If you ask most people what influences health, almost invariably the first reply will be health care-the services that individuals receive from physicians, nurses, and other medical professionals to treat or prevent illness, also called medical care. Many people, in fact, presume the role of health care (medical care) in affecting health to be so predominant that they often use the terms health and health care interchangeably. Many people would probably also cite behaviors such as diet, exercise, smoking, and use of alcohol or drugs as key influences on health. While ample evidence supports the importance of both health care and behaviors for health, a compelling body of scientific knowledge now calls for a wider and deeper set of explanations for why some of us experience good health and others do not. This body of knowledge challenges us to think beyond common assumptions about the key causes of health and illness, to ask not only "What influences health?" but also "What factors shape those influences?" i.e., "What influences the influences?" This knowledge tells us that, to achieve real and lasting improvements in health, we must shift the focus to identifying and addressing the root or fundamental causes(Link and Phelan 1995)-the underlying factors that set in motion other factors that may be more easily observed but play a less fundamental role in shaping health. Ethical concerns, furthermore, require us to focus not only on a population's overall or average health, but also on health equity-whether everyone has a fair and just opportunity to be as healthy as possible, which includes whether the resources, opportunities, and conditions required for good health are distributed equitably within the population"--
If you ask most people what influences health, almost invariably the first reply will be health care-the services that individuals receive from physicians, nurses, and other medical professionals to treat or prevent illness, also called medical care. Many people, in fact, presume the role of health care (medical care) in affecting health to be so predominant that they often use the terms health and health care interchangeably. Many people would probably also cite behaviors such as diet, exercise, smoking, and use of alcohol or drugs as key influences on health. While ample evidence supports the importance of both health care and behaviors for health, a compelling body of scientific knowledge now calls for a wider and deeper set of explanations for why some of us experience good health and others do not. This body of knowledge challenges us to think beyond common assumptions about the key causes of health and illness, to ask not only "What influences health?" but also "What factors shape those influences?" i.e., "What influences the influences?" This knowledge tells us that, to achieve real and lasting improvements in health, we must shift the focus to identifying and addressing the root or fundamental causes(Link and Phelan 1995)-the underlying factors that set in motion other factors that may be more easily observed but play a less fundamental role in shaping health. Ethical concerns, furthermore, require us to focus not only on a population's overall or average health, but also on health equity-whether everyone has a fair and just opportunity to be as healthy as possible, which includes whether the resources, opportunities, and conditions required for good health are distributed equitably within the population"--
Establishes a framework and a method for assessing the place of screening programmes in primary health care and determining which programmes will be most likely to benefit patients and health services alike. Though the principles described can be used in any country, particular attention is given to the setting of priorities in situations where resources are extremely limited and choices must be carefully made. Some 97 different health problems and risk factors which might form the focus of screening programmes are critically assessed. The book has eight chapters. The first three examine a number of policies, principles, and widely held assumptions that arise when decisions are made about the value of screening programmes. Chapter one discusses the aims, requirements, and potential benefits of preventive screening within the context of primary health care. In chapter two, the authors establish seven criteria that can help planners and programme administrators decide whether screening will contribute to the aims of primary health care in a particular situation. Chapter three on the planning and implementation of services alerts readers to several important issues that frequently arise at the local level when screening services are implemented. Various proposals for mandatory HIV screening are used to illustrate legal and ethical issues. In a key achievement, chapter four sets out a method for the systematic assessment of screening programmes and the setting of priorities. Focused on the questions of why, who, how, and when, the method is intended to help decision-makers assess local conditions, think through resource needs for diagnosis and intervention as well as screening anticipate problems, and then select the most appropriate preventive option. Having established a framework for setting priorities, the remaining chapters issue recommendations for a large number of screening options of potential value in primary health care programmes. Separate chapters cover screening in maternal, reproductive and newborn health care, child health care, care to prevent communicable disease, and the health care of adults. Readers are also alerted to situations where screening constitutes a waste of resources where patients may be harmed, and where other preventive options should have first call on resources. The book concludes with a 25-page tabular summary of all screening options considered; the level of resources required for screening, diagnosis, and intervention; and the recommendations made.
Albert Speer was one of the most brilliant and controversial men of the Twentieth Century. Although he was the Adolf Hitlers favourite for many years, Speer refused to share in his suicide and was condemned to twenty years in Spandau Prison for war crimes. His open confession of guilt at the Nuremberg Trials spared him the noose but, to this day, a question mark hangs over his head. What was the level of his involvement in the Holocaust? Was he a man of integrity caught up in a web of evil from which he couldnt escape - or was he just clever and convincing enough to have obscured the worst of his sins? No-one has ever argued convincingly one way or the other. Paula Astridges very personal - and exhaustively researched account - will both entertain and enable the reader to draw their own conclusions.
