General practice / Family medicine Books

Book SynopsisFor the last 40 years, biogerontology—the study of the biological basis of aging—has progressed tremendously, and it has now become an independent and respected field of study and research. This volume brings together contributions by biogerontologists, bioethicists, biodemographers, researchers, students, clinicians, and dieticians. The main areas of discussion and presentation of new research results include (1) biological and non-biological factors affecting lifespan and the quality of life; (2) ethical and social issues related to lifespan and health-span extension; (3) physiological, cellular, and molecular aspects of aging; (4) new technologies to understand and modulate aging; (5) the latest successful approaches in the prevention and treatment of age-related diseases, and (6) aging intervention, prevention, and modulation by genes, natural and synthetic molecules, and lifestyle modifications. Accordingly, the main sections of the volume focus on the following topics: defining aging, longevity, and the diseases of aging; selected aging organs; cellular aging; molecular aging; ethics of aging intervention; genetics of aging and longevity; and aging interventions. NOTE: Annals volumes are available for sale as individual books or as a journal. For information on institutional journal subscriptions, please visit www.blackwellpublishing.com/nyas. ACADEMY MEMBERS: Please contact the New York Academy of Sciences directly to place your order (www.nyas.org). Members of the New York Academy of Science receive full-text access to the Annals online and discounts on print volumes. Please visit http://www.nyas.org/MemberCenter/Join.aspx for more information about becoming a member.Table of ContentsIntroduction: Suresh I.S. Rattan, Peter Kristensen, Brian F.C. Clark. 1. Aging is No Longer an Unsolved Problem in Biology. Robin Holliday. 2. Free Radical theory of Aging: an Update, and increasing the Functional Life Span. Denham Harman. 3. The Free Radical Phantasm: A Panoply of Paradoxes. Randolph M. Howes. 4. Catabolic insufficiency and Aging. Alexei Terman. 5. Methionine Sulfoxide Reductases: Relevance to Aging and Protection Against Oxidative Stress. Filipe Cabreiro, Cédric R. Picot, Bertrand Friguet, Isabelle Petropoulos. 6. Inadequate Intensity of Various Components of Total Environmental Signals Can Lead to Natural Aging. Alexander V. Khalyavkin, anatoli I Yashin. 7. Cellular Redox Regulation and Pro-Oxidant Signalling Systems: A New Perspective on the Free Radical theory of Aging. anthony W. Linnane, Hayden Eastwood. 8. Human Immunosenescence: Does it Have an infectious Component?. G. Pawelec, S. Koch, C. Franceschi, A. Wikby. 9. Aging in Mouse and Human Systems: a Comparative Study. Lloyd Demetrius. 10. Extrapolaholics anonymous: Why Demographers’ Rejections of A Huge Rise in Cohort Life Expectancy This Century Are Overconfident. Aubrey D.N.J. De Grey. 11. The Value of Life and the Value of Life Extension. Steven Horrobin. 12. Oxphos Supercomplexes: Respiration and Lifespan Control in the Aging Model. Podospora anserina Frank Krause, Christian Q. Scheckhuber, Alexandra Werner, Sascha Rexroth, Nicole H. Reifschneider, Norbert A. Dencher, Heinz D. Osiewacz. 13. Unraveling Age-Dependent Variation of the Mitochondrial Proteome. Norbert A. Dencher, Sataro Goto, Nicole H. Reifschneider, Michiru Sugawa, Frank Krause. 14. Stress and Ageing in Caenorhabditis Elegans. anders Olsen, Maithili C. Vantipalli, Gordon J. Lithgow. 15. Age-Dependent Decrease in Renal Glucocorticoid Receptor Function is Reversed by Dietary Restriction in Mice. Ramesh Sharma, Debipreeta Dutta. 16. Investigation of Differentially Expressed Genes in the Ventricular Myocardium of Senescent Rats. Akira Ishihata, Yumi Katano. 17. Naive T Cells in the Elderly – Are they Still there?. Gerald Pfister, Daniela Weiskopf, Lutfan Lazuardi, Rania D. Kovaiou, Beatrix Grubeck-Loebenstein. 18. Brain Lipopigment Accumulation in Normal and Pathological Aging. Dan Riga, Sorin Riga, Florin Halalau, Francisc Schneider. 19. Aging and Orchidectomy Modulate Expression of Vegf Receptors (Flt-1 and Flk-1) on Corpus Cavernosum of the Rat. Delminda Neves, Janete Santos, Nuno Tomada, Henrique Almeida. 20. Role of angiotensin Ii and Endothelin-1 Receptors in the Aging-Related Functional Changes in Rat Cardiovascular System. Akira Ishihata, Yumi Katano. 21. Mitochondria Damage Checkpoint, Aging and Cancer. Keshav K. Singh. 22. Free Radical Production by Aminoguanidine Damages DNA. George Suji, S Sivakami. 23. Effect of Lipid Restriction on Mitochondrial Free Radical Production and Oxidative DNA Damage. Alberto Sanz, Pilar Caro, Jose Gomez Sanchez, Gustavo Barja. 24. Increased Production of H2O2 As Premature Senescence Establishes in Human Fibroblasts After a Short Sublethal Exposure to H2O2. Stephanie Zdanov, Jose Remacle, Olivier Toussaint. 25. Carf Regulates P19arf-P53-P21waf1 Senescence Pathway by Multiple Check-Points. Sunil C. Kaul, Kamrul Hasan, Renu Wadhwa. 26. Structural and Functional Differences Between Mouse Mot-1 and Mot-2 Proteins That Differ in Two Amino Acids. Custer C. Deocaris, Kazuhiko Yamasaki, Kazunari Taira, Sunil C. Kaul, Renu Wadhwa. 27. Proteasomal Oscillation During Mild Heat Shock in Aging Human Skin Fibroblasts. David Christian Kraft, Custer C. Deocaris, Suresh I.S. Rattan. 28. Apoptosis and Necrosis in Senescent Human Fibroblasts. Susumu Ohshima. 29. Aging of Murine Mesenchymal Stem Cells. Christine Fehrer, Gerhard Laschober, Günter Lepperdinger. 30. Prevention of Accelerated Cell Ageing in Werner Syndrome. Terence Davis, Michèle F. Haughton, Christopher J. Jones, David Kipling. 31. Oxidative Stress induces intralysosomal Accumulation of Alzheimer Amyloid ƒ-Protein in Cultured Neuroblastoma Cells. Lin Zheng, Karin Roberg, Fredrik Jerhammar, Jan Marcusson, Alexei Terman. 32. The Genetics of Human Longevity. Miriam Capri, Stefano Salvioli, Federica Sevini, Silvana Valensin, Laura Celani, Daniela Monti, Graham Pawelec, Giovanna De Benedictis, Claudio Franceschi. 33. Search for Genetic Factors Associated with Susceptibility to Multiple Sclerosis. Giusi Irma forte, Paolo Ragonese, Giuseppe Salemi, Letizia Scola, Giuseppina Candore, Marco D'amelio, antonio Crivello, Norma Di Benedetto, Domenico Nuzzo, antonio Giacalone, Domenico Lio, Calogero Caruso. 34. Opposite Role of Pro-inflammatory Alleles in Acute Myocardial infarction and Longevity: Results of Studies Performed in the Sicilian Population. Giuseppina Candore, Carmela Rita Balistreri, Maria Paola Grimaldi, Florinda Listì, Sonya Vasto, Marco Caruso, Gregorio Caimi, Enrico Hoffmann, Giuseppina Colonna-Romano, Domenico Lio, Giuseppe Paolisso, Claudio Franceschi, Calogero Caruso. 35. Association Between +1059g/C Crp Polymorphism and Acute Myocardial infarction in a Cohort of Patients From Sicily: A Pilot Study. Carmela Rita Balistreri, Sonya Vasto, Florinda Listì, Grimaldi Maria Paola, Domenico Lio, Giuseppina Colonna-Romano, Marco Caruso, Gregorio Caimi, Enrico Hoffmann, Calogero Caruso, Giuseppina Candore. 36. Inflammation, Longevity and Cardiovascular Diseases: Role of Polymorphisms of Tlr4. Giuseppina Candore, Alessandra Aquino, Carmela Rita Balistreri, Matteo Bulati, Daniele Di Carlo, Maria Paola Grimaldi, Florinda Listì, Valentina Orlando, Sonya Vasto, Marco Caruso, Giuseppina Colonna-Romano, Domenico Lio, Calogero Caruso. 37. Frequency of Polymorphisms of Signal Peptide of Tgf- 1 and –1082g/A Snp At the Promoter Region of Il-10 Gene in a Group of Patients with Carotid Stenosis. antonio Crivello, antonio Giacalone, Letizia Scola, Giusi Irma forte, Domenico Nuzzo, Robertina Giacconi, Catia Cipriano, Giuseppina Candore, Eugenio Mocchegiani, Giuseppina Colonna Romano, Domenico Lio, Calogero Caruso. 38. Reduced Expression Levels of the Senescence Biomarker Clusterin/Apolipoprotein J in Lymphocytes from Healthy Centenarians. Ioannis P. Trougakos, Chariklia Petropoulou, Claudio Franceschi, Efstathios S. Gonos. 39. Heat Shock Protein 70 Genes and Human Longevity. A View From Denmark. Ripudaman Singh, Steen Kølvraa, Peter Bross, Kaare Christensen, Niels Gregersen, Qihua Tan, Uffe Birk Jensen, Hans Eiberg, Suresh I. S. Rattan. 40. Possible Associations Between Successful Ageing and Polymorphic Markers in Werner Gene Region Mari Sild, Cemile Koca, Mette H. Bendixen, Henrik Frederiksen, Matt Mcgue, Steen Kølvraa, Kaare Christensen, Bjørn Nexø. 41. The Pattern of Chromosome-Specific Variations in Telomere Length in Humans Show Signs of Heritability and is Maintained Through Life. J. Graakjaer, J.A. Londono-Vallejo, K. Christensen, Steen Kølvraa. 42. Identification of Genes involved in Healthy Aging and Longevity. Jens Weibel, Morten Dræby, Peter Kristensen. 43. Prevention and Treatment of Skin Aging. Jerry L. Mccullough, Kristen M. Kelly. 44. Kinetin-induced Differentiation of Normal Human Keratinocytes Undergoing Aging in vitro. Ulrich Berge, Peter Kristensen, Suresh I.S. Rattan. 45. Epidermal and Dermal Characteristics in Skin Equivalent After Systemic and Topical Application of Skin Care ingredients: Jana Vicanova, Charbel Bouez, Sophie Lacroix, Lars Lindmark, Odile Damour. 46. Map Kinases and Heat Shock-induced Hormesis in Human Fibroblasts During Serial Passaging in vitro. Elise R. Nielsen, Yvonne E.G. Eskildsen-Helmond, Suresh I.S. Rattan. 47. The Roles of Satellite Cells and Hematopoietic Stem Cells in Impaired Regeneration of Skeletal Muscle in Old Rats. Shuichi Machida, Mitsuo Narusawa. 48. Age-Related Effects of Dexamethasone Administration in Adrenal Zona Reticularis. Henrique Almeida, Liliana Matos, Jorge Ferreira, Delminda Neves. 49. Does Chronic Glycolysis Accelerate Ageing? Could this Explain how Dietary Restriction Works?. Alan R. Hipkiss. 50. Would Carnosine or a Carnivorous Diet Help Suppress Ageing and Associated Pathologies?. Alan R. Hipkiss. 51. The Necessity of Having a Proper Dose of (-)Deprenyl (D) to Prolong the Life Spans of Rats Explains Discrepancies Among Different Studies in the Past. Kenichi Kitani, Setsuko Kanai, Kyoko Miyasaka, Maria Cristina Carrillo, Gwen O. Ivy. 52. The Processing, Lysis and Elimination of Brain Lipopigments in Rejuvenation therapies Sorin Riga, Dan Riga, Francisc Schneider, Florin Halalau. 53. Effect of Dietary Restriction on Learning and Memory Impairments and Histological Alterations of Brainstem in Senescence-Accelerated Mouse (Sam) P8 Strain Ryoya Takahashi, Yukari Komiya, Sataro Goto. 54. Curcumin’s Biphasic Hormetic Response on Proteasome Activity and Heat Shock Protein Synthesis in Human Keratinocytes. Rehab E. Ali, Suresh I.S. Rattan. 55. Nutraceutical Supplementation: Effect of a Fermented Papaya Preparation on Redox Status and DNA Damage in Healthy Elderly individuals and Relationship with Gstm1 Genotype. A Randomized, Placebo-Controlled, Cross-Over Study Francesco Marotta, M Weksler, Y Naito, C Yoshida, M Yoshioka, P Marandola. 56. Redox Status Impairment in Liver and Kidney of Prematurely-Senescent Mice: Effectiveness of Dts Phytotherapeutic Compound. Francesco Marotta, M Harada, Sk ono-Nita, E Minelli, P Marandola. 57. A Dietary Supplement Improves an Experimental influenza-Model in Old Mice Francesco Marotta, J Cervi, C Bater, K Masulair, E Minelli, M Harada, P Marandola. 58. Pre-incubation with the Proteasome inhibitor Mg132 Enhances Proteasome Activity Via the Nrf2 Transcription Factor in Aging Human Skin Fibroblasts David Christian Kraft, Custer C. Deocaris, Renu Wadhwa, Suresh I.S. Rattan. 59. Exercise and Hormesis: Activation of Cellular antioxidant Signaling Pathway. Li Li Ji, Maria-Carmen Gomez-Cabrera, Jose Vina. 60. Stem Cells - Potential therapy for Age-Related Diseases. Moustapha Kassem. 61. Heat Shock-induced Enhancement of Osteoblastic Differentiation of Htert Immortalized Mesenchymal Stem Cells. Rune Nørgaard, Moustapha Kassem, Suresh I.S. Rattan. 62. Selective Ppar Agonists for the Treatment of Diabetes Type 2. Jan Nehlin, John P. Mogensen, ingrid Petterson, Lone Jeppesen, Jan Fleckner, Erik M. Wulff, Per Sauerberg. 63. Alzheimers Disease Pathogenesis: Role of Aging Denham. Dennis Harman. 64. RNA Regulation in Mammals. Maciej Szymanski, Jan Barciszewski. 65. Quantum Dot-Based Protein Imaging and Functional Significance of Two Mitochondrial Chaperones in Cellular Senescence and Carcinogenesis. Zeenia Kaul, Kamaljit Kaur, Sunil C. Kaul, Renu Wadhwa. 66. Phage Displayed antibodies for the Detection of Glycated Proteasome in Aging Cells. Regina Gonzalez-Dosal, Morten Dræby Sørensen, Brian F.C. Clark, Suresh I. S. Rattan, Peter Kristensen. 67. Techniques Used in Studies of Age-Related DNA Methylation Changes. Tomasz K Wojdacz, Lise Lotte Hansen. 68. Geroprotection by Glycerol: insights to its Mechanisms and Clinical Potentials. Custer C. Deocaris, Bhupal G. Shrestha, David C. Kraft, Kazuhiko Yamasaki, Sunil C. Kaul, Kazunari Taira, Suresh I. S. Rattan, Renu Wadhwa. 69. Age-Dependent Effects of in Vitro Radiofrequency Exposure (Mobile Phone) on Cd95+ T Helper Human Lymphocytes. Miriam Capri, Stefano Salvioli, Serena Altilia, Federica Sevini, Daniel Remondini, Pietro Mesirca, Ferdinando Bersani, Daniela Monti, Claudio Franceschi. 70. Severe Acute Respiratory Syndrome and Phage Display. Morten Dræby Sørensen, Brian Sørensen, Connie Jenning Melchjorsen, Jens Weibel, Jing Wang, Chen Wie Jun, Yang Huanming, Peter Kristensen

