General practice / Family medicine Books

267 products


  • Geriatric Practice: A Competency Based Approach

    Springer Nature Switzerland AG Geriatric Practice: A Competency Based Approach

    5 in stock

    Book SynopsisThis book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.Table of ContentsPreface - Audrey Chun Section I: Introduction and Approach to Caring for Older Adults Chapter 1 - History and Trends - Jennifer A. Ouellet and Lisa M. Walke Chapter 2 - Identifying the Unique Needs of the Aging Population - Amit Shah Chapter 3 - Education of Current and Future Providers - Kathryn E. Callahan and Rosanne M. Leipzig Section II: Disease Presentations in Older Adults Chapter 4 - Physiology of Aging - Katherine Roza and Nisha Rughwani Chapter 5 - Normal vs. Abnormal Physical Exam - Vanessa Rodriguez and Melissa Bakar Chapter 6 - Testing in the Elderly - Michael Bogaisky Chapter 7 - Differential Diagnoses in the Setting of Advanced Age and Multiple Conditions - Ayla Pelleg and Ravishankar Ramaswamy Chapter 8 - Common Acute Illness - Noelle Marie Javier, Martine Sanon and Sara Suleman Section III: Multi-morbidity Chapter 9 - Patient-Centered Care for Persons with Multiple Conditions - Michelle Martinchek and Katherine Thompson Chapter 10 - Geriatric Pre-Operative Evaluation of the Older Adult - Stephanie Le and Allen Andrade Chapter 11 - Common Chronic Conditions - Erika Diaz Narvaez, Komal D’Souza and Veronica Rivera Chapter 12 - Geriatric Considerations in Common Surgical Conditions - Adora T. Santos and Steven Y. Chao Section IV: Medication Management Chapter 13 - Prescription Selection and Dosing - Sharon See Chapter 14 - High-Risk Prescriptions for Aging Patients - Khusbu Patel Chapter 15 - Dietary Botanicals and Supplements - Alan Remde and Raymond Teets Chapter 16 - Understanding the Medication List and Addressing Polypharmacy in Older Adults - Daniel Z. Mansour, Kriti Sharma and Nicole J. Brandt Section V: Cognitive and Behavioral Disorders (MENTATION) Chapter 17 - Depression in Older Adults: Principles of Diagnosis and Management - Elizabeth Mann, Gregory A. Hinrichsen and Shahla Baharlou Chapter 18 - Behavioral and Psychiatric Symptoms in Dementia (BPSD) - Amy S. Aloysi and Eileen H. Callahan Chapter 19 - Diagnosis and Management of Delirium - Claire K. Ankuda and Olusegun Apoeso Chapter 20 - Assessment of Memory and Function - Matthew Majeske Chapter 21 - Non-pharmacologic Management of BPSD: Agitation and Behavioral Problems in Dementia - Christine Chang Chapter 22 - Late-Life Insomnia - Hylton E. Molzof, Megan E. Petrov and Kenneth L. Lichstein Section VI: Functional Assessment/Self-Care Ability (MOBILITY) Chapter 23 - Assessment of Capability and Capacity - Michele Lee and Katherine Wang Chapter 24 - Developing a Management Plan - Stephanie W. Chow and Lizette Muñoz Chapter 25 - Safety and Risk Assessment - Karin Ouchida and Parham Khalili Chapter 26 - Falls Screening, Differential Diagnosis, Evaluation, and Treatment - Kristen DeCarlo and Sara M. Bradley Chapter 27 - Driving - Kelly Cummings and Helen Fernandez Chapter 28 - Individualized Decision-Making for Preventive Medicine in Older Adults - Lindsey C. Yourman, Jean Y. Guan and Roopali Gupta Section VII: Health Promotion and Advance Care Planning (MATTERS) Chapter 29 - Advance Care Planning for Older Adults - Mollie A. Biewald Chapter 30 - Patient Preference, Prognosis, and Decision-Making in Screening and Treatment - Erica Y. Chu Section VIII: Special Considerations for Sites/Models of Care Chapter 31 - Sites of Care for the Older Adult – Hospice, Clinic and Home-based Care - Dustin E. Suanino and Gabriel H. Brandeis Chapter 32 - Acute Care in the Home Setting: Hospital at Home - Barbara Morano, Joanna Jimenez-Mejia, Martine Sanon, Carmen Morano and Linda V. DeCherrie Chapter 33 - Hazards of Hospitalization - Martine Sanon Chapter 34 - Prevention of the Hazards of Hospitalization - Claire Davenport and Rebecca J. Stetzer Chapter 35 - Managing Medications and Addressing Polypharmacy - Ruth M. Spinner and Savitri Ramdial Chapter 36 - Foley Catheter Use and Management of Urinary Symptoms - Cynthia Lien and Neha Naik Chapter 37 - High-Risk Pressure Ulcers - Lisa A. Perez, Denise Cauble and Kathryn M. Daniel Section IX: Transitions of Care, Population Health Chapter 38 - Discharge Planning - Ogechi N. Dike and Grace Farris Chapter 39 - Interprofessional Care: Why Teamwork Matters - Annette M. Hintenach and Judith L. Howe Chapter 40 - Chronic Care Management - Siobhan Sundel and David Sundel Chapter 41 - Registries/Data in Population Health Management - Ania Wajnberg and Bernard F. Ortega Section X: Palliative Care and End of Life Chapter 42 - Management of Pain Symptoms - Megan E. Rau and Emily J. Chai Chapter 43 - Non-Pain Symptoms - Belinda Setters and Serena Hsiou-Ling Chao Chapter 44 - Psychosocial, Social, and Spiritual Needs of Geriatric Patients - Sheila Barton Chapter 45 - Introduction to Palliative Care - Amanda N. Overstreet

    5 in stock

    £142.49

  • Urine Tests: A Case-Based Guide to Clinical

    Springer Nature Switzerland AG Urine Tests: A Case-Based Guide to Clinical

    3 in stock

    Book SynopsisUrine tests are used by a variety of primary care providers and specialists in order to diagnose, monitor and treat patients with various medical conditions. This first-of-its-kind text is a comprehensive clinical guide to the evaluation and application of urine tests. Clinical cases are used to highlight important aspects of urine testing. Further evaluation and management are then discussed based on the results of the urine tests. Topics covered include financial considerations, regulations, proper collection, testing methods, dipstick analysis, microscopy as well as cancer and drug screening tests, among others. Each chapter contains specific objectives for focus of study. Pertinent images, algorithms and board style review questions for important topics are also included. Written by nephrologists, urologists, other specialists and primary care physicians, Urine Tests uses a comprehensive approach to the clinical use of both common and uncommon urine testing. Primarily appealing to practicing primary care physicians, this book is also a useful resource for specialists, nurse practitioners, physician assistants, physician fellows, residents and medical students alike. Table of Contents

    3 in stock

    £40.49

  • Sports-related Fractures, Dislocations and

    Springer Nature Switzerland AG Sports-related Fractures, Dislocations and

    1 in stock

    Book SynopsisThis exciting, user-friendly text covers everything sports medicine and emergency clinicians need to know when encountering sports-related injuries and trauma, whether on the field or in the office. Divided into eight thematic sections, all aspects of musculoskeletal and other trauma care are described in detail, with each chapter including key points for quick reference. The opening section presents general approaches to sports-related trauma, from initial evaluation and acute management to stabilization, anesthesia and imaging. The different types of fractures and dislocations, as well as musculoskeletal healing complications, are covered in part two. The next three sections then take in-depth looks at bone and joint trauma in the upper extremity, lower extremity and axial skeleton, respectively. Soft tissue and other sports-related trauma comprise parts six and seven - from tendons, ligaments, nerves and more to chest, head and facial injuries. The final and largest section presents sports-specific injuries, covering more than 30 individual and team activities from baseball, basketball and hockey to swimming, sailing and triathalon. Throughout, copious figures, photographs and tables enhance and advance the content for a complete, well-rounded examination of the field. Comprehensive but not complex, Sports-related Fractures, Dislocations and Trauma is a practical, high-yield manual for sports medicine and emergency care specialists, primary care physicians and any other professionals caring for athletes both on the field and in the office.Trade ReviewTable of ContentsI General Approaches to Sports Trauma1 Initial Evaluation, Resuscitation, and Acute Management2 Sports Coverage for Travelling Teams3 Mass Sporting Event Coverage4 Stabilization, Immobilization, and Transportation5 Anesthesia and Acute Pain6 Imaging II General Synopsis of Acute Musculoskeletal Care in Sports7 Anatomy and Physiology8 Fracture Types and Definitions9 Dislocation Types and Definitions10 Musculoskeletal Healing Process11 Complications III Acute Sports-related Bones and Joints Trauma: Upper Extremity12 Clavicle13 Scapula14 Glenohumeral Joint15 Humerus16 Elbow Joint17 Radius and Ulna18 Carpus19 Metacarpus20 Finger IV Acute Sports-related Bones and Joints Trauma: Lower Extremity21 Pelvis22 Hip Joint23 Femur24 Knee25 Tibia and Fibula26 Ankle Joint27 Tarsus28 Metatarsus29 Toe V Acute Sports-related Bones and Joints Trauma: Axial Skeletal30 Cervical Spine31 Thoracic Spine32 Lumbar Spine33 Stress Fractures VI Acute Soft Tissue Injuries in Sports34 Tendons35 Muscles36 Ligaments37 Bursa38 Nerves39 Vascular40 Skin and Subcutaneous Tissue VII Other Sports-related Trauma41 Chest Trauma42 Abdominal Trauma43 Head Injury44 Facial Trauma45 Soft Tissue Neck Injury VIII Sports-specific Injuries46 Aquatic Sports47 Baseball and Softball48 Basketball49 Boxing50 Cheerleading51 CrossFit52 Cycling53 Dance54 Extreme Sports55 Field Hockey56 Football57 Gymnastics58 Ice Hockey59 Ice Skating60 Lacrosse61 Marathons62 Martial Arts63 Motor Sports64 Racket Sports65 Rock Climbing66 Rowing67 Rugby68 Sailing69 Skiing: Alpine70 Skiing: Cross-country71 Snowboarding72 Soccer73 Track and Field74 Triathalon75 Ultramarathon and Ultra-endurance Sports76 Volleyball77 Weightlifting78 Wrestling

    1 in stock

    £161.99

  • Exercise Oncology: Prescribing Physical Activity

    Springer Nature Switzerland AG Exercise Oncology: Prescribing Physical Activity

    15 in stock

    Book SynopsisThis groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics.Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.Table of ContentsChapter 1. Exercise Oncology: Past and Present Kathryn H. SchmitzPart 1 - Physical Activity and Cancer Prevention Chapter 2. Primary PreventionErika Rees-Punia, Alpa V. Patel Chapter 3. Physical Activity and Cancer SurvivalChristine M. Friedenreich, Chelsea R. Stone, Sandra C. Hayes Chapter 4. Mechanisms of Exercise in Cancer Prevention, Treatment and SurvivorshipHannah Savage, Keri L. Schadler Part 2 - From Diagnosis through TreatmentChapter 5. Exercise Oncology from Diagnosis through Treatment: An Overview of Outcomes and ConsiderationsCiaran M. Fairman, Daniel A. GalvãoChapter 6. Prehabilitation: An Emerging Standard in Exercise OncologyNicole L. Stout, Julie K Silver, Jennifer Baima, Sasha E. Knowlton, Xiaorong HuChapter 7. Exercise during Surgical Recovery Rosa M. Pasculli, Jonas Sokolof, Elizabeth Olecki, Kelly Stahl, Niraj GusaniChapter 8. Exercise during Infusion TherapyKristin L. Campbell, Amy KirkhamChapter 9. Exercise During Radiation TherapyJoachim WiskemannChapter 10. Effects of Exercise on Cancer Treatment Completion and EfficacyAndria R. Morielli, Kerry S. Courneya Part 3 – Post-treatment to End of LifeChapter 11. Exercise Oncology from Post-Treatment to End of Life: An Overview of Outcomes and ConsiderationsKira Bloomquist, Sandra C. Hayes Chapter 12. Exercise during Immediate Post-treatment Kerri Winters-Stone, Mary Medysky, Anna L. SchwartzChapter 13. Long-term and Late Effects of Cancer Treatments on Prescribing Physical ActivityAnna L. Schwartz, Jennifer W. Bea, Kerri Winters-StoneChapter 14. Exercise and Cardio-OncologyAmy M. Berkman, Susan C. Gilchrist Chapter 15. Energetics and Cancer OutcomesLeah M. Ferrucci, Melinda L. IrwinChapter 16. Exercise for Advanced Cancers, Metastatic Disease and Palliative CareSonya Lowe, Christopher Sellar, Kirsten Suderman, Margaret L. McNeely Part 4 - Behavior, logistics, and policyChapter 17. Cancer Survivors Becoming and Staying Physically Active: Challenges of Behavior ChangeBernardine M. Pinto, Madison M. Kindred, Chloe GrimmettChapter 18. Making Exercise Standard in Cancer Care Karen Basen-Engquist, Nathan H. ParkerChapter 19. Viewing Exercise Oncology through the Lens of MultidisciplinarityMartijn M. StuiverChapter 20. Policy and Reimbursement Considerations for Exercise Programming in CancerAndrea Cheville, Jennifer Baima, Philip Chang, Charles Mitchell, Stephanie Otto, Sonal Oza, David S. ZuckerChapter 21. Shaping the Future of Exercise OncologyKathryn H. Schmitz

    15 in stock

    £98.99

  • Regenerative Medicine for Spine and Joint Pain

    Springer Nature Switzerland AG Regenerative Medicine for Spine and Joint Pain

    3 in stock

    Book SynopsisRegenerative medicine (RM) is a rapidly expanding topic within orthopedic and spine surgery, sports medicine and rehabilitation medicine. In the last ten years, regenerative medicine has emerged from the fringes as a complement and challenge to evidence-based medicine. Both clinicians and patients alike are eager to be able to offer and receive treatments that don't just surgically replace or clean old joints or inject away inflammation or work as a stop-gap measure. Regenerative medicine encompasses everything from the use of stem cells and platelet-rich plasma (PRP) to prolotherapy, viscosupplementation and beyond. This book will provide healthcare practitioners dealing with spine and joint pain with the most current, up-to-date evidence-based information about which treatments work, which treatments don't, and which are on the horizon as potential game changers. Chapters are arranged in a consistent format and cover the spine, shoulder, elbow, hand and wrist, hip, knee, and foot and ankle, providing a thorough, top-to-bottom approach. A concluding chapter discusses current and future directions and applications of RM over the next decade or two.Timely and forward-thinking, Regenerative Medicine for Spine and Joint Pain will be a concise and practical resource for orthopedists, spine surgeons, sports medicine specialists, physical therapists and rehabilitation specialists, and primary care providers looking to expand their practice. Table of ContentsIntroduction to Regenerative Medicine.- Basic Science Concepts in Regenerative Medicine.- Viscosupplementation.- Stem Cells.- Platelet-rich Plasma (PRP).- Prolotherapy.- Regenerative Medicine for the Spine.- Regenerative Medicine for the Shoulder.- Regenerative Medicine for the Elbow.- Regenerative Medicine for the Hand and Wrist.- Regenerative Medicine for the Hip.- Regenerative Medicine for the Knee.- Regenerative Medicine for the Foot and Ankle.- The Future of Regenerative Medicine.

    3 in stock

    £66.49

  • The Non-Disclosing Patient: A Clinician's Guide

    Springer Nature Switzerland AG The Non-Disclosing Patient: A Clinician's Guide

    1 in stock

    Book SynopsisThis volume is to examine the phenomena of non-disclosure in its wide ranging forms, study its properties, and to deepen the capacity of a mental health professional --as well as all clinicians who provide mental health counseling -- to detect and engage it across a range of clinical settings. Unengaged, sustained DNDD represents an impasse that is destructive to a clinician’s capacity to both understand and treat a patient. Successfully engaged, on the other hand, DNDD offers a unique perspective on in individuals anxieties, presuppositions, and mental functioning. A clinician who is both aware that a patient is withholding information, and comfortable with that awareness, may approach the patient material while listening for both indications of non-disclosed material and—critically—a growing awareness of psychopathology or other motivational forces driving non-disclosure.Written by experts in this area from both adult and child psychiatric specialties, this book is the first to address the issue of DNDD and present clinical pearls for addressing it. This text is a valuable resource for psychiatrists, psychologists, addiction medicine specialists, family physicians, and a wide array of clinicians treating patients who may struggle with disclosure and integrity.Table of ContentsPart I: DND & The Clinical Encounter.- A Personal Encounter with Deceit.- The Psychiatric Interview.- Types of Interviews, and Types of Listening.- Therapeutic and Anti-therapeutic Relationships.- Engaging Deceit.- Deceit and Its Meaning.- Part II: Personality Functioning and DND.- Neurobiology of Deception.- Shared Consciousness and the Emergence of Mind.- Personality Disorders, Psychopathy and Deceit.- Non-disclosure, Deceit and Denial in Patients with Substance Use Disorders.- Assessment and Implications for Psychotherapeutic Treatment.- Part III: Assessment in a "Gated" Simulated Patient Interview.- "Biggie" Assessing Process in a "Gated" Simulated Patient Interview.- Simulated Case Scenario: Karl Moehller.

    1 in stock

    £58.49

  • Disability as Diversity: A Case Studies Companion

    Springer Nature Switzerland AG Disability as Diversity: A Case Studies Companion

    5 in stock

    Book SynopsisAdministrators in medical, nursing and health science programs are witnessing a substantial increase in the number of students with disabilities entering their programs. Concurrently, the benefits of diversity in healthcare are becoming increasingly apparent and important. A commitment to disability inclusion for qualified students should be a high-level goal of nursing, medical, and other health science programs. To support this goal, leaders in these areas must develop robust programs and an understanding of the needs of qualified students with disabilities in the health sciences and accompanying best practices for inclusion. This book of case studies is the perfect companion to Meeks' and Neal-Boylan's recently-published book Disability as Diversity. It contains ten cases related to medicine and nursing but with significant relevance to other health professions. Each case is preceded by an introduction with instructions on how to use it. The cases are followed by discussion questions and perspectives from the student, faculty and disability resource professional viewpoints. The cases are then deconstructed with reference to the book Disability as Diversity, relevant citations from the literature and case law. Developed by some of the most notable researchers and clinicians in the field this case book serves as truly invaluable resource for deans, program directors, faculty and student affairs personnel. Offices can use these cases as a platform for critical discussion and training about disability processes, policies and decision-making regarding accommodations and inclusion.Table of ContentsFront matterPart 1:1. Chapter 1: The student with a learning disability- Clarissa Connors: A medical student with undiagnosed ADHD and a learning disability.- 2. Chapter 2: The student with a physical disability-Tammy Thomas: A clinical year medical student with quadriplegia.- 3. Chapter 3: The student with a sensory disability- Conrad Barker: Rising 3 rd year medical student with hearing loss.- 4. Chapter 4: The student with a psychological disability- Rhonda Rapp: A fourth year medical student with depression andPTSD.- 5. Chapter 5: The student with a chronic health condition- Hillary Hampton: A second year medical student with Crohn’s disease.- 6. Chapter 6: The student with cancer- Marc Fernandez: A fourth year medical student with cancer.- Part 2.- 7. Chapter 7: Mee Sook Smith: A Nursing Student with a Learning Disability in an associate degree program - Case.- 8. Chapter 8: Maxwell Mason: A nursing student with a learning disability in a baccalaureate degree program - case 2.- 9. Chapter 9: The student with a physical disability- Sam Stone: A nursing student without a forearm.- 10. Chapter 10: The student with a sensory disability- Anna Howard: The nursing student with deafness.- 11. Chapter 11: The student with a psychological disability- the Nursing student with suicidal ideation.- 12. Chapter 12: the student with achronic health condition- Susan Nacht: A Nursing Student with Narcolepsy.- Part 3.- 13. Chapter 13: The student using medical marijuana.- 14. Chapter 14: The student who brings an animal to class.- 15. Chapter 15: The student who fails the medical board exam.- 16. Conclusion.