Analyzing Form, Function, and Financing of the U.S. Health Care System tells the story of the U.S. health care system by using a narrative approach identifying function rather than the more common data-driven focus on structure. It presents policy decisions we have made about our health care system and analyzes some of their consequences to better
Explore OT from multiple perspectives…from theory to practice. A who’s who of theorists, educators, and practitioners explores the concept of “occupation” and its role as the foundation for occupational therapy practice today. Each contributor explains the conceptual models, frameworks, paradigms, or theoretically-based guidelines that they have developed over many years of practice, experience, and research. Case studies at the end of each chapter illustrate how theory translates into real-world practice in the field.
An intimate collection of African American women's voices on their lives in prison The rate of women entering prison has increased nearly 400 percent since 1980, with African American women constituting the largest percentage of this population. However, despite their extremely disproportional representation in correctional institutions, little attention has been paid to their experiences within the criminal justice system. Inner Lives provides readers the rare opportunity to intimately connect with African American women prisoners. By presenting the women's stories in their own voices, Paula C. Johnson captures the reality of those who are in the system, and those who are working to help them. Johnson offers a nuanced and compelling portrait of this fastest-growing prison population by blending legal history, ethnography, sociology, and criminology. These striking and vivid narratives are accompanied by equally compelling arguments by Johnson on how to reform our nation's laws and social policies, in order to eradicate existing inequalities. Her thorough and insightful analysis of the historical and legal background of contemporary criminal law doctrine, sentencing theories, and correctional policies sets the stage for understanding the current system.
Celia Frost is a freak. At least that's what everyone thinks. Her life is ruled by a rare disorder that means she could bleed to death from the slightest cut, confining her to a gloomy bubble of "safety". No friends. No fun. No life. But when a knife attack on Celia has unexpected consequences, her mum reacts strangely. Suddenly they're on the run. Why is her mum so scared? Someone out there knows – and when they find Celia, she's going to wish the truth was a lie... A buried secret; a gripping manhunt; a dangerous deceit: what is the truth about Celia Frost? A page-turning thriller that's impossible to put down. "Paula Rawsthorne's excellent debut is original and gripping and the tension is palpable throughout... As well as being a compulsive thriller, this novel is also a skilful coming-of-age novel.Both parts of the story build to a thoroughly satisfying climax and resolution, with final twists to surprise." - Books For Keeps Winner Leeds Book Award 2012 and Sefton Super Reads Award 2012, Winner Brilliant Book Award
Spain, AD 687: Three children come of age amid the turbulent decline of Visigothic Spain. Yosef is preparing to leave Granada with his father on a trading mission to the East. His friend, wild, silent Laelia, is unsure of her betrothal to the aristocratic Theo. Then Oppa, scheming son of the new Visigoth king, comes south, hungry for riches and for blood. Within days, Laelia is wounded, Theo is enslaved, Yosef’s father has been killed and Yosef himself has fled a false accusation of murder. Now his perilous journey through the Arab lands of North Africa becomes desperately important - and loyalty becomes a choice. Set against a sprawling medieval landscape, The Votive Crown is the first full length book in the Visigoths of Spain saga, following the fortunes of three Spanish families caught in the fall of the Visigothic kingdom and the Arabic conquest of Spain. It is preceded by a prequel novella, The Saharan Queen. Theudemir of Aurariola (Theo) is a Spanish nobleman betrothed sent to fight abroad in the Imperial fleet. When the fleet is attacked at sea, Theo finds himself alone and enslaved on foreign shores. As he battles to survive and rejoin the fleet, Theo is sustained by his bond with Lælia, the fierce, pagan Spanish heiress to whom he is betrothed. Raised among the tribes of the old Roman South, Lælia is not accustomed to the trappings of the Toletum court, nor the corruption she finds there. After Theo is lost at sea, Lælia must find a way to escape a forced marriage to Oppa, the sadistic royal bastard. As Spain slides toward civil war, Lælia uncovers an old secret that may be the key to Oppa's undoing. Yosef is the son of a Jewish merchant who is about to embark upon a perilous trading journey to the far East when a brutal act by Oppa sees his father murdered, and Yosef himself exiled. Deep in Saharan sands he joins the forces of warrior queen Dahiya as they battle the oncoming Arab army, and searches for Theo, whose help he is reliant on for the safe outcome of his journey. As Spain descends further into chaos, Emperor and Caliph war for control over the medieval Circle of Lands. In a world on the brink of collapse, love, loyalty and honour unite Spain's children across distance and time.