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Book SynopsisThoroughly illustrated, this second edition provides the primary care physician with detailed information on the most commonly encountered clinical situations and the most frequently asked questions. The chapters address everything the primary care physician will regularly face and will need to know about the breast, pregnancy, sexually transmitted diseases, contraception, infertility, gynecologic cancers, urogynecology and gynecology.Trade ReviewFrom the reviews of the second edition: "Gynecology for the Primary Care Physician addresses the need about as well as any textbook can. Designed for physicians, it will also be of interest to all midlevel clinicians-students and residents who provide gynecological care. Thorough, readable, well organized, and accessible, the text is beautifully designed and overall a pleasure to read. ... I will refer to it frequently, urge medical students to read ... encourage residents to consider adding it to their libraries, and strongly recommend it to colleagues." (Cathleen E. Morrow, Journal of the American Medical Association, Vol. 300 (19), November, 2008)Table of ContentsBreast Pain.- Galactorrhea and Nipple Discharge .- Management of Breast Mass.- Ectopic Pregnancy.- Miscarriage-Gonorrhea-Chalmydia-Condyloma-Herpes-Pelvic Inflammatory Disease-Oral Contraceptives-Non-Daily Combination Hormonal Contraception-Tubal Sterilization-Barrier Methods of Contraception-Injectable and Implantable Contraception-Intrauterine Contraception-Vaginal Discharge-Vulvitis/Vulvodynia-Delayed Puberty-Precocious Puberty-The Infertile Couple-Hirsutism-Abnormal Uterine Bleeding-Assisted Reproductive Technology-Vulvar Cancer-Vaginal Cancer-Endometrial Cancer-Ovarian Cancer-Fallopian Tube Cancer.- Gestational Trophoblastic Disease.- Stress Urinary Incontinence.- Urinary Tract Infections.- Detrusor Instability-Pelvic Relaxation.-Menopause.- The Pelvic Mass.- Uterine Leiomyomas.- Chronic Pelvic Pain.-Dysmenorrhea.- Premenstrual Syndrome.- Primary/Secondary Amenorrhea .- Vulvar and Vaginal Dryness.- The Abnormal Pap Smear.- Common Office Procedures.- Sexual Dysfunction.- Dyspareunia.- Sexual Assault/Sexual Abuse.- Common Pediatric Gynecological Problems.

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Book SynopsisWritten in a case-based format, this valuable resource helps primary care physicians in diagnosing and treating children with common and uncommon cardiac conditions. Cases are grouped by treating location: office, nursery, emergency department, and pediatric intensive care unit. Following the case presentation, each chapter follows the steps of: differential diagnosis, evaluation, treatment, and discussion. Valuable pearls of information are included, as well as "Practice Points," which is a quick refresher on the key issues presented in the case.TOPICS INCLUDE Refractory Supraventricular Tachycardia and Hypotension Cyanosis Without a Murmur An Enlarged Cardiac Silhouette on Chest Radiograph A Loud Murmur in an Asymptomatic Infant Small Heart with "White Out" on Chest Radiograph Cardiac Arrest in an Adolescent Recurrent Seizures and a Family History of Sudden Death Wide QRS Tachycardia and Heart Failure Wheezing and Recurrent Pneumonia And more… Table of Contents Part 1: Pediatric Cardiology in the Office 1 Refractory Supraventricular Tachycardia and Hypotension 2 Cyanosis Without a Murmur 3 An Enlarged Cardiac Silhouette on Chest Radiograph 4 Unexplained Tachycardia 5 An Adolescent with Stomach Pain 6 Family History of Sudden Death 7 Tachypnea in a 6-week-old Infant 8 Cyanosis in a 4-year-old Male 9 Fainting in an Adolescent at School 10 A New Murmur and Rash 11 Chest Pain with Exercise 12 An Athlete with a Murmur 13 Syncope During a Basketball Game 14 Sports Participation in a Child after Heart Surgery 15 An Abnormal Echocardiogram in an Athlete Part 2: Pediatric Cardiology in the Nursery 16 Cyanosis in a Newborn 17 A Loud Murmur in an Asymptomatic Infant 18 Cardiogenic Shock in a 2-day-old 19 Tachycardia with Fetal Hydrops 20 Small Heart with 'White Out' on Chest Radiograph 21 Tachypnea and Poor Pulses Part 3: Pediatric Cardiology in the Emergency Department 22 Cardiac Arrest in an Adolescent 23 Syncope in an Adolescent 24 Recurrent Seizures and a Family History of Sudden Death 25 Increasing Shortness of Breath with Exercise 26 Cardiac Failure and Abnormal ECG in an Infant 27 Syncope and Exercise Intolerance in an Adolescent Female 28 Fainting and Bradycardia 29 A Toddler with Failure to Thrive, Hypotonia and Murmur Part 4: Pediatric Cardiology in Pediatric Intensive Care Unit 30 Hemiplegia in a 17-Year-Old Athlete 31 Dysmorphic Infant with Stridor 32 Wide QRS Tachycardia and Heart Failure 33 Fever and Acute Onset of Shortness of Breath 34 Failure to Thrive in Infant with No Murmur 35 Wheezing and Recurrent Pneumonia

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Book SynopsisHow do clinicians select appropriate treatment strategies to match their clients' needs?Formulation and Treatment in Clinical Health Psychology brings together leading experts in the fields of clinical health psychology and behavioural medicine with the aim of illustrating the formulation and treatment design procedures which they employ in their specialist areas. Each chapter covers the key biopsychosocial parameters, assessment modalities, empirically based treatment strategies and formulation procedures for specific problems. Areas covered include: cognitive-behavioural case formulation in the treatment of alcohol problems psychological treatment of hypertension cognitive therapy for irritable bowel syndrome miscarriage: conceptualisation and treatment of the psychological sequelae. Case studies are employed throughout to demonstrate a link between case formulation, treatment planning and outcome.The practical guidance provided in this volume will prove invaluable for all practising clinicians working in the context of health-related problems.Table of ContentsNikcevic, Kuczmierczyk, Bruch, Preface. Bruch, Prioglio, The Case Formulation Procedure. Spada, Cognitive-Behavioural Case Formulation in the Treatment of Alcohol Problems. Williamson, Newton Jr., Walden, Obesity. Savard, Simard, Morin, Insomnia. Linden, Cognitive-Behavioural Case Formulation in the Treatment of Alcohol Problems. Brantley, Grothe, Dutton, Stress, Anger and Hostility in Coronary Heart Disease. Schneider, Delamater, Case Formulation in Type 1 Diabetes. Lackner, Blanchard, Cognitive Therapy for Irritable Bowel Syndrome: Improving Clinical Decision Making and Treatment Efficiency Through Behavioural Case Formulation. Baxendale, Epilepsy: An Approach to Case Formulation. Hanson, Chronic Pain. Deary, Chalder, Case Conceptualisation in Chronic Fatigue Syndrome. Venable, Carrey, Behavioural Medicine Interventions in HIV/AIDS: Challenges and Opportunities for Promoting Health and Adaptation. Nezu, Lombardo, Nezu, Cancer. Nikcevic, Miscarriage: Conceptualisation and Treatment of the Psychological Sequelae.

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Book SynopsisThis essential resource provides key background information and recommendations for themes critical to healthy child development along with well-child supervision standards for 31 age-based visits - from Newborn through 21 years. The result: better health care, more efficient visits, stronger partnerships with children and families, and better ability to keep up with changes in family, communities, and society that affect a child's health.Trade ReviewBright Futures has been selected as one of Doody’s Core Titles®

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Book SynopsisAMSTARs: Adolescent Contraception: Basics and Beyond highlights the fundamental aspects of contraception with an overview of contraceptive methods and epidemiology, provides up-to-date guidance on medical eligibility criteria, and reviews critical policy advances supporting contraceptive access.TOPICS INCLUDE: Overview (social determinants, epidemiology, cultural and regional differences, and method [includes natural family planning]) CDC medical eligibility criteria Condoms Pills, rings, and patches Depo-Provera and whether it is still a good option in adolescents Intrauterine devices in adolescents (IUD’s) Implants (implementation and the management of associated bleeding) Emergency contraception Approaches to contraceptive counseling Implementation of long-acting reversible contraceptives methods into pediatric practice Male involvement in both family planning and preconception care Special cases (case-based contraception scenarios) Advocacy and policy New and on the horizon developments Table of Contents 1. Contraceptive Use By US Adolescents: Where Are We Now? 2. Adolescent Pregnancy Prevention: Application of CDC Evidence-Based Contraception Guidance 3. Incorporating the Adolescent in Individualized and Effective Contraceptive Counseling 4. New Approaches for Pregnancy Prevention: Getting Males Involved With Both Male- and Female-Dependent Methods of Contraception 5. Condoms On and Off: A Review of Prophylactic Barrier Use and Youth Sexual Well-Being 6. The Contraceptive Ring, Patch, and Pills: An Update 7. Depo-Provera: Is It Still a Good Option for Adolescents? 8. Intrauterine Devices for Adolescents: Guidance for Clinicians 9. A “Call To Arms”: Using the Contraceptive Implant to Reduce Unplanned Adolescent Pregnancy 10. When “Plan A” Fails: Emergency Contraception 11. Implementation of LARC Methods Into Pediatric Practice 12. Special Cases: Case-Based Contraception Scenarios 13. Policy Foundations Supporting Adolescent Access to Contraceptive Care 14. New Contraceptive Developments on the Horizon

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Book SynopsisKeep current with the latest clinical practice guidelines and policies from the American Academy of Pediatrics covering more than 40 clinical practice guidelines, plus every AAP policy statement, clinical report, and technical report to December 2018.

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Book SynopsisTrauma-informed care is emerging as a critical component of pediatric best practices. With this new practical guide, pediatricians and other child health professionals will learn to identify, evaluate, and treat children and families affected by trauma and adversity when they present at the office. In addition to instruction for acute, hands-on care, the cohesive approach offered in this guide also lays out a framework and concrete steps to transform practices into ones that are trauma-sensitive and can provide the best, most impactful care to all patients.Childhood Trauma and Resilience: A Practical Guide includes mnemonics, charts, tables, and numerous case studies to reinforce learning, as well as timely information on physician burnout and secondary traumatic stress. More than 20 reproducible handouts on topics such as attachment, cultural connections, and promoting resilience, will help pediatricians engage with parents on these important related topics and focus on the family factors that can help prevent and mitigate the effects of trauma.Table of Contents Introduction Part I: Building the Resilient Child 1. Brain Development: Early Childhood Through Adolescence 2. Promoting Resilience 3. Attachment 4. Parenting 5. Cultural Connections Part II: Effects of Adversity and Trauma 6. Pathophysiology of Trauma 7. How Trauma Can Manifest in Children and Teens Part III: Responding to Trauma 8. Engagement 9. Patient Evaluation and Differential Diagnosis 10. Surveillance and Screening 11. Pediatric Management 12. The Intersection of Trauma and Culture 13. Supporting the Caregiver 14. Integrated Care 15. The Role of Medication Part IV: Supporting the Clinician and Pediatric Settings 16. Burnout and Secondary Traumatic Stress 17. Trauma-Informed Systems of Care Conclusion Appendixes: Selected Handouts by Topic Appendix A. Promoting Resilience Handouts Appendix B. Attachment Handouts Appendix C. Parenting Handouts Appendix D. Cultural Connections Handouts Appendix E. Signs and Symptoms of Trauma Handouts Appendix F. Engagement Handouts Appendix G. Pediatric Management Handouts Appendix H. Medication Handouts

