Care of the Transgender Patient Safer, Joshua D; Tangpricha, Vin
Annals of internal medicine,
07/2019, Letnik:
171, Številka:
1
Journal Article
Recenzirano
Transgender persons are a diverse group whose gender identity differs from their sex recorded at birth. Some choose to undergo medical treatment to align their physical appearance with their gender ...identity. Barriers to accessing appropriate and culturally competent care contribute to health disparities in transgender persons, such as increased rates of certain types of cancer, substance abuse, mental health conditions, infections, and chronic diseases. Thus, it is important that clinicians understand the specific medical issues that are relevant to this population.
Freedmen occupied a complex and often problematic place in Roman society between slaves on the one hand and freeborn citizens on the other. Playing an extremely important role in the economic life of ...the Roman world, they were also a key instrument for replenishing and even increasing the size of the citizen body. This book presents an original synthesis, for the first time covering both Republic and Empire in a single volume. While providing up-to-date discussions of most significant aspects of the phenomenon, the book also offers a new understanding of the practice of manumission, its role in the organisation of slave labour and the Roman economy, as well as the deep-seated ideological concerns to which it gave rise. It locates the freedman in a broader social and economic context, explaining the remarkable popularity of manumission in the Roman world.
PROFOUND INTELLECTUAL AND MULTIPLE DISABILITIES Nursing Complex Needs Children and adults with profound and multiple learning disabilities (PMLD) are among the most marginalised people in society. ...They have some of the highest support needs and are most reliant on services. This accessible and practical text presents and promotes current best practice regarding interventions to meet the complex health needs of a person with profound and multiple learning disabilities. Divided into two sections, Profound Intellectual and Multiple Disabilities first looks at assessing complex needs, exploring topics such as communication, maintaining health, and quality of life. Part two then discusses meeting complex needs, looking at topics such as mental health problems, epilepsy, vision impairment, aural health, respiratory health, nutrition, and dysphagia. KEY FEATURES: * Examines current theory and practice in supporting people with profound and multiple learning disabilities and/or complex needs * Identifies the key knowledge and skills required by learning disability nurses and other health care professionals * Provides evidence-based best-practice guidelines about caring for people with PMLD * Offers insights into parent carer and professional carer experiences
This volume presents a state of the art account of the clinical specialty of mental health care of deaf people. Drawing upon some of the leading clinicians, teachers, administrators, and researchers ...in this field from the United States and Great Britain, it addresses critical issues from this specialty such as
Deaf/hearing cross cultural dynamics as they impact treatment organizations
Clinical and interpreting work with deaf persons with widely varying language abilities
Adaptations of best practices in inpatient, residential, trauma, and substance abuse treatment for deaf persons
Overcoming administrative barriers to establishing statewide continua of care
University training of clinical specialists
The interplay of clinical and forensic responses to deaf people who commit crimes
An agenda of priorities for Deaf mental health research
Each chapter contains numerous clinical case studies and places a heavy emphasis on providing practical intervention strategies in an interesting, easy to read style. All mental health professionals who work with deaf individuals will find this to be an invaluable resource for creating and maintaining culturally affirmative treatment with this population.
"An extraordinarily good synthesis from an amazing range of philosophical, legal, and technological sources . . . the book will appeal to legal academics and students, lawyers involved in e-commerce ...and cyberspace legal issues, technologists, moral philosophers, and intelligent lay readers interested in high tech issues, privacy, and robotics."-Kevin Ashley, University of Pittsburgh School of LawAs corporations and government agencies replace human employees with online customer service and automated phone systems, we become accustomed to doing business with nonhuman agents. If artificial intelligence (AI) technology advances as today's leading researchers predict, these agents may soon function with such limited human input that they appear to act independently. When they achieve that level of autonomy, what legal status should they have?Samir Chopra and Laurence F. White present a carefully reasoned discussion of how existing philosophy and legal theory can accommodate increasingly sophisticated AI technology. Arguing for the legal personhood of an artificial agent, the authors discuss what it means to say it has "knowledge" and the ability to make a decision. They consider key questions such as who must take responsibility for an agent's actions, whom the agent serves, and whether it could face a conflict of interest.