    5 in stock

    £56.99

  • Principles and Practice of College Health

    Springer Nature Switzerland AG Principles and Practice of College Health

    5 in stock

    Book SynopsisThis unique and comprehensive title offers state-of-the-art guidance on all of the clinical principles and practices needed in providing optimal health and well-being services for college students. Designed for college health professionals and administrators, this highly practical title is comprised of 24 chapters organized in three sections: Common Clinical Problems in College Health, Organizational and Administrative Considerations for College Health, and Population and Public Health Management on a College Campus. Section I topics include travel health services, tuberculosis, eating disorders in college health, and attention deficit hyperactivity disorder among college students, along with several other chapters. Subsequent chapters in Section II then delve into topics such as supporting the health and well-being of a diverse student population, student veterans, health science students, student safety in the clinical setting, and campus management of infectious disease outbreaks, among other topics. The book concludes with organizational considerations such as unique issues in the practice of medicine in the institutional context, situating healthcare within the broader context of wellness on campus, organizational structures of student health, funding student health services, and delivery of innovative healthcare services in college health. Developed by a renowned, multidisciplinary authorship of leaders in college health theory and practice, and coinciding with the founding of the American College Health Association 100 years ago, Principles and Practice of College Health will be of great interest to college health and well-being professionals as well as college administrators.Table of ContentsSection I. Common Clinical Problems in College Health Chapter 1 Campus Travel Health Services Julie Richards and Gail Rosselot Chapter 2 Tuberculosis Kent W. Bullis Chapter 3 Eating Disorders in College Health Melanie Trost Chapter 4 Depression and Anxiety in College Students Ayesha K. Chaudhary Chapter 5 Attention Deficit Hyperactivity Disorder and College Students Cara M. Lusby and Scott H. Kollins Chapter 6 Athletic Medicine Jessica Higgs Chapter 7 Concussion Peter Duquette and P. Hunter Spotts Chapter 8 Contraception for College Reproductive Health Camille Moreno Chapter 9 Sexual Health Mary Johnson Section II. Population and Public Health Management on a College Campus Chapter 10 Supporting the Health and Well-Being of a Diverse Student Population Raphael D. Coleman, Katie Wilkinson, Padma Entsuah, Jaclyn M. Hawkins, and Gina Orlando Chapter 11 Student Veterans Amina Moghul Chapter 12 Health Science Students Giang T. Nguyen Chapter 13 Student Safety in the Clinical Setting David McBride Chapter 14 Campus Management of Infectious Disease Outbreaks Melanie J. Bernitz, Michael P. McNeil, and Julie A. Casani Chapter 15 Immunization Compliance Management Heather Spencer Chapter 16 Nutrition Services Franca Alphin and Toni Apadula Chapter 17 Sleep on College and University Campuses Michael P. McNeil and Eric S. Davidson Chapter 18 Substance Use and Abuse: Alcohol, Tobacco, and Other Drugs Alicia K. Czachowski and M. Scott Tims Section III. Organization and Administrative Considerations for College Health Chapter 19 Unique Issues in the Practice of Medicine in the Institutional Context Sarah Van Orman and Alyson Covington Chapter 20 Situating Healthcare Within the Broader Context of Wellness on Campus Julie Edwards Chapter 21 Organizational Structures of Student Health Richard P. Keeling Chapter 22 Funding Student Health Services James R. Jacobs and Leigh S. Stacy Chapter 23 Delivery of Innovative Healthcare Services Brian Halstater Chapter 24 Disability Access in Higher Education: Documenting as University Health Service Providers Grace C. Clifford

    5 in stock

    £94.99

  • Challenges in Older Women’s Health: A Guide for Clinicians

    Springer Nature Switzerland AG Challenges in Older Women’s Health: A Guide for Clinicians

    1 in stock

    Book SynopsisThe number of Americans 65 years of age or older is projected to more than double to over 98 million by 2060, making them 24% of the overall population. Women constitute more than 50% of this group. Most clinicians who provide primary care for older women receive minimal training about their unique health issues and needs during residency however, and few resources exist to guide them regarding these issues in practice.This book provides user-friendly, evidence-based guidance to manage common challenges in healthcare for women during menopause and beyond, filling a huge and growing unmet need for primary care clinicians. Edited by a multidisciplinary team with content expert authors from family medicine, oncology, urogynecology, obstetrics and gynecology, psychology, and more, this text provides clinically relevant information about important conditions impacting the health of older women, including suggested guidelines for management and helpful resources for patient counselling and care. The first half of the book covers general topics such as menopause, bone health, depression and grief, cancer survivorship, and obesity. The second half focuses on issues below the belt that are difficult to talk about, such as incontinence, vulvar pathology, and sexual health after menopause.While there is copious literature about the menopausal transition, few resources for clinicians exist about caring for women beyond the 6th decade. Challenges in Older Women’s Health: A primer for clinicians provides focused, evidence-based information about high-yield topics for a too often neglected group of patients. Table of Contents

    1 in stock

    £58.49

  • Handbook of Esports Medicine: Clinical Aspects of Competitive Video Gaming

    Springer Nature Switzerland AG Handbook of Esports Medicine: Clinical Aspects of Competitive Video Gaming

    1 in stock

    Book SynopsisWith over 450 million viewers worldwide and over $1 billion in revenue in 2019, competitive video gaming - known more popularly as esports - is not a fad, but rather a technological and cultural phenomenon. To remain competitive in this popular and sometimes lucrative field, gamers often practice upwards of 12 hours a day, performing anywhere from 400-600 actions per minute. As such, they are susceptible to a unique set of injuries and disorders from these complex movements, extended screen time and sedentary tendencies. This population requires motivated and educated healthcare providers familiar with their lifestyle and ailments to effectively prevent, diagnose, and treat relevant esports medical conditions. This handbook will serve as the first of its kind, an in-depth dive into the fundamentals of treating competitive video gamers created by the medical professionals and industry leaders.Esports medicine is a subspecialty in its infancy: Research, resources, and guidelines are evolving rapidly as more is understood about this burgeoning patient population. This unique handbook will provide a comprehensive overview of the basics of esports, play mechanics and terminology specifically targeted towards healthcare professionals previously unfamiliar with the subject matter. It will convey the essentials of an esports history and physical exam and act as a step-by-step guide for treating video gamers and esports athletes. Furthermore, it will guide providers through each and every major diagnosis related to gaming, with the specific mechanisms of the injury, relevant physical exam maneuvers, and treatments selected specifically for gaming, covering upper and lower extremity injuries, conditions of the neck and back, gaming ergonomics, and psychological, nutritional and cultural considerations. Timely and practical, Handbook of Esports Medicine will be a valuable resource for primarily sports medicine, orthopedic, physical medical and rehabilitation, and pediatric physicians, as well as therapists, psychologists and trainers involved in competitive gaming.Table of ContentsWhat is Esports? The Past, Present, and Future of Competitive Gaming.- Upper Extremity Disorders in Esports.- Neck and Back Disorders in Esports.- Lower Extremity Disorders in Esports.- The Ergonomics of Esports.- Nutrition for the Video Gamer.- The Psychology of Digital Games.- Esports Mental Performance.- Prevention of Esports Injuries.- Esports Cultural Competence.

    1 in stock

    £61.74

  • Women and the Practice of Medicine: A New History

    Springer Nature Switzerland AG Women and the Practice of Medicine: A New History

    5 in stock

    Book SynopsisThis text offers a new interpretation of the dramatic changes that occurred in women in medicine over the course of the last seventy years, starting from the 1950s when women physicians were a curiosity to the present day when their presence is accepted and their achievements are broadly acknowledged. In seven chapters arranged by decades, this book examines the seminal events that shaped what has been described as “the changing face of medicine.” Using the lived experiences of women physicians featured as vignettes throughout the narrative, the book traces the effects of the quota system for admissions, second wave feminism and Title IX legislation, the restrictions of the “glass ceiling,” and a cascade of “equity issues” in career advancement and salary to offer a new account of the roles women played in shaping the standards and the contributing to progress in the field of medicine. Women faced gender specific challenges to enter, train and practice medicine that did not abate as they strove to balance work and family. As the book shows, such challenges and the attendant institutional responses offered by medical schools and government rulings shaped how women “do” medicine differently. Women and the Practice of Medicine offers a unique interpretation of this history and accounts for the changes in social norms as well as in women’s perspectives that have made them an invaluable “new normal” in the contemporary world of medicine. This book fills a gap in the more recent history of women in medicine, much of which is written by academic historians or sociologists; this book contributes a clinician’s “on the ground” point of view. It includes a researched, structured historical narrative spanning the last 70 years, but it seeks to frame this narrative with the personal stories and accomplishments of women physicians who lived through the time in question. The book also provides an overview of how much has changed in the practice of medicine as well as a reminder of what has not changed and what needs to further evolve for women to be equitable partners in medicine as well as other professional disciplines. The book concludes with two appendices containing a questionnaire used in interviews of 40 women conducted at the start of the book project, and a summary of the qualitative findings from the semi-structured interviews.Table of ContentsChapter 1: The 1950s “The Quota System”Chapter 2: The 1960s The Role of Feminism and The Women’s Movement Chapter 3: The 1970s The Effect of Title IX and related legislation Chapter 4: The 1980s “Having It All” / “Doing It All” Chapter 5: The 1990s “The Glass Ceiling” Chapter 6: 2000- 2010 Doing What it Takes Chapter 7: 2010- 2020 Life Style Issues Epilogue: Do Women Do Medicine Differently? Arguments For and Against Appendix I: Questionnaire for Interviews Appendix II: Summary of Interview Findings

    5 in stock

    £36.09

  • Principles of Orthopedic Practice for Primary

    Springer Nature Switzerland AG Principles of Orthopedic Practice for Primary

    15 in stock

    Book SynopsisPrimary care providers (physicians, nurse practitioners, physician assistants) make decisions on a daily basis regarding treatment for musculoskeletal problems, including referrals to orthopedic surgeons and other specialists. Despite the large number of patients presenting with musculoskeletal complaints, primary care providers often feel poorly educated about how to assess and manage these conditions. Now in its fully revised second edition, Principles of Orthopedic Practice for Primary Care Providers continues to be a go-to resource for clinicians interested in the effective treatment of musculoskeletal disorders. Written by expert orthopedic, physical medicine and pain management specialists at major Harvard teaching hospitals, the second edition of Principles of Orthopedic Practice for Primary Care Providers represents a high-yield and succinct resource on the assessment and management of musculoskeletal conditions. Chapters overview specific body parts, typical presentations of disease, options for diagnostic testing, treatment paradigms, and anticipated outcomes of management both in the primary care setting and following specialist consultation. The text offers suggested pathways for working up and treating these problems with an emphasis on when referral to a specialist, or surgical intervention, is needed. While all previous chapters have been fully revised, this edition also includes nine brand new chapters, including chapters on pain management, hip-spine syndrome, adult spinal deformity, sports-related injuries, and cost and quality in musculoskeletal care.Table of ContentsPart I – The Spine1. Axial Neck and Back PainJay M. Zampini2. Sacroiliac Joint Dysfunction and Piriformis SyndromeErika T. Yih,Danielle L. Sarno3. Pain Management for Chronic Musculoskeletal DisordersAlexander J. Kim, Tennison Malcolm, Ehren R. Nelson4. Adult Spinal DeformityCaleb M. Yeung, Harry M. Lightsey IV, Melvin C. Makhni5. Cervical Radiculopathy and MyelopathyKevin M. Hwang, Amandeep Bhalla, James D. Kang6. Lumbar Disc Herniation and RadiculopathyCristopher M. Bono, Andrew K. Simpson7. Degenerative Lumbar Spinal Stenosis and SpondylolisthesisDaniel G. Tobert, Mitchel B. HarrisPart II - Osteoporosis8. Osteoporosis, Vertebral Compression Fractures and Vertebral Cement AugmentationMarco L. Ferrone, Andrew J. SchoenfeldPart III – The Hip9. Hip Soft Tissue InjuriesCheri A. Blauwet, David M. Robinson10. Femoroacetabular Impingement, Labral Tears, and Hip ArthroscopyMatthew J. Best, Scott D. Martin11. Total Hip Arthroplasty and the Treatment of Hip OsteoarthritisMichael J. Weaver12. Hip Spine SyndromeJeffrey Lange, Richard M. WilkPart IV – The Shoulder and Elbow13. Shoulder Soft Tissue InjuriesCourtney K. Dawson14. Shoulder InstabilityLaura Lu, Marie Walcott, Arnold B. Alqueza15. Glenohumeral OsteoarthritisDaniel Plessl, Lawrence Higgins, Michael Messina, Carolyn M. Hettrich16. Elbow Osteoarthritis and Soft Tissue InjuriesGeorge S.M. Dyer, Stella J. LeePart V – The Hand and Wrist17. Hand and Wrist Soft Tissue ConditionsChristina Y. Liu, Brandon E. Earp18. Hand and Wrist ArthritisDafang Zhang, Barry P. Simmons19. Upper Extremity Nerve EntrapmentPhilip E. Blazar, Ariana N. MoraPart VI – Sports and Acitivity Related Injuries and Orthobiologics20. Bone Stress InjuriesErin E. Finn, Adam S. Tenforde21. Hamstring and Calf InjuriesDavid M. Robinson, Kelly C. McInnis22. Running InjuriesMatthew Zinner, Rebecca G. Breslow23. OrthobiologicsKristian von Rickenbach, Alp Yurter, Joanne Borg-SteinPart VII – The Knee24. Knee OsteoarthritisJeffrey N. Katz, Kaetlyn R. Arant, Thomas S. Thornhill25. Surgical Approaches to Advanced Knee OA (TKA, UKA, Osteotomy)Adam S. Olsen, Vivek M. Shah26. Cartilage Defects in the Knee: Clinical, Imaging and Treatment AspectsChilan B. G. Leite, GergoMerkely, Christian Lattermann27. Meniscal and Ligamentous Injuries of the KneeSimon Goertz, Emily M Brook, Elizabeth Matzkin28. Anterior Knee Pain: Diagnosis and TreatmentNatalie A. Lowenstein, Elizabeth G. MatzkinPart VIII – The Foot and Ankle29. Ankle ArthritisEric M. Bluman, Jeremy T. Smith, Christopher P. Chiodo, Elizabeth A. Martin30. Soft Tissue Disorders of the AnkleJeremy T. Smith, Eric M. Bluman, Christopher P. Chiodo, Elizabeth A. Martin31. Midfoot Arthritis and Disordersof the HalluxChristopher P. Chiodo, Jeremy T. Smith, Eric M. Bluman32. Plantar FasciitisJames P. Ioli33. Foot and Ankle InjuriesElizabeth A. Martin, Eric M. Bluman, Christopher P. Chiodo, Jeremy T. SmithPart IX - Cost and Quality in Musculoskeletal Care34. Managing Cost and Quality in Musculoskeletal CareCameron R. Egan, Adam E. Roy, Richard Iorio

    15 in stock

    £98.99

  • Common Issues in Breast Cancer Survivors: A

    Springer Nature Switzerland AG Common Issues in Breast Cancer Survivors: A

    5 in stock

    Book SynopsisThis book provides a clinically useful resource for evaluation and management of the symptoms and issues that burden survivors of breast cancer. Improvements to breast cancer screening and treatment have resulted in more patients than ever before having been cured after local definitive and systemic therapies. Primary care providers and specialists must be increasingly familiar with the issues that breast cancer survivors routinely face. This is the first book to provide a single resource for common issues faced by breast cancer survivors from a truly multidisciplinary perspective; each chapter of this text is coauthored by at least one oncologist and one specialist outside the field of oncology in order to include the perspectives of relevant disciplines. User-friendly and clinically applicable to all specialties, individual chapters also include tables and figures that describe how best to conduct initial evaluation of the given symptom as well as an algorithm, where applicable, outlining the optimal management approach. Common Issues in Breast Cancer Survivors: A Practical Guide to Evaluation and Management empowers non-cancer specialists and practitioners who care for breast cancer survivors to address common issues that impact patient quality of life. Table of ContentsOverview of the National and International Guidelines for Care of Breast Cancer Survivors.- Breast Imaging in Breast Cancer Survivors: Screening for New Breast Cancers and for Cancer Recurrence.- Hot Flashes.- Management of Genital Symptoms in Breast Cancer Survivors.- Sexual and Reproductive Health Concerns in Breast Cancer Survivors.- Arthralgias.- Persistent Breast Pain (PBP).- Common Issues in Breast Cancer Survivors – A Practical Guide to Evaluation and Management of Neuropathy.- Cancer-related Cognitive Impairment.- Cancer-Related Fatigue.- Sleep Issues and Insomnia.- Depressive and Anxiety Symptoms and Disorders in Women with Breast Cancer.- Obesity, Weight Gain and Weight Management in Women with Early Breast Cancer.- Breast Cancer-Related Lymphedema and Shoulder Impairments– Physical Therapy and Plastic Surgery.- Bone Loss in Breast Cancer Survivors.- Cardiovascular Health in Breast Cancer Survivors.- Diabetes and Breast Cancer.- Hair Loss in Breast Cancer Survivors.- Skin Reactions Associated with Breast Cancer Treatment.- Hereditary Cancer Counseling and Germline Genetic Testing.- Common Considerations in Male Breast Cancer Survivors: A Practical Guide to Evaluation and Management.

