Global health 101:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Burlington, MA
Jones & Bartlett Learning
[2016]
|
| Ausgabe: | Third edition |
| Schriftenreihe: | Essential public health
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XLI, 576 Seiten Illustrationen |
| ISBN: | 9781284050547 |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Essential Public Health Series xix
The Importance of Global Health xxi
Global Health 101, Third Edition xxv
Prologue: Global Health 101, Third Edition xxvii
Foreword xxix
Acknowledgments xxxi
About the Author xxxv
Quotable Global Health Quotes xxxvii
Abbreviations xxxix
Part I Principles, Measurements, and
the Health-Development Link
Chapter 1 The Principles and Goals of Global Health 3
Vignettes 3
Why Study Global Health 4
Health, Public Health, and Global Health 5
Health 5
Public Health 5
Global Health 7
Critical Global Health Concepts 7
The Organization of Data in the Book 8
The Millennium Development Goals 11
Contents
The Case Studies 11
Smallpox Eradication—The Most Famous Success Story 11
Background 11
The Intervention 12
The Impact 13
Costs and Benefits 13
Lessons Learned 13
Central Messages of the Book 14
Study Questions 16
References 17
Chapter 2 Health Determinants, Measurements, and Trends 19
Vignettes 19
The Importance of Measuring Health Status 20
The Determinants of Health 20
Key Health Indicators 22
Vital Registration 25
Measuring the Burden of Disease 26
Burden of Disease Data 28
Overview of Patterns and Trends in the Burden of Disease 29
The Leading Causes of Deaths and DALYs 29
Trends in the Cause of Deaths and DALYs, 1990-2010 31
Causes of Death and DALYs by Region 31
Causes of Death by Age 31
Causes of Death and DALYs by Sex 31
The Burden of Deaths and Disease Within Countries 39
Risk Factors 39
Demography and Health 41
Population Growth 41
Population Aging 41
Urbanization 42
The Demographic Divide 42
The Demographic Transition 43
The Epidemiologic Transition 44
Progress in Health Status 44
The Burden of Disease: Looking Forward 45
Economic Development 45
Scientific and Technological Change 46
Climate Change 46
Political Stability 46
Emerging and Reemerging Infectious Diseases 46
Projecting the Burden of Disease 46
The Development Challenge of Improving Health 48
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Policy and Program Brief
The Million Death Study on India
Case Study
The State of Kerala
Main Messages
Study Questions
References
Health, Education, Poverty, and the Economy
Vignettes
Introduction
Health, Education, Productivity, and Poverty
Health and Education
Health, Productivity, and Earnings
Health, the Costs of Illness, and Poverty
Health Disparities
Health Disparities Across Countries
Health Disparities Within Countries
Health Disparities and Location
Health Disparities and Income
Health Disparities and Gender
Health Disparities and Ethnicity
Health Disparities and Other Marginalized Groups
Financial Fairness
Concluding Comments on Health Disparities
Health Expenditure and Health Outcomes
Public and Private Expenditure on Health
The Cost-Effectiveness of Health Interventions
Health and Development
Policy and Program Brief
Health Equity and Lesbian, Gay, Bisexual and Transgender People
Case Study
The Challenge of Guinea Worm in Asia and Sub-Saharan Africa
Main Messages
Study Questions
References
Cross-Cutting Global Health Themes
Ethical and Human Rights Concerns in Global Health
Vignettes
The Importance of Ethical and Human Rights Issues in Global Health
The Foundations for Health and Human Rights
.■ Contents
Av
Selected Human Rights Issues
The Rights-Based Approach
Limits to Human Rights
Human Rights and HIV/AIDS
Research on Human Subjects
Key Human Research Cases
Research Ethics Guidelines
The Nuremberg Code
The Declaration of Helsinki
The Belmont Report
Evaluating the Ethics of Human Subjects Research
Research in Low- and Middle-Income Countries
Human Subjects Research Oversight Today
Ethical Issues in Making Investment Choices in Health
Principles for Distributing Scarce Resources
Fair Processes
Challenges for the Future
Study Questions
References
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Chapter 5 An Introduction to Health Systems
Vignettes
Introduction
What is a Health System?
