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In Enhancing Evolution, leading bioethicist John Harris dismantles objections to genetic engineering, stem-cell research, designer babies, and cloning and makes an ethical case for biotechnology that is both forthright and rigorous. Human enhancement, Harris argues, is a good thing--good morally, good for individuals, good as social policy, and good for a genetic heritage that needs serious improvement. Enhancing Evolution defends biotechnological interventions that could allow us to live longer, healthier, and even happier lives by, for example, providing us with immunity from cancer and HIV/AIDS. Further, Harris champions the possibility of influencing the very course of evolution to give us increased mental and physical powers--from reasoning, concentration, and memory to strength, stamina, and reaction speed. Indeed, he says, it's not only morally defensible to enhance ourselves; in some cases, it's morally obligatory. In a new preface, Harris offers a glimpse at the new science and technology to come, equipping readers with the knowledge to assess the ethics and policy dimensions of future forms of human enhancement.
Decisive biotechnological interventions in the lottery of human life--to enhance our bodies and brains and perhaps irreversibly change our genetic makeup--have been widely rejected as unethical and undesirable, and have often met with extreme hostility. But in Enhancing Evolution, leading bioethicist John Harris dismantles objections to genetic engineering, stem-cell research, designer babies, and cloning to make a forthright, sweeping, and rigorous ethical case for using biotechnology to improve human life. Human enhancement, Harris argues, is a good thing--good morally, good for individuals, good as social policy, and good for a genetic heritage that needs serious improvement. Enhancing Evolution defends biotechnological interventions that could allow us to live longer, healthier, and even happier lives by, for example, providing us with immunity from cancer and HIV/AIDS. But the book advocates far more than therapies designed to free us from sickness and disability. Harris champions the possibility of influencing the very course of evolution to give us increased mental and physical powers--from reasoning, concentration, and memory to strength, stamina, and reaction speed. Indeed, he supports enhancing ourselves in almost any way we desire. And it's not only morally defensible to enhance ourselves, Harris says. In some cases, it's morally obligatory. Whether one looks upon biotechnology with hope, fear, or a little of both, Enhancing Evolution makes a case for it that no one can ignore.
Taking us behind the scenes with today’s foremost researchers and pioneers, bestselling author Joel Garreau shows that we are at a turning point in history. At this moment we are engineering the next stage of human evolution. Through advances in genetic, robotic, information, and nanotechnologies, we are altering our minds, our memories, our metabolisms, our personalities, our progeny–and perhaps our very souls. Radical Evolution reveals that the powers of our comic-book superheroes already exist, or are in development in hospitals, labs, and research facilities around the country–from the revved-up reflexes and speed of Spider-Man and Superman, to the enhanced mental acuity and memory capabilities of an advanced species. Over the next fifteen years, Garreau makes clear in this New York Times Book Club premiere selection, these enhancements will become part of our everyday lives. Where will they lead us? To heaven–where technology’s promise to make us smarter, vanquish illness, and extend our lives is the answer to our prayers? Or, as some argue, to hell–where unrestrained technology brings about the ultimate destruction of our species?
Evolution by natural selection is the primary creative force in biology. In order for populations to thrive, or even survive, requires a continual generative process. An understand of the process of natural selection, its strengths and weaknesses, is necessary for both predictions about the future course of life, as well as its history. Evolution by natural selection requires the combination of three elements: variation, heredity, and selection. In natural populations, variation can be introduced by random mutation, recombination (such as by sex), and migration from differing populations. Heredity, or the correlation between traits of the parents with that of their offspring, is mediated by genetic material. Selection is the process whereby the traits of some members of the population are more successful (fit) and hence contribute more offspring to future generations. When these three factors are present, populations can (over the course of many generations) increase in fitness to become better adapted to their environment. The ability to adapt is not restricted to populations in natural environments, as artificial populations such as microbes grown in laboratory settings can also evolve. In fact, simulated, digital populations that possess the three features needed for evolution by natural selection can also adapt. In this dissertation, I utilize both microbes evolving in artificial settings and digital organisms, which exist only in a computer's memory, to make general statements about the process of evolution. Of course, such generalizations must be taken with a grain of salt, as the specifics of any system may interfere with assumptions made in the follow models. But, I present the following work as forays into the possible; I demonstrate that certain processes can affect the course of evolution, and such processes should be taken into account when seeking an understand of evolution in other (perhaps more natural) situations. In Chapter 1, I investigate how a non-transitive system of microbial competitors evolves, and demonstrate that the phenomenon of "survival of the weakest" requires the presence of population structure. In Chapter 2, I explore the effect of structure on evolving populations, and I find that structure can enhance the rate of adaptation in certain circumstances. Lastly in Chapter 3, I describe and demonstrate circumstances where environmental change can enhance the rate of adaption.