    5 in stock

    £113.99

  • Contemporary Obstetrics and Gynecology for

    Springer Nature Switzerland AG Contemporary Obstetrics and Gynecology for

    5 in stock

    Book SynopsisThis book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries.This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women’s Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter.This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.Table of ContentsSECTION 1: WOMEN’S REPRODUCTIVE HEALTH.- Sexual and Reproductive Health and Rights: An Overview.- Clinical Diagnosis in Obstetrics and Gynaecology.- Maternal Mortality in Developing Countries.- Preventing Perinatal Mortality in Developing Countries.- Abortion.- Female Circumcision/Mutilation/Cutting.- Reproductive Epidemiology, Health Status and Burden of Disability.- SECTION 2: OBSTETRICS.- Preconceptional Counselling and Prenatal Care.- Ultrasound in Labour and Delivery.- Evidence-Based Antenatal Care.- Fetal Growth Abnormalities, Intrauterine Growth Restriction and Macrosomia.- Management of Normal and Abnormal Labour.- Premature Rupture of Membranes (PROM).- Induction of Labour.- Electronic fetal Monitoring.- Operative Vaginal Delivery.- Breech Presentation and Delivery.- Caesarean Delivery and Peri-partum Hysterectomy.- Obstetrical Analgesia and Anaesthesia.- Aetiology and Management of Obstetric Haemorrhage.- Preterm Birth.- The Puerperium.- SECTION 3: MEDICAL AND SURGICAL DISORDERS IN PREGNANCY.- Intensive Care Management of Trauma During Pregnancy.- Cardiovascular Disorders in Pregnancy.- Respiratory Disorders in Pregnancy.- Hypertension in Pregnancy.- Critical-Care Management of Severe Preeclampsia-Eclampsia and Obstetric Hypertensive Crisis.- Haemoglobinopathies in Pregnancy.- Anaemia in Pregnancy.- Diabetes in Pregnancy.- Venous Thromboembolism In Pregnancy.- Inherited Bleeding Disorders in Pregnancy.- Haematological Disorders in Pregnancy.- Mental Health Disorders in Pregnancy and Puerperium.- HIV in Pregnancy.- Non-HIV Viral Infections in Pregnancy.- Neoplastic Diseases in Pregnancy.- Oral Health in Pregnancy.- Ectopic Pregnancy.- Prevention and Management of Recurrent Miscarriage.- SECTION 4: GENERAL GYNAECOLOGY.- Control of Sexually Transmitted Infections Through Integrated Reproductive Health Services.- Uterine Fibroid and Hysterectomy.- Endometriosis.- Chronic Pelvic Pain.- Infertility.- Laparoscopy.- Pelvic Organ Prolapse.- Urogynaecology.- Obstetric and Non-Obstetric Fistulas.- Amenorrhea and Abnormal Uterine Bleeding.- Menopause.- Physiotherapy in Obstetrics and Gynaecology.- SECTION 5: GYNAECOLOGICAL MALIGNANCIES.- Rising Burden of Gynaecological Cancers in Developing Countries.- Molecular Biology of Gynaecological Cancers.- Gestational Trophoblastic Disease.- Cancers of the Vulva and Vagina.- Cervical Cancer Screening and Prevention.- Cancer of the Uterine Corpus.- Epithelial Ovarian Cancer.- Germ Cell Tumours of the Ovary.- Principle of Radiation Therapy for Gynaecological Cancers.- Emerging Trends and Best Practices in Hospice and Palliative Care.- SECTION 6: HEALTH SYSTEMS ORGANISATION, RESEARCH METHODOLOGY AND BIOSTATISTICS.- Leadership of Health Care Teams, Organisations and Systems: Implications for Curriculum Revision in Medical Education.- Mobilising Human and Financial Resources for Maternal Health.- The Role of Professional Associations in Obstetrics and Gynaecology.- Ethics, Liability, and Risk Management in Obstetrics and Gynaecology.- Human Rights and Legal Treaties relevant to Obstetrics and Gynaecology.- Evaluation of Clinical Significance in Intervention Research.- The Common Statistical Faux Pas in Journal Publications.- Survey Research Major Methodological Flaws: Caveat Lector.

    5 in stock

    £116.99

  • Dermatology in Rural Settings: Organizational,

    Springer Nature Switzerland AG Dermatology in Rural Settings: Organizational,

    1 in stock

    Book SynopsisThis book addresses the maldistribution of health care between people in dense cities and more rural areas. This proactive resource provides solutions that will motivate dermatologists to make a difference, including free rural clinics and incentives to attract dermatologists to the aforementioned areas. Comprehensive yet concise, the book encompasses not only the logistics of the healthcare issues, including location, incentive, and set up of facility but includes insight into the effectiveness of teledermatology, a practice more commonly utilized due to the COVID-19 Pandemic. Additionally, chapters examine the relationship between economic viability and quality of care, as well as government incentives and political action to mitigate this issue. Unique and timely, Dermatology in Rural Settings is an invaluable resource for dermatologists, resident dermatologists, and academic physicians interested in rural and urban health.​Table of ContentsIntroduction1) Access to Dermatology in Rural America: Statistical Measures and Epidemiology (Eliot Mostow, MD, (Professor, Department of Dermatology, Northeastern Ohio Medical University, Rootstown, Ohio and Clinical Associate Professor, Case Western Reserve University, Cleveland Ohio) emostow@neomed.edu and Jennifer A Stein, MD (Associate Professor of Dermatology, New York University Langone Hospitals) jas231@med.nyu.edu2) A Comparison of rural, suburban and urban dermatology (Laurel L. Wessman MD (PGY3, Department of Dermatology, University of Minnesota Twin Cities wessm018@umn.edu&nbsDollars and Cents in Rural America3) Economics of rural dermatology practice (Taylor Sisson, MBA, DHA, Departmental Business Manager, Dermatology, University of Mississippi Medical Center, Jackson, MS) wsisson@umc.edu4) Government and private efforts to incentivize rural practice (low interest loans, grants, etc) (Josh Ortega, MD, PGY-2 Rural Track Dermatology Resident, University of Mississippi Medical Center, Jackson, MS) jortego93@gmail.comPriming the Rural Dermatology Care Pump5) Rural dermatology residency slots: priming the pump (Abel Torres, MD, Professor and Chair, Department of Dermatology, University of Florida, Gainesville, FL) abelt@aol.com6) Training family practice residents in a rural dermatology clinic (Janet Ricks, DO Assistant Professor, University of Mississippi Medical Center, Jackson, MS) jricks2@umc.edu7) Training medical students in a rural dermatology clinic (Ross Pearlman, MD, PGY-3 Dermatology, University of Mississippi Medical Center, Jackson, MS) rpearlman@umc.edu8) Political action in rural dermatology (Elizabeth Kiracofe, MD, Private Practice, Chicago, IL) kiracofe@aol.comEstablishing Rural Dermatology Practices9) Academic rural dermatology offices (Amy Flischel, MD, Associate Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS aflischel@gmail.com and Stephen E. Helms, MD, Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS shelms@umc.edu10) Private practice rural dermatology offices (Ira Dan Harber, MD, PGY-4, Dermatology, University of Mississippi Medical Center) iharber@umc.eduPhilanthropic Approaches to Rural Dermatology Care11) Free rural clinics: city folk making a difference in rural America (Leslie Partridge, NP, University of Mississippi Medical Center, Jackson, MS) lahoward2@umc.edu12) Dermatologic care on the Indian Reservations (Lucinda Liu Kohn, MD, Dermatology Assistant Professor, Dermatology, University of Colorado, Aurora, CO) lucinda.kohn@cuanschutz.eduUtilizing technology to provide rural dermatology services13) Project Echo: improving rural dermatology through digital primary care education (Karen Edison, MD, Professor of Dermatology and Director of Missouri Telehealth Network, University of Missouri Health System, Columbia Missouri) edisonk@health.missouri.edu14) Delivering “store and forward” teledermatology to rural primary care practices: an efficient approach to provision of rural skin care (Chelsea Mockbee, MD, Assistant Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS) CSMockbee@umc.edu15) Overcoming barriers to implementation of teledermatology (Robert T. Brodell, MD Tenured Professor and Chair, Department of Dermatology, University of Mississippi Medical Center, Instructor in Dermatology, University of Rochester School of Medicine and Dentistry rbrodell@umc.edu Research in Rural Dermatology Practice16) Health services research in rural dermatology (Vinayak Nahar, MD PhD, Assistant Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS) vnahar@umc.edu17) Dermatology research: Stirring the scientific pot on an island distant from the “mother ship” (Richard Summers, MD, Associate Vice-Chancellor for Research, University of Mississippi Medical Center, Jackson, MS) rsummers@umc.eduMaking It Happen: The Rural Renaissance18) Rural dermatology private practice: a life worth living (Adam Byrd, MD, Assistant Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS) acbyrd@umc.edu19) Attracting dermatologists to rural America: Making a difference one rural practice at a time (Cindy Firkins-Smith, MD, CEO, Carris Health, Adjunct Professor, University of Minnesota) Cindy.Smith@carrishealth.com

    1 in stock

    £104.49

  • Dermatology in Rural Settings: Organizational,

    Springer Nature Switzerland AG Dermatology in Rural Settings: Organizational,

    3 in stock

    Book SynopsisThis book addresses the maldistribution of health care between people in dense cities and more rural areas. This proactive resource provides solutions that will motivate dermatologists to make a difference, including free rural clinics and incentives to attract dermatologists to the aforementioned areas. Comprehensive yet concise, the book encompasses not only the logistics of the healthcare issues, including location, incentive, and set up of facility but includes insight into the effectiveness of teledermatology, a practice more commonly utilized due to the COVID-19 Pandemic. Additionally, chapters examine the relationship between economic viability and quality of care, as well as government incentives and political action to mitigate this issue. Unique and timely, Dermatology in Rural Settings is an invaluable resource for dermatologists, resident dermatologists, and academic physicians interested in rural and urban health.​Table of ContentsIntroduction1) Access to Dermatology in Rural America: Statistical Measures and Epidemiology (Eliot Mostow, MD, (Professor, Department of Dermatology, Northeastern Ohio Medical University, Rootstown, Ohio and Clinical Associate Professor, Case Western Reserve University, Cleveland Ohio) emostow@neomed.edu and Jennifer A Stein, MD (Associate Professor of Dermatology, New York University Langone Hospitals) jas231@med.nyu.edu2) A Comparison of rural, suburban and urban dermatology (Laurel L. Wessman MD (PGY3, Department of Dermatology, University of Minnesota Twin Cities wessm018@umn.edu&nbsDollars and Cents in Rural America3) Economics of rural dermatology practice (Taylor Sisson, MBA, DHA, Departmental Business Manager, Dermatology, University of Mississippi Medical Center, Jackson, MS) wsisson@umc.edu4) Government and private efforts to incentivize rural practice (low interest loans, grants, etc) (Josh Ortega, MD, PGY-2 Rural Track Dermatology Resident, University of Mississippi Medical Center, Jackson, MS) jortego93@gmail.comPriming the Rural Dermatology Care Pump5) Rural dermatology residency slots: priming the pump (Abel Torres, MD, Professor and Chair, Department of Dermatology, University of Florida, Gainesville, FL) abelt@aol.com6) Training family practice residents in a rural dermatology clinic (Janet Ricks, DO Assistant Professor, University of Mississippi Medical Center, Jackson, MS) jricks2@umc.edu7) Training medical students in a rural dermatology clinic (Ross Pearlman, MD, PGY-3 Dermatology, University of Mississippi Medical Center, Jackson, MS) rpearlman@umc.edu8) Political action in rural dermatology (Elizabeth Kiracofe, MD, Private Practice, Chicago, IL) kiracofe@aol.comEstablishing Rural Dermatology Practices9) Academic rural dermatology offices (Amy Flischel, MD, Associate Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS aflischel@gmail.com and Stephen E. Helms, MD, Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS shelms@umc.edu10) Private practice rural dermatology offices (Ira Dan Harber, MD, PGY-4, Dermatology, University of Mississippi Medical Center) iharber@umc.eduPhilanthropic Approaches to Rural Dermatology Care11) Free rural clinics: city folk making a difference in rural America (Leslie Partridge, NP, University of Mississippi Medical Center, Jackson, MS) lahoward2@umc.edu12) Dermatologic care on the Indian Reservations (Lucinda Liu Kohn, MD, Dermatology Assistant Professor, Dermatology, University of Colorado, Aurora, CO) lucinda.kohn@cuanschutz.eduUtilizing technology to provide rural dermatology services13) Project Echo: improving rural dermatology through digital primary care education (Karen Edison, MD, Professor of Dermatology and Director of Missouri Telehealth Network, University of Missouri Health System, Columbia Missouri) edisonk@health.missouri.edu14) Delivering “store and forward” teledermatology to rural primary care practices: an efficient approach to provision of rural skin care (Chelsea Mockbee, MD, Assistant Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS) CSMockbee@umc.edu15) Overcoming barriers to implementation of teledermatology (Robert T. Brodell, MD Tenured Professor and Chair, Department of Dermatology, University of Mississippi Medical Center, Instructor in Dermatology, University of Rochester School of Medicine and Dentistry rbrodell@umc.edu Research in Rural Dermatology Practice16) Health services research in rural dermatology (Vinayak Nahar, MD PhD, Assistant Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS) vnahar@umc.edu17) Dermatology research: Stirring the scientific pot on an island distant from the “mother ship” (Richard Summers, MD, Associate Vice-Chancellor for Research, University of Mississippi Medical Center, Jackson, MS) rsummers@umc.eduMaking It Happen: The Rural Renaissance18) Rural dermatology private practice: a life worth living (Adam Byrd, MD, Assistant Professor of Dermatology, University of Mississippi Medical Center, Jackson, MS) acbyrd@umc.edu19) Attracting dermatologists to rural America: Making a difference one rural practice at a time (Cindy Firkins-Smith, MD, CEO, Carris Health, Adjunct Professor, University of Minnesota) Cindy.Smith@carrishealth.com

    3 in stock

    £75.99

  • Geriatrics for Specialists

    Springer Nature Switzerland AG Geriatrics for Specialists

    5 in stock

    Book SynopsisThis book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further.This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.Table of ContentsFrailty.- Delirium.- Preoperative Evaluation.- Psychiatric Disorders in Older Adults.- Medication Management.- Palliative Care and End-of-Life Issues.- Hospital Medicine.- Screening Tools for Geriatric Assessment by Specialists.- Cardiothoracic Surgery.- Emergency Medicine.- Geriatric Trauma and Emergency General Surgery.- Special Evidence-Based Considerations in Geriatric Gynecologic Care: Pelvic Floor Disorders.- Geriatric Cross-Cutting Issues in Ophthalmology.- Geriatric Orthopaedic Surgery.- Rehabilitation.- Urology.- Vascular Surgery.- Rheumatology.- Cardiovascular Disease.- Endocrinology.- Gastroenterology.- Infection and Immunity in Older Adults.- Kidney Disease.- A Geriatric Perspective on Oncology Care.- Pulmonary and Critical Care Medicine.- Behavioral Neurology.- Geriatric Dermatology.

    5 in stock

    £113.99

  • Osteoporosis Treatment: A Clinical Overview

    Springer Nature Switzerland AG Osteoporosis Treatment: A Clinical Overview

    1 in stock

    Book SynopsisThis book provides a practical overview of osteoporosis for the wide spectrum of clinicians that might encounter the osteoporotic patient. Concise and well-structured chapters examine the public health importance of the condition, the current treatment gap, how to identify individuals who would benefit from treatment, bone turnover and how this can be modified by osteoporosis therapies, adjuvant lifestyle modification, the calcium and vitamin D story, antiresorptive therapies, anabolic therapies, emerging therapies, adherence and compliance with therapy and the perception of fracture risk. Osteoporosis Treatment: A Clinical Overview meets the need for a book that improves awareness of this major public health problem and possible therapeutic approaches. Primary care physicians, endocrinologists, rheumatologists, orthopaedic surgeons and those providing specialist care for the elderly will all benefit from this highly accessible and informative guide to treating osteoporosis.Table of ContentsThe epidemiology of fracture: why treatment matters.- The treatment gap.- How to identify those requiring fracture.- The Bone turnover cycle.- Antiresorptive therapies.- Anabolic therapies.- Emerging therapies.- Improving compliance.- Non-pharmacological therapies.

    1 in stock

    £80.99

  • The Role of Family Physicians in Older People

    Springer Nature Switzerland AG The Role of Family Physicians in Older People

    3 in stock

    Book SynopsisThis book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the “silver tsunami.” Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management.This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.Table of ContentsIntroduction: Family Doctors and the Silver Tsunami: how to face the storm.- Scales and Scores for comprehensive geriatric assessment in primary care.- Nutritional issues of older people in primary care.- Frailty and sarcopenia in primary care: current issues.- The older patient with cognitive impairment in primary care.- The older patient with psychiatric illness.- The older patient at home.- Managing incontinence.- Intermediate care in older population: the role of the Family Doctor.- The older patient in nursing home.- The role of caregivers in older people.- Red Flags in elderly care.- Vaccinations in older people.- The Geriatric Team: clinical and social aspects.- Elder Abuse and Domestic Violence.- Polipharmacy and overtreatment.- Quaternary Prevention and Deprescribing.- Quality or quantity of life? Supportive and palliative approach to the elderly.- Dying at home.- Dying in 4D (or more).- Integrating spiritual care in the frame.- Dignity Therapy.- Conclusions.

    3 in stock

    £134.99

  • The Role of Family Physicians in Older People

    Springer Nature Switzerland AG The Role of Family Physicians in Older People

    1 in stock

    Book SynopsisThis book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the “silver tsunami.” Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management.This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.Table of ContentsIntroduction: Family Doctors and the Silver Tsunami: how to face the storm.- Scales and Scores for comprehensive geriatric assessment in primary care.- Nutritional issues of older people in primary care.- Frailty and sarcopenia in primary care: current issues.- The older patient with cognitive impairment in primary care.- The older patient with psychiatric illness.- The older patient at home.- Managing incontinence.- Intermediate care in older population: the role of the Family Doctor.- The older patient in nursing home.- The role of caregivers in older people.- Red Flags in elderly care.- Vaccinations in older people.- The Geriatric Team: clinical and social aspects.- Elder Abuse and Domestic Violence.- Polipharmacy and overtreatment.- Quaternary Prevention and Deprescribing.- Quality or quantity of life? Supportive and palliative approach to the elderly.- Dying at home.- Dying in 4D (or more).- Integrating spiritual care in the frame.- Dignity Therapy.- Conclusions.

