.4 Crops and Grassland 150 8.8.5 Industrial Soil 150 8.9 Air 150 8.9.1 Air in the Standard PEC Models 150 8.9.2 Ozone Depletion and Other Specific Effects 150 8.9.3 Long Range Pollutants 151 8.10 The Food Chain 151 8.10.1 Biomagnification 151 8.10.2 Secondary Poisoning 151 9. Assessing the Hazards to Human Health from Chemicals 153 9.1 Mammalian Toxicology 153 9.2 Exposure Routes and Local/Systemic Effect Types 153 9.3 Acute and Chronic Effects 154 9.4 Influences on Toxicity 154 9.5 How Chemicals Cause Harm 155 9.5.1 Asphyxiants 155 9.5.2 Narcotics 155 9.5.3 Irritants and Corrosives 155 9.5.4 Sensitisation (Allergic Reactions) 156 9.5.5 Carcinogenicity 156 9.5.6 Genotoxic Effects 157 9.5.7 Reproductive and Developmental Effects 157 9.5.8 Target Organ Effects 157 9.6 Toxicokinetics 157 9.7 Toxicological Testing 158 9.7.1 Data Gaps 159 9.7.2 Data Waiving 159 9.7.3 Acute Toxicity Studies 159 9.7.4 Short-Term, Repeated Dose Studies 160 9.7.5 Long-Term (Chronic) Studies 160 9.7.6 Other Systemic Effects 161 9.7.7 Local Effects 162 9.8 Genetic Toxicology 162 9.8.1 Introduction 162 9.8.2 Hazard Assessment 163 9.8.3 Risk Assessment 166 9.9 Turning Intrinsic Properties into ‘No-Effect’ Levels 166 9.9.1 Special Cases 169 10. Human Exposure to Chemicals 171 10.1 Exposure 171 10.2 Exposure to Chemicals in the Workplace 173 10.2.1 First Tier Models 173 10.2.2 Higher Tier Models 174 10.2.3 Risk Management Measures 174 10.2.4 Exposure in the Professional Use Setting 175 10.2.5 Models 176 10.2.6 Measurements 178 10.3 Risk Management Measures 179 10.4 Consumer Exposure 179 10.4.1 General Considerations for Exposure Estimation for Consumers 180 10.4.2 Tier 1 Models 180 10.4.3 Refinement of Initial Exposure Estimates, Higher Tier Models and Measurements 181 10.4.4 Risk Management Measures – Consumers 181 10.5 Indirect Exposure (Humans via the Environment) 182 10.6 Risk due to Physico-Chemical Hazard 182 11. Managing Hazard and Risk 185 11.1 Characterisation, Assessment and Management of Risk 185 11.2 What Is ‘Risk’ under REACH? 186 11.3 What Are Risk Reduction and Risk Management? 187 11.3.1 Risk 187 11.3.2 How Can Risks Be Controlled Adequately? 189 11.4 Where Safe Levels Cannot Be Established – CMRs and PBTs (and vPvBs) 190 11.5 Responsibilities in the Supply Chain – Introduction 190 11.6 Regulatory Requirements 191 11.7 Guidance 193 11.8 The Extended Safety Data Sheet 193 11.8.1 Current issues surrounding the use of eSDS by DUs 194 11.9 When Communication Is Difficult 194 11.10 Exposure Measurements in the Workplace – Occupational Hygiene 195 11.11 Control of Environmental Releases – Abatement Techniques 196 11.11.1 Engineering Controls 196 11.11.2 Enclosure and Containment 197 11.11.3 Bunding 197 11.11.4 Dedicated Equipment 197 11.11.5 Investment and Scale of Use – Economic Viability 197 11.11.6 Waste Stream Treatments 197 11.11.7 WWTP Treatments 198 11.11.8 Custom and Practise 198 11.11.9 Handling Standards 198 11.11.10 Clean-Down Practises 198 11.12 Effectiveness of Risk Reduction – Risk Management Options 200 11.13 Types of Risk Management – in the Workplace 201 11.13.1 Options Overview 202 11.13.2 Understanding Assumptions and Critical Issues 202 11.13.3 Risk Management Measures 202 11.14 Types of Risk Management – for the Environment 203 11.14.1 Unacceptable Risk 203 11.14.2 Options Overview 203 11.14.3 When a Data Set Is Not Complete 204 11.14.4 When a Data Set Is as Complete as It Can Be 204 11.14.5 Understanding Assumptions and Critical Issues 204 11.14.6 Strategies to Reduce the Amount of Substance Released to the Environment 204 11.15 Consumer Protection 205 12. Avoiding the Use of Hazardous Substances: Substitution and Alternatives 207 12.1 Properties That Contribute to Hazard and Risk for Human Health and the Environment 209 12.2 Assessment of Alternatives – Replacement of Use 210 12.3 What Is an Alternative? 211 12.4 Analysis of Alternatives 211 12.5 Substitution – Replacement with Substances of Reduced Hazard 211 12.5.1 Examples of Voluntary Substitution 212 12.5.2 Regulation-Led Substitution – Case Studies 213 12.6 Sustainability and Green Chemistry 218 12.7 What Is Green Chemistry in Practice? Principles and Concepts 219 12.7.1 Why Is Green Chemistry Important? 