In this groundbreaking book, Adrian Bejan takes the recurring patterns in nature—trees, tributaries, air passages, neural networks, and lightning bolts—and reveals how a single principle of physics, the constructal law, accounts for the evolution of these and many other designs in our world. Everything—from biological life to inanimate systems—generates shape and structure and evolves in a sequence of ever-improving designs in order to facilitate flow. River basins, cardiovascular systems, and bolts of lightning are very efficient flow systems to move a current—of water, blood, or electricity. Likewise, the more complex architecture of animals evolve to cover greater distance per unit of useful energy, or increase their flow across the land. Such designs also appear in human organizations, like the hierarchical “flowcharts” or reporting structures in corporations and political bodies. All are governed by the same principle, known as the constructal law, and configure and reconfigure themselves over time to flow more efficiently. Written in an easy style that achieves clarity without sacrificing complexity, Design in Nature is a paradigm-shifting book that will fundamentally transform our understanding of the world around us.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Rheum for Improvement is a physician’s account of how corporate medicine has transformed health care from a human interaction between a patient and their physician into a business transaction between a consumer and a provider. It is also a personal story of how frivolous legal action triggered that physician to become an outspoken advocate for health-care reform. It will be of interest to anyone who interacts with our health-care system, but especially physicians, who must navigate bureaucratic obstacles on a daily basis. As a patient, have you ever: --Had your health insurance deny a test or procedure that your doctor recommended by saying that it was not medically necessary? --Been told that you had to try one medicine before you could take the medicine that your doctor actually prescribed? --Had a procedure done that was covered by your insurer, only to receive a separate bill afterwards that you were not expecting? --Felt that your doctor has their nose buried in a computer instead of paying attention to you? If so, you are not alone. Rheum for Improvement addresses these and many other health-care issues that compromise the care that physicians can provide. It is a must read for anyone who has ever been or ever will be a patient.
The Arthur M. Sackler Colloquia of the National Academy of Sciences address scientific topics of broad and current interest, cutting across the boundaries of traditional disciplines. Each year, four or five such colloquia are scheduled, typically two days in length and international in scope. Colloquia are organized by a member of the Academy, often with the assistance of an organizing committee, and feature presentations by leading scientists in the field and discussions with a hundred or more researchers with an interest in the topic. Colloquia presentations are recorded and posted on the National Academy of Sciences Sackler colloquia website and published on CD-ROM. These Colloquia are made possible by a generous gift from Mrs. Jill Sackler, in memory of her husband, Arthur M. Sackler.
Basics in Human Evolution offers a broad view of evolutionary biology and medicine. The book is written for a non-expert audience, providing accessible and convenient content that will appeal to numerous readers across the interdisciplinary field. From evolutionary theory, to cultural evolution, this book fills gaps in the readers' knowledge from various backgrounds and introduces them to thought leaders in human evolution research. - Offers comprehensive coverage of the wide ranging field of human evolution - Written for a non-expert audience, providing accessible and convenient content that will appeal to numerous readers across the interdisciplinary field - Provides expertise from leading minds in the field - Allows the reader the ability to gain exposure to various topics in one publication
In this innovative celebration of diversity and affirmation of individuality in animals and humans, Joan Roughgarden challenges accepted wisdom about gender identity and sexual orientation. A distinguished evolutionary biologist, Roughgarden takes on the medical establishment, the Bible, social science—and even Darwin himself. She leads the reader through a fascinating discussion of diversity in gender and sexuality among fish, reptiles, amphibians, birds, and mammals, including primates. Evolution's Rainbow explains how this diversity develops from the action of genes and hormones and how people come to differ from each other in all aspects of body and behavior. Roughgarden reconstructs primary science in light of feminist, gay, and transgender criticism and redefines our understanding of sex, gender, and sexuality. Witty, playful, and daring, this book will revolutionize our understanding of sexuality. Roughgarden argues that principal elements of Darwinian sexual selection theory are false and suggests a new theory that emphasizes social inclusion and control of access to resources and mating opportunity. She disputes a range of scientific and medical concepts, including Wilson's genetic determinism of behavior, evolutionary psychology, the existence of a gay gene, the role of parenting in determining gender identity, and Dawkins's "selfish gene" as the driver of natural selection. She dares social science to respect the agency and rationality of diverse people; shows that many cultures across the world and throughout history accommodate people we label today as lesbian, gay, and transgendered; and calls on the Christian religion to acknowledge the Bible's many passages endorsing diversity in gender and sexuality. Evolution's Rainbow concludes with bold recommendations for improving education in biology, psychology, and medicine; for democratizing genetic engineering and medical practice; and for building a public monument to affirm diversity as one of our nation's defining principles.