Private investigator Hunter Bragg must protect events planner Susannah Marsh from an anarchistic militia group and not let their mutual feelings for one another put her in further jeopardy.
The second novel in a bewitching series "brimming with charm and charisma" that will make "fans of Outlander rejoice!" (Woman's World Magazine) New York Times bestselling author Paula Brackston’s The Little Shop of Found Things was called “a page-turner that will no doubt leave readers eager for future series installments” (Publishers Weekly). Now, Brackston returns to the Found Things series with its sequel, Secrets of the Chocolate House. After her adventures in the seventeenth century, Xanthe does her best to settle back into the rhythm of life in Marlborough. She tells herself she must forget about Samuel and leave him in the past where he belongs. With the help of her new friends, she does her best to move on, focusing instead on the success of her and Flora’s antique shop. But there are still things waiting to be found, still injustices needing to be put right, still voices whispering to Xanthe from long ago about secrets wanting to be shared. While looking for new stock for the shop, Xanthe hears the song of a copper chocolate pot. Soon after, she has an upsetting vision of Samuel in great danger, compelling her to make another journey to the past. This time she'll meet her most dangerous adversary. This time her ability to travel to the past will be tested. This time she will discover her true destiny. Will that destiny allow her to return home? And will she be able to save Samuel when his own fate seems to be sealed?
This book, the most-up-to-date guide to Guatemala, is all you need to explore the heart of the Mayan world. Whether you want to wander the steamy, jungle ruins of Tikal, climb the active cone of the Volcan de Fuego, stroll the cobblestone streets of Antigua, or browse through traditional indigenous markets, VIVA will help you get the most from your time in this beautiful country.
The gunfight at the O.K. Corral has excited the imaginations of Western enthusiasts ever since that chilly October afternoon in 1881 when Doc Holliday and the three fighting Earps strode along a Tombstone, Arizona, street to confront the Clanton and McLaury brothers. When they met, Billy Clanton and the two McLaurys were shot to death; the popular image of the Wild West was reinforced; and fuel was provided for countless arguments over the characters, motives, and actions of those involved. And Die in the West presents the first fully detailed, objective narrative of the celebrated gunfight, of the tensions leading up to it, and the bitter, bloody events that followed. Paula Mitchell Marks places the events surrounding the gunfight against a larger backdrop of a booming Tombstone and the fluid, frontier environment of greed, factions and violence. In the process, Marks strips away many of the myths associated with the famous gunfight and of the West in general.
This book explores the contribution of southern Italy and Sicily to the crusades and crusader states. By adopting the theme of identity as a tool of analysis, it argues that a far more nuanced picture emerges about the relationship than the dismissive portrayal by William of Tyre in his Chronicon, which has largely been accepted by later historians. Building upon previous scholarship in relation to Norman identity, it widens the discussion to evaluate the role of more fluid and evolving Italo-Norman and Italo-Sicilian identities, and how these shaped events. In so doing, this book also argues that the relationship between the territories needs to be considered in different dimensions: direct involvement of leaders and rulers versus indirect engagement through the geography of southern Italy and Sicily. Over time, and as identities change, these two dimensions converge, making the kingdom itself a leading participant in crusading.