220 12.7.2 Research in Green Chemistry 220 12.7.3 Substance Design 220 12.7.4 Process Design 222 13. Hazards, Risks and Impacts – The Development and Application of Frameworks for the Assessment of Risk 225 13.1 Policy Context – Risk, Hazard and the Precautionary Principle 226 13.1.1 Assessment Frameworks – Hazard and Risk and Impacts 230 13.1.2 Precaution – Where No Safe Level Can Be Established 232 13.1.3 Application of Assessment Frameworks to Human Health and Environmental Protection 234 13.2 From Hazards to Risks to Impacts – Understanding the Implications of Exposure to Dangerous Chemicals 235 13.2.1 Introduction: The Need for a Culture of Safety 236 13.2.2 Responsible Care® 238 13.2.3 Standards and Management Tools 239 13.2.4 Risk Control and Management 241 13.2.5 Risk Control and Management in REACH 241 13.3 Risk Management Options – REACH Processes for Control of Hazardous and Risky Substances 244 13.3.1 Restrictions and Authorisations in REACH 244 13.3.2 Restrictions 246 13.3.3 Authorisations 247 14. Socio-Economic Analysis in REACH 251 14.1 Background – the Need for and Development of Socio-Economic Analysis in the Regulation of Chemicals 253 14.2 What Is SEA and Why Is It Needed and Applied in REACH? 254 14.2.1 What Is SEA within REACH? 254 14.3 Role, Purpose and Performing an SEA in REACH 255 14.3.1 Role and Purpose of an SEA in REACH 255 14.3.2 Doing an SEA in REACH 256 14.4 The Difficulties of Moving from Risks to Impacts 256 14.5 Regulatory Processes – Who Are the Decision Makers and What Are Their Roles? 265 14.6 The Wider Benefits of Performing an SEA 265 14.7 Developments and the Future 267 15. REACH: How It Is Working and May Develop 269 15.1 Introduction 269 15.2 Experiences and Observations 269 15.2.1 Observations 270 15.3 Basics of Successful Submission 271 15.4 Testing, Prediction and Read-Across 271 15.5 The Community Rolling Action Plan 272 15.6 EU and National Responsibilities 272 15.7 Risk-Based Regulation and the Precautionary Approach 272 15.8 Higher Tiers of Assessment 273 15.9 REACH Developments 274 15.9.1 Methods of Operation and Constant Change 274 15.9.2 Improved Efficiency of Operation 275 15.9.3 Increased Scope 275 15.9.4 Policy Development on the Control of Chemicals – EU and Global Perspectives 276 15.10 Rationalising Overlap with Other Legislation 276 15.11 Scientific Developments and Challenges 278 15.12 Impact on Industry 278 15.12.1 Manufacturers and Importers 278 15.12.2 Downstream Users and Consumers 278 15.12.3 Innovation 279 15.13 ECHA Evaluation Report 2012 279 16. Resources, Official Guidance, Further Reading and Centres of Expertise 283 16.1 Introduction to Resources and Organisations 283 16.1.1 Official Journal 283 16.1.2 ECHA and REACH-IT 284 16.1.3 CEFIC and Sector Groups 285 16.1.4 IUCLID Guidance 285 16.1.5 ECETOC 286 16.1.6 OECD 286 16.1.7 EU JRC 286 16.2 Facts and Statistics 286 Appendix A Substance Classification and Labelling under REACH 317 A.1 Important Differences 319 A.1.1 Physico-Chemical Hazards 320 A.1.2 Health Hazards 320 A.1.3 Environmental Hazards 321 A.1.4 Supplementary Labelling Requirements under the CLP Regulations 321 A.2 CLP Symbols 322 A.2.1 Comparison of DSP/DPD with CLP 2008 325 A.3 Specific Target Organ Systemic Toxicity – Single Exposure 334 A.3.1 Carcinogenic Substances 335 A.3.2 Mutagenic Substances 337 A.3.3 Effect during Lactation 337 A.3.4 Aquatic Environment 338 A.3.5 Ozone 338 A.4 Harmonised Classification and Labelling 339 Appendix B Further Discussion of Substance Identification and Sameness 341 B.1 Substance Identifiers 341 B.1.1 EC Name 341 B.1.2 CAS Registry Number (CAS# or CAS No.) 341 B.1.3 SMILES 341 B.1.4 InChI 342 B.2 Substance Analysis 342 B.2.1 Sameness 343 B.2.2 Impurities 344 B.2.3 Departures from the Agreed Norm 344 B.3 Straightforward Organic Substances 345 B.3.1 Identity 345 B.3.2 Purity and Characterisation 346 B.4 Complex Organic Substances 347 B.5 Inorganic Substances 348 B.5.1 Structure 349 B.5.2 Elemental Quantification 349 B.6 Analysis of UVCBs 349 Appendix C Tools for REACH Compliance: IUCLID, Chesar and In-House Databases 351 C.1 International Uniform Chemical Information Database (IUCLID) 351 C.2 IUCLID and PPORDs 354 C.3 Submission of PPORD to ECHA 354 C.3.1 IUCLID Submission 354 C.3.2 Notification by REACH-IT 355 C.4 Chesar 356 C.4.1 Introduction 356 C.4.2 Chesar Functionalities or Organisation of the Tool 356 C.4.3 Assessment workflow of Chesar 358 C.5 Advice on Storing of Data Outside of the IUCLID 358 C.5.1 Structure 359 C.5.2 Identifiers 360 C.5.3 Mechanistic Issues 360 C.5.4 Identification and Expression of Substance Identity 361 C.5.5 Result Values 361 C.5.6 SMILES and Textual Representations of Structure 361 C.5.7 Modifications to the Data Set 361 C.5.8 Composited Fields and Repeated Processes 361 C.5.9 Duplicates 362 C.5.10 Validation 362 C.5.11 Checking 363 C.5.12 Study Reports and Cataloguing 363 C.5.13 Snapshots and Backups 364 Appendix D Glossary 365 Index 383