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Book SynopsisRefer to the Red Book." That's been the watchword for generations of healthcare professionals seeking trustworthy guidance on pediatric infectious disease prevention, management, and control. Now the 32nd edition continues this tradition of excellence with the latest clinical guidance on manifestations, etiology, epidemiology, diagnosis and treatment of more than 200 childhood infectious diseases. The 32nd edition provides evidence-based guidance on pediatric infections and vaccinations based on the recommendations of the committee as well as the combined expertise of the CDC, the FDA and hundreds of contributors. Red Book is an indispensable reference for pediatricians and pediatric infectious disease specialists and is useful for family medicine and emergency medicine physicians, as well. Public health and school health professionals, medical residents, and students also will find it a high-yield source of pediatric infectious disease and vaccine information. New in the 2021 Red Book:All chapters were assessed for relevance in the dynamic environment that is the practice of medicine today, and every chapter has been modified.Two chapters have been added to the 2021 edition: Pseudomonas aeruginosa Infections and a new "System-Based Treatment" table designed to aid in initial antibiotic selections by clinical conditions. Standardized approaches to disease prevention through immunizations, antimicrobial prophylaxis, and infection-control practices have been updated throughout the Red Book References to evidence-based policy recommendations have been updated throughout the Red Book. Appropriate chapters throughout the Red Book have been updated to be consistent with 2021 AAP and CDC vaccine recommendations for immunization of health care personnel, and drug recommendations from 2021 Nelson's Pediatric Antimicrobial Therapy.Trade ReviewA 2023 Doody’s Core Title®Table of Contents Summary of Major Changes in the 2018 Red Book, Prologue, Sources of Information About Immunization, Discussing Vaccies With Patients and Parents, Active Immunization, Vaccine Ingredients, Vaccine Handling and Storage, Vaccine Administration, Managing Injection Pain, Immunization Schedule and Timing of Vaccines, Minimum Ages and Minimum Intervals Between Vaccine Doses, Interchangeability of Vaccine Products, Simultaneous Administration of Multiple Vaccines, Combination Vaccines, Lapsed Immunizations, Unknown or Uncertain Immunization Status, Vaccine Dose, Active Immunization of People Who Recently Received Immune Globulin and Other Blood Products, Vaccine Safety (Risks and Adverse Events), National Academy of Medicine Reviews of Adverse Events After Immunization, Vaccine Adverse Event Reporting System (VAERS), Vaccine Safety Datalink Project, FDA CBER Sentinel Program: A Vaccine Surveillance System, Clinical Immunization Safety Assessment (CISA) Project, Vaccine Injury Compensation, Hypersensitivity Reactions After Immunization, Passive Immunization, Immune Globulin Intramuscular (IGIM), Immune Globulin Intravenous (IGIV), Immune Globulin Subcutaneous (IGSC), Treatment of Anaphylactic Reactions, Immunization in Preterm and Low Birth Weight Infants, Immunization in Pregnancy, Immunization and Other Considerations in Immunocompromised Children, Immunization in Children With a Personal or Family History of Seizure, Immunization in Children With Chronic Diseases, Immunization in American Indian/Alaska Native Children, Immunization in Adolescent and College Populations, Immunization in Health Care Personnel, Children Who Received Immunizations Outside the US or Whose IZ Status is Unknown, International Travel, Human Milk, Children in Group Child Care and Schools, School Health, Infection Control and Prevention for Hospitalized Children, Infection Control and Prevention in Ambulatory Settings, Sexually Transmitted Infections in Adolescents and Children, Medical Evaluation for Infectious Diseases for Internationally Adopted, Refugee and Immigrant Children, Injuries from Discarded Needles in the Community, Bite Wounds, Prevention of Mosquito Borne and Tick Borne Infections, Prevention of Illnesses Associated With Recreational Water Use, Actinomycosis, Adenovirus Infections, Amebiasis, Amebic Meningoencephalitis and Keratitis, Anthrax, Arboviruses,Arcanobacterium haemolyticum Infections,Ascaris lumbricoides Infections, Aspergillosis, Astrovirus Infections, Babesiosis,Bacillus cereus Infections, Bacterial Vaginosis,Bacteroides and Prevotella and Other Anaerobic Gram-Negative Bacilli Infections,Balantidium coli Infections (Balantidiasis),Bartonella henselae (Cat-Scratch Disease),Baylisascaris Infections, Infections With Blastocystis hominis and Other Subtypes, Blastomycosis, Bocavirus,Borrelia Infections Other Than Lyme Disease (Relapsing Fever), Brucellosis,Burkholderia Infections,Campylobacter Infections, Candidiasis, Chancroid and Cutaneous Ulcers, Chikungunya, Chlamydial Infections, Chlamydophila pneumoniae, Chlamydial Infections, Chlamydophila psittaci (Psittacosis, Ornithosis, Parrot Fever), Chlamydial Infections, Chlamydia trachomatis, Clostridial Infections, Botulism and Infant Botulism (Clostridium botulinum), Clostridial Infections, Clostridial Myonecrosis (Gas Gangrene), Clostridial Infections, Clostridioides difficile, Clostridial Infections, Clostridium perfringens Foodborne Illness, Coccidiodomycosis, Coronaviruses, Including SARS-CoV-2 and MERS-CoV,Cryptococcus neoformans and Cryptococcus gattii Infections, Cryptosporidiosis, Cutaneous Larva Migrans, Cyclosporiasis, Cystoisosporiasis (formerly Isosporiasis), Cytomegalovirus Infection, Dengue, Diphtheria,Ehrlichia, Anaplasma, and Related Infections (Human Ehrlichiosis, Anaplasmosis, and Related Infections Attributable to Bacteria in the Family Anaplasmataceae), Serious Bacterial Infections Caused by Enterobacteriaceae (With Emphasis on Septicemia and Meningitis in Neonates), Enterovirus (Nonpoliovirus) (Group A and B Coxsackieviruses, Echoviruses, Numbered Enteroviruses), Epstein-Bar Virus Infections (Infectious Mononucleosis),Escherichia coli Diarrhea (Including Hemolytic-Uremic Syndrome), Fungal Diseases,Fusobacterium Infections (Including Lemierre Disease),Giardia duodenalis (formerly Giardia lamblia and Giardia intestinalis) Infections (Giardiasis), Gonococcal Infections, Granuloma Inguinale (Donovanosis),Haemophilus influenzae Infections, Hantavirus Pulmonary Syndrome,Helicobacter pylori Infections, Hemorrhagic Fevers Caused by Arenaviruses, Hemorrhagic Fevers Caused by Bunyaviruses, Hemorrhagic Fevers Caused by Filoviruses: Ebola and Marburg, Hepatitis A , Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E, Herpes Simplex, Histoplasmosis, Hookworm Infections (Ancylostoma duodenale and Necator americanus), Human Herpesvirus 6 (Including Roseola) and 7, Human Herpesvirus 8, Human Immunodeficiency Virus Infection, Influenza, Kawasaki Disease,Kingella kingae Infections,Legionella pneumophila Infections, Leishmaniasis, Leprosy, Leptospirosis,Listeria monocytogenes Infections (Listeriosis), Lyme Disease (Lyme Borreliosis, Borrelia burgdorferi sensu lato Infection), Lymphatic Filariasis (Bancroftian, Malayan, and Timorian), Lymphocytic Choriomeningitis Virus, Malaria, Measles, Meningococcal Infections, Human Metapneumovirus, Microsporidia Infections (Microsporidiosis), Molluscum Contagiosum,Moraxella catarrhalis Infections, Mumps,Mycoplasma pneumoniae Infections, Nocardiosis, Norovirus and Sapovirus Infections, Onchocerciasis (River Blindness, Filariasis), Human Papillomavirus, Paracoccidioidomycosis (Formerly Known as South American Blastomycosis), Paragonimiasis, Parainfluenza Viral Infections, Parasitic Diseases, Parechovirus Infections (Formerly Human Parechovirus Infections), Parvovirus B19 (Erythema Infectiosum, Fifth Disease),Pasteurella Infections, Pediculosis Capitis (Head Lice), Pediculosis Corporis (Body Lice), Pediculosis Pubis (Pubic Lice, Crab Lice), Pelvic Inflammatory Disease, Pertussis (Whooping Cough), Pinworm Infection (Enterobius vermicularis), Pityriasis Versicolor (Tinea Versicolor), Plague, Pneumococcal Infections, Pneumocystis jirovecci Infections, Poliovirus Infections, Polyomaviruses (BK, JC, and Other Polyomaviruses), Prion Diseases: Transmissible Degenerative Encephalopathies, Q Fever (Coxiella burnetti Infections), Rabies, Rat-Bite Fever, Respiratory Syncytial Virus, Rhinovirus Infections, Rickettsial Diseases, Rickettsialpox, Rocky Mountain Spotted Fever, Rotavirus Infections, Rubella,Salmonella Infections, Scabies, Schistosomiasis,Shigella Infections, Smallpox (Variola), Sporotrichosis, Staphylococcal Food Poisoning,Staphylococcus aureus, Coagulase-negative Staphylococcal Infections, Group A Streptococcal Infections, Group B Streptococcal Infections, Non-Group A or B Streptococcal and Enterococcal Infections, Strongyloidiasis (Strongyloides stercoralis), Syphilis, Tapeworm Diseases (Taeniasis and Cysricercosis), Other Tapeworm Infections (Including Hyatid Disease), Tetanus (Lockjaw), Tinea Capitis (Ringworm of the Scalp), Tinea Corporis (Ringworm of the Body), Tinea Cruris (Jock Itch), Tinea Pedis and Tinea Unguium (Onychomycosis) (Athlete’s Foot, Ringworm of the Feet), Toxocariasis (Visceral Toxocariasis [a Form of Visceral Larva Migrans], Ocular Toxocariasis [a Form of Ocular Larva Migrans]),Toxoplasma gondii Infections (Toxoplasmosis), Trichinellosis (Trichinella spiralis and Other Species),Trichomonas vaginalis Infections (Trichomoniasis), Trichuriasis (Whipworm Infection), African Trypanosomiasis (African Sleeping Sickness), American Trypanosomiasis (Chagas Disease), Tuberculosis, Nontuberculous Mycobacteria (Environmental Mycobacteria, Mycobacteria Other Than Mycobacterium tuberculosis), Tularemia, Endemic or Flea Borne Typhus), Epidemic Typhus (Louseborne or Sylvatic Typhus),Ureaplasma urealyticum and Ureaplasma parvum Infections, Varicella-Zoster Infections,Vibrio Infections, Cholera (Vibrio cholerae),Vibrio Infections, Other Vibrio Infections, West Nile Virus,Yersinia enterocolitica and Yersinia pseudotuberculosis Infections (Enteritis and Other Illnesses), Zika Virus, Antimicrobial Agents and Related Therapy, Antimicrobial Resistance and Antimicrobial Stewardship: Appropriate and Judicious Use of Antimicrobial Agents, Drug Interactions, Tables of Antibacterial Drug Doses, Sexually Transmitted Infections, Antifungal Drugs for Systemic Fungal Infections, Recommended Doses of Parenteral and Oral Antifungal Drugs, Topical Drugs for Superficial Fungal Infections, Non-HIV Antiviral Drugs, Drugs for Parasitic Infections, MEDWATCH-The FDA Safety Information and Adverse Event Reporting Program, Antimicrobial Prophylaxis, Antimicrobial Prophylaxis in Pediatric Surgical Patients, Prevention of Bacterial Endocarditis, Neonatal Ophthalmia, Directory of Resources, Codes for Commonly Administered Pediatric Vaccines/Toxoids and Immune Globulins, Vaccine Injury Table, Nationally Notifiable Infectious Diseases in the United States, Guide to Contraindications and Precautions to Immunizations, Prevention of Infectious Disease From Contaminated Food Products, Clinical Syndromes Associated With Foodborne Diseases, Diseases Transmitted by Animals (Zoonoses)

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Book SynopsisThis convenient reference provides clinicians with point-of-care guidance on the assessment and treatment of chronic and acute asthma in infants, toddlers, school-aged children, and young adults. It covers signs and symptoms, triggers, diagnostic considerations, office pulmonary testing, clinical index tools, stepped approaches to treatment by age, maintenance and control, exacerbation assessment, and more.Topics include Approach to Evaluation Diagnosis Office Pulmonary Function Testing Exacerbation Assessment Respiratory Scoring Tools Classifying Severity by Age Intervention Overview NIH/NHLBI Stepwise Approaches to Management GINA Stepped Approaches to Treatment Maintenance and Control SABAs Inhaled Corticosteroids LABAs and LTRAs Inhaled Anticholinergic Agents Systemic Corticosteroids Anti-immunoglobulin E Therapy Other Biologics Trigger Management Exercise-Induced Bronchoconstriction Asthma Control Test Tobacco Use/Vaping and Asthma Get Valid Spirometry Results Every Time Table of Contents Tab 1. Approach to Evaluation Tab 2. Diagnosis Tab 3. Office Pulmonary Function Testing Tab 4. Exacerbation Assessment Tab 5. Respiratory Scoring Tools Tab 6. Classifying Severity by Age Tab 7. Intervention Overview Tab 8. NIH/NHLBI Stepwise Approaches to Management Tab 9. GINA Stepped Approaches to Treatment Tab 10. Maintenance and Control Tab 11. SABAs Tab 12. Inhaled Corticosteroids Tab 13. LABAs and LTRAs Tab 14. Inhaled Anticholinergic Agents Tab 15. Systemic Corticosteroids Tab 16. Anti-immunoglobulin E Therapy Tab 17. Other Biologics Tab 18. Trigger Management Tab 19. Exercise-Induced Bronchoconstriction Tab 20. Asthma Control Test Tab 21. Tobacco Use/Vaping and Asthma Tab 22. Get Valid Spirometry Results Every Time

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Book SynopsisThis convenient reference provides clinicians with point-of-care guidance to help their patients stop using tobacco- and nicotine-containing products--as well as the latest clinical data to encourage them to never start.CONTENTS CONSIST OF Nicotine-Containing Products Tobacco Use Disorder/Adverse Effects Prevention and Treatment Withdrawal Management, With and Without Medication Policy and Resources Table of Contents TAB 1. INTRODUCTION: NICOTINE-CONTAINING PRODUCTS Tobacco and Nicotine Use in Adolescents Tobacco Products Youth-Friendly Flavors Examples of ENDS TAB 2. TOBACCO USE DISORDER/ADVERSE EFFECTS Tobacco Use Disorder Nicotine Addiction What Are the Symptoms of Nicotine Withdrawal? Harms of Smoking, Secondhand Smoke, and ENDS Health Consequences Causally Linked to Smoking Health Consequences Linked to ENDS Educate Parents and caregivers on Signs That an Adolescent May Be Smoking or Vaping Smoking Vaping TAB 3. PREVENTION AND TREATMENT Prevention Treatment Basic Principles of Tobacco Product Dependence Treatment Issues in Treating Adolescents Make a Plan With the Adolescent Ask About Tobacco Product Use and Exposure, Including E-cigarettes Tips Ask-Counsel-Treat Counseling Strategies for Stopping Tobacco Product Use Motivational Interviewing OARS Approach Making a Change Assess Importance Importance: Pros Versus Cons Assess Confidence Increase Confidence The 5 Rs Other Tips Arrange Follow-up Assessing Nicotine Dependence Rapid Assessment of Tobacco Dependence Nicotine Dependence Scales Other Tools Focused on Adolescents Other Tools for Adults TAB 4. WITHDRAWAL MANAGEMENT, WITH AND WITHOUT MEDICATION Management of Nicotine Withdrawal: Non-pharmacological Strategies Pharmacotherapy for Tobacco Product Dependence Issues in Treating Adolescents Who Have Tobacco/Nicotine Dependence Issues in Prescribing to Parents Notes Managing Relapse Create an Action Plan With the Adolescent/Parent Advanced Approaches for Adults TAB 5. POLICY AND RESOURCES Public Policy AAP-Endorsed, Evidence-Based Policy Recommendations Additional Evidence-Based Policy Recommendations Resources AAP Publications References

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Book Synopsis

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Book SynopsisA growing number of U.S. physicians are combining their practices; affiliating with hospitals, insurance companies, and speciality management firms; or going to work directly for such organisations. The moves are part of a broader trend toward consolidation in health care, with the overall number of mergers and acquisitions in the sector at the highest level in a decade. Alterations in physician practice appear to be a response to a number of factors. Younger doctors are more eager than their predecessors to work for an outside institution, such as a hospital, to secure a set schedule and salary. Private practices have become more complex to manage, even as physician compensation has been declining. This book provides background on the factors contributing to changes in physician practice organisation, including physician supply, lifestyle changes, and government incentives, with a focus on different types of integration, the legal intricacies of affiliation, and the possible implications for consumer and federal policy.

