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The Politics of Life Itself
For centuries, medicine aimed to treat abnormalities. But today normality itself is open to medical modification. Equipped with a new molecular understanding of bodies and minds, and new techniques for manipulating basic life processes at the level of molecules, cells, and genes, medicine now seeks to manage human vital processes. The Politics of Life Itself offers a much-needed examination of recent developments in the life sciences and biomedicine that have led to the widespread politicization of medicine, human life, and biotechnology. Avoiding the hype of popular science and the pessimism of most social science, Nikolas Rose analyzes contemporary molecular biopolitics, examining developments in genomics, neuroscience, pharmacology, and psychopharmacology and the ways they have affected racial politics, crime control, and psychiatry. Rose analyzes the transformation of biomedicine from the practice of healing to the government of life; the new emphasis on treating disease susceptibilities rather than disease; the shift in our understanding of the patient; the emergence of new forms of medical activism; the rise of biocapital; and the mutations in biopower. He concludes that these developments have profound consequences for who we think we are, and who we want to be.
eBook
Movement of knowledge
Medical knowledge is always in motion. It moves from the lab to the office, from a press release to a patient, from an academic journal to a civil servant’s desk and then on to a policymaker. Knowledge is deconstructed, reconstructed, and transformed as it moves. The dynamic, ever-evolving nature of medical knowledge has given rise to different concepts to explain it: diffusion, translation, circulation, transit, co-production. At the same time, its movements—and the ways in which we conceptualize and describe them—have material consequences. For instance, value judgements on the validity of certain forms of knowledge determine the direction of clinical research. Policy decisions are taken in relation to existing knowledge. The acceptance or rejection of treatment protocols based on medical ‘facts’ impacts on patients, dependents, health providers, and society at large. Simply put, knowledge and the movement of knowledge matter. How do they matter, though? The contributors to this volume examine the complexity of medical knowledge in everyday life. We demonstrate not only the pervasive influence of knowledge in medical and public health settings, but also the range of methodological and theoretical tools to study knowledge. Ours is a multidisciplinary approach to the medical humanities, presenting both contemporary and historical perspectives in order to explore the borderlands between expertise and common knowledge. *** Medicinsk kunskap är alltid i rörelse. Den kan färdas från laboratoriet till kontoret, med en pressrelease till en patient, via en vetenskaplig artikel till en tjänsteman och kanske vidare till en beslutsfattare. Förflyttningen till olika sammanhang har betydelse för hur kunskapen uppfattas och används, vilket i sin tur kan påverka inriktningen på både forskning och politiska beslut. Komplexiteten hos medicinsk kunskap och de konsekvenser som den får står i fokus i antologin Movement of knowledge. Författarna undersöker hur kunskap präglar de medicinska och folkhälsoorienterade rummen och granskar samtidigt de metodologiska och teoretiska verktygen vi har för att studera kunskap och kunskapsflöden. I sina texter anlägger forskarna en tvärvetenskaplig syn på medicinsk humaniora och visar med såväl samtida som historiska perspektiv på hur gränssnittet mellan experter och allmänhet kan studeras. Medicinsk kunskap dekonstrueras, rekonstrueras och omformas när den rör sig mellan patienter, vårdgivare och samhället i stort. Att en behandlingsmetod godkänns eller underkänns utifrån medicinska fakta är något som i slutänden påverkar oss alla.
eBook
Next generation healthcare systems using soft computing techniques
\"This book provides applications of soft computing techniques related to healthcare systems and can be used as a reference guide for assessing the roles that various techniques such as machine learning, fuzzy logic, and statistical mathematics play in the advancements of smart healthcare systems. The book presents the basics as well as the advanced concepts to help beginners, as well as industry professionals get up to speed on the latest developments in healthcare systems. The book will examine descriptive, predictive, and social network techniques, as well as provide a discussion on analytical tools and the important role they play in finding solutions to problems in healthcare systems\"-- Provided by publisher.
Book
Doing Medicine Together
Of the many interwar connections between Germany and Russia, one of the most unusual - and least explored - is medicine and public health. Between 1922 and 1932, with high-level political support and government funding, Soviet and German physicians and public health specialists collaborated in joint research expeditions, published joint articles, launched a bi-lingual journal, and established joint research institutions. Surprisingly, students of Soviet-German relations have all but ignored this medical collaboration; while historians of science have treated it as political history, an exercise in cultural diplomacy designed to mitigate the impact of the post-war exclusion of both nations from the international science.
The contributors to this volume, who come from Germany, Russia, Britain, the United States and Canada, depart from the traditional approach to the subject. Drawing on previously inaccessible archival materials, the authors move beyond politics to examine the impact of this collaboration on scientific activity. Contributors analyze aspects of the German-Russian collaboration often overlooked by students of cross-national science, including the choice of 'friends' across borders, the activities of scientific entrepreneurs, the tensions between bi-lateral and international science, and the migration of scientists. Treating Soviet-German medical relations as an instance of trans-national science lays bare its unique features. Ultimately,Doing Medicine Togetherraises new and important questions about the vaunted 'special' relation between Soviet Russia and Weimar Germany.
eBook
Delivering High-Quality Cancer Care
In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine-having increased to $125 billion in 2010 from $72 billion in 2004-and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older-the group most susceptible to cancer-is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support.
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care.
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.
eBook
The Smallpox Report
After the COVID-19 pandemic, vaccination has become synonymous with an opaque biopower that legislates compulsory immunization at a distance. Contemporary illness narratives have become outlets for distrust, misinformation, reckless denialism, and selfish noncompliance. In The Smallpox Report , Fuson Wang rewinds this contemporary impasse between physician and patient back to the Romantic-era origins of vaccination.
The book offers a literary-historical account of smallpox vaccination, contending that the disease’s eventual eradication in 1980 was as much a triumph of the literary imagination as it was an achievement of medical Enlightenment science. Wang traces our modern pandemic-era crisis of vaccine hesitancy back to Edward Jenner’s publication of his treatise on vaccination in 1798, the first rumblings of an anti-vaccination movement, and vaccination’s formative literary history that included authors such as William Wordsworth, William Blake, John Keats, Mary Shelley, and Arthur Conan Doyle. The book concludes with a re-examination of the current deeply contentious public discourse about vaccines that has arisen in the wake of the COVID-19 pandemic. By recovering the surprisingly literary genres of Romantic-era medical writing, The Smallpox Report models a new literary historical perspective on our own crises of vaccine refusal.
eBook