    1 in stock

    £98.99

  • The Principles of Virtual Orthopedic Assessment

    Springer Nature Switzerland AG The Principles of Virtual Orthopedic Assessment

    1 in stock

    Book SynopsisFilling a gap in literature, this concise and practical book presents the principles of virtual orthopedic assessment and shares insights into the use of technology for distance patient-physician communication. Offering expert know-how and best practices, it equips readers with essential information on how to best remotely manage the diagnosis, treatment and follow-up of patients.The book starts by defining telemedicine and presenting the basic requirements. The following chapters each focus on a specific joint or compartment, highlighting its peculiarities in terms of remote clinical assessment, and also discussing data security, patient confidentiality and consent as well as medico-legal issues. Moreover, the book features a dedicated chapter that analyzes specific issues related to remote assessment in children, older patients, noncompliant patients, and patients with pain. Covering all the basic and practical aspects of this emerging field, this book is a must-read for orthopedists and other professionals, such as general practitioners and physiotherapists, wanting to gain insights into remote orthopedic patient care.Table of ContentsIntroduction.- What is telemedicine?.- Basic requirements for proper virtual orthopedic assessment.- Shoulder and upper arm.- Elbow and forearm.- Hand and wrist.- Pelvis, hip and thigh.- Knee.- Lower leg, foot and ankle.- Spine.- Neurological assessment.- Special issues and situation on telemedicine.- Medico legal & confidentiality & data security & patients consents.- Dealing with children and old age and noncompliant patients, and patients in pain.- Other related issues.

    1 in stock

    £80.99

  • The Principles of Virtual Orthopedic Assessment

    Springer Nature Switzerland AG The Principles of Virtual Orthopedic Assessment

    5 in stock

    Book SynopsisFilling a gap in literature, this concise and practical book presents the principles of virtual orthopedic assessment and shares insights into the use of technology for distance patient-physician communication. Offering expert know-how and best practices, it equips readers with essential information on how to best remotely manage the diagnosis, treatment and follow-up of patients.The book starts by defining telemedicine and presenting the basic requirements. The following chapters each focus on a specific joint or compartment, highlighting its peculiarities in terms of remote clinical assessment, and also discussing data security, patient confidentiality and consent as well as medico-legal issues. Moreover, the book features a dedicated chapter that analyzes specific issues related to remote assessment in children, older patients, noncompliant patients, and patients with pain. Covering all the basic and practical aspects of this emerging field, this book is a must-read for orthopedists and other professionals, such as general practitioners and physiotherapists, wanting to gain insights into remote orthopedic patient care.Table of ContentsIntroduction.- What is telemedicine?.- Basic requirements for proper virtual orthopedic assessment.- Shoulder and upper arm.- Elbow and forearm.- Hand and wrist.- Pelvis, hip and thigh.- Knee.- Lower leg, foot and ankle.- Spine.- Neurological assessment.- Special issues and situation on telemedicine.- Medico legal & confidentiality & data security & patients consents.- Dealing with children and old age and noncompliant patients, and patients in pain.- Other related issues.

    5 in stock

    £56.99

  • Cardiovascular Disease in Racial and Ethnic

    Springer Nature Switzerland AG Cardiovascular Disease in Racial and Ethnic

    15 in stock

    Book SynopsisThe book discusses the impact of genetics, social determinants of health, the environment, and lifestyle in the burden of cardiometabolic conditions in African American and Hispanic/Latinx populations. It includes fully updated and revised chapters on genetics and CVD risk, epidemiology of cardiovascular health, cardiovascular imaging, dyslipidemias and other emerging risk factors, obesity and metabolic syndrome, heart failure, and genetic variations in CVD. Unique aspects within African American and Hispanic/Latinx populations are explored with suggested appropriate therapeutic interventions. New chapters focus on ASCVD risk assessment, emerging precision medicine concepts, the impact of diabetes, resilience and CVD survival, and lifestyle and dieting considerations. Written by a team of experts, the book examines the degree to which biomedical and scientific literature can clarify the impact of genetic variation and environment on cardiovascular disease. The Second Edition of Cardiovascular Disease in Racial and Ethnic Minority Populations is an essential resource for physicians, residents, fellows, and medical students in cardiology, internal medicine, family medicine, clinical lipidology, and epidemiology.Table of Contents1. Overview and Perspectives: Cardiovascular Disease in Racial/Ethnic Minorities in the era of COVID-19.- 2. Introduction to Precision Medicine: Minority Populations and Cardiovascular Health.- 3. Lipoprotein (a): A Cardiovascular Risk Factor affecting Ethnic Minorities.- 4. Emerging Precision Medicine Concepts and Cardiovascular Health in African Americans and Hispanics.- 5. The Implementation Frontier: Impact on Cardiovascular Health in Racial and Ethnic Minority Populations.- 6. Genomic Approaches to Hypertension.- 7. Heart Failure in African Americans and Hispanic Americans; a persistent and disproportionate burden in under-represented minorities.- 8. Heterogeneity, Nativity, and Disaggregation of Cardiovascular Risk and Outcomes in Hispanic Americans.- 9. Cardiovascular Epidemiology in Hispanics/Latinos: Lessons Learned from HCHS/SOL.- 10. Lessons Learned from the Jackson Heart Study.- 11. Cardiovascular Disease Risk Factors in the Hispanic/Latino Population.- 12. Progress in ASCVD Risk Assessment in African Americans and Hispanic Americans.- 13. CARDIOVASCULAR DISEASE IN MINORITIES - Unique Considerations: Hypertension in African and Hispanic Americans.- 14. Weight Loss, Lifestyle, and Dietary Factors in Cardiovascular Disease in African Americans and Hispanics.- 15. Coronary Calcium Scoring In African American and Hispanic Patients.- 16. Epidemiology of Cardiovascular Disease in African Americans.- 17. Cardiac Amyloid Heart Disease in Racial/Ethnic Minorities: Focus on Transthyretin Amyloid Cardiomyopathy .- 18. Imaging for the Assessment and Management of Cardiovascular Disease in Women and Minority Populations.

    15 in stock

    £107.99

  • Asylum Medicine: A Clinician's Guide

    Springer Nature Switzerland AG Asylum Medicine: A Clinician's Guide

    3 in stock

    Book SynopsisAsylum medicine, a field encompassing medical forensic evaluations of asylum seekers, is an emerging discipline in healthcare. In a time of record global displacement due to human rights violations, conflict and persecution, interest in the medical and psychological evaluation of individuals subjected to torture and other ill-treatment is high. Health professionals are uniquely qualified to use their skills to make contributions to a group of vulnerable individuals fleeing danger and death in their home countries. Health professionals involved in asylum medicine perform medical and psychological forensic evaluations of asylum seekers. Their educational background prepares them to examine and describe physical and emotional scars related to trauma, and further training allows them to assess these scars in the context of persecution, describe them in a medical-legal affidavit and support these findings with testimony. Providers of asylum medicine are often involved in advocacy, as many governments become increasingly hostile to asylum seekers. Books on human rights exist, but there is no authoritative text of asylum medicine. This book presents a comprehensive overview of asylum medicine, with emphasis on the historical and legal background of asylum law, best practices for performing asylum examinations, challenges of examining detained asylum seekers, education of trainees and advocacy. Written by experts in the field, Asylum Medicine: A Clinician's Guide is a first of its kind resource for health care providers who practice asylum medicine.Trade Review“The book is very well organized. While it is eminently readable cover-to-cover as an introduction to the discipline, it also serves well as a convenient, point-of-care quick reference resource. … this is an important contribution to the resources for individuals involved in care of such patients. It is very accessible in terms of the writing style and organization. It will be a valuable addition to the library of any physician who works with immigrants, refugees, and asylum seekers.” (Mark K. Huntington, Family Medicine, Vol. 55 (2), 2023)Table of Contents

    3 in stock

    £104.49

  • Hand and Wrist Injuries in Baseball: A Clinical

    Springer Nature Switzerland AG Hand and Wrist Injuries in Baseball: A Clinical

    15 in stock

    Book SynopsisThis book comprehensively reviews soft tissue, bone, ligament, and nerve injury of the hand and wrist unique to baseball. Organized into three sections, the book begins with a discussion on fractures of the hand and wrist, including the distal radius, scaphoid, and phalanges. Following this, section two examines ligament injuries from the wrist to the thumb. Section three then concludes the book with an analysis of tendon and nerve injuries. Chapters include high-quality images and tables to supplement expertly written text.Unique and thorough, Hand and Wrist Injuries in Baseball is an invaluable resource for orthopedics surgeons and sports medicine specialists, as well as primary care physicians, emergency room physicians, pediatricians, athletic trainers, and therapists.Table of ContentsSection I: Fractures of the Hand and WristDistal Radius FracturesScaphoid FracturesCarpal Fractures Excluding the ScaphoidHook of the Hamate FractureCarpometacarpal (CMC) Injuries Digits 2-5Phalangeal and Metacarpal Fractures of the DigitsThumb Basilar Fractures/Thumb CMC DislocationSection II: Ligament Injuries of the Hand and WristWrist Ligament Injury (Scapholunate)Thumb Metacarpalphalangeal Collateral Ligament InjuryCollateral Ligament Injury of the Digits 2-5Triangular Fibrocartilage Complex InjurySection III: Tendon and Nerve Injuries of the Hand and WristFlexor Tendon Injury Including PulleyExtensor Tendon Injury/Extensor Carpi UlnarisMedian Nerve/Ulnar Nerve/Thumb Perineural FibrosisSection IV: Special Populations and RehabilitationInjuries of the Hand and Wrist in the YouthPost-Treatment Care of the Athlete.

    15 in stock

    £107.99

  • Nutrition Guide for Physicians and Related

    Springer Nature Switzerland AG Nutrition Guide for Physicians and Related

    5 in stock

    Book SynopsisThis fully updated and expanded third edition is a reference guide on nutrition and its clinical implications for health and disease through the life-cycle. The book endeavors to address the needs of those who would most benefit from up-to-date information on recent advances in the field of nutrition. Written by experts in the field, chapters cover a diverse range of nutritional areas that present a succinct overview of recent thinking and discoveries that have the greatest capacity to aid physicians and other healthcare professionals in improving the nutritional health of their clients. The text is divided into eight parts. Part one and two address the nutrient requirements and special nutrition-related issues for people across all stages of the lifespan—from pregnancy and infancy through the adolescent years to the older adult years. Part three summarizes the role of nutrition in the prevention and management of chronic conditions frequently seen in clinical practice, including obesity, diabetes, bone disorders, coronary heart disease, hypertension, and cancer. Part four describes different dietary patterns (the Mediterranean diet, the DASH diet, the vegetarian diet, and the ketogenic diet). Part five describes nutrition challenges specific to surgery and several different acute diseases and disorders (gastrointestinal disorders, food allergy and intolerance, diseases of the liver and pancreas, kidney disease, eating disorders, bariatric surgery, sarcopenia, and drug interactions with food). Part six looks at different aspects of the diet (coffee, tea, dietary fat, dietary sugars, energy drinks, alcohol, dietary fiber, vitamins, minerals, and the gut microbiome). Part seven examines a range of factors that influence dietary health decisions (creating nutritional behavior change, methods for assessing nutritional status, Dietary Reference Intakes, an overview of the diet and food guides, food labels, and sources of nutrients). Finally, part eight looks at dietary supplements (including the problem of dishonest marketing) and false and misleading information in the area of nutrition. The growing nutritional impact of COVID-19 is discussed throughout the book where appropriate.Nutrition Guide for Physicians and Related Healthcare Professions Third Edition serves as a comprehensive guide that is organized by age/lifespan, nutrition therapy in relation to chronic disease and COVID, diet and its role in prevention, dietary requirements and recommendations, and influencing health decisions for the patient. It is a valuable resource of practical and easy-to-access information on nutrition for physicians, nurses, pharmacists, and others in their daily practice.Table of ContentsPart I: Introduction.- Why Nutrition Matters in Clinical Practice.- Part II: Nutrition Consideration Across the Lifespan.- Pregnancy: Preparation for the Next Generation.- Infants: Transition from Breast to Bottle to Solids.- Young Children: Preparing for the Future.- Nutrition in Adolescence.- Nutritional Challenges of Girls and Woman.- Healthy Aging: Nutrition Concepts for Older Adults.- Dietary Considerations for Postmenopausal Women.- Dietary Influence on Cognitive Function in the Elderly.- Part III: Nutrition for the Prevention and Management of Chronic Diseases.- Inherited Metabolic Disorders and Nutritional Genomics: Choosing the Wrong Parents.- Obesity: Understanding and Achieving a Healthy Weight.- Nutrition Therapy for the Treatment of Type 1 Diabetes.- Nutrition Therapy for Prevention and Treatment of Type 2 Diabetes.- Osteoporosis and Bone Health: Sound Suggestions for Stronger Bones.- Coronary Heart Diseasee: Nutritional Interventions for Prevention and Therapy.- Dietary Influence on Blood Pressure.- Diet, Physical Activity, and Cancer Prevention.- Nutritional Prevention of Irritable Bowel and Gastrointestinal Disorders.- Part IV: Nutritional Requirements Following Surgery and Acute Disease.- Dietary Considerations During Chemotherapy.- Role or Nutrition in Understanding Common Gastrointestinal Disorders.- Food Allergy and Intolerance: Diagnosis and Nutritional Management.- Nutrition in Patients with Diseases of the Liver and Pancreas.- Medical Nutrition Therapy for Kidney-Related Disorders.- Eating Disorders: Disorders of Under and Over Nutrition.- Nutritional Considerations for the Treatment of Depression.- Nutritional Considerations Following Bariatric Surgery.- Nutrition for Sarcopenia Prevention.- Drug Interactions with Food and Beverages.- Part V: Food and Nutrient Health Effects.- Coffee Consumption and its Impact on Health.- Health Effects of Tea Consumption.- Dietary Fat: the Good, the Bad, and the Ugly.- Dietary Sugar Intake: Is There a Best Recommendation.- Dietary Recommendations for Juices and Soft Drinks.- Sports Beverages for Optimizing Physical Performance.- Energy Drinks and Human Healthy.- What is the Best for the Patient: Abstinence or Moderate Alcohol Consumption?.- Dietary Fiber: All Fibers are not Alike.- Vitamins: The Essentials.- Mineral Nutrients: From Macro to Ultra Trace.- Nutritional Influence on the Gut Microbiome.- Part IV: Influencing Dietary Health Decisions.- Guidelines for Nutrition Screening, Assessment, and Referrals in the Clinical Setting.- Nutritional Status: An Overview of Methods for Assessment.- Food Synergy, Nutritional Science to Food Guides.- Dietary Supplements: Navigating a Minefield.- A Plague of False and Misleading Information.- Dietary Reference Intakes: Cutting Through the Confusion.- Food Labels and Sources of Nutrients: Sorting the Wheat from the Chaff.- Part VII: Conclusions.- What Needs to Change for Nutritional Health to Improve?.- Appendix A: Aids to Calculations.

    5 in stock

    £170.99

  • Approaches to Chronic Kidney Disease: A Guide for

    Springer Nature Switzerland AG Approaches to Chronic Kidney Disease: A Guide for

    3 in stock

    Book SynopsisChronic kidney disease (CKD) is a major global public health problem, affecting nearly one in seven adults in the United States alone. It is a disease that integrates chronic illness at several levels, and the progressive condition is associated with high rates of co-morbidity. This text provides a comprehensive, current state-of-the art review of this field, serving as a valuable resource for primary care providers and non-nephrology clinicians that treat patients with CKD. It is comprised of 24 chapters focused on specific aspects of the disease. The first 2 chapters provide a bit of background on the disease, describing the anatomy and physiology of the kidney as well as the definition and epidemiology of the disease. The following 3 chapters discuss the detection, prevention and progression of the disease. The next 6 chapters describe the relationship of the disease with other conditions and most common co-morbidities such as diabetes and hypertension. The chapters, that follow focus on the CKD associated complications and the CKD within special populations such as the elderly and minorities as well as dietary restrictions and drug dosing. The book concludes with discussion on preparation for renal replacement therapy and preemptive organ transplantation as an alternative to dialysis in the management of the advanced CKD. Written by experts in the field, Approach to Chronic Kidney Disease is a comprehensive guide for clinicians, especially primary care providers including residents and fellows in training, who take care of chronic kidney disease patients. It is also a useful tool for researchers dealing with this challenging field. Table of ContentsRenal Physiology for Primary Care CliniciansState of the Care Definition and Epidemiology of CKDScreening Tests for CKD DetectionPrevention of CKD and Retarding the Progression of CKDProgression of CKD and Uremic SymptomsDiabetic Kidney DiseaseHypertensive Kidney DiseaseInfection Related Kidney DiseaseHepatorenal Syndrome.- Lupus NephritisOnco-NephrologyComplications of Chronic Kidney Disease: Electrolyte and Acid – Base DisordersAnemia in chronic kidney diseaseCKD – Mineral and Bone DisorderHypertension and Cardiovascular Disease in Patients with Chronic Kidney DiseaseCKD in Elderly: Do old kidneys behave differentlyCKD in Non-Renal Solid Organ TransplantationCKD and PregnancyCKD in Minorities: Non-Hispanic blacks, Hispanics Asians Indian AmericansNutrition in CKD.- Drug Dosing in CKD: Polypharmacy and NephrotoxicityUse of Iodinated and Gadolinium Containing Contrast Media in CKDPreparation for Renal Replacement Therapy.- Pre-emptive Kidney Transplant: An Alternative to Dialysis

    3 in stock

    £104.49

  • A Case-Based Guide to Clinical Endocrinology

    Springer Nature Switzerland AG A Case-Based Guide to Clinical Endocrinology

    1 in stock

    Book SynopsisNow in a revised and expanded third edition, this case-based guide emphasizes the latest investigative advances in both imaging and molecular diagnostics and new treatment approaches for a wide variety of common and complex endocrine conditions. Utilizing unique clinical case histories, each main endocrine condition and disorder is curated by a senior Section Editor with an introduction to his or her area covering both physiology and pathophysiology. This introductory chapter is followed by a number of case histories written by invited experts and designed to cover the important relevant pathophysiology, following a consistent chapter format for ease of use, including bulleted objectives, case presentations, review of the diagnosis, lessons learned, and 3-5 multiple-choice review questions. Section headings include the pituitary, thyroid (overactivity, underactivity and cancer) and parathyroid, adrenal disorders, metabolic bone disease, type 2 diabetes, lipid abnormalities, obesity, and pregnancy. Topics new to this edition include PCOS, transgender medicine and the endocrine effects of viral infections.With a focus on covering major parts of the APDEM curriculum, A Case-Based Guide to Clinical Endocrinology remains a tremendous resource for junior and veteran clinicians alike. Table of Contents

    1 in stock

    £170.99

  • Adolescent Gun Violence Prevention: Clinical and

    Springer Nature Switzerland AG Adolescent Gun Violence Prevention: Clinical and

    1 in stock

    Book SynopsisEach year, gun violence kills approximately 2,700 and injures approximately 14,500 children in the U.S.; the overwhelming majority of child gun deaths are among teenagers who die by homicide or suicide. Gun violence is the leading cause of death for Black teens. A recent spate of high-profile tragedies involving children, such as the Newtown mass shooting in 2012 and the Parkland mass shooting in 2018, have reinvigorated a national debate about the role of guns in our private and public spaces. Physicians, and in particular pediatricians, have become increasingly vocal about the need to address the epidemic of gun violence in the U.S.This book serves as an in-depth, comprehensive guide to adolescent gun violence prevention. It describes the epidemiology of teen gun violence in the U.S. by focusing on the parallel epidemics that claim the most lives: gun suicide among rural white males, and gun homicide among urban Black males. It offers in-depth reviews of key concepts that are crucial to reaching a meaningful understanding of gun violence. The text also addresses specific methods of intervention at various levels of society, from the individual; to the local community; and finally to the entire nation. This first of its kind book is a valuable reference for physicians, public health scientists, policy-makers, gun reform advocates, and anyone interested in working towards a safer future for young people.Table of Contents

    1 in stock

    £52.24

  • Men’s Health and Wellbeing

    Springer Nature Switzerland AG Men’s Health and Wellbeing

    1 in stock

    Book SynopsisThis book provides a concise overview of the latest controversies and advances in men’s health. It covers the male anatomy, physiology, and the metabolic syndromes that most commonly affect males. A range of benign and malignant conditions affecting the prostate, testes, rectum and colon are detailed. Chapters feature an easy-to-follow format and feature learning objectives to highlight the key concepts in each chapter aiding the reader to develop a thorough understanding of fundamental aspects in men’s health.Men’s Health and Wellbeing features insightful reviews of controversies and recent developments in men’s health, and is a valuable resource for all trainee and practicing medical professionals who treat these patients.Table of ContentsThe Male Reproductive System Anatomy.- Physiology of Male Hormones.- Hypogonadism and Late onset Hypogonadism.- Male Factor Infertility.- Erectile Dysfunction.- Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms.- Impact of Urinary Incontinence on Men’s Health.- Metabolic Syndrome, Obesity and Cancer Risk.- Impact of Trauma and Orthopaedics on Men’s Health.- Sexually Transmitted Diseases.- Alcohol related liver disease.- Recreational Drugs and Men’s Health.- Benign Surgical Conditions.- Benign Gastrointestinal Conditions.- Malignant Gastrointestinal Conditions.- Lung Cancer and Smoking.- Testicular Malignancy.- Prostate Cancer Malignancy.- Physical activity and dietary considerations for men diagnosed with prostate cancer.- Prostate Cancer Survivorship and Physical Health.- Mind and Body in Men’s Health.- Engaging Men with Men’s Health.

