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Challenging readers to rethink the norms of women's health and treatment, Prescribed Norms concludes with a gesture to chaos theory as a way of critiquing and breaking out of prescribed physiological and social understandings of women's health.
In her meticulously researched history, Cheryl Krasnick Warsh challenges readers to rethink the norms of women's health and treatment in Canada and the United States since 1800. Prescribed Norms details a disturbing socio-medical history that limits and discounts women's own knowledge of their bodies and their health. By comparing ritual practices of various cultures, Prescribed Norms demonstrates how looking at women's health through a masculine lens has distorted current medical understandings of menstruation, menopause, and childbirth, and has often led to faulty medical conclusions. Warsh also illuminates how the shift from informal to more formal, institutionalized treatment impacts both women's health care and women's roles as health practitioners. Always accessible and occasionally irreverent, Warsh's narrative provides readers with multiple foundations for reconsidering women's health and women's health care.
An important part of the legal theoretical literature deals with the nature of rules, in particular with mandatory rules of the prohibitive type. The exemplar of such rules is the classical `no vehicle in the park' rule, which figures in virtually every serious work on legal interpretation. In this article it is pointed out that next to these classical mandatory rule, new kinds of norms are emerging and are produced in massive quantities by both the European and the national legislators of European countries. These new types of norms haven't been analysed so far but have a quite dramatic effect on both political debate and legal decision-making. There are two types of such new norms: the first of these requires norm-addressees to achieve abstract goals, the second to achieve specific outcomes. Both types of norms no longer seek to prescribe specific actions (as means to a further end) but prescribe the end itself: a certain state of affairs that should be brought about. In legislative circles it is hoped that such rules will help to a) reduce overregulation and b) to do justice to the ability of social groups to devise their own means to the prescribed ends. Hopwever, it is argued that, contrary to these expectations, a. goal-prescribing rules tend to proliferate and to multiply; and that b. the amount of deliberation and debate that is permitted in such a goal-prescribing regime is rather modest.
The flagship title of the certification suite from the American College of Sports Medicine, ACSM's Guidelines for Exercise Testing and Prescription is a handbook that delivers scientifically based standards on exercise testing and prescription to the certification candidate, the professional, and the student. The 9th edition focuses on evidence-based recommendations that reflect the latest research and clinical information. This manual is an essential resource for any health/fitness and clinical exercise professional, physician, nurse, physician assistant, physical and occupational therapist, dietician, and health care administrator. This manual give succinct summaries of recommended procedures for exercise testing and exercise prescription in healthy and diseased patients.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Norms are prescribed conducts applied by the majority of people. Getting across cultures and centuries, norms evolved to rule all human relationships, from the most formal to the most intimate. Impinging on any sphere of life, from religious to political, norms affect social, moral, and even aesthetical behaviours. They are enforced through centralized sanctions or distributed control, and originate through deliberate acts of issuing or from spontaneous interaction in informal settings. Despite ubiquity and universality, norms are still awaiting for a general comprehensive theory, simultaneously doing justice to three intuitions: that, under variable contents, norms correspond to a common notion; that, once brought about, norms feedback on their producers, affecting their conducts; and finally that before and in order to drive the behaviours of individuals, norms must affect their beliefs and goals: people must detect and accept norms before converting them into observable behaviours. This volume presents an unprecedented attempt to account for all the three intuitions at once, providing a systematic view of norms. Based on a unitary and operational notion of norms, as behaviours spreading thanks to and to the extent that the corresponding prescriptions spread as well, a cognitive architecture, EMIL-A, which is the main output of a research project on norm emergence, is described. EMIL-A is a BDI-like platform for simulation, endowed with modules for detecting, reasoning and deciding upon norms. Next, the EMIL-A platform is applied to generate norms in different simulated scenarios (from a multi-setting world to a virtual Wikipedia), through a complex bidirectional dynamics, i.e., the bottom-up emergence of norms thanks to a gradual, top-down process, denoted as immergence. As simulations results show, norms emerge while immerging in agents' minds, thanks to their detecting, reasoning, and deciding whether to respect them or not.
Practical Reason and Norms focuses on three problems: In what way are rules normative, and how do they differ from ordinary reasons? What makes normative systems systematic? What distinguishes legal systems, and in what consists their normativity? All three questions are answered by taking reasons as the basic normative concept, and showing the distinctive role reasons have in every case, thus paving the way to a unified account of normativity. Rules are a structure of reasons to perform the required act and an exclusionary reason not to follow some competing reasons. Exclusionary reasons are explained, and used to unlock the secrets of orders, promises, and decisions as well as rules. Games are used to exemplify normative systems. Inevitably, the analysis extends to some aspects of normative discourse, which is truth-apt, but with a diminished assertoric force.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Audits provide essential accountability and transparency over government programs. Given the current challenges facing governments and their programs, the oversight provided through auditing is more critical than ever. Government auditing provides the objective analysis and information needed to make the decisions necessary to help create a better future. The professional standards presented in this 2018 revision of Government Auditing Standards (known as the Yellow Book) provide a framework for performing high-quality audit work with competence, integrity, objectivity, and independence to provide accountability and to help improve government operations and services. These standards, commonly referred to as generally accepted government auditing standards (GAGAS), provide the foundation for government auditors to lead by example in the areas of independence, transparency, accountability, and quality through the audit process. This revision contains major changes from, and supersedes, the 2011 revision.