Medicine / Healthcare: general issues / topics Books

Book SynopsisWhat distinguishes the consulting of experienced family doctors from their newly qualified colleagues? The question is often frustratingly hard answer clearly or objectively: unlike many professions, family doctors face a dearth of clear expectations of what constitutes advanced practice, a lack of defined standards against which to evaluate it, and an absence of expertise-related professional training in which to develop it post-certification. The model of consultation excellence outlined in this book illustrates in practical terms how advanced consulting can be nurtured. It avoids tantalising value judgement such as 'excellence'. Instead, it describes behaviours in terms that can be observed day to day, providing a detailed picture of what constitutes advanced consulting behaviour, how family doctors can be helped to acquire these higher levels of expertise, and how changes in behaviour can be identified and evaluated. "Advanced Consulting in Family Medicine" is written in handbook form for easy access and use, and provides a vital vision of higher order family doctor consulting.Table of ContentsIntroduction to the Consultation Expertise Model. The Consultation Expertise Model and how to use it. The Model. Fingerprinting. Uses of the Model. Advanced consulting and the ‘Model’: key concepts. Key concepts in relation to ‘Consulting skills’. Key concepts in relation to the. ‘Impression graph’. Key concepts in relation to expertise training. Practical approaches to developing advanced expertise.

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Book SynopsisThis practical and patient-centred guide assists medical professionals in delivering better clinical care to Arab patients. In examining the psychosocial underpinnings of Arab medicine, this unique book summarises and assesses the latest research, taking into account the needs and priorities of Arab patients. Important issues covered include patient education, compliance, 'doctor shopping', and psychiatric and mental health services. The evidence-based approach integrates academic research and first-hand experience from the unique bicultural position of the contributors. "Caring for Arab Patients" is vital for all healthcare professionals, including doctors, nurses, pharmacists and occupational therapists with responsibilities for Arab patients, throughout the world. Students of medicine and nursing will find much of interest, as will healthcare managers, researchers, academics, policy makers and shapers.Trade ReviewA" - Drs.Nasir and Abdul-Haq deserve the appreciation of academicians and practitioners in the Arab World for this long-overdue scholarly work.It is highly recommended for all levels of health and medical training and practiceA".Sami A. Khoury, MD PhD, ProfessorDepartment of Family and Community MedicineFaculty of MedicineAmman, Jordan "This is an indispensable guide for health professionals of all disciplineswho care for people and communities of Arab descent. The books'sociocultural approach also makes it relevant to social scientists andstudents interested in the Arab region or in the Arab Diaspora. Theaccessible and engaging writing supplements the high-quality reviews of someof the most important challenges facing Arab health today - " Samer Jabbour, MD,MPHCardiologist and Senior Lecturer,Faculty of Health SciencesAmerican University of BeirutA" - a rich resource with a unique character. It is unlike any book in that it addresses a wide range of health problems in the Arab world from a biopsychosocial perspective - No reader can fail to be enlightened.A"John Racy, MDProfessor of Psychiatry, University of Arizona College of Medicine.A"It is a pleasure for me to endorse this book, and I welcome the diversity of its authors' expertise. Most importantly, it fills a vital need, addressing the biopsychosocial approach to many sensitive and contemporary issues in the care of those living in Arab communitiesA". Dr Khuloud Jamal Khayyat Dajani,MD MHAAssociate Professor in Social Medicine and Health Policy, Vice President, Board of Trustees and Presidency, Al-Quds University,Founding Chairperson, Palestine Child Institute.A"(An) excellent book - the assessment and analysis of a large body of publications represent remarkable scholarship - It definitely adds a new dimension to the existing body of knowledge on the topicA". Antonio M. Gotto, Jr., MD, D. Phil.The Stephen and Suzanne Weiss DeanProvost for Medical AffairsWeill Cornell Medical CollegeA"This book will be of value to non-Arab physicians practicing in Arab communities, especially with respect to cultural and psychodynamic issuesA"Robert Rakel, MDA"'Caring for Arab Patients' fills a significant gap, taking on the challenge of giving medical professionals a better understanding of cultural and psychological aspects of patient care in Arab communitiesA".David J, Skorton, MDPresidentCornell UniversityTable of ContentsCulture and health in the Arab world. Globalization, health and culture. Gender and health. Genetic disorders in Arabs. The Family. The Arab family: formation, function and dysfunction. Child abuse and neglect. Domestic conflict and violence. Disability in the Arab world. Age and aging in the Arab world. Death and dying. Mental health. Approach to the patient in primary care psychiatry. Anxiety and somatoform disorders in the Arab world. Post-traumatic stress disorder. Eating disorders in the Arab world. Substance abuse. Depression, self harm behaviour, and suicide. Patient education. Patient education in the Arab world.