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    Johns Hopkins University Press Licensed to Practice

    15 in stock

    Book SynopsisThus does Dent, a little-known Supreme Court case, influence how Americans receive health care more than a hundred years after the fact.Trade ReviewThe tale told by Professor Mohr is not a dry sequence of facts, but is instead an evocative page-turner. Mohr's description of the characters in this tale is massively evocative and filled with palace intrigue and scheming worthy of Henry II... To learn the fascinating details I refer you wholeheartedly to this marvelous depiction. -- Howard Wainer Journal of Medical Regulation Mohr presents a thoroughly researched and eminently readable account of the times, people and circumstances that led to the passage of the West Virginia licensing law and its subsequent legal challenges... Reading this fascinating and personal history of a watershed moment in physician regulation encourages one to dig deeper into the history of medical regulation. -- John Harris Social History of Medicine In sprightly prose Mohr explains how the practice of medicine came to be licensed. His archival sleuthing has unearthed a complex drama involving personalities, ideas, and interests. -- Jeffrey Kahana Journal of American History Mohr clearly explains the rationale for opposing licensing and makes it easy to understand why for over a decade legal authorities remained confused and unconvinced by the decision. This book will be a useful case study for historians attempting to make the case for the contingent nature of change to non-historian policy makers. -- Joel D. Howell Bulletin of the History of Medicine Licensed to Practice covers a lot of ground... [James C. Mohr] provides a definitive account of Dent, makes an important contribution to the history of medicine in the United States, and offers an interesting study of regulation in the Progressive era. The Federal Lawyer Licensed to Practice is a valuable contribution to the history of US medicine and public health. Mohr frames the unique features of the West Virginia law and its subsequent legal history. He presents new information on the individuals involved. West Virgina History Mohr's book does a superb job presenting not just the history and the legal debates leading to Dent, but also offers well-thought-out criticisms of the consequences of the Supreme Court's Dent decision for issues such as the medical malpractice system and the policing of physician competence post-licensure. He manages to present all of this, including the rather arcane and complex legal issues in an accessible and easily-understood manner even for those who are not steeped in constitutional law or historical research. Kennedy Institute of Ethics Journal Mohr's effective blending of engaging narrative with cogent historical analysis makes this book a useful resource for historians of medicine, legal historians, as well as those interested in social history. But the book is also appealing to medical, legal, and regulatory professionals seeking a historical perspective on medical licensing, its impact on practice, and the implementation of public health in the United States. Journal of the History of Medicine and Allied SciencesTable of ContentsIntroductionProloguePart One: Background1. Medical Regulation in the United States through the Civil WarPart Two: The Medical Society of West Virginia2. Dr. Reeves and the Founding3. Building the "True Church"4. Challenges from WithinPart Three: The Board of Health5. Securing Legislation6. Exercising Power7. The Dents Confront the BoardPart Four: The Courts8. The West Virginia State Supreme Court9. Conflict and Enforcement10. The United States Supreme Court11. American Medical Practice after DentEpilogueAcknowledgmentsNotesIndex

    15 in stock

    £27.89

  • Improving Access to HIV Care

    Johns Hopkins University Press Improving Access to HIV Care

    3 in stock

    Book SynopsisS.Table of ContentsAcknowledgmentsIntroductionMethodsExecutive Summaries of Case Study FindingsCase StudiesMultiple Cities in the State of LouisianaChicagoNew York CitySan Francisco / Bay AreaMultiple Regions in the State of North CarolinaConclusionsAppendixesA. Semistructured Case Study Interview GuideB. Network Collaboration Survey QuestionsReferencesIndex

    3 in stock

    £20.70

  • Global Perspectives on ADHD

    Johns Hopkins University Press Global Perspectives on ADHD

    10 in stock

    Book SynopsisAttention deficit-hyperactivity disorder (ADHD) has been a common psychiatric diagnosis in both children and adults since the 1980s and 1990s in the United States. But the diagnosis was much less common-even unknown-in other parts of the world. By the end of the twentieth century, this was no longer the case, and ADHD diagnosis and treatment became an increasingly widespread global phenomenon. As the diagnosis was adopted around the world, the definition and treatment of ADHD often changed in the context of different psychiatric professions, medical systems, and cultures. Global Perspectives on ADHD is the first book to examine how this expanding public health concern is diagnosed and treated in 16 different countries. In some countries, readers learn, over 10% of school-aged children and adolescents are diagnosed with ADHD; in others, that figure is less than 1%. Some countries focus on medicating children with ADHD; others emphasize parent intervention or child therapy. Showing howTable of ContentsList of ContributorsPreface1. ADHD in Global Context, by Meredith R. Bergey and Angela M. Filipe2. The Rise and Transformation of ADHD in the United States, by Meredith R. Bergey and Peter Conrad3. In the Elephant's Shadow, by Claudia Malacrida and Tiffani Semach4. Historical, Cultural, and Sociopolitical Influences on Australia's Response to ADHD, by Brenton J. Prosser and Linda J. Graham5. The Medicalization of Fidgety Philip, by Fabian Karsch6. ADHD in the United Kingdom, by Ilina Singh7. The Emergence and Shaping of ADHD in Portugal, by Angela M. Filipe8. Transformations in the Irish ADHD Disorder Regime—, by Claire Edwards and Orla O’Donovan9. The Journey of ADHD in Argentina, by Silvia A. Faraone and Eugenia Bianchi10 . Academic and Professional Tensions and Debates around ADHD in Brazil, by Francisco Ortega, Rafaela Zorzanelli, and Valeria Goncalves11. ADHD in the Italian Context, by Alessandra Frigerio and Lorenzo Montali12. The French ADHD Landscape, by Madeleine Akrich and Vololona Rabeharisoa13. ADHD in Japan, by Mari Armstrong-Hough, Yasuo Murayama, Hiroyuki Ito, Junko Teruyama, and Masatsugu Tsujii14. Pharmaceuticalization through Government Funding Activities, by Manuel Vallee15. From Problematic Children to Problematic Diagnosis, by Sebastián Rojas Navarro, Patricio Rojas, and Mónica Peña16 . The Development of Child Psychiatry and the Biomedicalization of ADHD in Taiwan, by Fan-Tzu Tseng17. Exploring the ADHD Diagnosis in Ghana, by Christian Bröer, Rachel Spronk, and Victor Kraak18 . Reflections on ADHD in a Global Context, by Peter Conrad and Ilina SinghIndex

    10 in stock

    £47.18

  • Infiltrating Healthcare

    Johns Hopkins University Press Infiltrating Healthcare

    5 in stock

    Book SynopsisHow sales representatives from Big Pharma and other healthcare companies circumvent public and regulatory scrutiny by forging relationships with nurses. Awarded second place in the 2019 AJN Book of the Year Award in the Professional Issues Category by the American Journal of NursingIt was once common for pharmaceutical companies and medical device makers to treat doctors to lavish vacations or give them new cars; companies would do virtually anything to buy influence so that their medications or devices would be used in a doctor's office or hospital. But with growing public scrutiny of kickbacks to doctors, the huge giveaways have disappeared. In Infiltrating Healthcare, Quinn Grundy shows that sales representatives are working instead behind the scenes. It is to nurses that these companies now market. Nurses, Grundy argues, are the perfect target for sales reps: their work is largely invisible and frequently undervalued, yet they wield a great deal of influence over treatment and puTable of ContentsAcknowledgmentsPrologue1. Invisible Influence2. From Sales to Service3. "The Perfect Friend"4. The 'As-If' World of Nursing Practice5. The "Rules of Engagement"6. Marketing to Nurses MattersIndex

