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This book sets out the unique and paradoxical position biomedical science finds itself in, in the early 21st (superscript st) century. Science has never been stronger in shaping the world we live in; progress in medical science during most of the last century has helped to transform health care and prolong our lives; almost daily advances in biological science promise hope for the future and yet medical science has been in serious decline for the past three decades.Biomedical Science in the 21st (superscript st) Century: Sunset or New Dawn? sets out the recent decline in the context of medical science's stunning past successes. Professor Sheridan discusses the failure to translate new discoveries in biological science into medical advances; the dramatic decline in research productivity in the pharmaceutical industry in the context of falling numbers of clinical scientists; the disruption of medical science during prolonged and repeated reforms of health care delivery; changing social and political attitudes towards health care and science; the loss of trust in big pharmaceutical companies and recent revelations of fraud in science. The book deals with the creative nature of original science, how it is driven by curiosity and self-motivation and how these can be stifled by pettifogging managerialism.The book presents a vision of what medical science can deliver during the coming half century and what is needed to overcome the present challenges. It questions the assumptions that big is best in the organisation of science and suggests a new model for drug development based on a restoration of trust and a more constructive relationship between regulators and industry./a
The concept of evidence-based medicine was launched in 1991 as a new paradigm to inform medical practice and has risen to be regarded as the gold standard. It rapidly gained the attention of medics, health service managers and the general media as it presented a means to improve efficiency and effectiveness of service delivery. Despite its stunning success in capturing the health agenda, the campaign that launched evidence-based medicine has also attracted criticism, particularly from clinicians and philosophers concerned about its selective views of knowledge and evidence, and for its denigration of reasoning, clinical experience and judgement.Evidence-Based Medicine traces this movement from its launch to its meteoric rise, examining what it has done for healthcare and medicine in the context of changes in science policy and the long-running criticism held against the movement for its inherent weaknesses.As evidence-based medicine will remain an important feature of healthcare in the decades to come, this book is perfect for healthcare professionals, medical scientists, health service managers and public health experts looking for a critical examination of the topic.
Diabetes is regarded as one of the most challenging global health issues of the 21st century. Especially countries with weak health infrastructure are struggling to deal with the increased demands this chronic disease entails. Tracing the effects of a diagnostic device, the glucometer, this book examines how it contributes to the making of diabetes in contemporary Uganda. Arlena S. Liggins demonstrates that depending on who uses the glucometer, the outcomes may go far beyond diagnosis. The book draws a complex picture of hopes and misplaced expectations, of trust and mistrust in a technology to which access in the first place is all but a given.
Each of the figures examined in this study”John Dee, John Donne, Sir Kenelm Digby, Henry and Thomas Vaughan, and Jane Lead”is concerned with the ways in which God can be approached or experienced. Michael Martin analyzes the ways in which the encounter with God is figured among these early modern writers who inhabit the shared cultural space of poets and preachers, mystics and scientists. The three main themes that inform this study are Cura animarum, the care of souls, and the diminished role of spiritual direction in post-Reformation religious life; the rise of scientific rationality; and the struggle against the disappearance of the Holy. Arising from the methods and commitments of phenomenology, the primary mode of inquiry of this study resides in contemplation, not in a religious sense, but in the realm of perception, attendance, and acceptance. Martin portrays figures such as Dee, Digby, and Thomas Vaughan not as the eccentrics they are often depicted to have been, but rather as participating in a religious mainstream that had been radically altered by the disappearance of any kind of mandatory or regular spiritual direction, a problem which was further complicated and exacerbated by the rise of science. Thus this study contributes to a reconfiguration of our notion of what ’religious orthodoxy’ really meant during the period, and calls into question our own assumptions about what is (or was) ’orthodox’ and ’heterodox.’
This book sets out the unique and paradoxical position biomedical science finds itself in, in the early 21st (superscript st) century. Science has never been stronger in shaping the world we live in; progress in medical science during most of the last century has helped to transform health care and prolong our lives; almost daily advances in biological science promise hope for the future and yet medical science has been in serious decline for the past three decades. Biomedical Science in the 21st (superscript st) Century: Sunset or New Dawn? sets out the recent decline in the context of medical science's stunning past successes. Professor Sheridan discusses the failure to translate new discoveries in biological science into medical advances; the dramatic decline in research productivity in the pharmaceutical industry in the context of falling numbers of clinical scientists; the disruption of medical science during prolonged and repeated reforms of health care delivery; changing social and political attitudes towards health care and science; the loss of trust in big pharmaceutical companies and recent revelations of fraud in science. The book deals with the creative nature of original science, how it is driven by curiosity and self-motivation and how these can be stifled by pettifogging managerialism. The book presents a vision of what medical science can deliver during the coming half century and what is needed to overcome the present challenges. It questions the assumptions that big is best in the organisation of science and suggests a new model for drug development based on a restoration of trust and a more constructive relationship between regulators and industry.
Understanding the concepts of total health and restoration is difficult today! Dr. Terry Dorian cuts to the chase and takes you right through the health maze by telling you the minimum you need to know to get well and stay well. Using her twenty-five years of research, she focuses on nutritional therapy, physical conditioning and faith to restore the body to complete health--body, mind and spirit.
To do what no other magazine does: Deliver simple, delicious food, plus expert health and lifestyle information, that's exclusively vegetarian but wrapped in a fresh, stylish mainstream package that's inviting to all. Because while vegetarians are a great, vital, passionate niche, their healthy way of eating and the earth-friendly values it inspires appeals to an increasingly large group of Americans. VT's goal: To embrace both.