One of Publishers Weekly's Best Summer Books 2013 "In A Land Without Sin Paula Huston has written a novel that's wise and wry, tragic and tender, and altogether thrilling. Both moved and enthralled, I couldn't stop reading." --Robert Clark Author of In the Deep Midwinter and Love Among the Ruins "Huston treads where few writers dare, jumping fearlessly into the roiling cauldron of factious Central American politics, class, culture, and religions. No doubt it would have been easier to write a mere gloss, a panoramic report describing the horror of war, revolution, grinding poverty, and the inevitable human carnage. However, the lens through which Huston sees penetrates far deeper than a perusal of these surface wounds to examine the limits of family loyalty, faith, and the causes and cure of hatred. A Land Without Sin is a compelling narrative that leaves me both haunted and hungry for more." --Gina Ochsner Author of People I Wanted to Be and The Russian Dreambook of Color and Flight "With some of the sheer excitement of H. Rider Haggard's King Solomon's Mines and the depth of soulful inquiry of Graham Greene's The Power and the Glory, Paula Huston's A Land Without Sin is a savvy look at the violent struggles in southern Mexico over the last quarter century and a vivid perspective on the hopes and perils of liberation theology. It is a poignant and splendid book." --Ron Hansen Author of Mariette in Ecstasy and Atticus
In Part Four of The Way of Things, the spirits of wind and rivers contribute their own abilities to aid the mysterious and apparently ageless Athro who is to steer events to the time of choosing. It is an event looked forward to and yet feared by all of Alvalard. Athro's task is complicated by having to care for two headstrong youngsters who have a talent for getting themselves into trouble. Also making his first appearance in the series, is this staff-twirling Lemna Minor. Supposedly driven insane by carrying a prophecy in his head, one wonders if he is as mad as he appears. So the time of choice arrives. Good in the form of the Guardian or Evil in the shape of the Darkness. If Good is to win, then someone must pay the Ultimate Price.
Rescuer…Protector…Husband? Miss Hester Waring’s father was a wastrel and a drunkard, who had alienated most of Sydney society.When he died, Hester found herself destitute and alone, with no one to rely on. Her rescue came from a most unlikely source—Mr.Tom Dilhorne, an ex-convict, now the richest man in Sydney. He engineered a teaching job for her, but knew that if he was to be accepted by society he needed a lady for a wife. And Hester was every inch a lady. Luckily the skinny schoolteacher wasn’t at all his type, so he wouldn’t be in danger of losing his heart…would he?
A pioneering study of how American composer Aaron Copland helped shape the sound of the Hollywood film industry and introduced the moviegoing public to modern musical styles.
A rich and moving play with music . . . it taps into seasonal themes of redemption, forgiveness and community, with a decidedly American bent."—Variety Set on a chilly Christmas Eve during the latter days of the Civil War, Paula Vogel's new pageant for the holiday season weaves a tapestry of both fictional and historical characters—together with period holiday music and lesser-known marches, hymns, and spirituals—to tell a story of peaceful companionship and communal hope. Paula Vogel's plays include How I Learned to Drive (winner of the Pulitzer Prize, OBIE, Drama Desk, and New York Drama Critics awards), The Long Christmas Ride Home, The Mineola Twins, The Baltimore Waltz, Hot 'N' Throbbing, and Desdemona. She is chair of the playwriting department at the Yale School of Drama, and is playwright-in-residence at Yale Repertory Theatre.
It's almost a year since Gaby Winters watched her twin brother die. In the sunshine of a new town her body has healed, but her grief is raw and constant. It doesn't help that every night in her dreams she fights and kills hell-beasts. And then Rafa comes to town. Not only does he look exactly like the guy who's been appearing in Gaby's dreams, he tells her things about her brother and her life that cannot be true, things that are dangerous. Who is Rafa? Who are the Rephaim? And who is Gaby? The truth lies in the shadows of her nightmares.
Before living waters can flow, we must admit our thirst. One morning, in a hermitage nestled in California's lovely Big Sur country, Paula Huston read a Scripture verse that she had read hundreds of times before: "Let anyone who thirsts come to me and drink." This time, however, the verse penetrated her heart as never before. Much had happened to her in the preceding years: a return to Christianity, a conversion to Catholicism, a choice for a radically simplified life, an increasing hunger for prayer and the Eucharist. Now, Huston understood that all these things were just the beginning. God was calling her to a deeper experience of holiness, an experience that would require arduous work-and the simplest surrender. By Way of Grace is Huston's beautifully written and compelling account of what she learned during her journey into a deeper faith. She gained a keen sense of the profound challenge that orthodox Christianity presents to the secular mind-set she had uncritically absorbed. Her journey also took her deep into a study of the lives and writings of the great saints of the Catholic mystical tradition, where she was spiritually strengthened by the Christian virtues of prudence, temperance, fortitude, justice, humility, faith, hope, and love. Most important, she discovered that Jesus' call to "come to me and drink" is an invitation that will fully satisfy a yearning heart. This book reveals the essential simplicity of holiness and how we can-by way of grace-know, love, and serve God. Faith through Grace I felt sad about the years I'd spent trying to cobble together a belief that I could "live with." . . . I'd been predisposed to unbelief, and as with all types of unexamined cultural mind-sets, I was blind to this fact until I began to compare my way of thinking with the thinking of orthodox Christianity. Only then did I discover the truth: religious faith is not comforting, as atheists so often accuse, but hard. . . . In order to keep it, we must nourish it and protect it; otherwise, it will be blown away by the changing winds of fashion. More, we must never forget that this virtue . . . comes through grace. . . . The beauty of faith is its deep root in love-the very love I'd been so fervently seeking when I set out on my six-year spiritual search, and the love I'd met in person at the Holy Sepulchre in Jerusalem. In that moment, I'd been brought face-to-face with the witness himself, whose testimony undergirds twenty centuries of Christian belief. And I'd found him to be just as described: slow to anger and abounding in love. -From By Way of Grace Saints and virtues in this book: • St. Basil on prudence, the art of seeing clearly • St. Gregory on temperance, the art of holding a balance • St. Bernard of Clairvaux on fortitude, the art of courageous continuing • St. Thomas Aquinas on justice, the art of forgiving • St. Teresa of Ávila on humility, the art of honest self-appraisal • St. Francis de Sales on faith, the art of believing in things unseen • St. ThÉrÈse of Lisieux on hope, the art of patient waiting • St. Teresa Benedicta of the Cross (Edith Stein) on charity, the art of loving the enemy
This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1982.