The Functions of a Health System
How are Health Services Organized?
Categorizing Health Services
Levels of Care
Primary Health Care, from Alma-Ata to the Present
The Roles of the Public, Private, and NGO Sectors
Health Sector Expenditure
Selected Examples of Health Systems
High-Income Countries
Upper-Middle-Income Countries
Lower-Middle-Income Countries
Key Health Sector Issues
Demographic and Epidemiologic Change
Stewardship
Human Resource Issues
Quality of Care
The Financing of Health Systems
Financial Protection and the Provision of Universal Coverage
Access and Equity
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Contents
Addressing Key Health Sector Concerns 115
Demographic and Epidemiologic Change 116
Stewardship 116
Human Resources 116
Financing Health Services 117
Financial Protection and Universal Coverage 117
Access and Equity 117
Quality 118
Delivering Primary Health Care 118
Policy and Program Briefs 119
Universal Health Coverage 121
Rwanda—Reducing Financial Barriers to Care and Improving
the Coverage and Quality of Health Services 122
Universalizing Insurance Coverage in Thailand 123
Contracting Out Health Services 125
Results-Based Financing 125
Pharmaceuticals 127
Essential Surgery 130
Case Studies 133
Combating Diarrheal Disease in Bangladesh 134
Integrating Services at the Grassroots Level 135
Enhancing Community Health Services in Tanzania 137
Main Messages 137
Study Questions 140
References 141
hapter 6 Culture and Health 145
Vignettes 145
The Importance of Culture to Health 146
The Concept of Culture 146
Health Beliefs and Practices 147
Perceptions of Illness 147
Perceptions of Disease 147
Folk Illnesses 148
The Prevention of Illness 149
The Diagnosis and Treatment of Illness and the Use of Health Services 149
Health Providers 149
Health Behaviors and Behavior Change 150
Improving Health Behaviors 151
Understanding and Engendering Behavior Change 153
Understanding Behaviors 153
Changing Health Behaviors 153
Social Assessment 155
r.gjg ] Contents
Policy and Program Briefs
Breastfeeding in Burundi
Polio Vaccination in India
Birthing Services in Peru
Conditional Cash Transfers in Mexico
Care Groups
Ehola and Culture
Main Messages
Study Questions
References
Part III The Burden of Disease
Chapter 7 The Environment and Health
Vignettes
The Importance of Environmental Health
Key Concepts
Key Environmental Health Burdens
Household Air Pollution
Ambient Air Pollution
Water, Sanitation, and Hygiene
The Burden of Environmentally Related Diseases
Household Air Pollution
Ambient Air Pollution
Water, Sanitation, and Hygiene
The Costs and Consequences of Key Environmental Health Problems
Reducing the Burden of Disease
Ambient Air Pollution
Household Air Pollution
Sanitation
Water Supply
Hygiene
Integrating Investment Choices About Water, Sanitation, and Hygiene
Policy and Program Briefs
Handwashing with Soap in Senegal
Total Sanitation and Sanitation Marketing: East Java, Indonesia
Arsenicosis in Bangladesh
Climate Change and Health
Future Challenges
Main Messages
Study Questions
References
Contents
Chapter 8 Nutrition and Global Health 193
Vignettes 193
The Importance Of Nutrition 193
Definitions and Key Terms 195
Data on Nutrition 196
The Determinants of Nutritional Status 197
Undernutrition 197
Overweight and Obesity 198
Gauging Nutritional Status 200
Key Nutritional Needs 200
The Needs of Young Children and Pregnant Women 200
Vitamin A 203
Iodine 203
Iron 203
Zinc 203
Folic Acid and Calcium 203
Overweight and Obesity 203
Fats 203
Sodium 204
Added Sugars 204
Dietary Fiber and Refined Carbohydrates 204
Nutritional Needs throughout the Life Course 204
Pregnancy and Birthweight 204
Infancy and Young Childhood 204
Adolescence 205
Adulthood and Old Age 205
The Nutritional State of the World 205
Undernutrition 205
Low Birthweight 206
Wasting 206
Stunting 206