    5 in stock

    £23.85

  • Abortion across Borders

    Johns Hopkins University Press Abortion across Borders

    15 in stock

    Book SynopsisA timely examination of how restrictive policies force women to travel both within and across national borders to access abortion services. Safe, legal, and affordable abortion is widely recognized as an essential medical service for women across the world. When access to that service is denied or restricted, women are compelled to carry unwanted pregnancies to term, seek backstreet abortionists, attempt self-induced abortions, or even travel to less restrictive states, provinces, and countries to receive care. Abortion across Borders focuses on travel across domestic and international boundaries to terminate a pregnancy. Christabelle Sethna and Gayle Davis have gathered a cadre of authors to examine how restrictive policies force women to move both within and across national borders in order to reach abortion providers, often at great expense, over long distances and with significant safety risks. Taking historical and contemporary perspectives, contributors examine the situation Trade Review[Abortion across Borders] is a great example of interdisciplinary scholarship: the authors comprise several historians, a geographer, a sociologist, a psychologist, a lawyer and an architect. There is also a fair amount of politics in the book. This makes for varied approaches to each chapter, most of which focus on one country.—Sam Rowlands, Bournemouth University, British Society of Abortion Care Providers[Abortion across Borders] is a rich volume that offers new and exciting analyses.—Shannon Stettner, Literary Review of CanadaTable of ContentsAcknowledgments Introduction Christabelle SethnaPart I. Flight Risks1. Sherri Finkbine Flew to Sweden: Abortion and Disability in the Early 1960sLena Lennerhed2. From Heathrow Airport to Harley Street: The ALRA and the Travel of Nonresident Women for Abortion Services in BritainChristabelle Sethna3. The Trans-Tasman Abortion Travel Service: Abortion Services for New Zealand Women in the 1970sHayley BrownPart II. Domestic Transgressions4. All Aboard the "Abortion Express": Geographic Variability, Domestic Travel, and the 1967 British Abortion ActGayle Davis, Jane O'Neill, Clare Parker, and Sally Sheldon5. A Double Movement: The Politics of Reproductive Mobility in IrelandMary Gilmartin and Sinéad Kennedy6. Tales of Mobility: Women's Travel and Abortion Services in a Globalized AustraliaBarbara Baird7. Don't Mess with Texas: Abortion Policy, Texas StyleLori A. Brown8. Trials and Trails: The Emergence of Canada's Abortion Refugees in Prince Edward IslandCathrine Chambers, Colleen MacQuarrie, and Jo-Ann MacDonaldPart III. Democratic Transitions9. Abortion Travel and the Cost of Reproductive Choice in SpainAgata Ignaciuk10. "The Import Problem": The Travels of Our Bodies, Ourselves to Eastern EuropeAnna Bogic11. Abortion and the Catholic Church in PolandEwelina Ciaputa12. Beyond the Borders of Brexit: Traveling for Abortion Access to a Post-EU BritainNiklas BarkeContributorsIndex

    15 in stock

    £51.50

  • Governing Health

    Johns Hopkins University Press Governing Health

    10 in stock

    Book SynopsisTrade ReviewThis book could prove useful for those interested in the process and contributing factors of health policy formation such as scholars and professionals in the fields of governance, medicine, and public health.—Communication Booknotes QuarterlyTable of ContentsAcknowledgments Introduction Chapter 1. The Policy Process Chapter 2. CongressChapter 3. The PresidencyChapter 4. Interest GroupsChapter 5. The BureaucracyChapter 6. States and Health Care ReformConclusionNotesReferencesIndex

    10 in stock

    £35.10

  • Death by Regulation

    Johns Hopkins University Press Death by Regulation

    15 in stock

    Book SynopsisThe story of a small healthcare startup and its fight for survival against the very federal agencies responsible for its launch as part of the ACA. In the contentious run-up to the passage of the Affordable Care Act, Congress passed a law to make nonprofit health insurance CO-OPs (formally known as Consumer Operated and Oriented Plans) a viable alternative to the public option. The idea was to create new competition in order to lower health insurance premiums and encourage innovation. Nearly two dozen such low-cost CO-OPs were launched in the wake of the ACA's passage; only four are in operation today. In Death by Regulation, Dr. Peter L. Beilenson tells the story of a group of Maryland-based public health professionals who launched the Evergreen Health Cooperative, only to discover that the ACA law encouraging CO-OPs was a plastic planta piece of legislation created for optics but never intended to be functional. Over most of its four years of existence, Evergreen succeeded againsTable of ContentsPrologue: Sacramento, California, 1970 Part One. A CO-OP Is Launched1. Creating Evergreen: March 2010 to March 2013 2. A Rocky Start: April 2013 to March 2014 3. Gaining Experience: April 2014 to June 2015 4. The Obstacles Pile Up: Summer 2015 5. Improving Fortune: November 2015 to March 2016 Part Two. Fighting the Good Fight6. Evergreen Fights Back: April to June 2016 7. Preparing to Go to Court: June 20168. Evergreen Health Cooperative v. United States of America: July 2016 9. The Pursuit of Investors Begins: July to October 2016 10. Staying Alive: October 2016 00011. Think Globally, Act Locally: October 2016 to January 2017 12. Ten Frenzied Days: January 2017 13. Finale: January to August 2017 Conclusion. A Dozen Lessons Learned Epilogue Acknowledgments Index

    15 in stock

    £23.85

  • Health Disparities in the United States

    Johns Hopkins University Press Health Disparities in the United States

    15 in stock

    Book SynopsisChallenging students to think critically about the complex web of social forces that leads to health disparities in the United States. The health care system in the United States has been called the best in the world. Yet wide disparities persist between social groups, and many Americans suffer from poorer health than people in other developed countries. In this revised edition of Health Disparities in the United States, Donald A. Barr provides extensive new data about the ways low socioeconomic status, race, and ethnicity interact to create and perpetuate these health disparities. Examining the significance of this gulf for the medical community and society at large, Barr offers potential policy- and physician-based solutions for reducing health inequity in the long term. This thoroughly updated edition focuses on a new challenge the United States last experienced more than half a century ago: successive years of declining life expectancy. Barr addresses the causes of this declineTable of ContentsPreface1. Introduction to the Social Roots of Health Disparities2. What Is "Health"? How Should We Define It? How Should We Measure It?3. The Relationship between Socioeconomic Status and Health, or, "They Call It 'Poor Health' for a Reason"4. Understanding How Low Social Status Leads to Poor Health 5. Race, Ethnicity, and Health 6. Race/Ethnicity, Socioeconomic Status, and Health: Which Is More Important in Affecting Health Status?7. Children's Health Disparities 8. All Things Being Equal, Does Race/Ethnicity Affect How Physicians Treat Patients?9. Why Does Race/Ethnicity Affect the Way Physicians Treat Patients?10. When, if Ever, Is It Appropriate to Use a Patient's Race/Ethnicity to Help Guide Medical Decisions?11. What Should We Do to Reduce Health Disparities?ReferencesIndex

