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The journal seems to contain information for everyone regardless of one's interest...Each page of this almost six hundred page journal is crammed with facts and descriptions. So much of interest is contained in every entry that each re-reading will reveal many interesting incidents or observations not quite grasped on the first perusal....This book will be a valuable source to all students of California or United States history and to the casual readers as well.
A guide to the Affordable Care Act, our new national health care law. An account of the process from the 2008 presidential campaign to the moment in 2010 when the bill was signed into law before anyone had a chance to digest the document. At a time when the nation is taking a second look at the ACA, "Inside National Health Reform" provides essential information for Americans to review the governmental processes and politics in enacting this legislation.
Native Americans long resisted Western medicine—but had less power to resist the threat posed by Western diseases. And so, as the Office of Indian Affairs reluctantly entered the business of health and medicine, Native peoples reluctantly began to allow Western medicine into their communities. Fighting Invisible Enemies traces this transition among inhabitants of the Mission Indian Agency of Southern California from the late nineteenth through the mid-twentieth century. What historian Clifford E. Trafzer describes is not so much a transition from one practice to another as a gradual incorporation of Western medicine into Indian medical practices. Melding indigenous and medical history specific to Southern California, his book combines statistical information and documents from the federal government with the oral narratives of several tribes. Many of these oral histories—detailing traditional beliefs about disease causation, medical practices, and treatment—are unique to this work, the product of the author’s close and trusted relationships with tribal elders. Trafzer examines the years of interaction that transpired before Native people allowed elements of Western medicine and health care into their lives, homes, and communities. Among the factors he cites as impelling the change were settler-borne diseases, the negative effects of federal Indian policies, and the sincere desire of both Indians and agency doctors and nurses to combat the spread of disease. Here we see how, unlike many encounters between Indians and non-Indians in Southern California, this cooperative effort proved positive and constructive, resulting in fewer deaths from infectious diseases, especially tuberculosis. The first study of its kind, Trafzer’s work fills gaps in Native American, medical, and Southern California history. It informs our understanding of the working relationship between indigenous and Western medical traditions and practices as it continues to develop today.
California Archaeology provides a compilation of knowledge for archeologists who are not California specialists. This book explains important cultural events and patterns discovered archeologically. Organized into 11 chapters, this book begins with an overview of California's historic and ancient environments as well as the evidence of Pleistocene human activity. This text then examines the glacial and other environmental conditions that would have influenced the origins, adaptations, and spread of the earliest North Americans. Other chapters consider how California's past is relevant to a wider understanding of human behavior. This book discusses as well the perceptions of Central Coast and San Francisco Bay region prehistory that have changed rapidly as a result of intensive fieldwork performed to comply with environmental law. The final chapter deals with the data of historical linguistics, which indicate something of the cultural relationships and events that might have occurred in the past. This book is a valuable resource for archeologists.
This is the journal of Jedediah Smith, businessman, mountain man, adventurer and explorer and his expedition to California in 1826. Smith kept a detailed and interesting account as he made his way from Utah, across the Rocky Mountains and to coastal California. He encountered many Indian tribes along the way, some who had never encountered Europeans before.The journey was very difficult, through harsh terrain, and he has many tales to tell of the deprivations of desert and mountain.
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.