Selected Micronutrient Deficiencies 206
Deaths Associated with Undernutrition 208
Overweight and Obesity 208
Nutrition, Health, and Economic Development 210
Policy and Program Briefs 211
Nepal Addresses Micronutrient Deficiencies 211
Rapid Results Initiative for Food Fortification in Kenya 212
Childhood Nutrition Supplementation and Adult Productivity in Guatemala 213
South Korea’s Promotion of and Adherence to a Traditional Diet 214
Brazil: The Agita Sao Paulo Program Uses Physical Activity to Promote Health 214
Finland Uses Labels to Reduce Salt Consumption 215
Case Studies 216
Tamil Nadu State, India 216
The Challenge of Iodine Deficiency Disease in China 217
Addressing Future Nutrition Challenges 218
Undernutrition 219
Overweight and Obesity 220
Main Messages 222
Undernutrition 222
Overweight and Obesity 223
Study Questions 225
References 226
Chapter 9 Womens Health 231
Vignettes 231
The Importance of Womens Health 232
Key Definitions 233
The Determinants of Womens Health 233
Biological Determinants 234
Social Determinants 234
The Burden of Health Conditions for Females 235
Sex-Selective Abortion 235
Female Genital Mutilation 235
Sexually Transmitted Infections 236
Violence and Sexual Abuse Against Women 236
Maternal Morbidity and Mortality 237
Unsafe Abortion 239
Obstetric Fistula 239
Some Key Differences Between the Health of Men and Women 240
The Costs and Consequences of Womens Health Problems 240
Policy and Program Briefs 240
Addressing Female Genital Mutilation in Senegal 241
Reducing Maternal Mortality in Tamil Nadu, India 242
Case Studies 243
Maternal Mortality in Sri Lanka 243
Reducing Fertility in Bangladesh 244
Addressing Future Challenges 245
Female Genital Mutilation 246
Violence Against Women 246
Sexually Transmitted Infections 247
Maternal Mortality 247
Main Messages 249
Study Questions 251
References 252
Contents
Chapter 10 The Health of Young Children 255
Vignettes 255
The Importance of Child Health 255
Key Terms 257
Note on Data 258
Mortality and the Burden of Disease 258
Children Under 5 Years 258
Additional Comments on Selected Causes of Morbidity
and Mortality of Young Children 262
Risk Factors for Neonatal, Infant, and Child Deaths 265
The Costs and Consequences of Child Morbidity and Mortality 266
Immunization: A Best Buy in Global Health 267
The Unique Importance of Immunization in Child Health 267
Global Immunization Efforts 267
Progress in Coverage of the Six Basic Vaccines and the Decline
in Vaccine-Preventable Diseases 269
Progress in Coverage of the Newer Vaccines 270
Next-Generation Vaccines and Vaccine Delivery 272
Progress Toward Universal Immunization of Children 272
Critical Challenges to Universal Vaccine Coverage and What
Is Being Done to Address Them 273
Policy and Program Briefs 275
The Global Polio Eradication Initiative 276
Measles֊—Progress and Challenges 277
Case Studies 278
Eliminating Polio in Latin America and the Caribbean 278
Reducing Child Mortality in Nepal Through Vitamin A 279
Addressing Key Challenges in Child Health 280
Critical Child Health Interventions 281
Community-Based Approaches to Improving Child Health 284
Integrated Management of Childhood Illness 284
Main Messages 286
Study Questions 287
References 288
Chapter 11 Adolescent Health 291
Vignettes 291
The Importance of Adolescent Health 292
Key Terms and Definitions 293
Data on Adolescent Health 293
Adolescence as a Transitional and Critical Period 293
Key Adolescent Health Burdens 293
Deaths and DALYs 293
Contents
Risk Factors and Social Determinants 298
Additional Comments on Selected Causes of Deaths and DALYs
Among Adolescents 299
Economic and Social Consequences of Adolescent Health Issues 303
Policy and Program Briefs 303
HealthWise South Africa: A Life Skills Course for Adolescents 303
Cash Transfer Program for Adolescent Girls in Malawi 304