Blind and disfigured during the Great War, Ralph Witham believes that there is no future for him outside the confines of the hospital. A visit from his boyhood friend helps him realise that this is not the case. His disfigurement had been corrected thanks to the work of a brilliant doctor at the hospital. His sweetheart, Melody, is still waiting for him, and his young brother seems to have got himself into some kind of trouble. It is time for Ralph to return to the outside world and find out what is going on.
New York Times bestselling author of The Witch's Daughter Paula Brackston returns to her trademark blend of magic and romance guaranteed to enchant in The Little Shop of Found Things, the first book in a new continuing series. An antique shop haunted by a ghost. A silver treasure with an injustice in its story. An adventure to the past she’ll never forget. Xanthe and her mother Flora leave London behind for a fresh start, taking over an antique shop in the historic town of Marlborough. Xanthe has always had an affinity with some of the antiques she finds. When she touches them, she can sense something of the past they come from and the stories they hold. When she has an intense connection to a beautiful silver chatelaine she has to know more. It is while she’s examining the chatelaine that she’s transported back to the seventeenth century where it has its origins. She discovers there is an injustice in its history. The spirit that inhabits her new home confronts her and charges her with saving her daughter’s life, threatening to take Flora’s if she fails. While Xanthe fights to save the girl amid the turbulent days of 1605, she meets architect Samuel Appleby. He may be the person who can help her succeed. He may also be the reason she can’t bring herself to leave. The story continues in October 2019 with book two in the Found Things series, Secrets of the Chocolate House.
“This humble book is nothing but my own story and the experiences I have had in my short life. The process of writing this book has been sort of a ritual to me, a rite of passage if you will. It is a symbol of claiming myself and of unapologetically owning the sides of me that I had not yet owned. This book is my story and some of the lessons I now clearly have gathered from my experiences. Here, I share aspects of my life which my guides and angels keep wanting me to bring forth to the light because being truthful and authentic, first and foremost to ourselves, is no longer a choice but a responsibility.”
Mina's fantasy has finally come true. Craig - the hottest boy in school - has just invited her to the biggest party of the year. There's just one problem: her parents won't let her date a boy they know nothing about. So Mina has just 13 days to clue them in about Craig - or work out a cunning plan to get to the party and back without them finding out! Her friends have their own problems - but if Mina doesn't get their help, and fast, her social life might just be at an end!
A well-crafted memoir of a young woman who spends two years teaching at the school at Aurukun in Cape York paints a colourful picture of life in a remote Aboriginal community in the sweltering tropics.
Arriving in St. Louis to search for his missing brother, Danny O'Lee meets a lovely but mysterious young girl named Liberty Wells who has known his brother and perhaps been his lover before they were parted by the bitter slavery question. Danny is led to Quantrill and his guerillas, among them Frank and Jesse James, who are ravaging anti-slavery Kansas. Next, he meets and is converted to the Union cause by a beautiful black abolitionist. Finally, after many hairbreadth adventures, Danny O'Lee find his beloved brother--fighting on the other side--at the bloody Battle of Shiloh, a turning point in the little-known Civil War in the West. There, a hero is born, a villain is unmasked and a love is renewed, while the Union finds a general in an obscure, cigar-smoking, whisky-drinking sphinx of a man named U.S. Grant."--Back cover
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