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Book SynopsisMedicine is often learned through a mechanistic metaphor of biology and a military metaphor of war. However, the conceptual elements and skills that promote the mastery of family medicine, such as contextual knowledge, continuity of care, the clinical interview, comprehensiveness, coordination, and so on, are often difficult to explain and to understand. Furthermore, these fundamental concepts of family medicine have nothing to do with the metaphor of the machine or the metaphor of war. In this book, these concepts are explained through metaphors that are more explanatory, nicer, sweeter, and more playful. Thinking based on metaphors and comparisons is a way of making a concept so suggestive, interesting and surprising that it reaches people more easily. The value of family medicine lies in its distinctiveness from academic medicine; it is a unique discipline that defines itself in terms of relationships, especially those between the doctor and patient. Family physicians tend to think in terms of individual patients rather than of abstractions and generalizations, and family medicine is based more on the metaphor of an organism rather than that of mechanistic biology. Family medicine is unique in the medical arena in that it transcends the duality of body and mind. Thus, the family doctor should be encouraged to use a non-conventional form when thinking about the problems that are presented in the consultation (for example, thinking on the basis of metaphors). 

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Book SynopsisThis book includes six chapters that detail various aspects of women's health. Chapter One uses a hermeneutic phenomenological method to explore hope in eating disordered women. Chapter Two considers the importance of hope as a mediating factor in the complicated relationships between body shame and eating disorder behaviour as well as with substance use/abuse behaviour via an Internet survey. Chapter Three examines the influence of six Indigenous Australian sportswomen and their role as sporting role models for women and girls. Chapter Four highlights the research that has been conducted regarding eating disorders in women of colour and reviews the unique race and culture-related risk factors that may influence the presence of eating disorder symptoms. Chapter Five deals with the history and definition of food craving, the cognitive event of appetizing targeting, the associations with the diet mentality as a promoter of moral judgment concerning food, and the twelve primary triggers according to the latest data from studies in the field of eating disorders. Finally, Chapter Six focuses on the association between physical activity and menopausal transition from the viewpoint of evolutionary biology and evolutionary medicine.Table of ContentsPreface; Womens Experience of Hope in a Twelve-Step Self-Help Group for Eating Disorders; The Effects of Hope and Body Shame on Alcohol and Drug Use in Eating Disordered Women; Indigenous Australian Sportswomen: Inspiring the Next Generation; Eating Disorders in Women of Color: Race and Culture-Related Risk Factors; The Body Asks and the Mind Judges: Understanding Desires and Food Cravings in Eating Behavior and Its Triggers; Physical Activity as a Treatment Strategy during Menopausal Transition: An Evolutionary Approach; Index.

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Book SynopsisThis volume provides a unique sociological focus on education, social factors and health beliefs in health and health care, including a review of the literature to date. Beliefs and health beliefs are considered, including one study evaluating cross-national differences in public beliefs about the causes of health and the role of these beliefs in shaping attitudes to health policy. Another study focuses on the complexity and variation of health care system distrust across neighborhoods in one US city. The topic of education is addressed, including a focus on the importance of identification and intervention in low health literacy. Mental health issues are considered in the context of help-seeking, connections, transitions and utilization of care among adolescents. Social factors are reflected upon including race and ethnicity, literacy and socioeconomic status. Coverage also includes special and traditionally less visible populations, including the health of prisoners and carers of people with autism.Table of ContentsEducation, Other Social Factors, and Health Beliefs and Health Care Services. The Politics of Health Beliefs: Cross-National Evidence. Examining the Complexity and Variation of Health Care System Distrust across Neighborhoods: Implications for Preventive Health Care. Education and Self-Awareness of Health: Toward a Better Understanding of Self-Rated Health. Psychological Distress, Nativity, and Help-Seeking among Filipino Americans. Connections and Transitions in Mental Health Care Organizations and Systems. Personal Religiosity and Mental Health Care Utilization among Adolescents. Racial and Ethnic Differences in Trust in Sources of Health Information: A Generalized Distrust in Physicians. Race and Socioeconomic Status: Public Perceptions toward Quality and Access to Care in the Affordable Care Act. A Place to Trust: Black Protestant Affiliation and Trust in Personal Physicians. Support for HIV Testing and HIV Criminalization among Offenders under Community Supervision. Becoming an Expert Autism Caregiver: Health Literacy and Community Catalysts. “It’s Not the Doctor – It’s Me”: How Self-Blame Obscures Language and Other Structural Barriers to Diabetes Care among Low-Income Latinos with Limited English Proficiency. Copyright page. Education, Social Factors, and Health Beliefs in Health and Health Care Services. List of Contributors. Research in the sociology of health care. Education, Social Factors, and Health Beliefs in Health and Health Care Services. Identifying and Mapping “Hot Spots” of Low Health Literacy: A Potential Tool to Guide Intervention.

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Book SynopsisThis volume features papers on the theme of issues in health and health care for special groups, social factors and disparities. This includes papers dealing with macro-level system issues and micro-level issues involving special groups, social factors and disparities linked to issues in health and health care. The volume also contains an examination of health and health care issues of patients and providers of care especially those related to special groups and social factors including education, family, income, government, neighborhoods, social networks, health beliefs and attitudes. This includes a focus on links to policy, population concerns and patients and providers of care as ways to meet health care needs of people both in the US and in other countries.Table of ContentsPART I: INTRODUCTION TO VOLUME Special Social Groups and Social Factors - Jennie Jacobs Kronenfeld PART II: SPECIAL GROUPS, WOMEN IN THE MILITARY, AND WOMEN VETERANS Gun Under My Pillow: Health Consequences of the Fear of Assault Among Military Women - Rose Weitz Barriers to Health Care Access and Utilization: A Study of Native American Women Veterans in Two Montana Reservations - Luma Almasarweh and Carol Ward PART III: SPECIAL GROUPS LINKED TO RACE AND ETHNICITY “Your Blood Is Sweet”: The Illness Experience of Southeast Asian Refugees with Type 2 Diabetes - Ethel G. Nicdao, Alixandria Henley and Jeffery C. Peterson Aboriginal Health and Aboriginal Education Are Interconnected - Angela Mashford-Pringle Women Go and Men Stay Home? Gender and the Utilization of Preventive Medical Care Among Asian and Latino Adults - Bridget Gorman, Becky Wade and Alexa Solazzo PART IV: OTHER SPECIAL GROUPS: RURAL RESIDENTS, PEOPLE WITH HIV, LGBT PEOPLE AND ADOLESCENT MOTHERS Contextual, Ecological, and Organizational Variations in Risk-adjusted COPD and Asthma Hospitalization Rates of Rural Medicare Beneficiaries - Thomas T. H. Wan, Yi-Ling Lin and Judith Ortiz The Differential Impact of Social Relationships on Health Outcomes for HIV Positive Men and Women - Sara Legrand, Teresa L. Scheid and Kathryn Whetten Pragmatism, Activism, and Cynicism: Logics of Engagement with Community Action to Improve Lesbian, Gay, Bisexual, and Transgender (LGBT) Health - Amanda K. Damarin, Zack Marshall and Lawrence Bryant Rewriting Life Narratives: Positive Coping Mechanisms in Adolescent Mothers - Neale R. Chumbler, Smitha Ganashen, Colleen O’Brien Cherry, Dawn Garrett Wright and Jennifer J. Bute PART V: OTHER SOCIAL FACTORS: EDUCATION, MARRIAGE, AND JOB STRESS Does Variation in the Extent of Individual Education and Extensiveness of Social Security Policies Affect Health Information-Seeking? - Rania F. Valeeva and Piet Bracke Reconceptualizing Health Lifestyles: The Case of Marriage – Catherine E. Ross, Terrence D. Hill and John Mirowsky The Social Stratification of Job Stress: How Social Structures Create Health Disparity - Mark Tausig and Rudy Fenwick

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Book SynopsisIf you thought you knew about the life of a GP, think again.Let me take you on an unbelievable journey to the truth, through spilt urine bottles, the patients who should have been in hospital months ago, existential crises, utterly unexplainable health problems and awkward silences.This is a job that requires you to be a detective, relationship counsellor, social worker, friend, sex therapist, parent-figure and sometimes, just sometimes, a doctor. Find out why you only get ten minutes with a GP, why you can never see the same doctor, why we are ALWAYS running late and why, despite a struggling system and an almost omnipresent sense of impending doom, I really love my job.

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Book SynopsisThis collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users.. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.Trade Review'With increasing bureaucracy, doctors struggle to take the life pressure [sic] of their patients. This book offers a compelling reflection on the importance of listening to patient stories as opposed to applying chilly algorithms for human care. The authors provide the reader with a lively under-the-rug inspection of street-level medical practice and the turbulent business of managing through bureaucratic demands.' -- Professor Paul Crawford, University of Nottingham, UK'UK general practice is at a precarious crossroads. This book captures the essence of traditional, relationship-based, family doctor care, which is now under threat from a number of forces—not least the technologization of medicine and the inexorable encroachment of algorithmic, if-then decision-making on relational and narrative-based clinical method. At the very least, Shah and Foell have documented the essence of what we risk losing. Perhaps, if their warnings are heeded, they will also succeed in retaining and restoring what they rightly describe as general practice’s “soul”.' -- Trish Greenhalgh'This is an honest dispatch from the frontlines of the conflict between industrializing bureaucracies and the ongoing care of each person. It is a hopeful song for clinicians who, when the algorithm says no, breach the protocol and go the extra mile for each patient.' -- Victor M.Montori, professor of medicine at the Mayo Clinic.'A rich, wonderful, profound and moving book. I was immersed in the many stories and heartfelt, sometimes harrowing, observations. The need to innovatively transform health and social care, and particularly mental health care, by integrating the work of primary care with social care, local councils, voluntary sectors, communities, patients and families is now vital. Written in an authentic and deeply compassionate way, Fighting for the Soul of General Practice provides a broad and comprehensive understanding of the issues and challenges we face.' -- Michael West, Professor of Organizational Psychology, Lancaster University Management SchoolTable of ContentsList of Figures Acknowledgements Prologue Introduction: Standardising General Practice 1. Weaponized Bureaucracy: Bureaucracy as a Source of Injustice 2. Pigeonholes: Medical Categories 3. Guidelines, Tramlines, Mindlines: Interpreting the Evidence 4. Waiting to Connect: Algorithms That Dictate Access 5. Taking Liberties: Regulating the Mental Health Act 6. Passports for Passing: The Bureaucracy of Death 7. A Labour of Love: Why It Is That General Practice Is Still a Good Place to Work 8. Final Reflection – Image Reviewing Conclusion Bibliography Index

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Book SynopsisA WATERSTONES BEST BOOK OF 2023: POPULAR SCIENCEWhat Is a Doctor? is a vital contribution to the ongoing debate about how we maintain an NHS that is both fit for purpose and free. Using stories and case studies from across his thirty-year career as a GP, Dr Phil Whitaker offers insight into the medical movements, political interference and societal changes that have transformed the role of doctor over the past three decades.Much has altered for the better but, even when based on good intentions, an equal or greater amount has been damaging and threatens the sustainability of the NHS. In examining what it means to be a doctor today, this book also answers an accompanying question 'what is a patient?' - and how we can all take a more active role in our healthcare. And, looking forward, Dr Whitaker describes what might yet be done to restore the NHS and its capacity for properly patient-centred care.Trade ReviewA powerful account of what has happened to the bedrock of the NHS, the GP system. Whitaker gives us a series of subtle and graphic stories that illustrate the complexity of the doctor-patient relationship and of modern medical practice at the ground level . . . The book is essential - and highly readable -- HENRY MARSH * * New Statesman * *If the NHS is to survive as a model of health-care for another 75 years, it needs thinkers and champions like Dr Whitaker to challenge policy and to ask how the system can reinvent itself. What is a Doctor? is a call to review, renew and revitalise the way we provide medicine, and to ensure that individualised care remains at the heart of the NHS -- KATHRYN MANNIX, author of WITH THE END IN MINDPhil Whitaker knows the business of being a doctor inside out, and his moving and thought-provoking memoir of how the job has changed is essential reading for anyone interested in the future of the NHS -- DAVID NOTT, bestselling author of WAR DOCTORWith meticulous analysis, deep vocational understanding and a palpable compassion for the human stories at the heart of all this, What Is a Doctor? is an essential intervention in the urgent conversation about the future of healthcare in this country -- POLLY MORLANDFascinating and challenging . . . The book is a page turner and makes a vital contribution to the discussion about the future of doctors and the NHS * * Health Matters * *Calm, knowledgeable, and clear, Phil Whitaker is the GP everyone would like to have, and his prescription for the health service is full of wisdom and kindness. I hope it will be read by everyone concerned about how we care for one another, now and in the future -- GAVIN FRANCIS, author of ADVENTURES IN HUMAN BEING and RECOVERYThis remarkable book shares profound insights into many of the problems facing modern medicine and offers a hopeful way forward - resuscitating the humanity that healthcare desperately needs. Simply brilliant -- SIR DAVID HASLAM, past chair of NICE and author of SIDE EFFECTSIf just one member of the government could be persuaded to read this book, there might be hope for a reinvigorated NHS and for its beleaguered professionals and its worried patients -- IONA HEATH, President of the Royal College of General Practitioners 2009-2012

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Book SynopsisLooking for an OSCE resource directly tailored to Physician Associates? Then the ‘The Ultimate Guide to Physician Associate OSCEs’ is the book for you. OSCEs are one of the key examinations in the medical world and there are limited resources available. As a PA, you are expected to carry out history, examination and procedural skills, this book will allow students to practice against checklists so they can become sleek and brilliant clinicians. Often it isdifficult for students to gauge how OSCEs are marked and how much to cover, therefore this book is intended to fill these gaps by going through practical and essential tips, along with clear and step-by-step checklists for commonly encountered OSCE stations.