Broad-Based Measures to Improve Adolescent Health in Low- and
Middle-Income Countries 304
Main Messages 305
Study Questions 308
References 309
Chapter 12 Communicable Diseases 311
Vignettes 311
The Importance of Communicable Diseases 31 i
Key Terms, Definitions, and Concepts 313
Note on the Use of Data in This Chapter 314
The Burden of Communicable Diseases 314
The Costs and Consequences of Communicable Diseases 316
The Leading Burdens of Communicable Diseases 316
Emerging and Reemerging Infectious Diseases and Antimicrobial Resistance 317
HIV/AIDS 325
Tuberculosis 330
Malaria 333
Diarrheal Disease 336
Neglected Tropical Diseases 337
Policy and Program Briefs 342
Chikungunya Fever 342
The Ebola Outbreak of 2014 and 2015 344
Cryptococcosis: A New Leading Cause of Death in Patients with HIV 346
A Comprehensive Approach to Tuberculosis: Operation ASHA and
the Last-Mile Pipeline 347
Public-Private Partnerships for Addressing Drug-Resistant Tuberculosis 348
The Long-Term Costs and Financing of HIV/AIDS 349
Case Studies 352
Preventing HIV/AIDS and Sexually Transmitted Infections in Thailand 352
Controlling TB in China 353
Controlling Chagas Disease in the Southern Cone of South America 353
Controlling Trachoma in Morocco 354
Future Challenges to the Control of Communicable Diseases 355
Main Messages 356
Study Questions 359
References 360
Contents
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Chapter 13 Noncommunicable Diseases 365
Vignettes 365
The Importance of Noncommunicable Diseases 365
Key Definitions 366
A Note on Data 366
The Burden of Noncommunicable Diseases 366
Cardiovascular Disease 366
Diabetes 369
Cancer 371
Mental Disorders 375
Vision and Hearing Loss 376
Tobacco Use 377
Alcohol 378
The Costs and Consequences of Noncommunicable Diseases,
Tobacco Use, Alcohol Use Disorders, and Vision and Hearing Loss 378
The Costs of Noncommunicable Diseases Broadly 378
Cardiovascular Disease 379
Diabetes 379
Mental Disorders 379
Hearing and Vision Loss 380
Tobacco Use 380
Alcohol Use Disorders 380
Addressing the Burden of Noncommunicable Diseases 380
Addressing Noncommunicable Diseases Broadly 381
Tobacco Use 382
Alcohol 384
High Blood Pressure, High Cholesterol, and Obesity 384
Further Addressing Diabetes 385
Cancer 385
Mental Disorders 386
Vision Loss 387
Hearing Loss 388
Policy and Program Briefs 388
The Economic Costs of Noncommunicable Diseases in the Pacific Islands 388
Mental Disorders—The Unacceptable Gap Between Their Burden and
the Lack of Attention Paid to Them 390
Dementia 390
Oral Health Among Children in Low~ and Middle-Income Countries 391
Case Studies 393
The Challenge of Curbing Tobacco Use in Poland 393
Cataract Blindness Control in India 394
Integrating Mental Health into Primary Care in Uganda 395
Future Challenges 397
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Contents
Main Messages
Study Questions
References
Chapter 14 Unintentional Injuries
Vignettes
The Importance of Unintentional Injuries
Key Definitions
The Burden of Unintentional Injuries
Childhood Injury
Risk Factors for Unintentional Injuries
The Costs and Consequences of Injuries
Addressing Key Issues of Unintentional Injuries
Emergency Medical Services
Case Studies
Motorcycle Helmet Use in Taiwan
Rumble Strips and Speed Bumps in Ghana
Future Challenges
Main Messages
Study Questions
References
Working Together to Improve Global Health
Natural Disasters and Complex Humanitarian Emergencies
Vignettes
The Importance of Natural Disasters and Complex Emergencies to Global Health
Key Terms
The Characteristics of Natural Disasters
The Characteristics of Complex Emergencies
The Health Burden of Natural Disasters
The Health Effects of Complex Humanitarian Emergencies
Causes of Death in CHEs
Violence Against Women in CHEs
Mental Health
Addressing the Health Effects of Natural Disasters
