Newly revised and redesigned, this book assesses nearly 500 years of urban development and planning in Havana, paying particular attention to the city's rich blend of Spanish-Cuban-Latin American-North American architecture and design.
In this book, the authors have placed culture in the forefront of their approach to study pain in an integrative manner. Culture should not be considered solely for knowing more about patients' values, beliefs, and practices. It should be studied with the purpose of unveiling its effects upon biological systems and the pain neuromatrix. The book discusses how a multidisciplinary and integrative approach to pain and analgesia should be considered. Some familiarity with the cultural background of patients and awareness of the provider's own cultural characteristics will allow the pain practitioner to better understand patients' values, attitudes and preferences. Knowledge of patients' cultural practices will allow determining the impact of culture on biological processes, including the origin and development of pain-related disease, and the patients' response to pharmacological and non-pharmacological treatments. Acknowledging the interactions of molecules, genes and culture could yield a more appropriate and effective personalized pain medicine. Furthermore, this approach has the potential to transform the way pain medicine is taught to young students and future pain professionals, and in so doing meet the need of trained clinicians who are versed in multiple disciplines and are able to use an integrative approach to diagnose and treat pain. A personalized medicine will have non-negligible positive effects in improving doctor patient relationships, patient satisfaction, adherence to treatment plans, and health outcomes and inequities. It is hoped that the material in this volume will appeal to a broad cross-section of health practitioners, students and academicians, including pain medicine specialists, psychiatrists, psychologists, social workers, mental health, community and public health workers, health policy makers, and health administrators.
In this literary memoir, the Nobel Prize–winning author and Peruvian politician shares “a convincing self-portrait . . . an often funny and cautionary tale” (Time). In 1990, Mario Vargas Llosa decided to run for the presidency of his native Peru. He campaigned on a platform of economic reform and stringent counterterrorism against the far-left gorilla group, Sendero Luminoso. His failed campaign against Alberto Fujimori generated international headlines, transforming the renowned author into a politician of world stature. A Fish in the Water is Vargas Llosa’s personal account of his life as seen through the lens of his time as a candidate. He evokes the experiences that gave rise to his fiction, while—in parallel—he describes the social, literary, and political influences that led him to enter the political arena as a crusader for democracy and a free-market economy.
An Open Access edition of this book is available on the Liverpool University Press website and the OAPEN library as part of the Opening the Future project with COPIM. This book examines three expeditions by the Spanish to the borders of Charcas, a district that covers present-day Bolivia and the northwest of Argentina, in the second half of the sixteenth century, using an approach that has not been attempted until now. Scholarship on these events has framed them as part of a gradual top-down process of centralisation driven by the Crown to extend its power and build a colonial ‘state’ in the Americas. This book challenges that view, approaching the expeditions through an analysis of the political culture that underpinned them. It explores the events within the process of installation and consolidation of royal jurisdiction, understood here as the authority to establish law and deliver justice, in a remote area. This was a process achieved through coercion and violence, as well as negotiation and consensus, that involved both the Spanish and indigenous peoples, and that frequently created overlapping jurisdictions, via downscaling of politics and dispersal of power. Jurisdictional politics were decided and settled in battlefields and courts and involved the theatricalization of power, to make a distant monarch present, which, paradoxically, made such absence the more evident. The book is an invitation to re-dimension the scope of Spain’s empire
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