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Public health explored: 50 stories to change the world
An understanding of public health has never been more important!There has been a growing interest in public health, driven by concerns for social justice and sustainability, but it is currently in the headlines as never before. The failure of governments to get to grips with the Covid-19 pandemic has demonstrated widespread ignorance of the basics of a public health approach to threats to health and well-being.Relevant to all interested individuals but particularly students and professionals within nursing, medicine, social work and public health, this book encourages critical debate and reflection to develop a deep understanding of the complexities of public health issues. It offers 50 powerful stories and sayings around public health that could just change the world! Accompanied by searching questions for discussion and case studies that provide context and link each aphorism to a key event or theme, important messages around public health are extracted and explored.
eBook
Medicalization
This book examines the phenomenon of medicalization and the increasingly large, invasive, and coercive role of medicine in society. Medicine today impinges territory formerly left to families, parents, society, and social and economic policy. Expanding disease definitions and allowing ever-milder conditions to qualify for medicine, 'disease creep', influences public policy and social behavior. Medicalization redirects those experiencing stress, sadness, or distraction to medicine, and impacts how society defines health and wellness. Medicalization in the contexts of diet, lifestyle, education and athletics, growing old, public safety, and mental and physical health, are all explored. Medicalization has adverse consequences both in that it may demonize those who do not go along, and it offers a false promise to remedy non-medical problems with a simple pill. The pharmaceutical industry profits from disease creep, and doctors are complicit in furthering a narrative that relies on medicine. Laws often support a medical approach to societal problems despite notable financial conflicts of interest. Written in a clear and accessible style, Medicalization is a valuable addition to the literature on bioethics, law, health policy, social sciences, and political studies.
eBook
Preventive medicine in obstructive sleep apnea—a systematic review and a call to action
Abstract
Study Objectives
The purpose of this systematic review is to evaluate the modifiable risk factors associated with obstructive sleep apnea (OSA) and analyze extant publications solely focused on prevention of the disease.
Methods
Studies focused on prevention strategies for OSA and modifiable risk factors were eligible for inclusion. A detailed individual search strategy for each of the following bibliographic databases was developed: Cochrane, EMBASE, MEDLINE, PubMed, and LILACS. The references cited in these articles were also crosschecked and a partial gray literature search was undertaken using Google Scholar. The methodology of selected studies was evaluated using the 14-item Quality Assessment Tool for Diagnostic Accuracy Studies.
Results
Search resulted in 720 publications examining risk factors and prevention of OSA, as well as lifestyle modifications. Of these, a thorough assessment of the abstracts and content of each of these manuscripts led to the rejection of all but four papers, the latter being included in this systematic review. In contrast, a search regarding “Therapeutics” showed that 23 674 articles on OSA were published, clearly illustrating the imbalance between the efforts in prevention and those focused on therapeutics.
Conclusions
Notwithstanding the importance and benefits of technological advances in medicine, consideration of the needs of people with OSA and its consequences prompts advocacy for the prevention of the disease. Thus, despite the economic interests that focus only on diagnosis and treatment, strategies preferentially aimed at overall avoidance of OSA emerge as a major priority. Thus, public and healthcare provider education, multidimensional prevention, and early diagnosis of OSA should be encouraged worldwide.
Graphical Abstract
Graphical Abstract
Journal Article
