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The Strategy of Preventive Medicine by Geoffrey Rose, first published in 1993, remains a key text for anyone involved in preventive medicine. Rose's insights into the inextricable relationship between ill health, or deviance, in individuals and populations they come from, have transformed our whole approach to strategies for improving health. His personal and unique book, based on many years research, sets out the case that the essential determinants of the health of society are to be found in its mass characteristics. The deviant minority can only be understood when seen in its societal context, and effective prevention requires changes which involve the population as a whole. He explores t...
Russia in the winter of 1917 - a country torn apart by revolution and civil war in which a lone, un-named British spy, ill-prepared and badly trained, is on the run across the snowbound countryside dodging bullets, wolves and the attentions of the mysterious interrogator 'Captain S' from whose clutches he has just escaped. If he can find a clear road to the northern port of Archangel, a British warship should be waiting to rescue him - if he can stay alive long enough.
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Abstract: Fifteen articles are presented to assist prospective authors in the experimental design, conduct, and interpretation of epidemiologic studies. The information also should aid readers of medical journals in judging the validity of the conclusions presented in published epidemiologic studies. Attention is focused on the rudiments of the epidemiological approach, its terminology, and methods, with the premise that all findings must relate to the defined population. Topics include; repeatability and v alidity; observer variation; planning and conducting an epidemiological survey; comparing relative rates; difficulties introduced by biased case selection and incomplete follow-up; and the importance of screening patients for preclinical disease. Guidance also is given concerning comparisons between communities or between individuals, and the proper and improper selection of controls. (wz).