    15 in stock

    £88.35

  • Health Disparities in the United States

    Johns Hopkins University Press Health Disparities in the United States

    15 in stock

    Book SynopsisChallenging students to think critically about the complex web of social forces that leads to health disparities in the United States. The health care system in the United States has been called the best in the world. Yet wide disparities persist between social groups, and many Americans suffer from poorer health than people in other developed countries. In this revised edition of Health Disparities in the United States, Donald A. Barr provides extensive new data about the ways low socioeconomic status, race, and ethnicity interact to create and perpetuate these health disparities. Examining the significance of this gulf for the medical community and society at large, Barr offers potential policy- and physician-based solutions for reducing health inequity in the long term. This thoroughly updated edition focuses on a new challenge the United States last experienced more than half a century ago: successive years of declining life expectancy. Barr addresses the causes of this declineTable of ContentsPreface1. Introduction to the Social Roots of Health Disparities2. What Is "Health"? How Should We Define It? How Should We Measure It?3. The Relationship between Socioeconomic Status and Health, or, "They Call It 'Poor Health' for a Reason"4. Understanding How Low Social Status Leads to Poor Health 5. Race, Ethnicity, and Health 6. Race/Ethnicity, Socioeconomic Status, and Health: Which Is More Important in Affecting Health Status?7. Children's Health Disparities 8. All Things Being Equal, Does Race/Ethnicity Affect How Physicians Treat Patients?9. Why Does Race/Ethnicity Affect the Way Physicians Treat Patients?10. When, if Ever, Is It Appropriate to Use a Patient's Race/Ethnicity to Help Guide Medical Decisions?11. What Should We Do to Reduce Health Disparities?ReferencesIndex

    15 in stock

    £45.00

  • Preventing Child Trafficking

    Johns Hopkins University Press Preventing Child Trafficking

    5 in stock

    Book SynopsisHow can a public health approach advance efforts to prevent, identify, and respond to child trafficking?Child trafficking is widely recognized as one of the critical issues of our day, prompting calls to action at the global, national, and local levels. Yet it is unclear whether the strategies and tools used to counter this exploitationmost of which involve law enforcement and social serviceshave actually reduced the prevalence of trafficking. In Preventing Child Trafficking, Jonathan Todres and Angela Diaz explore how the public health field can play a comprehensive, integrated role in preventing, identifying, and responding to child trafficking. Describing the depth and breadth of trafficking's impact on children while exploring the limitations in current responses, Todres and Diaz argue that public health frameworks offer important insights into the problem, with detailed chapters on how professionals and organizations can identify and respond effectively to at-risk and trafficked cTrade ReviewA call to action—to provide a public health toolkit for all people who work, or care for children, from policy makers, to educators, health-care and social workers, and community leaders . . . [Preventing Child Trafficking is a] thorough, well researched, evidence-based book, with an impassioned argument for action.—Jules Morgan, The Lancet Child And AdolescentPreventing Child Trafficking by Todres and Diaz examine what human trafficking entails and responses that need to be taken on the issue. The authors address ways that evidence-based research would be beneficial in preventing human trafficking and the methods that should be implemented. Issues raised in this book are intended for the general public, medical professionals, legislatures, and researchers. The information presented is intended to bring awareness to aid combatting human trafficking.—Morgan Fetters, Journal of Youth and AdolescenceTable of ContentsAcknowledgments A Note on Case Studies and TerminologyIntroduction: Child Trafficking in Our CommunitiesPart I. Child Trafficking and Current Responses1. Understanding Child Trafficking: The Nature and Scope of the Problem2. The Consequences of Child Trafficking3. Current Responses to Child TraffickingPart II: The Public Health Approach4. Public Health Methods and Perspectives5. Understanding Risk Factors6. Improving Identification: A Case Study of Health Care Settings7. Assisting Vulnerable and Exploited Youth: Health Care ResponsesConclusion: Building an Effective Response to Child TraffickingAppendix: ResourcesNotesBibliographyIndex

    5 in stock

    £35.10

  • The Medicalization of Birth and Death

    Johns Hopkins University Press The Medicalization of Birth and Death

    15 in stock

    Book SynopsisImproving how individuals give birth and die in the United States requires reforming the regulatory, reimbursement, and legal structures that centralize care in hospitals and prevent the growth of community-based alternatives. In 1900, most Americans gave birth and died at home, with minimal medical intervention. By contrast, most Americans today begin and end their lives in hospitals. The medicalization we now see is due in large part to federal and state policies that draw patients away from community-based providers, such as birth centers and hospice care, and toward the most intensive and costliest kinds of care. But the evidence suggests that birthing and dying people receive too mucheven harmfulmedical intervention. In The Medicalization of Birth and Death, political scientist Lauren K. Hall describes how and why birth and death became medicalized events. While hospitalization provides certain benefits, she acknowledges, it also creates harms, limiting patient autonomy, driviTable of ContentsAcknowledgmentsIntroduction. The Watershed of Healthcare Decision Making Chapter One. Medicalized Birth and the Current of Centralized Care Chapter Two. Medicalized Death and the Current of Centralized Care Chapter Three. Safe Harbors for Demedicalized Birth and Death Chapter Four. Navigating the Regulation Tributary Chapter Five. Swept Away on the Reimbursement Headwater Chapter Six. Caught in the Riptide of Risk Chapter Seven. Black Birth and Death in the Medicalized Rapids Conclusion. Reshaping the WatershedAppendix. Interview InformationGlossaryNotes Index

