Suchergebnisse

Despite yearly advances in life-saving and preventive medicine, as well as strategic approaches by governmental and social agencies and groups, significant disparities remain in health, health quality, and access to health care within the United States. The determinants of these disparities include baseline health status, race and ethnicity, culture, gender identity and expression, socioeconomic status, region or geography, sexual orientation, and age. In order to renew the commitment of the medical community to address health disparities, particularly at the medical school level, we must remind ourselves of the roles of doctors and medical schools as the gatekeepers and the value setters for medicine. Within those roles are responsibilities toward the social mission of working to eliminate health disparities. This effort will require partnerships with communities as well as with academic centers to actively develop and to implement diversity and inclusion strategies. Besides improving the diversity of trainees in the pipeline, access to health care can be improved, and awareness can be raised regarding population-based health inequalities.

A Geography of Digestion is a highly original exploration of the legacy of the Kellogg Company, one of America's most enduring and storied food enterprises. In the late nineteenth century, company founder John H. Kellogg was experimenting with state-of-the-art advances in nutritional and medical science at his Battle Creek Sanitarium. Believing that good health depended on digesting the right foods in the right way, Kellogg thought that proper digestion could not happen without improved technologies, including innovations in food-processing machinery, urban sewer infrastructure, and agricultural production that changed the way Americans consumed and assimilated food. Asking his readers to think about mapping the processes and locations of digestion, Nicholas Bauch moves outward from the stomach to the sanitarium and through the landscape, clarifying the relationship between food, body, and environment at a crucial moment in the emergence of American health food sensibilities

"A Geography of Digestion explores the legacy of the Kellogg Company, one of America's most enduring and storied food enterprises. In the late nineteenth century, company founder John H. Kellogg was experimenting with state-of-the-art advances in nutritional and medical science at his Battle Creek Sanitarium. At the same time, he was involved in overhauling the form and function of the broader landscapes in which his health practice was situated. Innovations in food-manufacturing machinery, urban sewer infrastructure, and agricultural technology came together to forge an extensible geography of his patients' bodies, changing the way Americans consumed and digested food. In this novel approach to the study of the Kellogg enterprise, Nicholas Bauch asks his readers to think geographically about the process of digesting food. Beginning with the stomach, Bauch moves outward from the sanitarium through the landscapes and technologies that materialized Kellogg's particular version of digestion. Far from a set of organs confined to the epidermal bounds of the body, the digestive system existed in other places. Moving from food-processing machines, to urban sewerage, to agricultural fields, A Geography of Digestion paints a grounded portrait of one of the most basic human processes of survival--the incorporation of food into our bodies--leading us to question where exactly our bodies are located"--Provided by publisher

For a quarter‐century, the Organ Procurement and Transplantation Network (OPTN) has confronted the role of geography in the allocation of deceased‐donor livers for transplantation. An historical legacy of a geographical hierarchy giving priority to patients within the same local Donor Service Area (DSA) as the donor gradually evolved to give some regional and national patients priority. However, in 2020, an eight‐year process resulted in the allocation system being revised to centralize the granting of exemptions to the quantitative severity index and eliminate the DSA and region as relevant geographic units in favor of direct distance measures called acuity circles. In this account, we focus on the roles of expertise, values, and interests during this development to assess the OPTN as a form of stakeholder rulemaking. We find extensive use of medical evidence that may make such stakeholder rulemaking worthy of consideration as a governance alternative in evidence‐rich applications.

This article considers the late-Victorian and Edwardian legislative treatment of problem drunkenness in Scotland under the 1898 Inebriates Act. It examines the uneven enactment of the law, by geography and gender, and exposes how mundane questions of bureaucracy, of finance and jurisdiction, intersected with the institutional management of people convicted under it. I present an analytical framework of case geography to examine the ways in which bureaucratic and not simply medical interventions came together to shape people's unfolding futures. Their removal to – and oftentimes between – institutions produced and did not simply resolve bureaucratic challenges. In conclusion I call for a greater awareness of the ways in which such mobile lives shaped policy: they tested the geographical imagination of government and with it the viability of this inebriate system.

The article provides a comparative analysis of the geography and the current state of apitourism in Ukraine and Slovenia. The essence of apitourism and its importance for achieving the goals of sustainable development are characterized. Apitourism is a form of tourism related to beekeeping as a traditional profession and beekeeping products in ecological, nutritional and medical aspects. At its core, apitourism is permanent, so it does not deplete resources, but contributes to their enrichment. The main prerequisites for the development, markets and geography of apitourism in Ukraine and Slovenia are analyzed. Ukraine is one of the main producers of honey in the world. The most promising regions of Ukraine for the development of apitourism are the Carpathian and Transcarpathian regions since beekeeping there is a widespread industry, a priority and quite profitable. Slovenia does not have a significant number of hives and beekeepers or a significant production of honey, but bees play a huge role in Slovenian culture. Slovenia is the only member state of the European Union to protect its native Karniolska bee and one of the first in Europe to ban the use of pesticides harmful to bees. Slovenian honey has the status of a protected geographical indication. Famous apitouristic centers in Slovenia are Ljubljana, Bled, Radovlica, Laško, Brda, Zhirovnice, Maribor, Aquarius, Bohinj and many others, that is, villages, cities, entire regions. The main problems of development of apitourism in Ukraine are revealed. The experience of Slovenia in the development of apitourism is studied and the priority directions of the development of apitourism in Ukraine are determined. Ukraine should develop the existing potential for apitourism, in particular, provide a favorable regulatory framework, create regional programs for the development of apitourism and beekeeping, protect bees from pesticides, grant the status of a geographical indication to Ukrainian honey, in particular, Transcarpathian. Public organizations should study ...