    1 in stock

    £56.99

  • Diversity in Action: Case Studies in Cultural

    Springer Nature Switzerland AG Diversity in Action: Case Studies in Cultural

    15 in stock

    Book SynopsisThis book presents an extensive collection of high-yield case vignettes with recommendations for a comprehensive approach to cultural psychiatry. Culture is defined from an anthropological perspective, with an emphasis on aspects of culture beyond race, ethnicity, and other traditional demographic categories. The goal of this book is to offer clinical applications of cultural psychiatry via examination of special populations, systems, and settings. With ever-changing geopolitical environments, institutional structures, and sociodynamics, attention and consideration of context is paramount. Theoretical models and specific frameworks for evaluating cultural influence on the manifestation, development, and treatment response of mental health illnesses are presented. The chapters are organized to showcase different ways in which culture plays into everyday clinical practice. Emphasis is placed on the full sum of the care delivery transaction within a larger context, including public and community systems of care. Real-world case examples are discussed in each chapter to help contextualize the dynamic nature that culture plays in practice across inpatient and outpatient settings. Each case presents with relevant academic and historical background and practical operational advice for psychiatrists providing care within these respective communities. The authors address diverse clinical cases related to refugee and asylum seekers, military service members, survivors of human trafficking, incarcerated populations, and more. Training recommendations and best practices are outlined including psychopharmacology, psychosocial treatments, and cultural adaptations to evidence based treatments.Diversity in Action: Case Studies in Cultural Psychiatry is a useful resource for all psychiatrists, psychologists, general practitioners, social workers, nurses, administrators, public policy officials, and all medical professionals working with a culturally diverse subset of patients seeking mental health.Table of Contents1. Introduction Hilary M. Gould, Gabriela G. Mejia, and Steve KohPart I Survivors 2. Survivors of TorturePriti Ojha3. Survivors of Human TraffickingJoanna Ortega, Mollie Gordon, Kimberly Gordon-Achebe, and Rachel Robitz4. Survivors of Combat TraumaSavannah L. Woodward and David NissanPart II Special Populations5. Co-Occurring DisordersAaron Meyer, Gabriela G. Mejia, and Hilary M. Gould6. Telepsychiatry to Rural PopulationsGregory Evangelatos, G. Andrew Valasquez, Christine Le, Juan Sosa, Jessica Thackaberry, and Donald M. Hilty7. Religion, Spirituality, and Mental HealthHannah Cherian Sweet and Rachel Ann Paul8. Biculturalism: the case of two North American neighborsBernardo Ng and Nancy Catherine Colimon-ArdilaPart III Systems and Settings9. Correctional PsychiatrySanaz Kumar and Philip J. Candilis10. Shifting Gears: Cultural Assimilation into Primary CareTeresa Pan, Rahul Lauhan, Jeanne Maglione, and Alan Hsu11. Psychiatric Care in Residential Care Environments Omar Ghosn, Steve Huege, and Daniel D. Sewell

    15 in stock

    £94.99

  • Endocrinology and Diabetes: A Problem Oriented

    Springer Nature Switzerland AG Endocrinology and Diabetes: A Problem Oriented

    5 in stock

    Book SynopsisDeveloped by a renowned group of international authors, this engaging, case-based title once again offers readers a wide range of thought-provoking case studies that reflect contemporary, challenging, hands-on clinical care. Expanded and fully updated, Endocrinology and Diabetes: A Problem Oriented Approach, 2nd Edition addresses the complete range of endocrinologic problems found in patient care, offering the reader a convenient and pointed way to solve clinical problems in a timely manner. Due to its comprehensive coverage and practical focus, this title has developed a special place in the field of endocrinology and will again be of great interest to endocrinologists, diabetologists, internal medicine physicians, family physicians, fellows, and residents. The enthusiastic reception and warm welcome of the first edition of this book was overwhelming and gratifying. Despite many standard texts that cover physiology and clinical aspects of endocrinology, this book found a special place because it focused on patient care and practical aspects of endocrine practice. In the current volume we were fortunate to again have the honor of collaboration by international authors who pride themselves foremost as clinical endocrinologists. We hope our readers will find this updated, improved edition worthwhile, and use it for the benefit of their patients. Table of ContentsSection I: EndocrinologyHyperthyroidism and Thyrotoxicosis HypothyroidismThyroid Nodules and CancerEvaluation of Sellar Masses Hyperprolactinemia AcromegalyHypopituitarismCushing's Syndrome Adrenal Failure Adrenal IncidentalomasEndocrine Hypertension Hirsutism and Virilization MenopauseMale HypogonadismHormone Therapy in the Transgender PatientIdiopathic Short Stature: Diagnostic and Therapeutic ApproachDelayed PubertyPrecocious PubertyAmbiguous GenitaliaNon-Parathyroid HypercalcemiaHypocalcemiaPrimary HyperparathyroidismVitamin D DeficiencyPostmenopausal OsteoporosisOsteoporosis in MenGlucocorticoid-induced OsteoporosisMetabolic Bone Diseases Other than OsteoporosisSection II: Diabetes Mellitus Classification and Laboratory Diagnosis of Diabetes MellitusGestational DiabetesOral Therapies for Type 2 DiabetesGLP-1 Receptor Agonists for the Treatment of Type 2 Diabetes Insulin TherapyHypoglycemia in the Non-Diabetic PatientHypoglycaemia in DiabetesHypoglycaemia in DiabetesThe Diabetic NeuropathiesDiabetic NephropathyThe Diabetic FootDiabetic RetCarbohydrate Counting Section III: Obesity, Lipids, and Nutrition Pharmacological treatment of obesityNon-alcoholic Fatty LiverTreatment of Obesity in the Patient with Type 2 DiabetesDyslipidemiaDietary Approach for Cardio-metabolic DisordersNutrition Supplements in Sports

    5 in stock

    £123.49

  • CPAP Adherence: Factors and Perspectives

    Springer Nature Switzerland AG CPAP Adherence: Factors and Perspectives

    15 in stock

    Book SynopsisThis book presents a broad range of perspectives on the topic of CPAP adherence. This includes theoretical underpinnings of adherence; multi-disciplinary practical approaches as well as special considerations in diverse clinical populations, age groups and cultures by authors from five continents. CPAP Adherence is a novel and highly relevant publication for sleep physicians, psychologists, dentists, respiratory therapists, sleep technicians, family physicians as well as PAP and oral appliance providers. This book will help improve patient care and quality of life.Table of ContentsPART 1.- 1. When To Treat With Cpap And How To Define Success.- 2. Interventions to Improve CPAP Adherence.- 3. Patient Adherence to CPAP– A Practical Interdisciplinary Model.- 4. Soft Styles of Motivating Patients to Adopt CPAP.- 5. The role of education and support in CPAP adherence.- 6. Role of the Behavioural Sleep Specialist Psychologist in Promoting CPAP Adherence.- 7. Role of the physician in CPAP adherence and CPAP trials.- 8. PAP Therapy for Sleep Breathing Disorders: Good Policies and Practices.- PART 2.- 9. Socio-Economic Differences in CPAP Adherence.- 10. The Impact of Partner and Family Support.- 11. Personality and Mental Health as Determinants of CPAP Use.- 12. Costs of Treatment Non-adherence in Obstructive Sleep Apnoea.- 13. Obstructive Sleep Apnea Phenotypes And Positive Airway Therapy Adherence.- PART 3.- 14. PAP Adherence in Neurology Patients.- 15. Obstructive Sleep Apnea, CPAP and Impact on Cognitive Function.- 16. Sleep Apnea and Cardiovascular Disease: The Role of CPAP and CPAP.- 17. Cognitive Behavioural Therapy for Insomnia in Patients with Comorbid Insomnia and Obstructive Sleep Apnea.- 18. Overview of Medication Treatment for Comorbid Insomnia and Obstructive Sleep Apnea (COMISA).- 19. CPAP Adherence in Patients with Obstructive Sleep Apnea and Depression.- 20. Adherence with Treatment for Sleep Apnea in Patients with Co-morbid Post-Traumatic Stress Disorder.- 21. ReleVancouvere of CPAP in Ophthalmic Disease.- 22. CPAP Adherence and Bariatric Surgery Patients.- 23. CPAP adherence in pregnancy.- PART 4.- 24. Pathophysiology of Obstructive Sleep Apnea in Children ReleVancouvere to Treatment Approaches.- 25. PAP Management and Adherence for Children and Adolescents with OSAS.- 26. Cpap Adherence In Children With Special Health Care Needs.- . PART 5.- 27. Monitoring of the Patient on CPAP and When should Alternative Treatment Modalities be Considered.- 28. Oral Appliance Use for Sleep Related Breathing Disorders.- 29. Utilization of wake promoting drugs in patients on CPAP therapy.- 30. Improving CPAP Adherence using Telehealth.- 31. The CPAP Machine, Mask and Interface.- 32. How to Start Using and Benefit from CPAP Use_ A CPAP Vendor's Practical Information to Patients.- 33. The CPAP treatment Coordinator’s Role in Helping Patients with CPAP Use.- 34. The Respiratory Therapist and the Vendor’s Perspective on CPAP Adherence.- 35. Global Perspective on CPAP Adherence.- 36. Questionnaires Evaluating Sleep Apnea and CPAP Adherence.- 37. The Past and Future of CPAP.

    15 in stock

    £67.49

  • Sexual and Reproductive Health: A Practical Guide

    Springer Nature Switzerland AG Sexual and Reproductive Health: A Practical Guide

    15 in stock

    Book SynopsisThis book is a point-of-care resource for effective sexual and reproductive healthcare for patients of all ages, sexual orientations, gender identities and medical backgrounds in the primary care setting. This useful guide is divided into three parts, and other than part three, which deals exclusively with transgender and gender diverse patients, all content will relate to patients of all gender identities. Part one presents sexual and reproductive health (SRH) using a lifespan approach, including chapters on pediatrics, adolescents and young adults, adults, and older adult patients. Part two presents an approach to common SRH issues that span multiple age groups, including contraception and family planning, sexually transmitted infections and cancer screenings as well as sexual and reproductive health in the setting of common medical conditions. Part three is dedicated to sexual and reproductive health for transgender and gender non-binary patients, including psychosocial, medical, surgical and legal aspects of health. This book provides primary care clinicians with a framework for providing effective sexual and reproductive healthcare to patients of all ages, sexual orientations and gender identities in a way that is inclusive, focuses on health, and addresses the needs unique to specific populations.Trade Review Table of Contents

    15 in stock

    £104.49

  • Excelling in the Clinic: A Concise Guide for

    Springer Nature Switzerland AG Excelling in the Clinic: A Concise Guide for

    5 in stock

    Book SynopsisWorking in the outpatient clinic is a key training experience for medical students. When they arrive at the clinic, students may discover that their time on the inpatient wards does not necessarily prepare them to perform well in the outpatient setting. Everything is different in the clinic, from the nature and context of the patient encounter to the student’s role in note-writing, oral case presentation, and case discussion with the attending physician. The purpose of this book is to guide students as they transition to the world of 15-minute appointments, telemedicine, cyberchondriasis, motivational interviewing, shared medical appointments, and real-time informatics. The aim is to give students a clear understanding of their role in a variety of clinic settings, to evaluate and present their patients well, maximize learning, and provide excellent care for their patients. Excelling in the Clinic explains the process of becoming an effective, efficient, and scholarly worker in the primary care clinic.Table of Contents 1. The Importance of Primary Care The Power of Incremental Care – Effects of High Quality Primary Care on Health Outcomes – The Long-Term Physician-Patient Relationship – Seeing the Big Picture 2. Medical Education in the Outpatient Clinic: Benefits and Barriers Benefits: Role-Modeling, Mentoring, and One-on-One Teaching – Barriers: Stressed Clinical Preceptors, Student Preconceptions 3. Clinic Settings, Schedules, and Structures Settings – Schedules – Structures – Other Clinic Experiences 4. COVID-19 and the Rapid Rise of Telemedicine How COVID-19 Has Changed Primary Care – Telephone and Video Visits: Benefits and Limitations – Student Participation in Telemedicine – Telemedicine is Here to Stay 5. Role of the Student in the Outpatient Clinic Active Versus Passive Clinic Experiences – What Your Clinic Attending is Looking For – Increasing the Level of Responsibility: the RIME Framework – Working with the Clinic Staff – Following Up on Test Results and Consults 6. Preparing to See the Patient Chart Review and Creating an Agenda for the Visit – More Thoughts on the Agenda: “I Just Want to Know if I’m Healthy Enough for Bacon” 7. The Patient-Centered Interview Basics of the Patient-Centered Interview – Greeting and Introduction – Begin with an Open-Ended Question, and Listen Carefully to the Answer – Look at the Patient, Not the Screen – Med Reconciliation – Evaluate New Symptoms with Pertinent Positives and Negatives – Review of Systems – Using Motivational Interviewing for Behavioral Change – Dealing with Talkative, Angry, and Distracted Patients – Cyberchondriasis – Shared Decision-Making 8. The Physical Exam (Lack of) Evidence for the Routine Physical Exam – The Irrational Physical Exam? – Checking Your Exam Findings with the Attending – Point-of-Care Ultrasonography in the Primary Care Clinic 9. The Concise Oral Case Presentation The SOAP-Style Oral Presentation – Schema for the Oral Case Presentation in the Clinic – Using the Problem List as a Guide – Examples of Oral Presentations 10. Discussing the Case Identifying Key Learning Points from the Case – Using SNAPPS for Case Presentation, Discussion, and Teaching – Researching the Case and Reporting Your Findings – Questioning Dogma in the Clinic – Responding to Feedback 11. Writing a Clinic Note The Classic SOAP Note and its Function – How Not to Write a Progress Note: Things to Avoid – Examples of Concise Clinic Notes 12. Service-Learning Clinics Working in Shelters and Homeless Clinics – Student-Run Free Clinics – Challenges and Satisfactions of Caring for the Underserved – The Silver Chalice 13. Careers in Primary Care Traditional, Non-Traditional, and Academic Practice Options – Finding Your Niche in Primary Care – Academic Careers in Primary Care: How to Get There – The Future of Primary Care

    5 in stock

    £42.74

  • Diagnoses Without Names: Challenges for Medical

    Springer International Publishing AG Diagnoses Without Names: Challenges for Medical

    5 in stock

    Book SynopsisDoctors, patients, investigators, administrators, and policymakers who assign diagnoses assume three elements: the name describes an entity with conceptual or evidentiary boundaries, the person setting the name has a high degree of certainty, and the name has a consensus definition. This book challenges this practice and offers an alternative to assigning diagnoses: quantitating diagnostic uncertainty in personal and public medical plans.This book offers the stakeholders' views participating in a workshop, sponsored by the Barbara Volcker Center/Hospital for Special Surgery, taking place in April 2020, about uncertain diagnoses. Chapters examine the circumstances in which diagnosis names are "unassignable", either because patients do not fit within diagnostic "boxes" or because health abnormalities evolve and change over time. In addition, the book deconstructs the processes of diagnosis and explores how different stakeholders used diagnosis names for various purposes. In examining pertinent questions, the book offers a roadmap to achieving consensus definitions or including measures of uncertainty in personal care, research, and policy.Diagnoses Without Names: Challenges for Medical Care, Research, and Policy is an essential resource for physicians and related professionals, residents, fellows, and graduate students in internal medicine, rheumatology, and clinical immunology as well as investigators, administrators, policymakers.Table of ContentsPrefacePART I. DEFINING DIAGNOSTIC UNCERTAINTY 1. Diagnosis: An Illustration of Uncertainty: SLE/Lupus Spectrum 2. Diagnosis: Syndrome, Genome, or Both?3. What Level of Detail Defines Uncertainty in Diagnosis?4. Frequency of Diagnostic Uncertainty: All Doctors, or Tertiary Care Specialty Clinics Only?5. Frequency: Rheumatologists or All Chronic Illness Specialties? PART II. DECONSTRUCTING THE CONCEPT OF ‘DIAGNOSIS’ 6. Patients’ Entry into the Medical World (Strengths and Weaknesses of History, Examination, Laboratory)7. Other Data Sources (Severity, Time, Sociological, Environmental, Cultural Factors)8. Deconstructing the Thought Process by Which Diagnoses are Made (Subjective and Objective Data; Quantitative and Qualitative Data; The Effect of Time) 9. Quantitating Uncertainty10. Methodological Pluralism (Syndrome, Genome, Externalities, and Other Factors; Diagnoses Change as Science Evolves) PART III. THE PUBLIC PURPOSES OF “DIAGNOSIS”11. Physicians, Patients12. Clinical Scientists, Basic Scientists13. Pharma14. Payers, Policy Makers, Public15. Fiscal Effects of Uncertain Diagnoses16. Is Diagnostic Certainty Required?PART IV. CONCLUSIONS AND RECOMMENDATIONS17. Conclusions