Addressing the Health Effects of Complex Humanitarian Emergencies
Assessment and Surveillance
A Safe and Healthy Environment
Food
Disease Control
Policy and Program Briefs
The Genocide in Rwanda
The Earthquake in Pakistan
Part IV
Chapter 15
Contents
Haiti’s 2010 Earthquake 433
Myanmar: Cyclone Nargis 434
Future Challenges in Meeting the Health Needs of Complex Humanitarian
Emergencies and Natural Disasters 436
Main Messages 437
Study Questions 438
References 439
Chapter 16 Working Together to Improve Global Health 441
Vignettes 441
Introduction 442
Cooperating to Improve Global Health 442
Key Actors in Global Health 442
Agencies of the United Nations 443
Multilateral Development Banks 446
Bilateral Agencies 447
Foundations 447
Research Funders 450
Nongovernmental Organizations 451
Advocacy Organizations 452
Think Tanks and Universities 453
Consulting Firms 453
Specialized Technical Organizations 453
Partnerships Related to WHO 454
Other Partnerships and Special Programs 455
Public-Private Partnerships 456
Pharmaceutical Firms 456
Trends in Global Health Efforts 457
Setting the Global Health Agenda 458
Policy and Program Briefs 459
The Global Network for Neglected Tropical Diseases 459
The TB Alliance 460
Innovative Financing Mechanisms for Global Health: UNITAID 461
Prioritizing Gavi Assistance and Sustaining Country Vaccine Programs 461
Case Study-Onchocerciasis 463
Future Challenges 464
Main Messages 465
Study Questions 467
References 468
Chapter 17 Science, Technology, and Global Health 471
Vignettes 471
Introduction 471
The Need for New Products 472
CST ՝ c°ntents
The Potential of Science and Technology
Constraints to Applying Science and Technology to Global Health Problems
Enhancing New Product Development
Push Mechanisms
Pull Mechanisms
Policy and Program Briefs
mHealth: Using Mobile Technology to Improve the Health of the
Poor in Poor Countries
Eliminating Borders: Using Telemedicine to Connect the Medical
Community in India
New Diagnostics for TB: Xpert MTB/RIF
Saving Womens Lives: The Nonpneumatic Antishock Garment
Aeras
Advance Market Commitments
International Finance Facility for Immunisation
Case Study
The Human Hookworm Vaccine Initiative
Main Messages
Study Questions
References
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Chapter 18 Working in Global Health
Vignettes
Introduction
What Kind of Global Health Work Can One Do?
The Key Technical Areas For Global Health Work
Types of Organizations with Which You Might Engage in Global Health Activities
NGOs
Organizations Involved in the Delivery of Humanitarian Services
Bilateral Organizations and Government Agencies
Multilateral Organizations and UN Agencies
Public-Private Partnerships for Health
Consulting Firms
Foundations
Academia
Policy and Advocacy Organizations
Your Future in Global Health
What You Need to Know to Work in Global Health
Developing Your Knowledge, Skills, and Experience
Selected Additional Resources on Careers in Global Health
Main Messages
Study Questions
References
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Profiles of Global Health Actors
Vignettes
Introduction
Elizabeth (Betsy) Bradley
Joanne Carter
Patricia Daoust
Pape Gaye
David Gold
David Heymann
Paul Jensen
Gina Lagomarsino
Jerker Liljestrand
Elaine Murphy
Poonam Muttreja
Rachel Nugent
Ellyn Ogden
Dan and Lindsay Palazuelos
Kristin Parco
David Peters
Lisa Russell
Jennifer Staple-Clark
Ouk Vong Vathiny
Abdo Yazbeck
Main Messages
Study Questions
Global
Health ιοί Γο,
Richard Skotnik
Series Editor: Richard Riegelman
Rated by an independent panel as the best introductory global health text for undergraduates, this best-
selling text is a user-friendly introduction to the most critical issues in global health. Global Health ¡01,
Third Edition illustrates key themes with a comprehensive set of case studies, examples, and the latest data.
