The Fats of Life delineates the importance of essential fatty acids, with a focus on distinctions between omega-3 and omega-6 fatty acid variants. The chemical and biochemical characteristics of these fatty acids and their metabolism to a vast array of potent bioactive messengers are described in the context of their potential effects on general health and impact on various diseases and neurological disorders. Glen D. Lawrence addresses in detail the capacity for polyunsaturated fatty acids to influence asthma, atherosclerosis, heart disease, inflammation, cancer, and immunity. Lawrence makes clear that our understanding of the biochemical and physiological effects of dietary fats has advanced tremendously as a result of careful research, but he also stresses that this knowledge has not easily translated into sound dietary recommendations.
When Carolyn Ellis, a graduate student, and Gene Weinstein, her Professor, fell in love, he was experiencing the first stages of emphysema. As he became increasingly disabled and immobile, these two intensely connected partners fought to maintain their love and to live a meaningful life. They learned to negotiate their daily lives in a way that enabled each of them to feel sufficiently autonomous—him not always like a patient and her not always like a caretaker. Writing as a sociologist, Ellis protrays their life together as a way to understand the complexities of romance, of living with a progressive illness, and, in the final negotiation and reversal of positions, of coping with the loss of a loved one.
This rare memoir full of often raw details and emotions becomes an intimate conversation about the intricacies of feeling and relating in a relationship. What Ellis calls experimental ethnography is a finely crafted, forthright, and daring story framed by the author's reflections on writing about and analyzing one's own life. Casting off the safe distance of most social science inquiry, she surrenders the private shroud of a complex relationship to bring sociology closer to literature.
Aldo Leopold's classic work A Sand County Almanac is widely regarded as one of the most influential conservation books of all time. In it, Leopold sets forth an eloquent plea for the development of a "land ethic" -- a belief that humans have a duty to interact with the soils, waters, plants, and animals that collectively comprise "the land" in ways that ensure their well-being and survival.
For the Health of the Land, a new collection of rare and previously unpublished essays by Leopold, builds on that vision of ethical land use and develops the concept of "land health" and the practical measures landowners can take to sustain it. The writings are vintage Leopold -- clear, sensible, and provocative, sometimes humorous, often lyrical, and always inspiring. Joining them together are a wisdom and a passion that transcend the time and place of the author's life.
The book offers a series of forty short pieces, arranged in seasonal "almanac" form, along with longer essays, arranged chronologically, which show the development of Leopold's approach to managing private lands for conservation ends. The final essay is a never before published work, left in pencil draft at his death, which proposes the concept of land health as an organizing principle for conservation. Also featured is an introduction by noted Leopold scholars J. Baird Callicott and Eric T. Freyfogle that provides a brief biography of Leopold and places the essays in the context of his life and work, and an afterword by conservation biologist Stanley A. Temple that comments on Leopold's ideas from the perspective of modern wildlife management.
The book's conservation message and practical ideas are as relevant today as they were when first written over fifty years ago. For the Health of the Land represents a stunning new addition to the literary legacy of Aldo Leopold.
Winner of the Margaret W. Rossiter History of Women in Science Prize
A new history uncovers the crucial role women played in the great transformations of medical science and health care that accompanied the Italian Renaissance.
In Renaissance Italy women played a more central role in providing health care than historians have thus far acknowledged. Women from all walks of life—from household caregivers and nurses to nuns working as apothecaries—drove the Italian medical economy. In convent pharmacies, pox hospitals, girls’ shelters, and homes, women were practitioners and purveyors of knowledge about health and healing, making significant contributions to early modern medicine.
Sharon Strocchia offers a wealth of new evidence about how illness was diagnosed and treated, whether by noblewomen living at court or poor nurses living in hospitals. She finds that women expanded on their roles as health care providers by participating in empirical work and the development of scientific knowledge. Nuns, in particular, were among the most prominent manufacturers and vendors of pharmaceutical products. Their experiments with materials and techniques added greatly to the era’s understanding of medical care. Thanks to their excellence in medicine urban Italian women had greater access to commerce than perhaps any other women in Europe.
Forgotten Healers provides a more accurate picture of the pursuit of health in Renaissance Italy. More broadly, by emphasizing that the frontlines of medical care are often found in the household and other spaces thought of as female, Strocchia encourages us to rethink the history of medicine.
So many women who do everything right to stay healthy still wind up with breast cancer, heart disease, or osteoporosis. In The Fragile Wisdom, Grazyna Jasienska provides an evolutionary perspective on the puzzle of why disease prevention among women is so frustratingly difficult. Modern women, she shows, are the unlucky victims of their own bodies’ conflict of interest between reproductive fitness and life-long health.
The crux of the problem is that women’s physiology has evolved to facilitate reproduction, not to reduce disease risk. Any trait—no matter how detrimental to health in the post-reproductive period—is more likely to be preserved in the next generation if it increases the chance of giving birth to offspring who will themselves survive to reproductive age. To take just one example, genes that produce high levels of estrogen are a boon to fertility, even as they raise the risk of breast cancer in mothers and their daughters.
Jasienska argues that a mismatch between modern lifestyles and the Stone Age physiology that evolution has bequeathed to every woman exacerbates health problems. She looks at women’s mechanisms for coping with genetic inheritance and at the impact of environment on health. Warning against the false hope gene therapy inspires, Jasienska makes a compelling case that our only avenue to a healthy life is prevention programs informed by evolutionary understanding and custom-fitted to each woman’s developmental and reproductive history.
Americans are understandably concerned about the runaway costs of medical care and the fact that one citizen out of seven is without health insurance coverage. Solving these problems is a top priority for the Clinton administration, but as Victor Fuchs shows, the task is enormously complex. In this book Fuchs, America's foremost health economist, provides the reader with the necessary concepts, facts, and analyses to comprehend the complicated issues of health policy. He shows why health care reform that benefits society as a whole will unavoidably burden certain individuals and groups.
Fuchs addresses such central questions as cost containment, managed competition, technology assessment, poverty and health, children's health, and national health insurance. The future of U.S. health policy, he argues, is tightly linked to three basic questions; First, how can we disengage health insurance from employment? Second, how can we tame technological change in health care? And finally how can we cope with the runaway medical costs of an aging society?
In the years since the passage of the Patient Protection and Affordable Care Act (PPACA, or, colloquially, Obamacare), most of the discussion about it has been political. But as the politics fade and the law's many complex provisions take effect, a much more interesting question begins to emerge: How will the law affect the American health care regime in the coming years and decades?
This book brings together fourteen leading scholars from the fields of law, economics, medicine, and public health to answer that question. Taking discipline-specific views, they offer their analyses and predictions for the future of health care reform. By turns thought-provoking, counterintuitive, and even contradictory, the essays together cover the landscape of positions on the PPACA's prospects. Some see efficiency growth and moderating prices; others fear a strangling bureaucracy and spiraling costs. The result is a deeply informed, richly substantive discussion that will trouble settled positions and lay the groundwork for analysis and assessment as the law's effects begin to become clear.
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