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    £94.99

  • Promoting Healing and Resilience in People with Cancer: A Nursing Perspective

    Springer International Publishing AG Promoting Healing and Resilience in People with Cancer: A Nursing Perspective

    1 in stock

    Book SynopsisThis is the first Nursing book on cancer care designed around a conceptual model of whole person care. Key concepts are stress, healing, resilience and health. As a clinical model, nursing goals, desired outcomes, key concepts and proposed psychosocial interventions with patients and family caregivers, advance the practice of clinical nursing toward a more comprehensive understanding of the whole person with cancer and their loved ones. As a model for teaching nursing students about chronic illness, it provides a scientific basis for students to learn how to assess and care for the whole person and his loved one. As a model for clinical research in the field of cancer care, it serves as a predicate for the development, evaluation and interpretation of clinical interventions. The model is a dynamic framework that both informs and is informed by research findings. It is hoped that future research findings will reveal the optimal combination of interventions to provide comprehensive care across clinical contexts. With a patient-centred humanistic focus anchored by the quality of the nurse patient and family caregiver relationships, it is hoped that the nurse's technical, procedural and medical expertise may complement rather than define the nurse's approach to the whole patient and family. The book is structured to facilitate the reader's easy access to needed information. Each chapter examines a key concept of the model, and is organized around an introduction, learning objectives, definitions, and relevant research findings that serve as the scientific predicate for suggested interventions discussed in Part 4, Nursing approaches. Clinical and personal anecdotes, tables and figures illustrate the concepts under discussion. Nurse practitioners, clinic nurse specialists, nursing professors, graduate students, and nurse researchers may find this book a useful reference for conceptualizing whole person care, and for determining relevant interventions that promote healing, resilience and health. But it is also relevant for family doctors and fourth year students learning to care for the whole person with a chronic illness.Table of ContentsDetailed Table of ContentsPART 1Stress, healing and resilience in the whole person with cancer Chapter 1. Introduction My earliest memories about cancer and healing were derived from a true story my father once told me. He was an ENT surgeon working at an academic hospital in the early 1950s when a curious event concerning one of his patients, occurred. A priest had made an appointment to see my father because of a chronic problem with hoarseness that had befuddled previous doctors. My father located a tumour of the larynx. As per the protocol of the newly established hospital tumour board my father presented the diagnostic evidence, and the board members fully concurred with his diagnosis. A cancer diagnosis was dire in those days, so the evening before the surgery, my father dropped by the priest's hospital room with the nurse-in -charge. The priest was praying, but stopped on seeing his surgeon and the nurse. My father who was not particularly religious, but respectful of the priest's devotion to his faith, asked if they could all pray together, which they did in the priest's room. They were three individuals from different faiths praying to their own higher Being, encompassing the priest with their presence, caring and support. The next morning, my father and the medical residents started the operation. But they soon discovered to their amazement that the tumour had disappeared. It was inexplicable. When I have shared this story with nursing students it has been met, unsurprisingly, with the highest degree of skepticism. A couple of students have had the courage to say what I am sure many others were thinking: that it could be explained away by poor diagnostic tools in those days or medical incompetence! Still, it was equally difficult to dismiss, out of hand, the diagnostic capabilities of a group of surgeons working at an eminent university hospital in Montreal, all members of the Tumour Board, who had arrived at the same conclusion. It was a mystery. Years later, doing research for this book I came across a scientific review of the placebo effect in oncology, now recognized as an innate healing effect, triggered by strongly held cognitive expectations for a positive clinical outcome. Based on WHO criteria, the review reported that the cancer tumours were significantly reduced in about 2.4% or 10 out of 375 patients from 10 trials (Chvetzoff & Tannock, 2003). From a scientific perspective, it was an unimpressive result to be normally discounted out of hand. Yet the finding left open the possibility for the medically inexplicable. Although humans throughout history have been known to heal physical and psychic wounds, it is only recently that medical scientists have come to realize that strongly held human beliefs can trigger innate processes of healing via various physiological pathways such as the reward system, down regulating the stress response system, enabling the re emergence of healing processes that also enhance cell -mediated immunity, a critical anti cancer defense (Colloca & Barsky, 2020; Dutcher & Creswell, 2018). Healing and health in the whole person have been much revered core concepts of the Nursing discipline, since Florence Nightingale's Notes on Nursing, which was published over 100 years ago (Skretkowicz, 2010). Nightingale's scientific observations suggested that distressed patients possessed an innate ability to heal or restore wholeness, when certain environmental conditions, such as uninterrupted sleep, a clean, restful or quiet environment, and a caring and thoughtful approach were implemented. These observations led her to hypothesize that the mind influences physical well being; and conversely, physical health has a significant impact on the mind (Skretkowicz, 2010). Both involved reparative processes within the interactive context of the patient's environment. These mind-body connections laid down the first essential ideas about what constituted the whole person (an integrated mind-body) in relation to stress, health and healing within the discipline of Nursing. Since then Nurse scientists have argued that human beings are more than the sum of their parts, in stanch contrast to a healthcare system mostly shaped by a reductionist perspective in which the clinical focus remains the individual's illness and treatment. Their thinking was also influenced by von Bertalanffy's general systems theory (1973)) and Roger's conceptualization of the human being as an 'irreducible whole', fuelled by homeo-dynamic energy interrelating with the environment' (Malinski 2011, p. 446). Von Bertalanffy (1973) argued that systems are distinguished by non- linear interactions among their constituent parts, which was a prescient idea that has since been supported by research findings that highlight the human's non linear process of biological adjustments in response to environmental stressors (B. S. McEwen, 2007). In other words, the whole person both influences and is influenced by the environment. McGill University's School of Nursing under the leadership of Moyra Allen developed the key concepts of the McGill Model of Nursing. In contrast to prevailing thinking in the 1960s, that health and illness were at opposite ends of the same continuum, the McGill Model envisioned health as co- existing with illness (L. Gottlieb & Rowat, 1987). Influenced by the work of Spiegel (1997) and Bronfenbrenner (1981) health was described in terms of multidimensional developmental processes that grow toward greater complexity and self actualization while maintaining coherence over the life span (L Gottlieb & Gottlieb, 2007).. Around the same time, research in the field of environmental stress and psycho- neuro-endocrine and immune sciences provided scientific legitimacy to Nursing's foundational beliefs about the mind-body relationship, healing and resilience (in terms of both biological as well as psychological processes of adaptation in relation to the environment (e.g.B. McEwen, 2008; B. S. McEwen & Stellar, 1993). McEwen and colleagues built upon earlier landmark research on stress by introducing concepts of allostasis (healthy resilience) to exemplify the adaptive changes that occur in response to stress, and allostatic load (maladaptive changes) to reflect the measurable burden caused by chronic stress on the whole person (McEwen, 2007;McEwen & Stellar, 1993). They advanced knowledge of the whole person through their work on the main biological regulator of stress and the dynamic non -linear networks of biological mediators triggering widespread temporary or prolonged changes to neural structures, pathways and functions throughout the whole being. These stress-induced changes suppress neuro-biological processes (eg the parasympathetic nervous system) associated with regeneration, reparation and restoration (healing) of myriad biological functions including cell mediated immunity, which is vital for promoting long- term health particularly in patients with cancer (Lutgendorf & Andersen, 2015; Lutgendorf, Sood, & Antoni, 2010; Wang et al., 2017). Knowledge of these stress- induced neuro-biological impairments negatively affecting healing and resilient processes have added immeasurably to the clinical context within which resilient- and healing- promoting clinical interventions may be developed and evaluated. These scientific advances underscore the clinical need for an integrated formulation of the whole person based on stress, healing, resilience and related concepts that may be delineated by a conceptual model so that nursing interventions may target relevant unique and overlapping endpoints that promote or protect the individual's resilience and health. This is a clinical imperative in caring for patients with cancer and their family caregiver who must confront diverse stressors along the continuum. Finally I conclude with this last thought: Delineating a substantive body of knowledge that can be leveraged on behalf of patients and loved ones also offers the potential for further levelling of the healthcare playing field within which nursing and medicine continue to exchange biological as well as behavioural perspectives of their shared patients, expressed via the complementary prisms of their respective professions, which together can only benefit the patient and family. Part 1 introduces the Stress, Resilience and Healing Model. Chapter 1 presents the whole person's key concepts of central interest, the desired outcomes and proposed interventions known to enhance healing and resilience. Chapter 2 reviews the different forms of environmental stress; some serve to trigger he development and adaptive capabilities of resilience, others, such as chronically stressful experiences alter neural structures and disrupt signalling pathways and molecular processes that ultimately can drive the development of cancer, its progression, and or a cancer recurrence, particularly in the absence of adequate personal and social resources. ReferencesBenson, Herbert, & Stark, Marg. (1997). Timeless healing : the power and biology of belief. New York: Simon & Schuster.Bertalanffy, Ludwig von. (1973). General system theory : foundations, development, applications. New York: G. Braziller.Bronfenbrenner, Urie. (1981). The ecology of human development: Experiments by nature and design. Cambridge, Mass, and London England: Harvard University Press.Chvetzoff, G., & Tannock, I. F. (2003). Placebo effects in oncology. J Natl Cancer Inst, 95(1), 19-29. Colloca, L., & Barsky, A. J. (2020). Placebo and Nocebo Effects. N Engl J Med, 382(6), 554-561. doi: 10.1056/NEJMra1907805Dutcher, J. M., & Creswell, J. D. (2018). The role of brain reward pathways in stress resilience and health. Neurosci Biobehav Rev, 95, 559-567. doi: 10.1016/j.neubiorev.2018.10.014Gottlieb, L, & Gottlieb, B. (2007). The development/health framework within the McGill Model of Nursing: 'Laws of nature' guiding whole person care. Advances in Nursing Science, 30(1), E43-57. Gottlieb, L. , & Rowat, K. (1987). The McGill Model of Nursing: A practice derived model. Advance in Nursing Science, 9(4), 51-61. Lutgendorf, S. K., & Andersen, B. L. (2015). Biobehavioral approaches to cancer progression and survival: Mechanisms and interventions. Am Psychol, 70(2), 186-197. doi: 10.1037/a0035730Lutgendorf, S. K., Sood, A. K., & Antoni, M. H. (2010). Host factors and cancer progression: biobehavioral signaling pathways and interventions. J Clin Oncol, 28(26), 4094-4099. doi: 10.1200/jco.2009.26.9357Malinski , V. M. (2011). Models and theories focused on human existence. Sudbury,MA: Jones & Bartlett Learning McEwen, B. (2008). Central effects of stress hormones in health and disease: Understanding the protective and damaging effects of stress and stress mediators. European Journal of Pharmacology, 583, 174-185. McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev, 87(3), 873-904. doi: 10.1152/physrev.00041.2006McEwen, B. S., & Stellar, E. (1993). Stress and the individual. Mechanisms leading to disease. Arch Intern Med, 153(18), 2093-2101. Skretkowicz, Victor (2010). Florence Nightingale's Notes on Nursing and Notes on Nursing for the Labouring Classes. New York: Springer Publishing Co.Spiegel, Daniel. (1997). The developing mind T. G. Press (Ed.)Wang, M., Zhao, J., Zhang, L., Wei, F., Lian, Y., Wu, Y., . . . Guo, C. (2017). Role of tumor microenvironment in tumorigenesis. J Cancer, 8(5), 761-773. doi: 10.7150/jca.17648 PART 2ResilienceChapter 4. Introduction Part 2 explores resilience from both biological and psychological perspectives in Chapters 1 and 2, respectively. Although the two are integrated within the human organism the decision to present each resilient process separately is based on how much there is to cover in order to heighten clinical awareness of key biological and psychological clinical targets and processes associated with resilience, in the most straightforward and understandable format. Knowledge of the processes of adaptation can serve as the basis of clinical assessments and interventions aimed at strengthening our patient's healing and resilient capabilities particularly during the vulnerable phases of the disease and treatment. As relevant, connections between biological and behavioural processes will be made throughout both chapters raising clinical implications for care. PART 3Poor resilienceChapter 7. Introduction Part 3 is designed to demonstrate the toxic biological and psychological impairments resulting from chronic stress that lead to poor resilient capabilities. If left unregulated, this mal-adaptation to stress facilitates the development of cancer or another chronic illness depending on the individual's genetic predisposition. Chapter 1, discusses the clinical significance of poor resilience which is the inability of the human organism to adapt biologically or cope behaviourally in the face of chronic stress, with progressively deleterious patho-physiological and psychosocial behavioural consequences(McEwen, 2015)). Poor resilience is associated with widespread damage to brain cell structures, synapses, and other biological pathways and functions which contribute to systemic inflammation. These neurobiological impairments throughout the human organism, caused by chronic stress strains the individual's ability to cope effectively, imposing a metabolic burden. When chronic stress is unregulated, the consequence ultimately is oxidative stress caused by an imbalance of reactive oxygen species (ROS) to anti oxidants, favouring ROS which damage cells and even DNA (McEwen, 2007)). In Chapter 2 we learn how these biological damages mediated by stress-induced epigenetic changes threaten homeostasis, healing processes, and immune defences which are now thought to be the scientific predicate for tumorigenesis, cancer progression and metastases, ultimately threatening the survival of the human organism (Andersen et al., 2008; Lutgendorf, 2012; McEwen, 2015). The purpose of Part 3 is to provide a comprehensive albeit simplified portrait of the whole person whose biology is progressively overloaded by an inchoate systemic inflammatory environment mediated by the quality of the individual's personal resources, supportive relationships, coping skills, lifestyle behaviours as well as other clinical environmental factors that also contribute to allostatic load/overload. Through this description, it is hoped that the clinical interventions to be discussed in Part 4 and Part 5 find their rationale with clear end targets within the larger context of the psycho-social and biological human being. And as you read about the progressive biological impairments due to stress which are further exacerbated by the tumour and its various treatments, it helps to remember that the stress- induced epigenetic changes are still reversible with effective interventions, and can still offer the individual an enhanced quality of life, an overall sense of well being, and for most, at least some relief from emotional distress/ existential suffering. Andersen, B. L., Yang, H. C., Farrar, W. B., Golden-Kreutz, D. M., Emery, C. F., Thornton, L. M., . . . Carson, W. E., 3rd. (2008). Psychologic intervention improves survival for breast cancer patients: a randomized clinical trial. Cancer, 113(12), 3450-3458. doi: 10.1002/cncr.23969Lutgendorf, S., De Geest, K, Bender, D., Ahmed A., Goodheart M., Dahmoush, L., Zimmerman M, et al (2012). Social influences on clinical outcomes of patients with ovarian cancer. Journal of Clinical Oncology, 30(23), 2885-2890. McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev, 87(3), 873-904. doi: 10.1152/physrev.00041.2006McEwen, B. S. (2015). Biomarkers for assessing population and individual health and disease related to stress and adaptation. Metabolism, 64(3 Suppl 1), S2-S10. doi: 10.1016/j.metabol.2014.10.029PART 4Fostering healingChapter 10. Introduction Facilitating healing in nursing practice has to do with making an individual feel whole. Healing may be conceptualized in different interrelated ways. In the first half of this book, we learned about the role of healing in biological and psychological resilience. In PART 4 healing is addressed in terms of diverse strategies that may be mobilized by the nurse to foster innate and self- induced processes of healing in order to strengthen or restore the individual's resilient capabilities. Each chapter addresses a specific therapeutic approach and its respective role in influencing processes of healing and resilience. Theoretical and empirical perspectives are covered. We examine ways that nurses may leverage related scientific theory and evidence to offer healing or resilient- strengthening strategies. Therapeutic approaches are derived from both conventional and complementary modes of nursing practice. Chapter 11 discusses the key elements within the quality of the nurse-patient relationship that are conducive to creating a healing environment. Key components include the nurse's competence, effective communication, compassion, and sense of compassion, strengthened by a heightened sense of shared humanity and a shared belief that the patient is known by the nurse and his or her healthcare team (e.g.Durkin, Usher, & Jackson, 2019). Chapter 12 discusses nursing strategies in promoting emotion- regulating cognitive and behavioural coping capabilities of resilience. These strategies include facilitating more positive re appraisals of the cancer- and treatment-related threats, shifting patient goals and expectations toward new cognitive and behavioural coping skills, problem -solving skills for better self management of clinical issues in order to adapt more effectively to health- related stresses in the future (Antoni, 2013; Dunkel-Schetter, Feinstein, Taylor, & Falke, 1992; Jassim, Whitford, Hickey, & Carter, 2015). Personal and social resources or strengths that may be leveraged by the nurse to foster more effective coping capabilities in the face of adversity are also discussed. Chapter 13 has to do with fostering meaning in patients and caregivers who are struggling to find meaning in the face of a cancer diagnosis or a shortened life (e.g.Lee, Cohen, Edgar, Laizner, & Gagnon, 2006; Vehling & Philipp, 2018). Fostering meaning is approached from a theoretical and evidentiary perspective that serves as the predicate for suggesting relevant therapeutic approaches (Folkman, 2007; Park & Folkman, 1997; Vehling & Philipp, 2018). It reviews ways that the individual may come to terms with a threatening event such as the diagnosis of cancer, and or find new meaning in the cancer experience through the guided process of re-ordering and realigning beliefs and assumptions about the world and the self as a function of clinical realities. Chapter 14 has to do with ways to strengthen supportive relationships with close family members, as exemplified by the family caregiver. Research findings strongly suggest that patients heal when they are socially attached to loved ones who provide the support they need (Antoni et al., 2012; Lutgendorf, 2012). Chapter 15 addresses the potential healing effects of positive conscious beliefs or expectations of clinical benefits (Benson & Stark, 1997; Colloca & Barsky, 2020). These convictions may be based on previous experiences within the health care system or from family stories, or the health- related experiences of friends. The nurse may play an important role in supporting these expectations knowing that they trigger the biological reward system which has been shown to down regulate the stress response system and enable healing processes to re emerge. Similarly, the patients ' clinical outcomes may be modulated by the negative beliefs they hold regarding their treatment (e.g.Petrie & Rief, 2019). Aspects of the clinical environments that can further interfere with the goals of treatment by inadvertently suppressing healing effects are also highlighted and suggested strategies to counteract these potential ill effects are examined. Chapter 16 discusses self-induced healing strategies for instance through physical exercise or meditation which can induce the physiological relaxation response, again resulting in the down regulation of the stress response, facilitating the re emergence of critical biological healing or reparative processes (e.g.Bhasin et al., 2013; Carlson, 2016). Finally, Chapter 17 presents the critical role of touch and reiki in inducing therapeutic healing benefits in patients and caregivers (Jakubiak & Feeney, 2017; Post-White et al., 2003). ReferencesAntoni, M. H. (2013). Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer. Brain Behav Immun, 30 Suppl, S88-98. doi: 10.1016/j.bbi.2012.05.009Antoni, M. H., Lutgendorf, S. K., Blomberg, B., Carver, C. S., Lechner, S., Diaz, A., . . . Cole, S. W. (2012). Cognitive-behavioral stress management reverses anxiety-related leukocyte transcriptional dynamics. Biol Psychiatry, 71(4), 366-372. doi: 10.1016/j.biopsych.2011.10.007Benson, Herbert, & Stark, Marg. (1997). Timeless healing : the power and biology of belief. New York: Simon & Schuster.Bhasin, M. K., Dusek, J. A., Chang, B. H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., . . . Libermann, T. A. (2013). Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways. PLoS One, 8(5), e62817. doi: 10.1371/journal.pone.0062817Carlson, L. E. (2016). Mindfulness-based interventions for coping with cancer. Ann N Y Acad Sci, 1373(1), 5-12. doi: 10.1111/nyas.13029Colloca, L., & Barsky, A. J. (2020). Placebo and Nocebo Effects. N Engl J Med, 382(6), 554-561. doi: 10.1056/NEJMra1907805Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychol, 11(2), 79-87. doi: 10.1037//0278-6133.11.2.79Durkin, J., Usher, K., & Jackson, D. (2019). Embodying compassion: A systematic review of the views of nurses and patients. J Clin Nurs, 28(9-10), 1380-1392. doi: 10.1111/jocn.14722Folkman, S., & Moskowitz, J. . (2007). Positive affect and meaning-focused coping during significant psychological stress. In H. A. W. S. M.Hewstone, J.B.F. de Wit, K. van den Bos, & M.S. Stroebe (Eds.), (Ed.), The scope of social psychology: Theory and applications (pp. 193-208). New York: NY:: Psychology Press.Jakubiak, B. K., & Feeney, B. C. (2017). Affectionate Touch to Promote Relational, Psychological, and Physical Well-Being in Adulthood: A Theoretical Model and Review of the Research. Pers Soc Psychol Rev, 21(3), 228-252. doi: 10.1177/1088868316650307Jassim, G. A., Whitford, D. L., Hickey, A., & Carter, B. (2015). Psychological interventions for women with non-metastatic breast cancer. Cochrane Database Syst Rev, 5, CD008729. doi: 10.1002/14651858.CD008729.pub2Lee, V., Cohen, S. R., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006). Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results. Oncol Nurs Forum, 33(2), 291-302. doi: 10.1188/06.onf.291-302Lutgendorf, S., De Geest, K, Bender, D., Ahmed A., Goodheart M., Dahmoush, L., Zimmerman M, et al (2012). Social influences on clinical outcomes of patients with ovarian cancer. Journal of Clinical Oncology, 30(23), 2885-2890. Park, Crystal, & Folkman, Susan. (1997). Meaning in the Context of Stress and Coping. Review of General Psychology, 1, 115-144. doi: 10.1037/1089-2680.1.2.115Petrie, K. J., & Rief, W. (2019). Psychobiological Mechanisms of Placebo and Nocebo Effects: Pathways to Improve Treatments and Reduce Side Effects. Annu Rev Psychol, 70, 599-625. doi: 10.1146/annurev-psych-010418-102907Post-White, J., Kinney, M. E., Savik, K., Gau, J. B., Wilcox, C., & Lerner, I. (2003). Therapeutic massage and healing touch improve symptoms in cancer. Integr Cancer Ther, 2(4), 332-344. doi: 10.1177/1534735403259064Vehling, S., & Philipp, R. (2018). Existential distress and meaning-focused interventions in cancer survivorship. Curr Opin Support Palliat Care, 12(1), 46-51. doi: 10.1097/spc.0000000000000324PART 5Clinical approaches Chapter 18. Introduction Part 5 addresses the main health-related concerns of patients and caregivers in respective chapters across the diagnostic (Chapter 19), treatment (Chapter 20), transition to survivorship (Chapter 21) and end- of -life (Chapter 22) phases; and psycho-social interventions predicated on evidence from clinical trials, systematic reviews and or meta analysis, are suggested. Nursing interventions are directed toward reducing emotional distress, promoting healing, strengthening resilient capabilities, and improving healthy lifestyles and the well being of the whole person even when there is no cure. However the first nursing objective must be to reduce emotional distress (Andersen et al., 2007; Riba et al., 2019) Through these clinical objectives, the nurse supports the medical goals of treatment by increasing the likelihood of the patients' ability to complete treatment. These psycho-social nursing objectives may also enhance the patients' and family caregivers' ability to live well with the disease as a chronic illness, thrive in survivorship and face the end of life in acceptance and serenity. These objectives are enabled by the quality of the therapeutic nurse-patient relationship across the continuum. One consistent theme exists throughout the cancer experience: the emotional distress of patients and caregivers (Hagedoorn, Sanderman, Bolks, Tuinstra, & Coyne, 2008; Riba et al., 2019). It may ebb and flow depending on the stage of disease, treatment and clinical results, but it always hovers in some form, posing a potential physical threat to patients' and family caregivers' future health. An estimated 20% to 52% of patients report high levels of distress depending on the stage and type of cancer, and its cancer- and treatment- related symptoms and side effects (Dans et al., 2017; Riba et al., 2019). An estimated 10-60% of caregivers experience similar anxiety, depression, grief, and poor physical health across the continuum, which may exceed that of patients, especially toward the terminal phase (e.g.Ahn, Romo, & Campbell, 2020; Dionne-Odom et al., 2016).). Given the emotional interdependence between patients and caregivers which impact their respective psychological and physical health, it is incumbent upon nurses to address the psychological and physical needs of both at all phases, starting at diagnosis and continuing throughout the disease and transition to survivorship (Ferrell 2018). Patient centred The findings from meta analyses and clinical trials that have assessed the effectiveness of various patient-centered psychosocial and behavioral interventions across the stages of disease, have generally reported positive patient outcomes with respect to quality of life, anxiety, depression and marital relationship (Hu, Liu, & Li, 2019; Kalter et al., 2018; Salsman et al., 2019). Patient- centered therapeutic interventions consisted of one or more of the following: providing relevant information, enhancing supportive relationships (Andersen (Andersen et al., 2007) coping skills training (Cohen et al., 2011)), meaning making (Lee, Cohen, Edgar, Laizner, & Gagnon, 2006)), mindfulness based cancer recovery intervention (Carlson et al., 2016)), mindfulness- based stress reduction (MBSR) interventions (Reich et al., 2017)), different modalities of meditation that often include the relaxation response technique (Bhasin et al., 2013)), and various strategies for symptom management (e.g.Lau et al., 2020)), and self management strategies (McCorkle et al., 2011). Ascertaining the most appropriate intervention(s) depends on the goals of care, the clinical target(s) and preferences of the patient. Patient-caregiver focus When patients are accompanied by the family caregiver, clinical interventions tend to focus on the patient based on a partially misplaced assumption that helping the patient helps the caregiver. Too often, the unique and mounting psychological, physical and informational needs of the caregiver with disease progression are neglected. This is an important clinical issue when both caregiver and patients at clinic visits are seen, and the caregiver's needs are assumed to be the same as the patient's (Dionne-Odom et al., 2015). The few studies reporting caregiver as well as patient improvements may reflect the extent to which the clinical interventions addressed their shared concerns (Northouse et al., 2013). This clinical finding underscores the importance of doing a nursing assessment of the patient and the caregiver. Caregiver focus In the year following a cancer diagnosis, correlational findings have suggested that as patient well being improved, caregiver health declined (Shaffer, Kim, & Carver, 2016). Although caregiver needs clearly increase as the patients' (their loved ones) cancer progresses toward its terminal phase, the finding highlights the unique experiences of family caregivers as well as the bidirectional effects on one another 's health (Kershaw et al (Kershaw et al., 2015). Clinical interventions that do not address caregiver concerns earlier in the disease trajectory will likely undermine the health of both patient and caregiver. Many nurses try to set aside meaningful time for patients and their informal caregivers, particularly at distressing moments. But the clinical reality too often is that patient and caregiver needs for psychosocial nursing interventions face a tremendous professional hurdle in hospital settings in particular where nursing goals are predominantly centred on treatment and physical symptoms related to the cancer or treatment. Neither staff rotations nor daily staff schedules build in qualitative time for patients and caregivers (e.g.Molin, 2018)). Although the psycho social interventions discussed in Part 4 fall within the purview of advanced nursing practice, there appears to be sufficient evidence to suggest that most clinic nurses would benefit from more psycho-social skills training as evidenced in part by the number of controlled studies in which the clinic nurses carrying out, for instance, self management interventions required further skill formation (Dionne-Odom et al., 2015). It is hoped that Part 5 which offers nurses an essential repository of clinical interventions supported by the latest scientific findings and the conceptual model, will help to foster a shift in nursing goals and objectives toward clinical interventions that address the psychosocial needs of the whole individual. Ahn, S., Romo, R. D., & Campbell, C. L. (2020). A systematic review of interventions for family caregivers who care for patients with advanced cancer at home. Patient Educ Couns. doi: 10.1016/j.pec.2020.03.012Andersen, B. L., Farrar, W. B., Golden-Kreutz, D., Emery, C. F., Glaser, R., Crespin, T., & Carson, W. E., 3rd. (2007). Distress reduction from a psychological intervention contributes to improved health for cancer patients. Brain Behav Immun, 21(7), 953-961. doi: 10.1016/j.bbi.2007.03.005Bhasin, M. K., Dusek, J. A., Chang, B. H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., . . . Libermann, T. A. (2013). Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways. PLoS One, 8(5), e62817. doi: 10.1371/journal.pone.0062817Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psychooncology, 25(7), 750-759. doi: 10.1002/pon.4150Cohen, L., Parker, P. A., Vence, L., Savary, C., Kentor, D., Pettaway, C., . . . Radvanyi, L. (2011). Presurgical stress management improves postoperative immune function in men with prostate cancer undergoing radical prostatectomy. Psychosom Med, 73(3), 218-225. doi: 10.1097/PSY.0b013e31820a1c26Dans, M., Smith, T., Back, A., Baker, J. N., Bauman, J. R., Beck, A. C., . . . Scavone, J. L. (2017). NCCN Guidelines Insights: Palliative Care, Version 2.2017. J Natl Compr Canc Netw, 15(8), 989-997. doi: 10.6004/jnccn.2017.0132Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Prescott, A. T., Tosteson, T., . . . Bakitas, M. A. (2016). Family Caregiver Depressive Symptom and Grief Outcomes From the ENABLE III Randomized Controlled Trial. J Pain Symptom Manage, 52(3), 378-385. doi: 10.1016/j.jpainsymman.2016.03.014Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Tosteson, T., Li, Z., . . . Bakitas, M. A. (2015). Benefits of Early Versus Delayed Palliative Care to Informal Family Caregivers of Patients With Advanced Cancer: Outcomes From the ENABLE III Randomized Controlled Trial. J Clin Oncol, 33(13), 1446-1452. doi: 10.1200/jco.2014.58.7824Hagedoorn, M., Sanderman, R., Bolks, H. N., Tuinstra, J., & Coyne, J. C. (2008). Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol Bull, 134(1), 1-30. doi: 10.1037/0033-2909.134.1.1Hu, Y., Liu, T., & Li, F. (2019). Association between dyadic interventions and outcomes in cancer patients: a meta-analysis. Support Care Cancer, 27(3), 745-761. doi: 10.1007/s00520-018-4556-8Kalter, J., Verdonck-de Leeuw, I. M., Sweegers, M. G., Aaronson, N. K., Jacobsen, P. B., Newton, R. U., . . . Buffart, L. M. (2018). Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: An individual patient data meta-analysis of 22 RCTs. Psychooncology, 27(4), 1150-1161. doi: 10.1002/pon.4648Kershaw, T., Ellis, K. R., Yoon, H., Schafenacker, A., Katapodi, M., & Northouse, L. (2015). The Interdependence of Advanced Cancer Patients' and Their Family Caregivers' Mental Health, Physical Health, and Self-Efficacy over Time. Ann Behav Med, 49(6), 901-911. doi: 10.1007/s12160-015-9743-yLau, B. H. P., Chow, A. Y. M., Ng, T. K., Fung, Y. L., Lam, T. C., So, T. H., . . . Wong, D. F. K. (2020). Comparing the efficacy of integrative body-mind-spirit intervention with cognitive behavioral therapy in patient-caregiver parallel groups for lung cancer patients using a randomized controlled trial. J Psychosoc Oncol, 38(4), 389-405. doi: 10.1080/07347332.2020.1722981Lee, V., Cohen, S. R., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006). Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results. Oncol Nurs Forum, 33(2), 291-302. doi: 10.1188/06.onf.291-302McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L. S., Lorig, K., & Wagner, E. H. (2011). Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin, 61(1), 50-62. doi: 10.3322/caac.20093Molin, J., Lindgren, B.,Graneheim, U, Ringner, A. . (2018). Time together: a nursing intervention in psychiatric inpatient care-feasibility and effects. Int. J. Ment. Health Nurs., 27(6), 1698-1708. Northouse, L. L., Mood, D. W., Schafenacker, A., Kalemkerian, G., Zalupski, M., LoRusso, P., . . . Kershaw, T. (2013). Randomized clinical trial of a brief and extensive dyadic intervention for advanced cancer patients and their family caregivers. Psychooncology, 22(3), 555-563. doi: 10.1002/pon.3036Reich, R. R., Lengacher, C. A., Alinat, C. B., Kip, K. E., Paterson, C., Ramesar, S., . . . Park, J. (2017). Mindfulness-Based Stress Reduction in Post-treatment Breast Cancer Patients: Immediate and Sustained Effects Across Multiple Symptom Clusters. J Pain Symptom Manage, 53(1), 85-95. doi: 10.1016/j.jpainsymman.2016.08.005Riba, M. B., Donovan, K. A., Andersen, B., Braun, I., Breitbart, W. S., Brewer, B. W., . . . Darlow, S. D. (2019). Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw, 17(10), 1229-1249. doi: 10.6004/jnccn.2019.0048Salsman, J. M., Pustejovsky, J. E., Schueller, S. M., Hernandez, R., Berendsen, M., McLouth, L. E. S., & Moskowitz, J. T. (2019). Psychosocial interventions for cancer survivors: A meta-analysis of effects on positive affect. J Cancer Surviv, 13(6), 943-955. doi: 10.1007/s11764-019-00811-8Shaffer, K. M., Kim, Y., & Carver, C. S. (2016). Physical and mental health trajectories of cancer patients and caregivers across the year post-diagnosis: a dyadic investigation. Psychol Health, 31(6), 655-674. doi: 10.1080/08870446.2015.1131826