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Book SynopsisPharmaceuticals are an essential part of health care, and mainly sourced by companies investing in costly R&D and production at their own risks to make them globally available. However, access for patients in need can be restricted due to insufficient medical resources and/or unaffordability. The dilemma between rewarding innovation with prices in line with value and risks for companies and ensuring affordability for patients or health insurances has become critical for all stakeholders, with political and economic implications. The development of universal health coverage puts pressure on governments to control directly or indirectly reimbursement and prices of pharmaceuticals, whereas the flow of innovations addressing infectious, chronic, and life-threatening diseases, thanks to accelerated scientific progress, is growing constantly.Management of pharmaceutical health care expenditure approach varies according to the historical, cultural, and economic backgrounds that contribute to building each health care system, and companies are confronted with a very complex environment to launch their new drugs and manage their lifecycle until loss of patent. This book explores the different models of health care systems (e.g., Europe, United States, Japan, China) and the criteria and processes for decision making in coverage and pricing of pharmaceuticals. It also provides the analytic tools that are used to inform the decisions, and how market access strategy can be integrated in the product life cycle. Short case studies related to specific disease areas or methods are supporting exposed concepts and methods.This book targets students, industry or insurance stakeholders, and eventually public decision makers: all will find relevant insights and sources to dig deeper into the topic. The content has been developed partially through a teaching program at CEIBS MBA since 2020.

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Book SynopsisME is the most common cause of long-term absence from school. A mild case causes regular absences from education, social life and sport, a severe case leaves a young person housebound or bedbound for years. So why is ME surrounded by a lack of understanding, even within the medical professions? During the three years when her teenage son Chris could not go to school, Merryn Fergusson kept a diary - which here becomes the remarkable and candid story of ME as seen through Chris's eyes and through the experiences of his mother, family and friends. The book also traces the history of ME from the 1930s and the emergence of the medical controversy over CFS/ME. It is a controversy which baffles sufferers and their carers, the tragic consequences of which can be the forcible removal of young people from their homes and families.

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Book SynopsisIn this book, we present medical robotics, its evolution over the last 30 years in terms of architecture, design and control, and the main scientific and clinical contributions to the field. For more than two decades, robots have been part of hospitals and have progressively become a common tool for the clinician. Because this domain has now reached a certain level of maturity it seems important and useful to provide a state of the scientific, technological and clinical achievements and still open issues. This book describes the short history of the domain, its specificity and constraints, and mature clinical application areas. It also presents the major approaches in terms of design and control including man-machine interaction modes. A large state of the art is presented and many examples from the literature are included and thoroughly discussed. It aims to provide both a broad and summary view of this very active domain as well as keys to understanding the evolutions of the domain and to prepare for the future. An insight to clinical evaluation is also proposed, and the book is finished with a chapter on future developments for intra-body robots.Table of ContentsIntroduction xi Chapter 1. Characteristics and State of the Art 1 Etienne DOMBRE, Michel DE MATHELIN and Jocelyne TROCCAZ 1.1 Introduction 1 1.2. State of the art 7 1.3. Conclusion 42 1.4. Bibliography 42 Chapter 2. Medical Robotics in the Service of the Patient 55 Alexandre MOREAU-GAUDRY, Philippe CINQUIN 2.1. Introduction 55 2.2. A cycle of medical service growth 58 2.3. A case study: the ViKY robotic endoscope support system 64 2.4. Conclusion 67 2.5. Bibliography 67 Chapter 3. Inter-operative Sensors and Registration 69 Jocelyne TROCCAZ 3.1. Introduction 69 3.2. Intra-operative sensors 72 3.3. Principles of registration 76 3.4. Case studies 87 3.5. Discussion and conclusion 96 3.6. Bibliography 97 Chapter 4. Augmented Reality 101 Stéphane NICOLAU, Luc SOLER, Jacques MARESCAUX 4.1. Introduction101 4.2. 3D modeling of abdominal structures and pathological structures 104 4.3. 3D visualization system for planning 107 4.4. Interactive AR 108 4.5. Automatic AR 110 4.6. Taking distortions into account 122 4.7. Case Study 124 4.8. Conclusions 129 4.9. Bibliography 130 Chapter 5. Design of Medical Robots 141 Etienne DOMBRE, Philippe POIGNET and François PIERROT 5.1. Introduction 141 5.2. From the characterization of gestures to the design of robots 145 5.3. Design methodologies 157 5.4. Technological choices 165 5.5. Security 167 5.6. Conclusion 171 5.7. Bibliography 172 Chapter 6. Vision-based Control 177 Jacques GANGLOFF, Florent NAGEOTTE and Philippe POIGNET 6.1. Introduction 177 6.2. Sensors 183 6.3. Acquisition of the measurement 193 6.4. Control 216 6.5. Perspectives 224 6.6. Bibliography 225 Chapter 7. Interaction Modeling and Force Control 233 Philippe POIGNET and Bernard BAYLE 7.1. Modeling interactions during medico-surgical procedures 233 7.2. Force control 243 7.3. Force control strategies 244 7.4. Conclusion 263 7.5. Bibliography 263 Chapter 8. Tele-manipulation 269 Bernard BAYLE and Laurent BARBÉ 8.1. Introduction 269 8.2. Tele-manipulation and medical practices 271 8.3. Tele-manipulation with force feedback 278 8.4. Bibliography 298 Chapter 9. Comanipulation 303 Guillaume MOREL, Jérôme SZEWCZYK and Marie-Aude VITRANI 9.1. Introduction 303 9.2. General principles of comanipulation 309 9.3. Serial comanipulation: intelligent active instrumentation 316 9.4. Parallel comanipulation 331 9.5. A human in the loop 343 9.6. Bibliography 346 Chapter 10. Towards Intracorporeal Robotics 351 Etienne DOMBRE, Nicolas CHAILLET and Michel DE MATHELIN 10.1. Introduction 351 10.2. Mini-manipulators/tele-operated instrument holders 352 10.3. Robotized colonoscopes and autonomous capsules 357 10.4. Active catheters 362 10.5. Evolution of surgical robotics 366 10.6. Additional information 386 10.7. Bibliography 388 Conclusion 397 Notations 399 Medical Glossary 401 List of Authors 407 Index 409

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Book SynopsisThe overall incidence of meningiomas, particularly in the developed countries, is rising due to a growing size of the aging population, with people living longer and enjoying healthier lives than ever before. Additionally, an increased utilization of imaging studies such as computer tomography (CT) and magnetic resonance (MR) for routine evaluation of closed head injuries, paranasal sinus problems and various non-specific neurological symptoms, ranging from headaches to dizziness, has contributed to enhanced detection of incidental meningiomas. The book contains the most up-to-date information in all matters related to meningiomas, and is written by multiple contributors - internationally recognized experts in their respective fields from Asia, USA and Europe. This is an essential reference guide to neurosurgeons and neurologists (in training and in practice), as well as medical libraries, throughout the world. Trade ReviewFrom the reviews: "The purpose of this book is to teach young neurosurgeons how to recognize, investigate, and operate upon meningiomas in diverse locations. Neurosurgeons, neurologists, neuro-interventionalists, and radiologists are the main audience for this book. … This is an excellent book for neurosurgeons, ENT surgeons, oncologists, neuro-oncologists, radiologists, and neurologists." (Celso Agner, Doody’s Review Services, January, 2009)Table of ContentsI GENERAL INFORMATION: Historical Perspective.- Epidemiology.- Meninges: Embryology.- Pathology.- Natural history, growth rates, recurrence.- II DIAGNOSTIC CONSIDERATIONS: Diagnostic radiology I: CT, MRI, Angio.- Diagnostic radiology II: Nuclear med, MRS, PET.- Lesions mimicking meningiomas.- Interventional radiology: Angio, embolization.- Neuro-ophthalmological evaluations.- III BASIC SCIENCE: Meningioma tumorigenesis: Review of basic science.- Meningothelial meningiomas.- Meningiomas of the central neuraxis.- Future treatment modalities I: Targeting the NF-2 & Ras Pathways.- Future treatment modalities II: Gene Therapy in meningiomas.- IV MANAGEMENT: Management options and principles.- Surgery: General principles.- Surgical adjuncts I: Endoscopy in meningioma surgery.- Surgical adjuncts: Image guided/CAS.- Seizures associated with meningiomas.- V ADJUNCT TREATMENT MODALITIES: Recent advances in therapeutic radiation.- Conventional RT for meningiomas.- Gamma Knife Radiosurgery.- Linear Accelerator Radiosurgery.- Brachytheraphy.- Medical therapy.- VI SURGICAL OUTCOME IN MENINGIOMA SURGERY: The factors influencing outcome in meningioma surgery.- The influence of co-morbidity and age in meningioma surgery outcome.- The influence of the tumor location, size and preoperative neurological symptoms in meningioma surgery outcome.- VII PATIENT SELECTION FOR SURGERY: THE ‘CLASS’ ALGORITHM: ‘CLASS’ algorithmic scale for surgical decision making: Rationale and design.- Validity of the ‘CLASS’ algorithmic scale: A retrospective study.- Utility of the ‘CLASS’ algorithmic scale: A prospective study.- VIII MENINGIOMAS BY LOCATION: PRESENTATION, SPECIAL CONSIDERATIONS, SURGICAL TECHNIQUE, OUTCOME: Convexity.- Parasagittal.- Falcine.- Olfactory groove/Planum spenoidale.- Tuberculum sella.- Clinoidal.- OpticSheath: Aggressive.- Optic Sheath: Conservative.- Lateral and middle sphenoid wing.- Orbitosphenoid.- Cavernous sinus: Aggressive.- Cavernous sinus: Conservative.- Temporal bone.- Petroclival: Aggressive.- Petroclival: Conservative.- Petrous.- Clival/Foramen Magnum.- Cerebellar convexity.- Tentorial.- Torcular/transverse & sigmoid sinus.- Pineal.- Ventricular.- Jugular foramen.- Paranasal sinuses.- Pediatric.- NF2/multiple.- Spinal.- IX MISCELLANEOUS: Meningioma surgery: Personal philosophy.- Functional improvement in meningioma surgery.- The rationale for surgery in young patients with small meningiomas.- Dural reconstruction.- Cranial reconstruction.

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Book SynopsisScientifically based overview of the state-of-play in musculoskeletal medicine Inexpensive, quick and easy reference for primary care physicians looking to be informed on the subject and able to refer patients to the right specialist Trade ReviewFrom the reviews: "This book offers a fresh perspective of musculoskeletal medicine grounded in scientific concepts, and presents logical models for understanding both acute and chronic pain mechanisms. … this book also tackles some controversial topics, separates fact from fiction, and proffers references for further reading. There are 15 chapters citing 60 references. … I thoroughly enjoyed reading this book in its entirety. Though pocket-sized, it packs an honest punch, with thought provoking perspectives on the limitations and management of musculoskeletal conditions." (James Inklebarger, Journal of Orthopaedic Medicine, Vol. 28 (1), 2006) "This is a very short overview of the therapeutic limitations and indications of what the author calls musculoskeletal medicine. … The different manual treatment systems … are briefly discussed. It is apparent from further reading that this booklet is intended to reach general practitioners." (S. Geens, Acta Orthopaedica Belgica, Vol. 72 (1), 2006) "J. K. Paterson, lately president of the British Association of Manipulative Medicine, has published a short, elegantly written, pocket-sized treatise on a huge subject. … I am unsure as to whom, or to which grade of which specialty this delightful book is addressed. I have come to the conclusion that all of us would benefit hugely from reading this inexpensive but profoundly thoughtful monograph. … the messages are transparently clear, careful and wise – a valuable pocketful." (M. Laurence, Journal of Bone and Joint Surgery, Vol. 88-B (3), 2006)Table of ContentsWhat Is Musculoskeletal Medicine?.- The Scientific Bases of Musculoskeletal Medicine.- The Patient’s View of Musculoskeletal Medicine.- The Doctor’s View of Musculoskeletal Medicine.- The Economics of Musculoskeletal Medicine.- Teaching Musculoskeletal Medicine.- Headache and Migraine.- Neck Pain.- Shoulder and Arm Pain.- Chest Pain.- Lower Trunk Pain.- Pelvic Pain.- Leg Pain.- Will Musculoskeletal Medicine Work?.- The Future of Musculoskeletal Medicine.