    15 in stock

    £31.50

  • Prevention First

    Johns Hopkins University Press Prevention First

    15 in stock

    Book SynopsisTable of ContentsForeword, by Senators Tom Daschle and Bill Frist, MDPrefaceAcknowledgmentsIntroduction: The State of Disease PreventionPart 1: Prevention within the Healthcare SettingChapter 1. How Do You Insert Prevention into Healthcare's Value Equation? Chapter 2. Why Is Strengthening Primary Care So Important for Prevention? Chapter 3. Where Should Healthcare Look outside the Walls of the Clinical Setting?Chapter 4. Social Determinants and Healthcare: Is It Time to Go Upstream?Part 2: Prevention outside the Healthcare SettingChapter 5. Personal Responsibility or Policy, Systems, and Environmental Change?Chapter 6. Why Do We Take Public Health for Granted?Chapter 7. Public Health Emergency Preparedness: The Great Uniter?Chapter 8. Is Global Health US Health?Conclusion: Twenty-First-Century Urgent Challenges and Promising OpportunitiesEpilogueNotesIndex

    15 in stock

    £27.45

  • From Enforcers to Guardians

    Johns Hopkins University Press From Enforcers to Guardians

    1 in stock

    Book SynopsisA public health approach to understanding and eliminating excessive police violence. Excessive police violence and its disproportionate targeting of minority communities has existed in the United States since police forces first formed in the colonial period. A personal tragedy for its victims, for the people who love them, and for their broader communities, excessive police violence is also a profound violation of human and civil rights. Most public discourse about excessive police violence focuses, understandably, on the horrors of civilian deaths. In From Enforcers to Guardians, Hannah L. F. Cooper and Mindy Thompson Fullilove approach the issue from a radically different angle: as a public health problem. By using a public health framing, this book challenges readers to recognize that the suffering created by excessive police violence extends far outside of death to include sexual, psychological, neglectful, and nonfatal physical violence as well. Arguing that excessive policTrade ReviewMany public health readers of From Enforcers to Guardians will come away with the centrality of better data to improve transparency and accountability. This book meets a critical need that sets public health on a path to fewer lives cut short, the goal of our field. It also creates room for additional conversations to address what is still missing. That is why it is such an important book.—Mary T. Bassett MD, MPH, American Journal of Public HealthA thoughtful, incisive public health primer on the deeply entrenched and damaging practice of police brutality.—World Medical & Health PolicyTable of ContentsList of IllustrationsPrefaceTimelineChapter 1. Coming to TermsPart I. Distorted Policing and Its OriginsChapter 2. Peelers and Slave PatrolsChapter 3. Community CollapseChapter 4. War on DrugsPart II. Measuring Distorted Policing and Its EffectsChapter 5. Public Health InvestigationsChapter 6. Pattern and Practice Investigations I: Distorted Policing in Urban Contexts 000Chapter 7. Pattern and Practice Investigations II: Types of Violence Documented 000Part III. Getting to GuardianshipChapter 8. Interventions That Have Been TriedChapter 9. A Magic StrategyConclusion. Moving ForwardAcknowledgmentsNotesBibliographyIndex

    1 in stock

    £22.88

  • On Becoming a Healer

    Johns Hopkins University Press On Becoming a Healer

    1 in stock

    Book SynopsisAn invaluable guide to becoming a competent and compassionate physician. Medical students and physicians-in-training embark on a long journey that, although steeped in scientific learning and technical skill building, includes little guidance on the emotional and interpersonal dimensions of becoming a healer. Written for anyone in the health care community who hopes to grow emotionally and cognitively in the way they interact with patients, On Becoming a Healer explains how to foster doctor-patient relationships that are mutually nourishing. Dr. Saul J. Weiner, a physician-educator, argues that joy in medicine requires more than idealistic aspirationsit demands a capacity to see past the otherness that separates the well from the sick, the professional in a white coat from the disheveled patient in a hospital gown. Weiner scrutinizes the medical school indoctrination process and explains how it molds the physician's mindset into that of a task completer rather than a thoughtful profeTrade Review[On Becoming a Healer] offers a very common sense human discussion about the challenges we face in forming relationships with patients . . . and how we think about patient care decision-making.—Dr. Stefan Kertesz, "The Curbsiders" PodcastTable of ContentsAcknowledgmentsIntroductionChapter 1. Physician or Technician?Chapter 2. Healing InteractionsChapter 3. Your Personal JourneyChapter 4. Overcoming JudgmentalismChapter 5. Engaging with Boundary ClarityChapter 6. CaringChapter 7. Making Medical DecisionsChapter 8. Healers Are RealistsChapter 9. Physician or Technician? (Revisited)Chapter 10. Healing as an Organizing PrincipleBibliographyIndex

    1 in stock

    £21.60

  • Achieving Health for All

    Johns Hopkins University Press Achieving Health for All

    15 in stock

    Book SynopsisHow did seven low- and middle-income countries, inspired by the landmark Alma-Ata Declaration, dramatically improve citizen health by focusing on primary health care?The Alma-Ata Declaration of 1978 marked a potential turning point in global health, signaling a commitment to primary health care that could have improved the safety of air, food, water, roads, homes, and workplaces in all 180 countries that signed it. Unfortunately, progress in many countries stalled in the 1980s. The declaration was, however, embraced by a number of countries, where its implementation led to substantial improvement in citizen health. Achieving Health for All reveals how, inspired by Alma-Ata, the governments of seven countries executed comprehensive primary health care systems, deploying new cadres of community-based health workers to bring relevant services to ordinary households. Drawing on a set of narrative case studies from Bangladesh, Indonesia, Ethiopia, Nepal, Ghana, Sri Lanka, and Vietnam,the boTable of ContentsForeword, by Soumya SwaminathanForeword, by Abdul GhaffarIntroduction. Why Does Primary Health Care Matter in the Twenty-First Century?Part I. Primary Health Care FoundationsChapter 1. Primary Health Care: History, Trends, Controversies, and ChallengesChapter 2. Identifying Countries with Exceptionally Rapid Gains in Life Expectancy: A Quantitative ApproachChapter 3. Strategies to Improve Comprehensive Primary Health Care Performance in a DistrictChapter 4. Why Well-Supported Health Systems Are Necessary for Vertical Programs to Succeed: Lessons from Polio EradicationChapter 5. Continuity between Comprehensive Primary Health Care and Sustainable Development GoalsChapter 6. Four Principles of Community-Based Primary Health Care: Support, Appreciate, Learn/Listen, Transfer (SALT)Part II. Country Case Studies of Primary Health Care at Scale and the Way ForwardChapter 7. Bangladesh's Health Improvement Strategy as an Example of the Alma-Ata Declaration in ActionChapter 8. Ethiopia: Expansion of Primary Health Care through the Health Extension ProgramChapter 9. Health Improvement through the Primary Health Care Approach: Case of NepalChapter 10. Four Decades of Community-Based Primary Health Care Development in GhanaChapter 11. Sri Lanka's Health Improvements as an Example of the Implementation of the Alma-Ata DeclarationChapter 12. How Vietnam's Doi Moi Reforms Achieved Rapid Gains in Health with Comprehensive Primary Health CareChapter 13. Cuba's Progress on Primary Health Care since the Alma-Ata ConferenceChapter 14. Health for All in the Twenty-First Century: Lessons for the Next Forty Years of Implementing Primary Health CareList of ContributorsIndex