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Book Synopsis'The study of disease and its treatment is a life-long intellectual journey which has engaged some of humankind's finest minds and kindest hearts. We are still on that fascinating voyage. Every journey begins with a single step, and that step is the purpose of this book. It is short enough to be read from cover to cover, re-read, studied and learnt. Those who do that should find that they understand much that they encounter in patients, whether in the wards, outpatients or in primary care. [It] should also ease the student clinician's passage to more comprehensive texts, which can be intimidating in their volume and complexity, if there has been no prior introduction.' - Hugh McGavock and Denis Johnston, in the Preface. The study of disease and its treatment is a life-long intellectual journey which has engaged some of humankind's finest minds and kindest hearts. We, the authors, are still on that fascinating voyage. Every journey begins with a single step, and that step is the purpose of this book. It is short enough to be read from cover to cover, re-read, studied and learnt...This concise and practical introduction to the vast and complex subject of medical treatment is jargon-free and easy to read. It aids in the understanding of everyday situations on the wards, in out-patient clinics and in the primary care setting. The handy format is ideal as a ready reference along with its companion volume "How Drugs Work, Second Edition", by Hugh McGavock. It is highly recommended as an undergraduate textbook for students of nursing and medicine, especially those embarking on clinical training, and is also useful for Nurse Practitioners. Primary care nurses with diagnosis and treatment responsibilities will find the guidance invaluable.Table of ContentsPreface. Introduction. Treating hypertension. Treating angina pectoris. Treating the acute coronary syndrome. Treating heart failure. Treating the metabolic syndrome and hyperlipidaemia. Treating diabetes. Treating asthma. Treating chronic obstructive pulmonary disease. Treating community-acquired pneumonia. Treating dyspepsia. Treating vomiting, diarrhoea and constipation. Treating arthritis. Treating depression. Treating anxiety and agitation. Important drug: drug interactions. Some thoughts on infections diseases.

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Book SynopsisThis book is published in association with the Office of Health Economics. This book is a vital, non-technical guide illuminating recent developments within the five major European pharmaceutical markets. It clearly explains pharmaceutical regulatory policies on pricing and reimbursement, and their effects. Each chapter gives an overview of the current market, including aims, effectiveness, local markets, frameworks and politics, and then offers predictions for the next decade. Pharmaceutical executives with interests in marketing, market access and pricing will find this guide invaluable, as will health economists, government advisors and public affairs consultants. Public policy makers in areas such as the Department of Health and The Treasury and senior health service managers in hospitals will find it enlightening. It is also highly relevant to policy shapers in academia and the media, and undergraduate and postgraduate students of health economics, health policy, pharmaceutical economics and healthcare management. "This book aims not only to understand and discuss the mix of regulatory measures introduced by national policy makers in order to achieve their goals, but also to ascertain how these policies have actually shaped and influenced the characteristics and functioning of national pharmaceutical markets. In particular, each author has provided an analysis of existing pricing and reimbursement arrangements operating in their own country and an outline of policy scenarios that might emerge in the next decade." - Martina Garau and Jorge Mestre-Ferrandiz, in the Introduction.Table of ContentsPricing and reimbursement policies in France: current and future trends. Pricing and reimbursement policies in Germany: current and future trends. Pricing and reimbursement policies in UK: current and future trends. Pricing and reimbursement policies in Italy: current and future trends. Pricing and reimbursement policies in Spain: current and future trends. Overview.