    1 in stock

    £53.99

  • Laws of Medicine: Core Legal Aspects for the

    Springer International Publishing AG Laws of Medicine: Core Legal Aspects for the

    15 in stock

    Book SynopsisThis book provides an overview of the US laws that affect clinical practice for healthcare professionals with no legal background.Divided into thirteen sections, each chapter starts with a summary of the chapter’s content and relevant legal concepts in bullet points before discussing the topics in detail. An application section is provided in many chapters to clarify essential issues by reflecting on clinically relevant case law or clinical vignette(s). Filling a crucial gap in the literature, this comprehensive guide gives healthcare professionals an understanding or a starting point to legal aspects of healthcare.Table of Contents1. Introduction to the US Legal System 2. Public Health Law 3. Law and Economics 4. Access to Care 5. Tort Law 6. Administrative Law 7. Federal Regulations 8. State Regulations 9. Antitrust Law 10. Mental Health Law 11. Labor and Employment Law 12. Reproductive Health Law 13. Insurance Law 14. Drug and Medical Device Law 15. Intellectual Property Law 16. Cannabis Law 17. Global Health Law 18. Law and Bioethics 19. Healthcare Reform

    15 in stock

    £42.74

  • Dermatology in Public Health Environments: A

    Springer International Publishing AG Dermatology in Public Health Environments: A

