Chronic Kidney Disease in Disadvantaged Populations


Book Description

Chronic Kidney Disease in Disadvantaged Populations investigates the increased incidence and prevalence of kidney disease in vulnerable populations world-wide. The volume explores the complex interactions of genetic, biologic, cultural and socioeconomic factors such as the environment, and specific health behaviors that seem to be responsible for a significant proportion of the health disparities in these communities. Each chapter is written by leading experts in the field and analyzes the prevalence and incidence of pre-dialysis kidney disease in disadvantaged populations across both developed and developing countries. In addition, each contribution analyzes differentiated risk factors and compares the disparities in access to screening, prevention strategies, treatment protocols and renal replacement therapies. Chronic Kidney Disease in Disadvantaged Populations is essential reading for residents, fellows, clinicians and biomedical researchers working in nephrology, internal medicine, and epidemiology, especially those working in areas with high concentrations of disadvantaged populations. - Presents a comprehensive account of both traditional and non-traditional risk factors for kidney disease - Explores the mechanisms by which poverty increases the burden of kidney disease in these populations, barriers to access to renal health care, including renal replacement therapies, organ donation, and organ commercialization - Offers the latest perspectives on outcomes in renal replacement therapies as well as prevention strategies




Best Health Outcomes for Maori


Book Description




Te Iwi Maori


Book Description

Te Iwi Maori presents an engrossing survey of the history of the M&āori population from the earliest times to the present, concentrating particularly on the demographic impact of European colonisation. It also considers present and future population trends, many of which have major implications for social and resource policy. Among questions explored are the marked fertility decline of the 1970s, urbanisation, emigration (especially to Australia), and regional population patterns.




Cancer and Chronic Conditions


Book Description

This book addresses the growing problem of multimorbidity in cancer patients and survivors with the focus on how to best integrate the effective cancer care with the care of multiple chronic conditions. As cancer is more prevalent in older individuals, many patients with cancer also suffer from other chronic conditions that impact on the uptake, tolerance and outcomes of cancer treatment and their long term mortality and morbidity. In addition, cancer and its treatment increase the risk of future chronic conditions. Readers will examine the prevalence and predictors of chronic conditions in cancer, impact of chronic conditions on screening and treatment, evidence for preventative strategies that address both cancer and chronic conditions, emerging management and care integration strategies and directions for management of multimorbidity in special cancer populations – the very young, the very old and those at the end of life. Authored by clinicians and researchers from diverse expertise including epidemiology, sociology, hematology, medical oncology, palliative care, pharmacy and representing Australia, New Zealand, US, Canada and the Netherlands, the book brings an international perspective to a problem that affects all cancer settings. The book is going to be of interest to diverse professionals interested in cancer control including epidemiologists, public health researchers, policy makers as well as clinicians dealing with cancer patients within specialist cancer and non-cancer and primary care settings.




Hauora


Book Description

The Waitangi Tribunal's Health Services and Outcomes Kaupapa Inquiry is an ongoing inquiry into the ways the Crown has responded to health inequalities experienced by Maori. Hauora is the Tribunal's stage one report and addresses two claims concerning how the primary health care system in New Zealand has been legislated, administered, funded, and held to account by the Crown since the passing of the New Zealand Pubic Health and Disability Act 2000, The Act laid out a new structure for the health care system, centered on the creation of district health boards to deliver health care to distinct populations.




Te Wheke


Book Description




Colonization and Development in New Zealand between 1769 and 1900


Book Description

This book details the interactions between the Seeds of Rangiatea, New Zealand’s Maori people of Polynesian origin, and Europe from 1769 to 1900. It provides a case-study of the way Imperial era contact and colonization negatively affected naturally evolving demographic/epidemiologic transitions and imposed economic conditions that thwarted development by precursor peoples, wherever European expansion occurred. In doing so, it questions the applicability of conventional models for analyses of colonial histories of population/health and of development. The book focuses on, and synthesizes, the most critical parts of the story, the health and population trends, and the economic and social development of Maori. It adopts demographic methodologies, most typically used in developing countries, which allow the mapping of broad changes in Maori society, particularly their survival as a people. The book raises general theoretical questions about how populations react to the introduction of diseases to which they have no natural immunity. Another more general theoretical issue is what happens when one society’s development processes are superseded by those of some more powerful force, whether an imperial power or a modern-day agency, which has ingrained ideas about objectives and strategies for development. Finally, it explores how health and development interact. The Maori experience of contact and colonization, lasting from 1769 to circa 1900, narrated here, is an all too familiar story for many other territories and populations, Natives and former colonists. This book provides a case-study with wider ramifications for theory in colonial history, development studies, demography, anthropology and other fields.




Diabetes Mellitus in Developing Countries and Underserved Communities


Book Description

Adopting a truly global perspective and a practical approach to diabetes—including pathophysiology, genetics, regional peculiarities, management, prevention and best practices—this book is an excellent resource for clinicians and policy-makers working with patients in more austere settings. The global prevalence of diabetes is estimated to increase from 422 million in 2014 to 592 million in 2035. Sadly, low- and middle-economy countries are projected to experience the steepest increase, but even in developed economies, vulnerable demographic subgroups manifest disparities in diabetes prevalence, quality of care, and outcomes. This book extends coverage to those underserved and minority communities in the developed world. In a consistent chapter format, it discusses classification, pathophysiology, genomics, diagnosis, prevention and management of diabetes in economically challenged regions as well as underserved populations in affluent nations. Suggestions regarding future directions in the organization of diabetes care delivery, prevention and research priorities are also provided. The detailed identification of barriers to optimal care and the practical approach to the management and prevention of diabetes make Diabetes Mellitus in Developing Countries and Underserved Communities a valuable resource for clinicians, researchers and health policy leaders.







Being Maori-Chinese


Book Description

Being Maori-Chinese uses extensive interviews with seven different families to explore historical and contemporary relations between Maori and Chinese, a subject which has never been given serious study before. A full chapter is given to each family which is explored in depth often in the voices of the protagonists themselves. This detailed and personal approach shows how in the nineteenth and early twentieth centuries Maori and Chinese, both relegated to the fringes of society, often had warm and congenial bonds, with intermarriage and large Maori-Chinese families. However in recent times the relationship between these two rapidly growing groups has shown tension as Maori have gained confidence in their identity and as increased Asian immigration has become a political issue. Being Maori-Chinese provides a unique and fascinating insight into cross-cultural alliances between Asian and indigenous peoples, revealing a resilience which has endured persecution, ridicule and neglect and offering a picture of New Zealand society which challenges the usual Pakeha-dominated perspective. Today's Maori-Chinese, especially younger members, are increasingly reaffirming their multiple roots and, with a growing confidence in the cultural advantages they possess, are playing important roles in New Zealand society.