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Book SynopsisFew doctors receive formal training in how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training.New doctors will find little help in the standard textbooks on how to follow-up patients.This book provides the necessary background information to enable rational decision making in a concise and economical style. It describes reasonable and safe lines of management suitable for most patients, ideal for when discussion with a senior colleague is not possible. Since the First Edition was published surgical outpatient services have undergone tremendous change. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams.This new edition is multi-authored to take account of the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. Surgeons will use this book as a useful foundation on which to build their own personal knowledge.Trade Review'Fills a gap in most surgical trainees' reading and education...This book provides an outstanding framework for trainees to confidently and capably care for outpatients -- whether in consultation, during the preoperative workup, or during postoperative care...rigorous and authoritative...This is a worthwhile purchase for any physician who wants to improve the experience of caring for outpatient surgical patients.' DOODY'S REVIEW SERVICETable of ContentsGeneral Outpatient Issues. Breast. Neck & Endocrine. Oesophagus. Stomach and duodenum. Small Intestine. Spleen & Lymph Nodes. HPB. Colon, Rectum, Anus. Vascular. Lumps & Bumps.

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Book SynopsisThis work includes Foreword by Ian Banks - President, Men's Health Forum. Traditionally, men have been seen as reluctant to access health services, but getting men to engage with their health isn't an impossible task once you're equipped with a few tricks of the trade. This concise, easy to read guide offers a no-nonsense, practical approach to the development and implementation of men's health programmes. Based on years of wide-ranging experience, the book is designed for anyone who is involved in service delivery for men and boys, and demonstrates what can be achieved with adequate resources, a flexible approach and a sound understanding of men's needs. It is ideal for all healthcare professionals and managers, and medicine and nursing students undertaking specialist men's health and health promotion courses. It is also of great interest to teachers and youth leaders, including school nurses. Healthcare policy makers and shapers will find it enlightening reading. 'This book is for anyone who wants to find out how to successfully set up and deliver health services aimed at men and boys. Traditionally, men have been seen as reluctant to access health services, but getting men to engage with their health isn't an impossible task once you're equipped with a few tricks of the trade. Although this is primarily intended to be a practical guide, much of the book will also be of interest to academics, policy makers and managers. It demonstrates what can be achieved with adequate resources, a flexible approach and a sound understanding of men's needs.' - David Conrad and Alan White, in the Preface. 'As an issue men's health is plagued by myth, ignorance and inequality, but most of all by a lack of solid research based on evidence-based work with men themselves. Lofty academics pontificate endlessly on the meaning of 'masculinity' yet never get their invariably white Caucasian, middle class hands dirty on what really impacts on Y chromosome owners. The Bradford team didn't just wonder about masculinity and scratch male pattern baldness, they did something measurable about men's health and ethnicity so other workers could use their evidence base to actually change the dreadful health status quo. An excellent and unique "Dirty Hands Manual".' - Ian Banks, in the Foreword.Trade Review'[The book]should be applauded for its audacity in formulating the protocol for addressing male problems...a practical approach to the development and implementation of a men's health program' SAMIR AL-ADAWI, DEPARTMENT OF BEHAVIOURAL MEDICINE, COLLEGE OF MEDICINE AND HEALTH SCIENCES, SULTAN QABOOS UNIVERSITY, MUSCAT, SULTANATE OF OMAN 'An excellent summary of the state of men's health today.' JOURNAL OF THE ROYAL NAVAL MEDICAL SERVICETable of ContentsPart 1: Introduction. Men's health - What's it all about? Introduction to health promotion. Part 2: Health MOTs. Sexual health outreach work. Weight management in the workplace. Smoking cessation. Erectile dysfunction and male incontinence clinics. Targeting ethnic minorities. Sex and relationships education in schools with boys. Anti-bullying work. Health sessions in housing projects. Part 3: A brief history of HoM - a personal perspective. How to be a men's health worker. "It'll be alright on the night" - The everyday pitfalls of delivering men's health services.