    3 in stock

    Book SynopsisDermatological diseases are extremely common around the globe, and a systematic understanding of these conditions and their relationships with various epidemiological factors could provide insights to help governments and private institutions address the challenges they need to overcome in order to improve global health. This extensively revised second edition comprehensively discusses the fundamental areas of dermatological practice in public health. It features more than 900 figures, eight new chapters and two new sections: a) Dermatological Biopsy and Major Histopathological Patterns, exploring surgical methods for collecting cutaneous specimens from outpatients and the analysis of major histopathological patterns; b) Special Chapters, which outlines Hospital Dermatology in Public Health, covering hospital care as a backup in dermatoses of importance in public health; Dermatological Education in Public Health, examining the interface between teaching and students for the development of dermatological practice; and a Brief History of Dermatology.Further topics include the profile of dermatological care based on epidemiological concepts; the most significant skin diseases (including dermatology in tropical medicine); the relationship between the environment and dermatological diseases; dermatoses in the human life cycles, diseases that are not primarily dermatological, but have a high impact on public health and may have skin and mucosal manifestations; a number of emerging issues in dermatology in public health; clinical approaches (diagnosis and management) to common dermatological symptoms; multidisciplinary approaches in dermatology; surgical and histopathological aspects of the main dermatological diseases; and the hospital as an aid in the management of complex dermatoses and dermatological education in public health. Written by experts with extensive experience in their respective fields, this book is a valuable reference resource for undergraduate and graduate students, dermatologists and general practitioners, as well as anyone interested in the relationship between dermatology and public health.Table of ContentsSection I. Dermatology in Public Health1. Concepts of Relevant Diseases for Public Health 2. International Public Health Strategies in Dermatology3. The User of Public Health Services in Dermatology4. Impact of Preventive Campaigns in Dermatology: A Brazilian Experience Section II. Dermatologic Diseases in Public Health: Cutaneous Infectious5. Hanseniasis6. Tuberculosis7. Other Mycobacteriosis8. Sexually Transmitted Diseases9. Bacterial Infections10. Viral Infections11. Fungal Infections12. Parasitic and Protozoal Infections13. Congenital Syphilis Section III. Dermatologic Diseases in Public Health: Neoplasias14. Precursor Lesions of Skin Cancer15. Basal Cell Carcinoma16. Squamous Cell Carcinoma17. Melanoma18. Cutaneous T Lymphomas and Others Lymphoproliferative DiseasesSection IV. Dermatologic Diseases in Public Health: Inflammatory and Autoimmune Diseases19. Eczema20. Psoriasis 21. Seborreic Dermatitis22. Lichen planus23. Acne24. Hidradenitis25. Rosacea26. Vitiligo27. Autoimmune Bullous Dermatoses28. Vasculitis29. Apthae30. Neutrophilic Dermatosis31. Adverse Drug Reaction Section V. Dermatologic Diseases in Public Health: Skin Diseases and Environment32. Cold and Heat33. Ultaviolet Radiation and Idiophatic Phtodermatosis34. Dermatosis for Plants35. Skin Lesions Caused by Venomous Animals 36. Occupational Dermatitis37. Air Pollution and the Skin HealthSection VI. Dermatologic Diseases in Public Health: Vital Cycle and Dermatology38. Skin Diseases and Pregnancy39. Neonatal Dermatosis40. Cutaneous Aging and Dermatosis in Geriatric patients Section VII. Skin Manifestations of Major Diseases in Public Health41. Diabetes Mellitus42. Diseases of Thyroid43. Dyslipidemias44. Nutritional Disorder, Morbidly Obese and Post-Bariatric 45. Renal Failure46. Connective Tissue Diseases47. Smoking, Alcoholism and Use of Ilicit Drugs48. HIV / AIDS49. Human T-Cell Lymphothtropic Virus Type-1 (HTLV-1) Infection 50. Liver Diseases51. Transplant Recipients52. Psychiatric Disorders53. Neoplasias and ParaneoplasiasSection VIII. Emerging Issues of Dermatology in Public Health54. Ethnicity and Dermatology55. Skin Disorders in Transgender Patients56. Dermatosis in Conflict Zones and Disasters Areas57. Dermatology and Sports58. Photoprotection59. Skin Banking60. Marketing influence on body image perception: a Bioethical Perspective61. Quality of Life in Dermatology62. Vaccine and the Prevention of Dermatological Diseases63. Dermatoscopy in the Public Health Environment64. TeledermatologySection IX. Signs and Symptoms of Skin Diseases in Public Health – a Practical Guide to Management65. Pigmented Lesions66. Purpura67. Pruritus68. Prurigo69. Ulcers Legs and Lymphedema70. Urticaria71. Erythema Nodosum72. Rash73. Alopecia74. Stains 75. Xerosis76. Hyperhidrosis77. Nail disease78. Metatarsalgia, Calluses, Callosities of the Feet Section X. Dermatological Biopsy and Major Histopathological Patterns79. Skin Biopsy 80. Major Histopathological Patterns in DermatologySection XI. Multidisciplinary Team and Dermatological Care 81. Dermatological Assistance in Primary Health Care: a Nursing Approach 82. Care Wounds – Dressings83. Physical Therapy in Hanseniasis84. Psychological Approaches in Treating Patients with Dermatological Diseases Section XII. Special Chapters85. Dermatological Education in Public Health - The Teaching of Dermatology 86. Hospital Dermatology: the role of dermatologists in hospital settings 87. Brief History of Dermatology

    3 in stock

    £208.99

  • Managing Emergencies in the Outpatient Setting: Pearls for Primary Care

    Springer International Publishing AG Managing Emergencies in the Outpatient Setting: Pearls for Primary Care

    1 in stock

    Book SynopsisMany primary care clinicians are busy to the point of being overwhelmed and there is not time to do thorough evaluations on every patient. The outpatient clinician must be able to quickly identify and manage the overtly ill but also those with potential or even hidden issues that require a referral to the emergency department.This book provides a concise yet comprehensive summary of the various conditions the primary care practitioner could encounter in his/her office that require emergency department referral. Organized system by system, this manual provides short, readable yet detailed descriptions of situations where the clinician must make the quick decision to escalate the level of care.The book is comprised of thirteen main sections, each detailing a medical specialty and is further broken down into specific conditions within these specialties. The specialties that are featured are cardiology, dermatology, endocrinology, gastroenterology, HEENT, hematology and oncology, infectious disease, nephrology, neurology, gynecology, ophthalmology, psychiatry, pulmonology and urology. The chapters are broken down into five key aspects. First, a brief synopsis of the problem is identified covering the incidence, the risk factors and general information to give the clinician the insight to manage the situation. Next, there is a review of key elements of the history that can elucidate whether the patient has or does not have the emergent condition. Physical exam findings that the clinician can look for during the evaluation are then discussed followed by diagnostics that the clinician can get quickly the same day to help evaluate the situation. Lastly, treatments that can be provided while waiting for the urgent or emergent condition to be evaluated are identified. Written by experts in the field, Managing Emergencies in the Outpatient Setting is a valuable resource for primary care physicians, physician assistants and nurse practitioners alike. Table of ContentsCardiovascular - Some of the most common conditions that cause chest pain and/or shortness of breath are covered. Several other miscellaneous conditions requiring hospitalizations are discussed. Ischemia Congestive Heart Failure Arrhythmias Syncope Hypertensive EmergencyPulmonary Embolus and DVT Peripheral Vascular Disease Mesenteric Ischemia Aneurysms Thoracic Abdominal Pericarditis Rheumatic Fever Endocarditis Miscellaneous Dermatologic – Two conditions will be discussed that can result in ED referral. Stevens Johnson Syndrome DRESS Endocrinology – A discussion of how to handle hyperglycemia in the office will be had. Brief discussions of other conditions will also be addressed. Diabetes Post parathyroidectomy/thyroidectomy Thyroid Storm Miscellaneous Gastrointestinal - A focus on abdominal pain will be made. Appendicitis Cholecystitis Diverticulitis Acute liver failure Spontaneous Bacterial Peritonitis GI Bleed Hernias Obstruction Volvulus Miscellaneous – thrombosed hemorrhoid HEENT – The conditions in this organ system (mostly infections) are briefly discussed. Epiglottitis Retropharyngeal and Peri-tonsillar Abscess Lemierres Disease Mastoiditis Epistaxis Miscellaneous Hematology and Oncology – There will be a brief discussion of heme/onc emergencies. Severe Anemia ITP Hemarthrosis Leukemia Miscellaneous Infectious Disease – Various infectious conditions necessitating ED referral will be discussed. Cellulitis Diabetic Foot Pyelonephritis Sepsis Septic Joint Nephrology – A discussion of renal failure will be had. Various lab findings that may be encountered that require ED referral will be covered. Acute Renal Failure Hyponatremia Hyperkalemia Hypercalcemia Miscellaneous Neurology - Various conditions will be discussed focusing on the evaluation of stroke and headache. Multiple sclerosis and seizure will be briefly discussed in addition to several more rare conditions. Embolic CVA Hermorrhagic CVA TBI (concussion) Meningitis Pseudotumor Cerebri Temporal Arteritis Seizure Bells Palsy Mutiple Sclerosis Flare Myasthenia Crisis Miscellaneous OB/GYN – The conditions in this specialty are discussed and some will headed under abdominal pain in an index of possible conditions by particular symptom. Ectopic Pregnancy Vaginal Bleeding – in pregnancy and post-partum Pre-eclampsia Ovarian Cysts and Torsion PID and Tubulo-ovarian Abscess Miscellaneous Ophthalmology- A brief discussion of the painful red eye with and without vision loss will be had. Corneal Abrasion Chemical Exposure Optic Neuritis Orbital Cellulitis Endophthalmitis Amaurosis Fugax Acute Angle Closure Glaucoma Central Vein thrombosis Homonymous Hemianopsia Miscellaneous Psychiatry – A brief discussion of psychiatric emergencies will be made. Suicidal Ideation Psychosis Ethanol Withdrawal Benzodiazapine Withdrawal Pulmonary – Emergencies primary to the lung will be discussed. Pneumonia COPD Asthma Urology – The common issue of nephrolithiasis will be discussed. There will be brief discussion of other more rare conditions. Nephrolithiasis Ureteral Outlet Obstruction and Anuria Priapism Testicular Torsion Testicular Abscess Fourniers Gangrene Miscellaneous

    1 in stock

    £58.49

  • Telemedicine for the Musculoskeletal Physical Exam: A Pocket Guide

    Springer International Publishing AG Telemedicine for the Musculoskeletal Physical Exam: A Pocket Guide

    1 in stock

    Book SynopsisTelemedicine has ballooned in popularity and necessity in the COVID-19 world, and it has proved its worth. Even in the post-pandemic world, telemedicine will be here to stay, as it offers both patient and provider many advantages. However, physicians are often ill-equipped and lack sufficient training in how to conduct a physical examination remotely. Practical and timely, this book presents the current best practices for performing musculoskeletal examination remotely via telemedicine. It takes an anatomical approach, covering all joints and disorders commonly seen in the clinic, including preparation and general principles, the upper and lower extremities and the axial skeleton. For each region, the challenges and limitations of telemedicine are systematically highlighted and discussed, with techniques clearly described and illustrated. Concluding chapters present telemedicine procedures for both the functional assessment of a patient and evaluation and management of respiratory muscle dysfunction.Orthopedic and sports medicine practitioners, as well as general physicians, nurse practitioners, and physician assistants who treat patients with musculoskeletal disorders, will find this book highly engaging and enlightening. Table of ContentsRemote Patient Monitoring.- Video Visit Preparation and Patient Education.- The General Telemedicine Exam.- The Telemedicine Cervical Spine Exam.- The Telemedicine Thoracic Spine Exam.- The Telemedicine Lumbar Spine Exam.- The Telemedicine Shoulder Exam.- The Telemedicine Hip Exam.- The Telemedicine Hand and Wrist Exam.- The Telemedicine Hip Exam.- The Telemedicine Knee Exam.- The Telemedicine Foot and Ankle Exam.- Telemedicine Evaluation and Management of Respiratory Muscle Dysfunction.- The Telemedicine Functional Assessment.

    1 in stock

    £58.49

  • A Case-Based Approach to Hip Pain: A Pocket Guide

    Springer International Publishing AG A Case-Based Approach to Hip Pain: A Pocket Guide

    1 in stock

    Book SynopsisHip pain is one of the most common reasons for patient visits to orthopedic, physiatrist, primary care and sports medicine offices. Most books that cover this topic review it as a chapter within a larger book on orthopedics as a whole, or they focus on one specific aspect of hip pathology, such as osteoarthritis. This practical text is an evidence-based, user-friendly review of the literature for the breadth of hip pathologies that present to the busy practitioner. Opening with a review of the relevant anatomy, subsequent chapters discuss bursitis and tendonitis, labral tears, impingement syndrome, and osteoarthritis. Additional chapters cover hip pain in the pediatric patient, sports trauma and fractures, and rheumatologic and infectious disease considerations. And while reviewing pathology and its diagnosis and treatment is important, proceeding through real case studies is extremely valuable in bringing the diagnosis and treatment of hip pathologies to life, hence an engaging section of clinical case material rounds out the presentation.Taken together, A Case-Based Approach to Hip Pain will be an ideal resource for musculoskeletal medicine practitioners of all types.Table of ContentsHip Anatomy.- Hip Bursitis and Tendonitis.- Labral Tears of the Hip.- Osteoarthritis of the Hip.- Impingement Syndrome/Femoroacetabular Impingement Syndrome.- Pediatric Hip Pain.- Sports Trauma of the Hip.- Hip Fractures.- Rheumatology and Infectious Diseases and Hip Pain.- Hip Pain Case Studies.

    1 in stock

    £61.74

  • A Case-Based Approach to Shoulder Pain: A Pocket Guide to Pathology, Diagnosis and Management

    Springer International Publishing AG A Case-Based Approach to Shoulder Pain: A Pocket Guide to Pathology, Diagnosis and Management

    1 in stock

    Book SynopsisShoulder pain is one of the most common reasons for patient visits to orthopedic, physiatrist, primary care and sports medicine offices. Most books that cover this topic review it as a chapter within a larger book on orthopedics as a whole, or they focus on one specific aspect of shoulder pathology, such as osteoarthritis. This practical text is an evidence-based, user-friendly review of the literature for the breadth of shoulder pathologies that present to the busy practitioner. Opening with a review of the relevant anatomy, subsequent chapters discuss injuries to the rotator cuff, biceps tendonitis, labral tears, adhesive capsulitis, and osteoarthritis. Additional chapters cover shoulder pain in the pediatric patient, sports trauma and fractures, and medical causes of shoulder pain. And while reviewing pathology and its diagnosis and treatment is important, proceeding through real case studies is extremely valuable in bringing the diagnosis and treatment of shoulder pathologies to life, hence an engaging section of clinical case material rounds out the presentation.Taken together, A Case-Based Approach to Shoulder Pain will be an ideal resource for musculoskeletal medicine practitioners of all types.Table of ContentsShoulder Anatomy.- Rotator Cuff Tendonitis and Bursitis.- Biceps Tendonitis.- Labral Tears of the Shoulder.- Adhesive Capsulitis of the Shoulder.- Osteoarthritis of the Shoulder.- Sports Trauma of the Shoulder.- Shoulder Fractures.- Medical Causes of Shoulder Pain.- Shoulder Pain Case Studies.

    1 in stock

    £58.49

  • A Case-Based Approach to Neck Pain: A Pocket Guide to Pathology, Diagnosis and Management

    Springer International Publishing AG A Case-Based Approach to Neck Pain: A Pocket Guide to Pathology, Diagnosis and Management

    1 in stock

    Book SynopsisNeck pain is one of the most common reasons for patient visits to orthopedic, physiatrist, primary care and sports medicine offices. Most books that cover this topic review it as a chapter within a larger book on orthopedics as a whole, or they focus on one specific aspect of spinal pathology.This practical text is an evidence-based, user-friendly review of the literature for the breadth of cervical injuries and conditions that present to the busy practitioner. Opening with a review of the relevant anatomy, subsequent chapters discuss strains and sprains, facet joint and discogenic pain, radiculopathy and myelopathy. Additional chapters cover sports trauma and fractures as well as rheumatologic causes and considerations. And while reviewing pathology and its diagnosis and treatment is important, proceeding through real case studies is extremely valuable in bringing the diagnosis and treatment of neck pathologies to life, hence an engaging section of clinical case material rounds out the presentation.Taken together, A Case-Based Approach to Neck Pain will be an ideal resource for musculoskeletal medicine practitioners of all types.Table of ContentsCervical Anatomy.- Cervical Strains and Sprains.- Cervical Facet Joint Pain.- Cervical Discogenic Pain.- Cervical Radiculopathy.- Cervical Myelopathy.- Cervical Sports Trauma and Fractures.- Rheumatologic Causes of Cervical Pain.- Cervical Pain Case Studies.

    1 in stock

    £58.49

  • Patient Safety: A Case-based Innovative Playbook

    Springer International Publishing AG Patient Safety: A Case-based Innovative Playbook

    1 in stock

    Book SynopsisThis book aims to serve as a playbook and a guide for the creation of a safer healthcare system in the contemporary healthcare ecosystem. It meets this goal through examinations of clinical case studies that illustrate core principles of patient safety, coverage of a broad range of medical errors including medication errors, and solutions to reducing medical errors that are widely applicable in many settings. Throughout the book, the chapters offer viewpoints from healthcare leaders, accomplished practitioners, and experts in patient safety. In addition to highlighting important concepts in patient safety, the book also provides a vision of patient safety in the subsequent decade. Furthermore, it will describe what changes need to “fall into place” between now and the next 10-15 years to have that future realized. The book presents and analyzes a number of cases to illustrate the most common types of medical errors and to help readers learn the key clinical, organizational, and systems issues in patient safety. Patient Safety, 2nd edition, is an invaluable text for all physicians, healthcare workers, policymakers, and residents who are working towards a more equitable and effective healthcare system. Table of ContentsSection I: IntroductionChapter 1 - Patient safety methodologiesChapter 2 - Measuring patient safety Section II: Concepts Chapter 3 - Patient identificationChapter 4 - Teamwork and communication Chapter 5 - Transitions of Care and CommunicationsChapter 6 - Graduate medical education and patient safetyChapter 7 – Information Technology and patient safetyChapter 8–Clinical ethics and patient safetyChapter 9 – Health Equity: A key aspect of patient safety Chapter 10 – High ReliabilitySection III: ExamplesChapter 11 -Medication errorChapter 12 - Medication reconciliation error Chapter 13 - Retained surgical itemsChapter 14 - Wrong-site surgeryChapter 15 - Transfusion-related hazardsChapter 16 - Hospital-acquired infections Chapter 17–Hospital fallsChapter 18- Pressure ulcersChapter 19 - Diagnostic errorSection IV: Special considerations Chapter 20–Patient safety in pediatricsChapter 21 - Patient safety in radiology Chapter 22- Patient safety in anesthesiaChapter 23 - Patient safety in behavioral healthChapter 24–Patient safety in outpatient careChapter 25 - Patient safety in critical careChapter 26: Patient safety in long-term care and nursing homesChapter 27: Patient safety in emergency departmentSection V: Organizational issues Chapter 28–Error disclosureChapter 29–The culture of safetyChapter 30 - Second victim

    1 in stock

    £40.49

  • Geriatric Psychiatry

    Springer International Publishing AG Geriatric Psychiatry

    1 in stock

    Book SynopsisThis textbook presents real-world cases and discussions that introduce the various psychiatric syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to trainees in geriatric psychiatry. With the latest DSM-5-TR guidelines and with rich learningtools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both US and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It willalso appeal to audiences worldwide as a state-of-the-art resource for practiceguidance. The text meets the needs of the future head on with its straigh

    1 in stock

    £161.99

  • Doing Research

    Springer Doing Research

    2 in stock

    Book SynopsisA DOZEN TIPS TO START.- WHAT RESEARCH IS (& IS NOT).- THE BIG PICTURE: EXPERIMENT VS. NON-EXPERIMENT.- MAKE PRACTICAL PREPARATIONS.- SYNTHESIZE LITERATURE.- DESIGN RIGOROUS PROCEDURES.- PLAN SAMPLE SELECTION & PROTECTION.- SELECT DATA COLLECTION TOOL.- PROPOSE DATA ANALYSIS.- CONDUCT THE STUDY.- ANALYZE DATA & INTERPRET RESULTS.- DISSEMINATE FINDINGS!.- Protocol Worksheet.

    2 in stock

    £21.84

  • 2 in stock

    £23.99

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