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Book SynopsisThe book emphasises the collaborative relationship with the patient, explaining the nature of the problem and working out a treatment plan. At the end of each chapter there are useful lists of references and recommended further reading, including leaflets and other useful information for patients. There also many helpful appendices on subjects such as self-help for anxiety, coping with panic attacks, deep muscle relaxation, and Masters and Johnson therapy. Not only does this book describe a form of therapy, but it also enters the debate on the reorganisation of mental health services, advocating A model where a clinical psychologist practitioner is part of the primary health care team.'- International Journal Of Psychiatry In Clinical Practice'This is a good resource book, giving information about materials ranging from a CD-ROM on enuresis to contracts for British Airways fear-of-flying courses. On balance, I would say buy it for all your primary carers.'- Clinical Psychology Forum'This is a very readable and useful text... a wonderful introductory text for those new to the technique, and offers a basic framework for practice and source of reference for those specialising in other techniques. There are many gems within the book, which is written by a GP and a clinical psychologist... well structured, makes good use of cross-referencing, and contains additional material in the appendices. The book also includes a useful list of contact addresses, suggested further reading and a comprehensive index.'- Mental Health Care'A well organised and coherent presentation of Cognitive Behavioural Therapy applied in primary care...the authors have managed to include anxiety, depression, habit and appetite, as well as sexual and relationship problems. Each problem is extensively explored with provision of examples of contracts and clear stages of progression through treatment. A chapter also covers problems of childhood and adolescence, which sensitively and clearly explains approaches to bed-wetting, nightmares and sleepwalking as well as tantrums and feeding difficulties. Cognitive Behavioural Therapy is shown to provide clear and positive guidelines for both parents and health workers. This is a valuable book providing both extensive and consistent guidelines for the primary care worker and other professional groups.'- Psychotherapy and CounsellingDespite increased recognition of the importance of psychological factors in the treatment of physical illness there have been surprisingly few practical guides published on the subject of behavioural therapy in primary care. In 1986, in response to this need, Richard France and Meredith Robson created a practical manual for those with limited time at their disposal, who still wish to use behavioural methods with their patients or clients. Ten years on, 'Behaviour Therapy in Primary Care'(originally published by Chapman and Hall) has become a well established and highly thought of work within this field. In this new and updated guide the authors have incorporated recent research in the area of cognitive behaviour therapy, including:* advances in the general field of cognitive behaviour therapy* fundamental changes in certain established problem areas, such as sexual and marital therapy* additional work in 'core' areas, such as anxiety and depression* work in problem areas that have recently come to the fore, such as post traumatic stress disorder, HIV and stillbirth/abortion trauma.France and Robson explore a great diversity of issues within this practical guide, creating a reference work that will be indispensable to those needing a comprehensive introduction to this developing field.Table of ContentsPART 1 METHODS. Introduction 2. Services and Organisation 3. Assessment 4. Data Collection and Monitoring 5. The Basic Concepts of Intervention PART 2 PROBLEMS 6. Anxiety and Related Disorders 7. Relationship and Sexual Problems 8. Disorders of Habit and Appetite 9. The Management of Depression 10. Cognitions and Behaviour in Health Care 11. The Management of Specific Medical Problems 12. Problems of Childhood and Adolescence 13. Study and Employment 14. Problems of Later Life.

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Book SynopsisWhat are primary health care sciences? In this state-of-the-art synthesis of current knowledge, the phrase broadly encompasses the discovery, creation, accumulation and refinement of knowledge pertinent to primary health care. Jane Sims has brought together representatives from the various professions to give their unique perspectives on the current trends in primary health care in a discourse which will provide stimulating reading for all those who wish to improve their understanding of contemporary issues in this field. A number of themes run through the book. The first two chapters review the historical background of primary care and the organisational changes that have occurred in the last two decades. The following four chapters deal more closely with professional and service issues arising from the various policy changes. The next three chapters discuss a number of novel approaches to the promotion of efficient care giving, and how the patient is increasingly an active partner in, rather than a passive recipient of, such innovations. Taking up an issue arising from earlier chapters, the concluding chapter considers the impact of a changing health service on the educational needs of primary health care professionals, using GP education as an exemplar.Table of ContentsPrimary care in context. The organisational development of primary care. Nursing: responding to the primary care led NHS. Promoting interpersonal collaboration: the multidisciplinary face of primary health care. Pharmacy and primary health care. Primary mental health care. Service innovations at the primary-secondary interface: the example of hospital at home. Primary care information technology. The patient perspective. Education for the 'new' NHS. The way forward.

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Book SynopsisContinuing professional development in the mainstream manual therapies: physiotherapy, osteopathy and chiropractic, is now a mandatory requirement to ensure continued registration with the relevant professional body. All the professional registration bodies identify the importance of continuous self-directed learning and learning with others. This workbook can be a practical tool in identifying areas for further study and once completed, will form a valuable part of the therapist's continuing professional development portfolio. This workbook is divided into sections, each dealing with a different aspect of the consultation process, covering the general observation of the patient, aspects of the case history, physical evaluation and specific systemic examination procedures, enabling the practitioner to reflect upon their personal differential diagnostic criteria for both medical disease and musculoskeletal dysfunction.Table of ContentsGeneral Observation of the Patient; Aspects of the Case History Process; Evaluation; Specific System Examination; Sample Answers.

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Book SynopsisUrology is a speciality that notoriously receives little attention in medical school, yet it makes up a sizeable portion of the workload in emergency departments and also in primary care. Urological emergencies can often be managed simply but require the appropriate knowledge and skills. Emergency urology is often covered very superficially alongside general surgery or in excessive detail within voluminous urology textbooks. This book is different: it will consist of concise, well-structured chapters, with an accessible and easily digestible style. The content will be clinically-based and will include a number of clinical photographs and radiological investigations. This book will appeal to all doctors, including those rotating through surgical and emergency medicine specialities, and those clinicians approaching professional examinations worldwide. Medial students on urology or emergency medicine placements, who are studying for their exams will also find it invaluable. In addition, primary care doctors, speciality nurses in urology and nurses in emergency department may also appreciate the clinically relevant content of the book. The authors are all dedicated to education and teaching, and have published extensively. In addition, they run a successful emergency urology course in Cambridge, popular with clinicians and senior students alike.

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Book SynopsisTime to Heal tells the story of the colourful life of a country doctor towards the end of his career. In turn shocking, sad and funny, they describe a doctor who feels poorly served by the conventional medicine of his time and finds new ways to relieve the suffering of his patients. This tale has a twist. Twenty-first century General Practice and its patients have been betrayed by top-heavy regulation, performance management and a blame culture. Young doctors no longer want to enter General Practice. The author explores why and how pandemics might provide the answers. ‘A fascinating look into life as a village doctor, with observations so profound it seamlessly becomes a thesis on humanity as a species. The local GP, not only a potential lifesaver but also a constant and friend in these ever-changing, isolated times has never been more needed. A beautiful and moving book.’ – Lady Sophie Windsor (nee Winkelman), Actress ‘A wonderful book, full of fascinating, engaging and timely stories. Michael Dixon reminds us of the importance of human medicine and the way in which communities can create health. He concludes with a new vision for health which blends the best of the past with the latest technology and science - and which will help us cope better with future pandemics.’ – Lord Nigel Crisp, Former Chief Executive and Permanent Secretary at the Department of Health ‘Time to Heal describes very human stories – entertaining, thought provoking, and eminently readable, whilst woven through the text is the insight that general practice is the human face of medicine.’ – Sir Denis Pereira Gray, Former Chair and President, Royal College of General Practitioners

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Book SynopsisPatients with mental health issues present frequently in primary care and their consultations are often more challenging and time-consuming than those involving physical illness. For many patients there remains a significant stigma associated with mental ill-health and overcoming this adds further complexity to the consultation. Improving the Mental Health Consultation provides a simple ‘short circuit’ tool to help GPs and other healthcare professionals to explain mental health problems simply and effectively to their patients. The tool is straightforward, easy to convey within the confines of a 10-minute consultation and extremely effective in helping to break down the stigma that patients often feel. The tool has been developed and refined during over ten years of consultations in primary care. The detailed explanations of how to use the tool during the consultation, along with the extensive case studies, will help you to improve your mental health consultations and so help your patients deal better with their diagnosis. From anxiety to OCD and chronic fatigue to fibromyalgia, the book also provides detailed coverage of diagnosis and classification using ICD-11 and DSM-IV, and management using the latest NICE guidelines.Trade ReviewPre-publication review This book introduces a new consultation tool 'The Short Circuit' and makes a bold claim for it. But I think the author might be right: ‘Helping a patient understand a complex concept in a short time is difficult...[using this tool] your consultations will become quicker and more rewarding and the patient will be able to overcome any stigma leading them to a healthier understanding of mental health and able to engage better with any treatments.’ The style of the book is accessible and engaging and draws on the author's experience as a GP … As such it is forged in the fire of rapid-paced frontline care for patients, but brings a thoughtful, reflective response. Please read it. Your patients will benefit and, quite possibly, you will too. -- Professor Kay Mohanna FRCGP MA EdD, Professor of Healthcare Education, University of WorcesterAn important book ‘This is an important book from a doctor's point of view and helpful from a patient's perspective. Developing patter, Short circuit theory - all these things can help a trainee or even already qualified doctors to create their own way of approaching mental health - helped me see mental health as a pathology like any other disease. I sure would recommend it.' Amazon reviewer Table of ContentsPreface; Acknowledgements Chapter 1 Introduction 1.1 Mental health – the issue and a solution 1.2 The global Covid-19 pandemic Chapter 2 The short circuit theory 2.1 The 'short circuit' as a description of mental health disorders 2.2 The symptoms of the short circuit 2.3 The problem of insight 2.4 The three Ps: personality, pressure and pathology 2.5 The three Ps: patient assumptions vs. actual cases Chapter 3 The short circuit as a tool: a practical approach 3.1 Mental health problems 3.2 When to use the short circuit tool 3.3 Using the short circuit tool in a consultation 3.4 Summary 3.5 Worked examples Chapter 4 Mental illnesses in detail 4.1 Focus on anxiety 4.2 Focus on depression 4.3 Focus on OCD Chapter 5 Physical illness with mental health connections 5.1 Focus on physical symptoms 5.2 Fibromyalgia 5.3 Irritable bowel syndrome 5.4 Chronic pain syndrome 5.5 Chronic fatigue syndrome Chapter 6 Treating the patient 6.1 Treating the patient 6.2 Treatment modalities 6.3 Dealing with pressure 6.4 Cognitive behavioural therapy 6.5 Pharmacological treatments Chapter 7 Summary

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Book SynopsisTime to Heal; Tales of a Country Doctor tells the story of the colourful life of a country doctor towards the end of his career. In turn shocking, sad and funny, they describe a doctor who feels poorly served by the conventional medicine of his time and finds new ways to relieve the suffering of his patients. This tale has a twist. Twenty-first-century General Practice and its patients have been betrayed by top-heavy regulation, performance management and a blame culture. Young doctors no longer want to enter General Practice. The author explores why and how pandemics might provide the answers.Trade Review"Dixon's passion for the role of a family doctor in 'healing' the pain and suffering of others shines through via colorful, moving tales of caring for patients and families within the context of the local community. He brings out the magic of general practice, underpinned by the trusted bond between doctor and patient, but also shows how this has been eroded over successive political and organizational changes within the NHS. This honest and heartfelt account ends with an impassioned plea to resurrect the quintessential values of the GP within a modern context and in turn 'restoring humanity to medicine.'" -- Chaand Nagpaul CBE, chair, Council of the British Medical Association "A wonderful book, full of fascinating, engaging, and timely stories. Dixon reminds us of the importance of human medicine and the way in which communities can create health. He concludes with a new vision for health which blends the best of the past with the latest technology and science-and which will help us cope better with future pandemics." -- Lord Nigel Crisp, former chief executive and permanent secretary at the UK Department of Health "A fascinating look into life as a village doctor, with observations so profound it seamlessly becomes a thesis on humanity as a species. The local GP, not only a potential lifesaver but also a constant and friend in these ever-changing, isolated times, has never been more needed. A beautiful and moving book." -- Lady Sophie Windsor (nee Winkelman), actress "Time to Heal describes very human stories-entertaining, thought provoking, and eminently readable, whilst woven through the text is the insight that general practice is the human face of medicine." -- Sir Denis Pereira Gray, former chair and president, Royal College of General Practitioners "Captures the art of the possible by demonstrating that when the focus of our doctors is working with communities to define health priorities and solutions to health problems, we tap into local skills and expertise that surpass the realms of medicine and science and define care that is right for the people." -- Dame Donna Kinnair, chief executive, Royal College of Nursing

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Book SynopsisIn 1986, Susan Campbell made the chance discovery of a hitherto unknown garden diary. She spent the next 35 years researching its background before writing this book. The diary was written between 1838 and 1865 by the father of Charles Darwin, Doctor Robert Darwin and after his death in 1848 it was continued by his sister, Susan. It describes the horticultural and domestic activities at The Mount, a large house with extensive, beautiful gardens and pastures on the banks of the River Severn, in Shrewsbury. It was the home of the Darwin family from 1800 until Susan's death in 1866 and, in 1809, it was Charles's birthplace. Apart from revealing that Doctor Darwin made his garden available for several of Charles's early horticultural experiments (1838-1841) the diary describes all the plants that grew in this garden, whether ornamental and exotic, utilitarian or edible, as well as the keeping of cows and pigs, the exchanges of plants with neighbours and family, and occasional events of local importance.

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Book SynopsisOver ten percent of people infected with the COVID virus will suffer with long COVID syndrome. Up until now, more than one million people have been affected with this syndrome in the United Kingdom alone, and the incidence worldwide is estimated to be more than 35 million people, although this may be the tip of the iceberg. The World Health Organization has highlighted a need for the three Rs -- Recognition, Research and Rehabilitation. Long COVID syndrome can be frustrating and disabling, even many months or years after the infection; sufferers complain of fatigue, pain, post-exertional malaise, cognitive dysfunction and many other systemic symptoms. It can be challenging for healthcare professionals to recognise the disease and for patients who are suffering from the condition it can have a wide and far-reaching impact on their lives and day-to-day activities. Being a relatively new condition, many healthcare professionals, now more than ever, need to have the requisite knowledge to recognise and manage this severely debilitating disease. This book will be useful to all frontline healthcare professionals to help diagnose, manage and direct patients to the available resources. General practitioners, physiotherapists, pain therapists, nurses, surgeons, physicians, junior doctors, psychologists, medical students and other clinicians will be able to update their knowledge on long COVID syndrome with this easy-to-read book. Patients will also find the book useful to understand the basis of the disease and how they can seek help. This comprehensive treatise covers a wide variety of topics on long COVID syndrome including the aetiopathogenesis, recognition, systemic involvement, investigations, guidelines on management, available resources, systemic management and pain/fatigue management. This book will be handy for candidates preparing for various examinations conducted by the Royal College of General Practitioners, UK (MRCGP), Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZCA), World Institute of Pain (FIPP/CIPS), National Board of Examinations of India (Dip NB), and the American and Canadian board examinations, as well as other examinations conducted by medical boards across the globe. The author is a consultant in pain medicine who has published extensively on various topics and specialises in treating long COVID patients. He has written many textbooks in the fields of anaesthesia and pain, and conducts regular examination courses attended by candidates from all over the world. He is also a regular invited lecturer on the specialist subject of long COVID syndrome.

