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Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.
This book offers a resource to aid in implementing psychosocial screening, assessment, and consequently integrating prevention, care and treatment (i.e. pharmacological, psychosocial rehabilitation and psychotherapeutic) in medicine. It is becoming increasingly recognized that one method of combating spiraling health care costs in developed nations is to integrate psychiatric care into medicine including primary care settings. This volume reviews the main issues relative to the paradigm of a person-centered and recovery-oriented approach that should imbue all medical areas and specialties. It proposes integration methods in screening and assessment, clinimetric approach, dignity conserving care, cross-cultural and ethical aspects, treatment and training as a basic and mandatory need of a whole psychosomatic approach bridging the several specialties in medicine. As such, the book addresses a topic that all physicians, including primary care and psychiatric professionals in a wide variety of mental health settings are currently discussing, planning and preoccupied with, namely the task of integrating mental health into all the medical fields, including primary care, cardiology, psychiatry, oncology and so on.
The horror of the puticuli, the mass burial pits, and their traditional association with the poor, has often led to this socio-economic group being viewed as somehow 'different' to the rest of the ancient urban community in the Italy of the Late Roman Republic. This is the theory questioned by the author of this volume. Why should this part of the community care so little about the disposal of the dead when other members of society were devoting huge amounts of time and money to ensuring that the deceased received not only burial, but also lasting commemoration? This volume emerged from the author's growing sense of unease at the way in which the urban poor of Rome seemed to be forgotten about, not only in discussions of burial practice, but also general societal trends. It stemmed from a wish to try to identify and re-humanise these often neglected people, as well as to use this information to more comprehensively assess the disposal practices of the ancient city dweller. The work goes some way to beginning this process. Much of the world of the ancient urban poor remains still to be explored, and, while not claiming to be comprehensive, the author hopes that it will re-insert the poor inhabitants of Rome into the consciousness of scholars of the ancient world, and contribute towards the development of new and exciting dialogues that take account of the attitudes and activities of all the varied members of ancient society.
Report and compilation of statistical tables resulting from a survey of the handicapped (disabled person), undertaken in 1966 by the social security administration, on demographic aspects and health-related characteristics of handicapped widowed married women in the USA, together with information on their eligibility to receive disability benefits.
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Examining the social, medical and cultural history of male homosexuality in Spain, this book looks at it from the time homosexuality came to be an issue of medical, legal and cultural concern. Research into homosexuality in Spain is in its infancy. The last ten or fifteen years have seen a proliferation of studies on gender in Spain but much of this work has concentrated on women's history, literature and femininity. In contrast to existing research which concentrates on literature and literary figures, "Los Invisibles" focuses on the change in cultural representation of same-sex activity of through medicalisation, social and political anxieties about race and the late emergence of homosexual sub-cultures in the last quarter of the twentieth century. As such, this book constitutes an analysis of discourses and ideas from a social history and medical history position. Much of the research for the book was supported by a grant from the Wellcome Trust to research the medicalisation of homosexuality in Spain.