Older Americans Vital Communities or Surgery of the Breast

Older Americans, Vital Communities: A Bold Vision for Societal Aging

Author: W Andrew Achenbaum

This thought-provoking work grapples with the vast range of issues associated with the aging population and challenges people of all ages to think more boldly and more creatively about the relationship between older Americans and their communities.

W. Andrew Achenbaum begins by exploring the demographics of our aging society and its effect on employment and markets, education, health care, religion, and political action. Drawing on history, literature, and philosophy, Achenbaum focuses on the way health care and increases in life expectancy have transformed late life from a phase characterized by illness, frailty, and debility to one of vitality, productivity, and spirituality. He shows how this transformation of aging is beginning to be felt in programs and policies for aging persons, as communities focus more effort on lifelong learning and extensive civic engagement.

Concerned that his own undergraduate students are too focused on the immediate future, Achenbaum encourages young people to consider their place in life's social and chronological trajectory. He calls on baby boomers to create institutional structures that promote productive, vital growth for the common good, and he invites people of all ages to think more boldly about what they will do with the long lives ahead of them.

Table of Contents:

	Introduction : a new demographic revolution demands novel structural responses
1	The new faces of individual aging	1
2	The new age of production and consumption	25
3	(Re)creating networks for lifelong learning and sharing talents	49
4	Reforming the U.S. health care system to care for an aging population	76
5	Renewing religious experiences and spiritual practices for a new age	103
6	Extending the civic engagement of senior citizens	129

Book review: Body Mind Psychotherapy or Healing with Love

Surgery of the Breast: Principles and Art

Author: Scott L Spear

Expanded to two volumes and thoroughly updated, this profusely illustrated text/atlas is the most comprehensive "how-to" reference on surgery of the breast. More than 90 of the world's leading surgeons describe and demonstrate the most advanced and successful techniques for all types of breast surgery—oncologic management of breast disease, breast reconstruction, reduction mammoplasty and mastopexy, and augmentation mammoplasty. The text is illustrated throughout with over 3,700 drawings and full-color preoperative, intraoperative, and postoperative photographs. Emphasis is on how to solve surgical problems and how to perform various techniques. Editorial comments in each chapter provide an alternative perspective and address current controversies.

Doody Review Services

Reviewer:Jeffrey S Rosenthal, m.d.(Bridgeport Hospital)
Description:The unifying theme of this two volume set is that there are a multitude of procedures to sculpt or reshape a breast for cosmetic or reconstructive purposes. This set sheds light on the very complex field of breast surgery. Dr. Spear has organized and edited an atlas/text that will instruct surgeons before they undertake such an endeavor.
Purpose:The editor and a cadre of authors have combined the art and science of breast surgery in order to bring into focus this expansive discipline that ranges from the diagnosis and treatment of breast cancer to cosmetic surgery.
Audience:Dr. Spear, a seasoned and thoughtful plastic surgeon, has assembled over 60 esteemed authors in their respective fields to compile an authoritative treatise on breast surgery. This work will foster the knowledge base of those in many disciplines, including plastic and general surgeons and gynecologists and oncologists who are involved in the treatment of patients with breast disease.
Features:The full breadth of oncologic and cosmetic breast surgery is covered in this text/atlas using a "how-to" approach. The first volume offers information relating to breast cancer, including incidence, screening, diagnosis, pathology, types, treatments, and a host of alternatives and options for reconstruction. The second volume focuses on breast lifting, reshaping, reduction, and augmentation from an esthetic perspective. Many of these same techniques are also appropriate for individuals who have physical disabilities relating to their breast size or shape. The chapters areillustrated well and include photographic documentation of the surgical results. Each topic includes editorial comments that focus the reader's attention on details and perspectives that may be lost in the enormous amount of information that is presented.
Assessment:The care of the breast and subsequent surgery to rebuild it after cancer or to cosmetically enhance its shape is a difficult task at best. Breast contouring procedures require a great deal of skill to maintain a natural appearance and symmetry. This publication will afford both patients and physicians the opportunity to achieve these laudable goals.

Booknews

A unified source of information for surgical management of the breast. Although the section dealing with oncology is primarily text, most of the remaining chapters are in atlas format that provides a "how to" outline for many procedures. The most relevant underlying principles include knowing the ideal beautiful normal; diagnosing before treating; replacing tissue losses in kind; reconstructing in units; making a plan, a pattern, and a second plan; considering the secondary donor area; following up with a critical eye; and teaching as the best legacy. Illustrations are in color and b&w. Annotation c. by Book News, Inc., Portland, Or.