One of the most relevant social problems in contemporary American life is the continuing HIV epidemic in the Black population. With vivid ethnographic detail, this book brings together scholarship on ...the structural dimensions of the AIDS epidemic and the social construction of sexuality to assert that shifting forms of sexual stories-structural intimacies-are emerging, produced by the meeting of intimate lives and social structural patterns. These stories render such inequalities as racism, poverty, gender power disparities, sexual stigma, and discrimination as central not just to the dramatic, disproportionate spread of HIV in Black communities in the United States, but to the formation of Black sexualities.Sonja Mackenzie elegantly argues that structural vulnerability is felt-quite literally-in the blood, in the possibilities and constraints on sexual lives, and in the rhetorics of their telling. The circulation of structural intimacies in daily life and in the political domain reflects possibilities for seeking what Mackenzie callsintimate justiceat the nexus of cultural, economic, political, and moral spheres.Structural Intimaciespresents a compelling case: in an era of deepening medicalization of HIV/AIDS, public health must move beyond individual-level interventions to community-level health equity frames and policy changes
Summary Transgender people are a diverse population affected by a range of negative health indicators across high-income, middle-income, and low-income settings. Studies consistently document a high ...prevalence of adverse health outcomes in this population, including HIV and other sexually transmitted infections, mental health distress, and substance use and abuse. However, many other health areas remain understudied, population-based representative samples and longitudinal studies are few, and routine surveillance efforts for transgender population health are scarce. The absence of survey items with which to identify transgender respondents in general surveys often restricts the availability of data with which to estimate the magnitude of health inequities and characterise the population-level health of transgender people globally. Despite the limitations, there are sufficient data highlighting the unique biological, behavioural, social, and structural contextual factors surrounding health risks and resiliencies for transgender people. To mitigate these risks and foster resilience, a comprehensive approach is needed that includes gender affirmation as a public health framework, improved health systems and access to health care informed by high quality data, and effective partnerships with local transgender communities to ensure responsiveness of and cultural specificity in programming. Consideration of transgender health underscores the need to explicitly consider sex and gender pathways in epidemiological research and public health surveillance more broadly.
This book explores the communication issues and power dynamics in fandoms and fan communities to understand the problems fans experience when they interact with one another. It uses fractured fandoms ...as the case study to consider how these problems relate to all areas of people's lives.
Disability human rights law is a rapidly growing field. It merges critical disability studies, disability rights, and human rights to inform, identify, analyse, and create solutions to help protect ...the human rights of people with disabilities. This is the second volume of the Disability Human Rights Law edited collection. This volume delves deeper into this emerging field and begins to explore what human rights law means for people with disabilities, as well as what innovations people with disabilities are bringing to the field of human rights law.
"No Path Homeis an extremely interesting, engaging, and well-written book. Elizabeth Cullen Dunn's fluid and clear prose paints a very evocative picture of life for internally displaced persons as ...well as presenting a clear theoretical account."-Laura Hammond, SOAS University of London, author ofThis Place Will Become Home
For more than 60 million displaced people around the world, humanitarian aid has become a chronic condition.No Path Homedescribes its symptoms in detail. Elizabeth Cullen Dunn shows how war creates a deeply damaged world in which the structures that allow people to occupy social roles, constitute economic value, preserve bodily integrity, and engage in meaningful daily practice have been blown apart.After the Georgian war with Russia in 2008, Dunn spent sixteen months immersed in the everyday lives of the 28,000 people placed in thirty-six resettlement camps by official and nongovernmental organizations acting in concert with the Georgian government. She reached the conclusion that the humanitarian condition poses a survival problem that is not only biological but also existential. InNo Path Home, she paints a moving picture of the ways in which humanitarianism leaves displaced people in limbo, neither in a state of emergency nor able to act as normal citizens in the country where they reside.
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