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Book SynopsisIn an interesting survey amongst doctors, fibromyalgia was considered the least prestigious disease. Although this survey was done in a Scandinavian country and was done more than 13 years ago, the grim situation is still the same today all over the world. Patients suffering with fibromyalgia feel that they are not believed and they are not listened to. Despite knowledge being gathered on this disease for a few centuries, and having definite diagnostic criteria and management pathways, the healthcare system still fails many patients who are left without a diagnosis or treatment plan. Fibromyalgia is a disease that causes widespread pain in many areas of the body and has significant accompanying symptoms like fatigue, waking unrefreshed and cognitive symptoms. Fibromyalgia affects patients as a whole including their cognitive performance, physical skills, psychological status, ability to work and social life. It can present as a part of the spectrum of functional pain syndromes, often accompanied by other systemic conditions such as irritable bowel syndrome, headaches and chronic fatigue. It is estimated that 1 in 20 can suffer with this debilitating condition. This textbook will cover the condition in great detail and is written in an easy-to-understand style. Doctors, nurses, medical students, physiotherapists, occupational therapists, psychologists, and other healthcare professionals will find this book informative. Patients who suffer from fibromyalgia will also find it useful to understand their medical condition; the book will help to direct them to specific treatment strategies, explaining the benefit and risk in detail. As this is a common chronic pain presentation, it will be of immense use to candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), American Board of Anesthesiology (AB), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZA), World Institute of Pain (FIPP/CIPS), Canadian Board exams, National Board of Examinations of India (Dip NB) and other competitive exams across the globe. The author is a senior consultant in pain medicine practising in the United Kingdom and is consulted by thousands of chronic pain patients every year. He has won many educational awards including a national innovative award in pain medicine. One of his innovations is published in the list of examples of excellence by the Faculty of Pain Medicine, London. He has lectured at many international, national and regional meetings, and is a regular invited expert lecturer in public groups and fibromyalgia patient support groups. He has also published many articles and textbooks on pain medicine.

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Book SynopsisThis book describes key skills that allow us to thrive both at work and in our personal lives. Making time to boost our wellbeing is realistic and achievable, and making small changes in key life areas can have a surprisingly significant impact on mood. Key Features: Practical guidance to combat stress and burnout in primary care 10-minute techniques, to fit in with busy lifestyles Features, CBT, Mindfulness and Behavioural Action techniques Working in primary care can be stressful and exhausting and our connection is easily broken with the aspects that made it rewarding and worthwhile. Once broken, it is all too easy to slip into a negative spiral of over-working, failing to switch off, and not spending enough time on rest and recuperation. The book introduces six GROWTH steps, all possible in 10 minutes. These are based on techniques such as CBT, mindfulness and behavioural activation, that help lead to positive mental health and significantly improved wellbeing. The first half of the book includes exercises and activities to help you practise and learn more about each of the GROWTH steps. The second half then focuses on applying the steps to some of the common difficulties that we all experience in primary care, such as: overcoming low mood, low motivation and burnout coping with anxiety, uncertainty and worry, especially if you are training, taking exams or simply feeling overwhelmed managing change and loss The book can help you avoid imposter syndrome, strengthen important relationships, navigate tricky encounters, and cope better with trauma and complaints. The book cannot remove all the stress that comes from working on the front-line, but it does offer you simple practical help to manage stress much better by boosting your resilience and improving your coping strategies. And it only needs to take 10 minutes a day!Trade ReviewVery engaging, helpful and an easy read! ‘A practical book which allows its readers to digest information in small steps and take the useful tips provided and apply them in our working days. A great read for healthcare professionals like myself!' Amazon reviewerReminded me of why I became a GP ‘This book is tailor-made for primary care health professionals. A lot if it may be stuff that deep down we know or think we know (!) but it is beautifully laid out and a wonderful reminder of the importance of reflecting on core values, future goals, things to be grateful for and self-care to help promote our wellbeing in an ever changing and challenging NHS. It is a book which will equip you to look after yourself and your patients. Like Lee David's 10 minute CBT book I will be coming back to this repeatedly as a reference for myself and to pass on the tips to help others.' Amazon reviewer Thoughtful, handy and an important tool for busy, dedicated GPs ‘If the conundrum is "How do GPs learn to look after themselves?" then what is the answer? As a full-time NHS GP Partner for over 25yrs, I still feel very invested in this question. Reading the book has given me fresh insight into how to protect my emotional well-being, faced with the constant pressure of full-time clinical practice in a busy urban setting. The first problem is, how does one identify, define or quantify the pressure we face? It is insidious yet glacial; amorphous yet cumulative. But the strange truth is that even as highly-trained professionals, the very skills we use every day with patients, to provide incisive and authoritative care, empathy and compassion, are not so easily applied to ourselves. So my main surprise takeaway lessons are that a little bit of practice stepping back to re-frame the problem - engaging a 'wise mind' - enables me to give of my best to patients whilst also caring better for myself as a GP (and that self-compassion really is all that it is cracked up to be); and that taking micro-steps in a positive direction may be all that is required to achieve meaningful change over time. Change may indeed be needed in personal, organisational and political spheres, and in my own career NHS pressures have never felt greater than they do now. But I would urge all front-line GPs to do yourself a big favour and read this book: strip back some of your old habits and thought processes, adopt some simple new techniques, and learn to care for yourself: it is important and actually not that difficult. And nobody is going to offer to do this for you!' Amazon reviewer Clear, concise, life-changing ‘As a specialist in this field I found this book refreshingly clear and easy to read, and jam-packed with great evidence based tips and tools to make your life a bit less stressful There’s so much packed in, but in a way that can be easily digested, reused, worked through, dipped in and out of in simple 10 minute chunks… I wish I’d had this book years ago to help me with my own well-being as a doctor.' Amazon reviewer Practical toolkit for those pressed for time. Drawn from a range of psychological approaches. ‘The NHS is currently under a lot of pressure and staff are feeling the strain. The reality of working in the NHS (particularly during the COVID-19 pandemic) was also traumatic for many professionals. While systems need to change, there are things we can all do to manage our stress and help take the edge off. This is an excellent book which includes some very useful and proven techniques from a variety of psychological approaches including traditional Cognitive Behavioural Therapy and third wave approaches (more rooted in mindfulness and acceptance) such as Acceptance and Commitment Therapy, Dialectial Behavioural Therapy and Compassion Focused Therapy. The latter approaches may be particularly more useful than traditional CBT to develop psychological flexibility, cultivate self-compassion and help manage difficult emotions in the context of working in a highly stressful environment. The book has some useful skills from these different therapeutic models and something for everyone to take away and practice. There is also a section specifically covering some very common reactions to difficult or traumatic events. The book is well structured and easy to follow for those who are pressed for time.’ (By James Pittman - Trainee Clinical Psychologist) Amazon reviewer A must for all healthcare professionals ‘An extremely useful book for anyone in the caring profession, working in the NHS in the current climate is an incredibly stressful time for many people. This book shows ways in which to deal, and cope with day to day difficulties and provides support and exercises to really boost your mental wellbeing.’ Amazon reviewer An excellent book ‘I would highly recommend it for anyone working in healthcare (or anyone working with people!) The chapters are engaging and designed to work through with thought and consideration to meet your own personal circumstances. It certainly helped me feel rebalanced.’ Amazon reviewer A must read for health professionals and anyone experiencing stressful work and life situations ‘I was recommended this book by a healthcare colleague who had found it life changing in helping her to manage her stressful NHS role. As a CBT and ACT therapist I was curious to see what the authors had to contribute to the area of workplace stress, as it has been an increasing issue for many of my clients and colleagues. What I particularly liked about the book was the easy to understand GROWTH model, which was explained in bite-sized pieces making it simple to apply to the individual's particular situation and priorities. The authors have comprehensively included well researched, tried and tested strategies that have been proven to work, in a format that is easy to follow with relatable vignettes to bring the content to life. I have found the book easy to use both personally and as a therapist with my clients from all walks of life. It helps you to reflect and evaluate what is important to you and how to work towards living the life you would like amidst all the busyness and challenges. I would recommend it to both healthcare professionals and anyone finding their work stressful or struggling with the demands of modern living - a real treasure trove of a book.' Amazon reviewer Table of ContentsAcknowledgements; About the authors; Introduction PART I Chapter 1 Follow your inner Guide 1.1 What do we mean by your inner Guide? 1.2 Finding your values 1.3 Living your values 1.4 Recognising your needs 1.5 Purpose and meaning 1.6 Personal qualities 1.7 Troubleshooting finding your inner Guide Chapter summary: using your Guide Chapter 2 Ready for Action 2.1 The importance of taking action 2.2 What is taking action? 2.3 From values to actions 2.4 Are you living according to your values? 2.5 Plans, goals and actions 2.6 What gets in the way? 2.7 Taking a Towards step 2.8 Planning for the long term Chapter summary: Ready for Action Chapter 3 Open and Observe 3.1 Open and Observe skills 3.2 Observe this moment: notice the ‘NOW’ 3.3 Finding flow 3.4 Flexible attention 3.5 Practising mindfulness 3.6 Practising your Open and Observe skills 3.7 Understanding our reactions 3.8 Stepping back and making space 3.9 Finding enjoyment and contentment Chapter summary: Open and Observe Chapter 4 Wise Mind 4.1 What is Wise Mind? 4.2 We are not our thoughts 4.3 Thoughts and emotions 4.4 Negative thinking patterns 4.5 Let go of the struggle 4.6 ‘Defuse’ from unhelpful thoughts 4.7 Wise choices 4.8 Support and encouragement 4.9 Repetitive and intrusive thoughts Chapter summary: Wise Mind Chapter 5 Thrive and Balance 5.1 The impact of stress 5.2 What is stress? 5.3 Factors influencing stress 5.4 Stress, pressure and performance 5.5 Coping with stress 5.6 Three circles model of emotions 5.7 The role of self-compassion 5.8 Developing self-compassion 5.9 Balancing the circles Chapter summary: Thrive and Balance Chapter 6 Healthy Life Habits 6.1 What are Healthy Life Habits? 6.2 What gets in the way? 6.3 Finding motivation to change 6.4 Physical activity 6.5 Healthy eating habits 6.6 Healthy sleep habits 6.7 Other unhealthy habits 6.8 Caring for physical health 6.9 Overcoming unhelpful life habits 6.10 GROWTH skills for healthy life habits Chapter summary: Healthy Life Habits PART II Chapter 7 Personality traits and traps 7.1 Personality traits: strengths and vulnerabilities 7.2 Unhealthy perfectionism 7.3 Imposter syndrome 7.4 The ‘chronic hero’: excessive responsibility and guilt Chapter summary: Personality traits and traps Chapter 8 Low mood 8.1 Recognising low mood 8.2 When low mood becomes depression 8.3 What are the causes of low mood? 8.4 Different responses to the same situation 8.5 The route out of the swamp 8.6 Activity diary 8.7 Keeping it going 8.8 Managing negative thinking Chapter summary: Low mood Chapter 9 Anxiety and uncertainty 9.1 What is anxiety? 9.2 Are you struggling with anxiety? 9.3 Why do we have anxiety? 9.4 Anxiety is not dangerous! 9.5 Anxious mind visitors 9.6 Anxiety and Away actions 9.7 Uncertainty in primary care 9.8 GROWTH skills to cope with anxiety and uncertainty Chapter summary: Anxiety and uncertainty Chapter 10 Connecting and communicating 10.1 The importance of connection 10.2 Personality traits and relationships 10.3 Relationship circles 10.4 Strengthening important relationships 10.5 Expanding relationship circles 10.6 Social and performance stress 10.7 What gets in the way? 10.8 Communication and managing conflict Chapter summary: Connecting and communicating Chapter 11 Surviving significant events 11.1 Coping in hard times 11.2 Experiences of trauma 11.3 Loss and grief 11.4 Moral distress and injury Chapter summary: Surviving significant events Chapter 12 Putting it all together 12.1 Where are you now? 12.2 Recapping the GROWTH steps 12.3 Future forward plan Glossary of key terms; References and further reading; Support for health professionals

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Book SynopsisThis book covers the most common conditions seen in an out-of-hours primary care or urgent medical care setting. The new edition also covers managing abnormal blood test results.

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Book Synopsis‘I tried to contact my own GP last week. I counted 19 redials and 20 minutes on hold before I was able to speak to a receptionist… only to be told that all the appointments for the day had gone. My experience echoes a familiar tale told up and down the country, but just why is it that you can’t see your GP anymore? This book provides some answers to that question…’ UK general practice has reached crisis point. The impact of the Covid-19 pandemic has placed a strain on an already crumbling primary care service, leaving both patients and NHS staff struggling. Seventy-five years after the NHS was created, Dr Ellen Welch lifts the curtain on general practice. She looks back on the history of the profession exploring how the job has changed– particularly since the pandemic – then ahead to what the future of general practice might look like. Why Can’t I See My GP features personal accounts from practicing GPs, including Dr Aman Amir, whose surgery was subject to an arson attack; GP leaders Dr David Wrigley, Dr Lizzie Toberty and Dr Paul Evans, alongside commentator Roy Lilley, and bereaved husband Chris Milligan. Those on the frontline try to answer the question: how did we get here? Is it better overseas? And what can be done to make things better for us all in the future? If you’ve ever found yourself frustrated by the length of time it took to get a GP appointment, then this book is for you.Table of ContentsForeword Dr Amir Khan Acknowledgements Introduction Dr Ellen Welch Chapter 1 A brief history of NHS general practice Ellie Philpotts with Dr Ellen Welch – A brief history of NHS general practice Roy Lilley – Gone 16 Dr Eric Rose – The history of out-of-hours GP services Dr David Wrigley – NHS GPs aren’t private companies Chapter 2 How the role has changed Dr Christine Hunter with Dr Ellen Welch – Thirty years as a Cornish GP Dr Louise Hyde – The magic of general practice Dr Ayan Panja – Expert generalism – the power, the magic and the pitfalls Chapter 3 GPs and the pandemic Dr Neena Jha – Being a GP during the pandemic Dr Aman Amir – Rising levels of abuse towards GPs Chris Milligan – The personal toll of being a GP Dr Elizabeth Croton – GPs are not lazy, we’re working harder than ever Chapter 4 What does a GP do in today’s Britain? Dr Lizzie Toberty – On the pressures Dr Catriona McNicol – On home visits Dr Ellen Welch – On remote working Dr Paul Evans – On workload caps Dr Lizzie Toberty – On pay restoration Dr Zainab Batool – On the 10-minute consult Ron Templeton – What do the patients think? Chapter 5 Does it work better elsewhere? Dr Neil Barnard with Dr Ellen Welch – Anywhere is better than the NHS Dr Sarah Rushworth – From Merseyside to Nova Scotia Dr Robin Kåss – General practice in Norway Dr Lois Mugleston – General practice in New Zealand and the UK Dr Ellen Welch – The American system – fees at sea Chapter 6 The future of general practice Anonymous GP – Are allied healthcare professionals a solution to the GP crisis? Dr Ellen Welch – Are part-time GPs the problem? Over to you – Solutions to the GP crisis in a nutshell You and your GP Doctors’ Association UK (DAUK) List of contributors Glossary Help for GPs Further reading Endnotes About the author