    15 in stock

    £46.35

  • Pathways to a Successful Accountable Care

    Johns Hopkins University Press Pathways to a Successful Accountable Care

    15 in stock

    Book SynopsisA valuable guide to starting and running a successful accountable care organization.Health care in America is undergoing great change. Soon, accountable care organizationshealth care organizations that tie provider reimbursements to quality metrics and reductions in the cost of carewill be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO?Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on the essential ingredients of a successful ACO monitoring and submitting Group Practice Reporting Option quality measures mastering your patients'' responses to the Consumer ATable of ContentsContributorsPrefaceAcknowledgmentsChapter 1. Essential Ingredients of a Successful Accountable Care OrganizationPeter A. GrossChapter 2. Patient-Centered Medical Homes: A Key Building Block for Accountable Care OrganizationsJoshua BennettChapter 3. Care Coordination: Initial Plans and EvolutionDenise PatriacoChapter 4. Quality Measurement in Accountable Care OrganizationsGuy D'Andrea and Kris CorwinChapter 5. Monitoring and Submitting Quality Measures for the Group Practice Reporting Option: CMS Web InterfaceKris GatesChapter 6. Live Experience of a Quality Measure Validation AuditMitchel EastonChapter 7. Ready, Risk, Reward: Building Successful Two-Sided Risk ModelsBrent Hardaway, Elyse Pegler, and Bryan SmithChapter 8. Post-Acute Care: A Key Consideration for an Accountable Care OrganizationAndy EdeburnChapter 9. Data Analytics: Making a ChoiceShawn GriffinChapter 10. Impact of Coding and Documentation on Risk ScoresGlen Champlin and John PitsikoulisChapter 11. Legal and Compliance ConsiderationsSeth EdwardsChapter 12. Employee Health Management and the Role of an Accountable Care OrganizationJeremy MathisChapter 13. The Role of Primary Care in the Future of Health CareMorey MenackerChapter 14. Practice Transformation: Engaging and Integrating Physician PracticesThomas KloosChapter 15. Population Health Management ConsultingJoseph F. DamoreChapter 16. The Comprehensive Primary Care Plus InitiativeSeth EdwardsChapter 17. Keys to Success in Bundled PaymentsMark Hiller, Beth Ireton, Miriam McKisic, and Mike SchweitzerAfterwordIndex

    15 in stock

    £72.68

  • My Quest for Health Equity

    Johns Hopkins University Press My Quest for Health Equity

    3 in stock

    Book SynopsisReading this book is like sitting down with Dr. David Satcher to hear stories of leadership and lessons learned from his lifetime commitment to health equity. Dr. David Satcher is one of the most widely known and well-regarded physicians of our time. A former four-star admiral in the US Public Health Service Commissioned Corps, he served as the assistant secretary for health, the surgeon general of the United States, and the director of the Centers for Disease Control and Prevention before founding the eponymous Satcher Health Leadership Institute at Morehouse School of Medicine. At the core of his impact on public health, he is also a lifelong leader for civil rights and health equity. Born black and poor in the deep South, Dr. Satcher was a victim of an unjust health care system: he almost died of whooping cough at the age of two because Jim Crow laws meant that his black doctor could not admit him to a hospital. That experience was the first of many that shaped him as a leader andTable of ContentsAcknowledgments IntroductionChapter 1. Lessons Learned from Fifty Years of Leadership Chapter 2. From Health Disparities to Global Health Equity Chapter 3. When Leadership Confronts FailureChapter 4. The Need for Clear CommunicationChapter 5. The Need for Continual Learning Chapter 6. A Three-Dimensional Perspective on Leadership Chapter 7. Discipline in the Quest for Health Equity Chapter 8. Leading from Science to Policy to PracticeChapter 9. Confronting the Epidemic of Overweight and ObesityChapter 10. The Advancement of Reproductive HealthChapter 11. Overcoming the Stigma of Mental Health ProblemsChapter 12. Leadership beyond ExpertiseChapter 13. The Team Approach to LeadershipChapter 14. Leading for Institutional Sustainability Frequently Used AcronymsReferencesIndex

