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Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
An unforgettable memoir about the turmoil of antidepressant withdrawal and the work it takes to unravel the stories we tell ourselves to rationalize our suffering. Brooke Siem was among the first generation of minors to be prescribed antidepressants. Initially diagnosed and treated in the wake of her father’s sudden death, this psychiatric intervention sent a message that something was pathologically wrong with her and that the only “fix” was medication. As a teenager, she stepped into the hazy world of antidepressants just at the time when she was forming the foundation of her identity. For the following fifteen years, every situation she faced was seen through the lens of brokenness. A decade and a half later, still on the same cocktail of drugs, Brooke found herself hanging halfway out her Manhattan high-rise window, calculating the time it would take to hit the ground. As she looked for breaks in the pedestrian traffic patterns, a thought dawned on her: “I’ve spent half my life—and my entire adult life—on antidepressants. Who might I be without them?” Unfurled against a global backdrop, May Cause Side Effects is the gripping story of what happened when, after fifteen years and 32,760 pills, Brooke was faced with a profound choice that plunged her into a year of excruciating antidepressant withdrawal and forced her to rebuild her entire life. An illuminating memoir for those who take, prescribe, or are considering psychiatric drugs, May Cause Side Effects is an honest reminder that the road to true happiness is not mapped on a prescription pad. Instead, Brooke’s story reveals the messy reality of how healing begins at the bottomless depth of our suffering, in the deep self-work that pushes us to the edges of who we are.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
A Turing Award-winning computer scientist and statistician shows how understanding causality has revolutionized science and will revolutionize artificial intelligence "Correlation is not causation." This mantra, chanted by scientists for more than a century, has led to a virtual prohibition on causal talk. Today, that taboo is dead. The causal revolution, instigated by Judea Pearl and his colleagues, has cut through a century of confusion and established causality -- the study of cause and effect -- on a firm scientific basis. His work explains how we can know easy things, like whether it was rain or a sprinkler that made a sidewalk wet; and how to answer hard questions, like whether a drug cured an illness. Pearl's work enables us to know not just whether one thing causes another: it lets us explore the world that is and the worlds that could have been. It shows us the essence of human thought and key to artificial intelligence. Anyone who wants to understand either needs The Book of Why.
Incineration has been used widely for waste disposal, including household, hazardous, and medical wasteâ€"but there is increasing public concern over the benefits of combusting the waste versus the health risk from pollutants emitted during combustion. Waste Incineration and Public Health informs the emerging debate with the most up-to-date information available on incineration, pollution, and human healthâ€"along with expert conclusions and recommendations for further research and improvement of such areas as risk communication. The committee provides details on: Processes involved in incineration and how contaminants are released. Environmental dynamics of contaminants and routes of human exposure. Tools and approaches for assessing possible human health effects. Scientific concerns pertinent to future regulatory actions. The book also examines some of the social, psychological, and economic factors that affect the communities where incineration takes place and addresses the problem of uncertainty and variation in predicting the health effects of incineration processes.
This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.
Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€"outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€"that summarizes and prioritizes pressing research needs.
At the last Annual Representative Meeting of the British Medical Association a motion was passed that `certain additional cannabinoids should be legalized for wider medicinal use.'' This report supports this landmark statement by reviewing the scientific evidence for the therapeutic use of cannabinoids and sets the agenda for change. It will be welcomed by those who believe that cannabinoids can be used in medical treatment. The report discusses in a clear and readable form the use and adverse effects of the drug for nausea, multiple sclerosis, pain, epilepsy, glaucoma, and asthma.
Water Pollution: Causes, Effects And Control Is A Book Providing Comprehensive Information On The Fundamentals And Latest Developments In The Field Of Water Pollution.The Book Is Divided Into 28 Chapters Covering Almost All The Aspect Of Water Pollution Including Water Resources And General Properties Of Water; History Of Water Pollution And Legislation; Origin, Sources And Effects Of Pollutants; Bioaccumulation And Biomagnification; Toxicity Testing And Interaction Of Toxicities In Combination; Water Quality Standards; Biomonitoring Of Water Pollution; Bacteriological Examination And Purification Of Drinking Water; Monitoring And Control Of Pollution In Lakes, Rivers, Estuaries And Coastal Waters; Physical And Biological Structure Of Aquatic Systems; And Structure, Properties And Uses Of Water.Some Important Topics Like Eutrophication, Organic Pollution, Oil Pollution And Thermal Pollution Have Been Discussed In Detail. The Water Pollution Caused By Pesticides, Heavy Metals, Radio Nuclides And Toxic Organics And Inorganic Along With The Water Quality Problems Associated With Water-Borne Pathogens And Nuisance Algae Have Also Been Dealt With Extensively.The Book Covers In Detail The Flow Measurement And Characterization Of Waste Waters In Industries, And Control Of Water Pollution By Employing Various Techniques For Treatment Of Biological And Nonbiological Wastes. The Considerations For Recycling And Utilization Of Waste Waters Have Also Found A Place In The Book. Special Topic Has Also Been Given On Water Pollution Scenario And Water Related Policies And Programmes In India.The Book Shall Be Of Immediate Interest To The Students Of Environmental Science, Life Science And Social Sciences Both At Undergraduate And Postgraduate Levels. People From A Wide Variety Of Other Disciplines Like Civil, Chemical And Environmental Engineering; Pollution Control Authorities; Industries; And Practicing Engineers, Consultants And Researchers Will Also Find The Book Of Great Interest.
Pollution: Causes, Effects and Control is the fourth edition of a best-selling introductory level book dealing with chemical and radioactive pollution in its broadest sense. The scope of the book ranges from the sources of pollutants and their environmental behaviour, to their effects on human and non-human receptors, to the technologies and strategies available for control. The fourth edition has been wholly revised and updated from the previous edition due to the rapid pace of developments in this field. Topics covered include chemical pollution of freshwater and marine environments, drinking water quality, water pollution biology, sewage and its treatment, toxic wastes, air pollution and atmospheric chemistry, control of pollutant emissions, land contamination, solid waste management, clean technologies, persistent organic pollutants in the environment, environmental radioactivity, health effects of environmental chemicals, legal control of pollution and integrated pollution control. There is a completely new chapter on Clean Technologies and Industrial Ecology, reflecting the growing importance of pollution prevention as opposed to end-of-pipe solutions. Whilst originally intended as an introductory reference work for professionals within the field, the book has been widely adopted for teaching purposes at the undergraduate and postgraduate level.