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Book SynopsisA robust learning tool developed to follow the national standard of Pediatric Primary Care Nurse Practitioner (NP) certification. Written by nursing experts and based on the new American Nurses Credentialing Center (ANCC) Pediatric Primary Care NP examination content outline, this new manual is an essential resource in helping nurses to elevate their careers.Becoming a certified Pediatric Primary Care NP is a rewarding experience, and nurses deserve the knowledge and skills needed to ace their exams. Study and analyze real-life case studies to familiarize yourself with Pediatric Primary Care NP standards of practice. Take advantage of more than 100 sample test questions designed to prepare you for the ANCC’s Pediatric Primary Care NP certification exam. Develop a recommended seven-step plan to get you ready for before and during the day of your exam. If you need to study to become certified as a Pediatric Primary Care NP, this is the right tool for you. No matter where you are in the certification process, make this book your trusted resource for certification preparation. Table of Contents INSTRUCTIONS FOR OBTAINING CONTINUING EDUCATION CREDIT ACKNOWLEDGEMENTS Chapter 1. Taking the Certification Examination General Suggestions for Preparing for the Exam 1 About the Certification Exams Internet Resources Chapter 2. Dimensions of the NP Role History of the NP Role Legal Dimensions of the Role Current Trends Professional Organizations Case Studies Case Studies Discussion References Chapter 3. Healthcare Issues in the Child Healthcare Trends Epidemiology Health Maintenance Health Supervision Health Care and Intervention Considerations Case Studies Case Study Discussion References Chapter 4. Infectious Diseases General Approach Illnesses Presenting with Rash Illnesses Due to Specific Etiologic Agents Illnesses of Unknown Origin Case Studies Case Studies Discussion References Chapter 5. Dermatology General Concepts Special Tips Common Problems of the Skin Bacterial Infections Fungal Infections Viral Infections Parasitic Infections Rashes of Allergic Etiology Trauma Autoimmune Disorders Case Studies Case Studies Discussion References Chapter 6. Eye Disorders General Approach Conjunctivitis of the Newborn Eye Injuries Case Studies Case Studies Discussion References Chapter 7. Disorders of the Ears, Nose, and Throat General Approach Ear Disorders Nasal and Sinus Disorders Mouth and Throat Disorders Anatomical Abnormalities Case Studies Case Studies Discussion References Chapter 8. Respiratory Disorders General Approach Common Newborn Disorders Common Respiratory Disorders Case Studies Case Studies Discussion References Chapter 9. Cardiovascular Disorders General Approach Heart Sounds and Murmurs Congenital Heart Disease (CHD) Acyanotic Congenital Heart Defects Cyanotic Congenital Heart Defects Acquired Heart Disease Rhythm Disorders Diseases Associated with Cardiac Involvement Case Studies Case Studies Discussion References Chapter 10. Gastrointestinal Disorders General Approach Vomiting Disorders Diarrheal Disorders Malabsorptive Disorders Abdominal Pain Rectal Pain and Itching Related Topics Disorders of the Umbilicus Case Studies Case Studies Discussion References Chapter 11. Genitourinary Disorders General Approach Red Flags Urinary Tract Disorders Glomerular Disease Case Studies Case Studies Discussion References Chapter 12. Female Reproductive Disorders General Approach Menstrual Cycles: Adolescent Considerations Menstrual Abnormalities Disorders of the Reproductive System Breast Abnormalities Teen Pregnancy Contraception Case Studies Case Studies Discussion References Chapter 13. Male Reproductive Disorders General Approach Disorders of the Newborn Penile Disorders Testicular Disorders Case Studies Case Studies Discussion References Chapter 14. Vulvovaginitis and Sexually Transmitted Infections General Approach Case Studies Case Studies Discussion References Chapter 15. Musculoskeletal System General Approach Arthritides Rotational Deformities Angular Deformities Infections Neoplasms Bone Trauma Common Fractures Soft Tissue Trauma Symptoms Case Studies Case Studies Discussion References Chapter 16. Neurological Disorders General Approach Newborn Infants and Children Disorders of Development Seizure Disorders and Disorders That Imitate Seizures Neurologic Disorders Case Studies Case Studies Discussion References Chapter 17. Hematology General Approach Disorders of the Blood Cells Coagulation Disorders Case Studies Case Studies Discussion References Chapter 18. Endocrine Disorders General Approach Newborn Alterations Disorders of the Thyroid Growth Disorders Pubertal Disorders Breast Alterations Case Studies Case Studies Discussion References Chapter 19. Behavioral and Psychiatric Problems Primary Care Mental Health Screening Developmental and Learning Disorders Disruptive Behavioral Disorders Mood Disorders Eating Disorders Substance Abuse Child Abuse Case Studies Case Studies Discussion References Chapter 20. Professional Issues and Research Evidence-Based Practice and Translational Science Information Systems and Technology Interprofessional Collaboration Pediatric Palliative Care Clinical Prevention and Population Health The Future of Nursing: Leading Change, Advancing Health, an IOM Report References Appendix A. Review Questions Appendix B. Review Question Answers INDEX ABOUT THE AUTHORS

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Book SynopsisSelected for an International Impact Book award, 2022! Selected as a Doody's Core Title for 2022 and 2023! New chapter on COVID-19 vaccines is available in the eBook version (free with purchase of the printed version) Engaging, accessible, and filled with practical communication advice, Let’s Talk Vaccines helps you educate patients on the importance of life-saving vaccines using a patient-centered and empathetic approach. Covering everything from the science of vaccine safety to the psychology of risk communication, this essential guide includes real-life examples and thoughtful, evidence-based techniques that will help patients understand vaccines and make informed decisions. Ideal for primary care providers, pediatricians, family physicians, nurse practitioners, and public health advocates, it provides an excellent framework for how to approach difficult discussions, with the goal of improving the health of each patient as well as the community at large. Directly addresses the increasing trend of parents choosing not to vaccinate their children, including the history and psychology of the anti-vaccine movement. Examines the issues underlying vaccine hesitancy, answering the common questions and concerns that vaccine-hesitant patients may raise during office visits. Helps you dispel myths and fears that many patients have, with particular attention paid to misinformation and skepticism on social media. Covers the anti-vaccine movement’s assertions about autism, autoimmune illnesses and allergies, toxic ingredients, overwhelming the immune system, conspiracies, and more – bringing you up to date with the most common issues and effective approaches to the vaccine discussion. Provides practical tips on approaching the vaccine-hesitant parent and how anti-vaccine patients change their minds, with a focus on remaining a positive partner in your patients’ care and finding greater success in your vaccination efforts. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech. Awards/Honors: International Impact Book Award Indie Reader Discovery Award: Health/Medicine/Nutrition 2022 Book of the Year – Finalist Paris Book Awards: Honorable Mention – Nonfiction Reader’s Favorites: Book Excellence Trade Review“As more parents are choosing not to vaccinate their children—and more children are suffering outbreaks of preventable infections—clinicians and public health advocates have become desperate to find a way to convince parents that their fears of vaccines are ill founded. Enter Dr. Gretchen LaSalle, who has provided the first book designed to help. Full of wonderful information ranging from the science of vaccine safety to the psychology of risk communication, this book couldn’t have come at a better time.” Paul A. Offit, MD Division of Infectious Diseases The Children's Hospital of Philadelphia Author of Bad Advice: Or Why Celebrities, Politicians, and Activists Aren't Your Best Source of Health Information “Finally—the answers we need, right at our fingertips! As family physicians, we know how important vaccines are and we trust the science, but we need a practical resource to help us fully dispel the myths and fears that plague our patients, friends, and family members. Anyone caring for patients and communities needs a copy of this book!” Jill Grimes, MD, FAAFP Author of Seductive Delusions: how everyday people catch STIs Editor-in-chief: Sexually Transmitted Disease:An Encyclopedia of Diseases, Prevention, Treatment and Issues University of Texas at Austin Student Health Services UMASS Medical School Clinical Instructor“‘I want to know why’ begins this amazing book for clinicians on how to respond to a patient’s refusal of vaccines. Dr. LaSalle takes us from the horror of infectious disease, through vaccine development, the dark “lie that started it all,” and then offers concrete methods to educate our patients. By understanding their apprehension, we can improve the health of each patient and the community at large. Let’s Talk Vaccines is the book to help you help your patients. Frank J. Domino, M.D. Professor Editor: 5 Minute Clinical Consult Department of Family Medicine & Community Health University of Massachusetts Medical School

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Book SynopsisDerived from protocols developed for the National Football League, Infection Prevention in Athletes outlines best practices and recommendations that are designed to minimize the risk of infections among athletes. This unique resource provides concise, authoritative guidance for athletic training facilities on applying infection prevention practices typically provided in hospitals and outpatient clinics. You’ll find practical tips and real-world advice on preventing transmission of bacterial and viral infections in an environment of frequent skin injuries, close proximity of players, and frequent administration of routine medical care. Offers clear guidance for today’s athletes, athletic trainers, and physicians from the team that teaches infection control and prevention to the NFL. Covers best practices and recommendations for key areas of education, infection prevention, and cleaning and maintenance. Assists teams in formulating policies related to player and staff education, hygiene, cleaning and disinfection, diagnosis and treatment of specific infections and conditions, and the management of infections among team members. Helps readers devise protocols for assessing suitability to return to full team activities following treatment of common infections—including scientific evidence and rationale for recommendations when available. Includes access to posters designed for display in the athletic training facility that promote best practices and infection prevention among athletes. Includes a set of educational “trading cards” highlighting essential stats and information about some of the most common infections. Enrich Your Ebook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

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Book SynopsisSelected as a Doody's Core Title for 2022!Practical and highly organized, The5-Minute Clinical Consult 2023 provides rapid access to the diagnosis, treatment, medications, follow-up, and associated conditions for more than 540 disease and condition topics to help you make accurate decisions at the point of care. Organized alphabetically by diagnosis, it presents brief, bulleted points in a templated format and contains more than 100 diagnostic and therapeutic algorithms. Edited by Frank J. Domino, Robert A. Baldor, Kathleen A. Barry, Jeremy Golding, and Mark B. Stephens, this up-to-date, bestselling reference delivers maximum clinical confidence as efficiently as possible, allowing you to focus your valuable time on providing high-quality care to your patients. Get quick access to all-new content, including Ocular Trauma, Oppositional Defiant Disorder, and Sick Sinus Syndrome. Find the answers you need quickly thanks to an intuitive, at-a-glance format, with concise, bulleted text; hundreds of diagnostic and therapeutic algorithms; ICD-10 codes; DSM-5 criteria; and much more. Make confident decisions aided by current evidence-based designations in each topic. A reliable, go-to resource for clinicians in primary care, family medicine, emergency medicine, nursing, and pediatrics. Written by esteemed internal medicine and family medicine practitioners and published by the leading publisher in medical content, The 5-Minute Clinical Consult 2023, 31st Edition includes a 10-Day Free Trial to 5MinuteConsult.com, an evidence-based, online workflow tool easily integrated at the point of care. 5MinuteConsult.com provides online-exclusive content, including: More than 1,200 additional topics, including the full contents of The 5-Minute Pediatric Consult and The 5-Minute Sports Medicine Consult Online-exclusive topics and algorithms on COVID-19 and Telemedicine Differential diagnosis support from an expanded collection of algorithms Current evidence-based designations highlighted in each topic Thousands of images to help support visual diagnosis of all conditions A video library of procedures, treatment, and physical therapy techniques An A-to-Z Drug Database from Facts & Comparisons® Guidance on laboratory test interpretation from Wallach’s Interpretation of Diagnostic Tests More than 3,000 patient handouts in English and Spanish Approximately 100 Diseases and Conditions in Spanish ICD-10 codes and DSM-5 criteria FREE point-of-care CME and CE: 0.5 credits each time you search the site to find the best treatment for your patients. This activity has been reviewed and is acceptable for up to 20 prescribed credits by the AAFP and the ANCC.The 5-Minute Clinical Consult Premium 2023: 1-Year Enhanced Online Access + Print, 31st Edition or an online-only subscription, available at www.5MinuteConsult.com Consider a subscription to 5MinuteConsult.com, available for 1 year with the purchase ofEnrich Your eBook Reading Experience  Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech. 

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Book SynopsisOffering step by step guidance on how to properly document patient care, the Third Edition of SOAP for Family Medicine presents 90 of the most common clinical problems encountered on the wards and clinics in an easy-to-read, two-page layout, using the familiar "SOAP" note format. Emphasizing the patient’s clinical problem, not the diagnosis, this pocket-sized quick reference teaches both clinical reasoning and documentation skills and is ideal for use by medical students, PAs, and NPs during the Family Medicine rotation. Introduction offers templates, tips, and guidelines for writing SOAP notes. Clear, well-written example SOAP notes for a wide range of diagnoses focus on the most important information for patient documentation. Now with an improved format that consolidates each SOAP note on two facing pages, the portable, pocket-sized format makes practical information quickly accessible. The widely used SOAP format provides an ideal starting point for students learning to document patient notes.

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Book SynopsisAlthough transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature.The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.Table of ContentsHistory and Prevalence of Gender Dysphoria.- Gaps in Transgender Care.- Biology of Gender Identity and Gender Incongruence.- Primary Care of Transgender Adults.- Primary Care of Transgender Children and Adolescents.- Geriatric Transgender Care.- Mental Health Issues in Caring for the Transgender Population.- Endocrine Care of Transgender Adults.- Endocrine Care of Transgender Children and Adolescents.- Gender Confirmation Surgery.- Fertility Issues in Transgender Care.- Voice Changes in Transgender Care.- HIV Infection in Transgender Persons.- Transgender Care and Medical Education.- The Social Elements of TGNC’s Individuals Journey to Living Authentically.- Legal Issues for Transgender Individuals.- Ethics of Gender Affirming Care.- Spiritual Care of Transgender Persons.- Resources for Transgender Individuals: Transgender Organizations and Services.

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