    3 in stock

    £20.70

  • An Introduction to the US Health Care Industry

    Johns Hopkins University Press An Introduction to the US Health Care Industry

    15 in stock

    Book SynopsisWhy does US health care have such high costs and poor outcomes? Dr. David S. Guzick offers this critique of the American health care industry and argues that it could work more effectively by rebalancing care, cost, and access. For decades, the United States has been faced with a puzzling problem: Despite spending much more money per capita on health care than any other developed nation, its population suffers from notoriously poorer health. In comparison with 10 other high-income nations, in fact, the US has the lowest life expectancy at birth, the highest rates of infant and neonatal mortality, and the most inequitable access to physicians when adjusted for need. In An Introduction to the US Health Care Industry, Dr. David S. Guzick takes an in-depth look at this troubling issue. Bringing to bear his unique background as a physician, economist, former University of Rochester medical school dean, and former president of the University of Florida Health System, Dr. Guzick shows that Table of ContentsPreface Acknowledgments Chapter 1. Setting the Stage: Health and Health Care over the Past CenturyPart I. Economic UnderpinningsChapter 2. Perfect Competition and Its Applicability to Health Care Services Chapter 3. Imperfections in the Market for Health Care Services Chapter 4. Implications of an Imperfect Market I: Greater Utilization Due to Price Subsidies Chapter 5. Implications of an Imperfect Market II: The Role of Induced Demand Chapter 6. The Role of Price in Health Care Spending Growth Chapter 7. Inequality of Wealth, Health, and Access to Care Part II. Historical EvolutionChapter 8. Origins and Structural Underpinnings of the US Health Care Industry Chapter 9. The US Health Care Industry Takes Shape: The 1940s through 1965 Chapter 10. Medicare Chapter 11. Medicaid Chapter 12. The Affordable Care Act Part III. Contemporary EnvironmentChapter 13. Evidence-Based Practice Chapter 14. Cost-Benefit, Cost-Effectiveness, and Cost-Utility Analysis Chapter 15. Health Care Law Chapter 16. The Safety and Quality of Patient Care Chapter 17. The Cost Conundrum I: Utilization Chapter 18. The Cost Conundrum II: Price: Administration, Insurers, Physicians, and Hospitals Chapter 19. The Cost Conundrum III: Price: Pharmaceuticals and Medical Devices Chapter 20. Inequality of Access Part IV. Improving the Balance of Care, Cost, and AccessChapter 21. Improving the Balance I: Macro Considerations Chapter 22. Improving the Balance II: Enhancing Care, Reducing Cost, and Improving Access References Index

    15 in stock

    £54.00

  • An Introduction to the US Health Care Industry

    Johns Hopkins University Press An Introduction to the US Health Care Industry

    1 in stock

    Book SynopsisWhy does US health care have such high costs and poor outcomes? Dr. David S. Guzick offers this critique of the American health care industry and argues that it could work more effectively by rebalancing care, cost, and access. For decades, the United States has been faced with a puzzling problem: Despite spending much more money per capita on health care than any other developed nation, its population suffers from notoriously poorer health. In comparison with 10 other high-income nations, in fact, the US has the lowest life expectancy at birth, the highest rates of infant and neonatal mortality, and the most inequitable access to physicians when adjusted for need. In An Introduction to the US Health Care Industry, Dr. David S. Guzick takes an in-depth look at this troubling issue. Bringing to bear his unique background as a physician, economist, former University of Rochester medical school dean, and former president of the University of Florida Health System, Dr. Guzick shows that Table of ContentsPreface Acknowledgments Chapter 1. Setting the Stage: Health and Health Care over the Past CenturyPart I. Economic UnderpinningsChapter 2. Perfect Competition and Its Applicability to Health Care Services Chapter 3. Imperfections in the Market for Health Care Services Chapter 4. Implications of an Imperfect Market I: Greater Utilization Due to Price Subsidies Chapter 5. Implications of an Imperfect Market II: The Role of Induced Demand Chapter 6. The Role of Price in Health Care Spending Growth Chapter 7. Inequality of Wealth, Health, and Access to Care Part II. Historical EvolutionChapter 8. Origins and Structural Underpinnings of the US Health Care Industry Chapter 9. The US Health Care Industry Takes Shape: The 1940s through 1965 Chapter 10. Medicare Chapter 11. Medicaid Chapter 12. The Affordable Care Act Part III. Contemporary EnvironmentChapter 13. Evidence-Based Practice Chapter 14. Cost-Benefit, Cost-Effectiveness, and Cost-Utility Analysis Chapter 15. Health Care Law Chapter 16. The Safety and Quality of Patient Care Chapter 17. The Cost Conundrum I: Utilization Chapter 18. The Cost Conundrum II: Price: Administration, Insurers, Physicians, and Hospitals Chapter 19. The Cost Conundrum III: Price: Pharmaceuticals and Medical Devices Chapter 20. Inequality of Access Part IV. Improving the Balance of Care, Cost, and AccessChapter 21. Improving the Balance I: Macro Considerations Chapter 22. Improving the Balance II: Enhancing Care, Reducing Cost, and Improving Access References Index

    1 in stock

    £98.55

  • Digital Contact Tracing for Pandemic Response

    Johns Hopkins University Press Digital Contact Tracing for Pandemic Response

    15 in stock

    Book SynopsisAs nations race to hone contact-tracing efforts, the world's experts consider strategies for maximum transparency and impact. As public health professionals around the world work tirelessly to respond to the COVID-19 pandemic, it is clear that traditional methods of contact tracing need to be augmented in order to help address a public health crisis of unprecedented scope. Innovators worldwide are racing to develop and implement novel public-facing technology solutions, including digital contact tracing technology. These technological products may aid public health surveillance and containment strategies for this pandemic and become part of the larger toolbox for future infectious outbreak prevention and control. As technology evolves in an effort to meet our current moment, Johns Hopkins Project on Ethics and Governance of Digital Contact Tracing Technologiesa rapid research and expert consensus group effort led by Dr. Jeffrey P. Kahn of the Johns Hopkins Berman Institute of BioethiTable of ContentsLead Authors and ContributorsPrefaceAcknowledgmentsAcronyms and AbbreviationsSummaryIntroductionChapter 1. Public Health PerspectiveChapter 2. Digital Technology and Contact TracingChapter 3. Ethics of Designing and Using DCTTChapter 4. Legal ConsiderationsChapter 5. RecommendationsResourcesWorks Cited

    15 in stock

    £11.88

  • Why Are Health Disparities Everyones Problem

    Johns Hopkins University Press Why Are Health Disparities Everyones Problem

    15 in stock

    Book SynopsisHow can we all work together to eliminate the avoidable injustices that plague our health care system and society?Health is determined by far more than a person's choices and behaviors. Social and political conditions, economic forces, physical environments, institutional policies, health care system features, social relationships, risk behaviors, and genetic predispositions all contribute to physical and mental well-being. In America and around the world, many of these factors are derived from a lingering history of unequal opportunities and unjust treatment for people of color and other vulnerable communities. But they aren't the only ones who suffer because of these disparitieseveryone is impacted by the factors that degrade health for the least advantaged among us. In Why Are Health Disparities Everyone's Problem? Dr. Lisa Cooper shows how we can work together to eliminate the injustices that plague our health care system and society. The book follows Cooper's journey from her ch

    15 in stock

    £13.30

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