Particular attention is given to the health-development link, to developing countries, and to the health needs
of poor and disadvantaged people.
The Third Edition is a thorough revision that offers an extensive amount of new and updated information,
while maintaining clarity, simplicity, and ease of use for faculty and students.
Offering the latest data on the burden of disease, the book presents unique content on key topics that are often
insufficiently covered in introductory materials, such as immunization and adolescent health.
Key Features:
■ New chapter on Adolescent Health—an important but largely uncovered topic in the existing Global Health
literature
■ Expanded chapter on Child Health with special attention given to immunizations
■ Expanded coverage throughout on the topic of health disparities
■ The latest information on nutrition including the Global Nutrition Report of November 2014 and the Lancet
Series on Maternal and Child Nutrition of 2013
■ New section on Pharmaceuticals
■ More than 25 additional “Pol icy and Program” briefs that cover a range of key topics
|
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| edition | Third edition |
| format | Book |
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| id | DE-604.BV042825683 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T07:10:32Z |
| institution | BVB |
| isbn | 9781284050547 |
| language | English |
| lccn | 015014288 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-028255012 |
| oclc_num | 924999867 |
| open_access_boolean | |
| owner | DE-1050 DE-355 DE-BY-UBR |
| owner_facet | DE-1050 DE-355 DE-BY-UBR |
| physical | XLI, 576 Seiten Illustrationen |
| publishDate | 2016 |
| publishDateSearch | 2016 |
| publishDateSort | 2016 |
| publisher | Jones & Bartlett Learning |
| record_format | marc |
| series2 | Essential public health |
| spelling | Skolnik, Richard Verfasser (DE-588)1149562749 aut Global health 101 Richard Skolnik Global health one hundred one Global health one hundred and one Third edition Burlington, MA Jones & Bartlett Learning [2016] XLI, 576 Seiten Illustrationen txt rdacontent n rdamedia nc rdacarrier Essential public health Includes bibliographical references and index Global Health Health Services Accessibility Public Health Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Globalisierung (DE-588)4557997-0 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Globalisierung (DE-588)4557997-0 s Gesundheitswesen (DE-588)4020775-4 s Medizinische Versorgung (DE-588)4038270-9 s DE-604 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028255012&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028255012&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Skolnik, Richard Global health 101 Global Health Health Services Accessibility Public Health Medizinische Versorgung (DE-588)4038270-9 gnd Globalisierung (DE-588)4557997-0 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4038270-9 (DE-588)4557997-0 (DE-588)4020775-4 |
| title | Global health 101 |
| title_alt | Global health one hundred one Global health one hundred and one |
| title_auth | Global health 101 |
| title_exact_search | Global health 101 |
| title_full | Global health 101 Richard Skolnik |
| title_fullStr | Global health 101 Richard Skolnik |
| title_full_unstemmed | Global health 101 Richard Skolnik |
| title_short | Global health 101 |
| title_sort | global health 101 |
| topic | Global Health Health Services Accessibility Public Health Medizinische Versorgung (DE-588)4038270-9 gnd Globalisierung (DE-588)4557997-0 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Global Health Health Services Accessibility Public Health Medizinische Versorgung Globalisierung Gesundheitswesen |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028255012&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028255012&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT skolnikrichard globalhealth101 AT skolnikrichard globalhealthonehundredone AT skolnikrichard globalhealthonehundredandone |