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Book SynopsisNarrative medicine has developed an identity already. Clinicians of many disciplines are being summoned to a practice that recognizes patients by receiving their accounts of self. Starting from different positions, the four authors have converged in a strong and shared commitment to narrative health care. They conceptualize narrative health care practices within frameworks derived from the social sciences and psychology, and, to a lesser degree, phenomenology and autobiographical theory. They relate the development of narrative medicine to relationship-centered care, patient-centered care, and complex responsive process of relating theory, positing that narrative medicine can help clinicians to develop the skills required to practice relationship-centered care. The book details - with exercises, resource texts, and abundant scholarly apparatus - how these skills can be developed and strengthened. This work will change health care. Because of its scholarly rigor, its multi-voiced sources, and its highly practical features (lists, activities, key ideas and key references, primary texts written by health care professionals and patients), this work will be a guide in the field for those who practice medicine or nursing or social work. The book establishes that there is a field to be practised, a need to practise it, and a means to develop the wherewithal to do so.Trade Review'A unique, interdisciplinary historical account, teaching guide, and call to action. It is a practical, readable guide to narrative medicine that will rejuvenate those familiar with the field and serve as an excellent introduction for newcomers[...] This is an excellent contribution to the field of narrative medicine' DOODYS REVIEW SERVICE "An outstanding contribution to today's health care world, which steadily moves toward medical practices that attempt to truly recognize, access, and hear patients' stories - readers, whether physician, nurse, physician's assistant, medical assistant, psychologist, social worker, patient, or patient's family, each with their own individual and ever-changing narrative, can expect to come away from this book changed." FAMILIES, SYSTEMS AND HEALTHTable of ContentsPart 1: Historical context, genealogy, and current viewpoints. Medicine, medical practice, and knowledge. Transdisciplinary narrative turns and narrative health care. The patient-practitioner relationship. Part 2: Professional performance situations and narrative importance. Narrative contexts of care. Narrative contexts of profession and community. Interlude: the death of Ivan Ilyich. Part 3: Narrative competence and its outcomes. Skills for the practice of narrative medicine. Evidence of narrative success and risks of non-narrative practice. Part 4: Personal perspectives on narrative in health care. Conversations with practitioners.

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Book SynopsisThis work includes forewords by Senator Noel A Kinsella and John A Gibson, respectively Speaker, Canadian Senate; Barrister at Law and Principal, International Refugee Consulting. This is a book based on what the Charter of the UN states about health as a basic human right. General readers will find a refreshing, up-to-date account of why these issues are so crucial, while professionals will find the cogent epidemiological analyses needed to inform research efforts. The book argues that the major causes of ill-health are not bacteria and viruses, or even war and natural disasters, but poverty. If we could solve the immensely complex problems of global inequities in wealth, the health inequities would largely vanish. The issue is not a simple one. This book sets out, among other things, to break down the communication barriers between the 'professionals' (doctors, economists and international bankers) and the ordinary person who looks with dismay at international injustice but feels totally inadequate in the face of it. The book argues that neoliberal approaches to global finance and international trade, which are inextricably linked to the looming environmental crisis, are not the only way open to us, and suggests alternatives. Above all, it offers hope and a useful role for all of us in solving the problems. Theodore H MacDonald's previous books have won international acclaim. To this new title he brings to bear the fruits of years of experience as a medical doctor, teacher and researcher in some of the poorest countries in the world. This book is provocative and will inspire informed action on the part of all of us. "The passion, conviction and wealth of knowledge of this work's author are evident. His ability as a communicator in conjunction with a tempered expertise held by few enables him to identify, analyze and provide his reflection on the right to health and its relation to global economics. The content and style of the writing reflects MacDonald's impressive experiential background. Theodore Macdonald is known internationally as a leader in the promotion of the human right to health. Not only does this work have great heuristic value, it also serves as an example of how the efforts of one remarkable individual can address the concerns of millions." - Noel A Kinsella, in his Foreword. "Optimistic, clear and concise. [The book] greatly informs a lay reader like myself. Arguments are invariably backed up by hard empirical data drawn from a range of authoritative sources. [This book] significantly adds to the understanding of health as a fundamental human right, the content of that right and what must be done to ensure that it can become a reality for the millions who presently lack even an acceptable standard of primary health care. The reader is left with a clear message; unless we evaluate alternatives to existing structures to bring about qualitative change in health outcomes in the developing world, environmental disaster fuelled by war and international chaos is our probable destiny. I am honoured to have been asked to write this forward and enthusiastically recommend it to anyone with an interest in the future of mankind." - John A Gibson, in his Foreword.Table of ContentsHuman rights - the UN's mandate. A bird's eye view of global finance and human rights. The global impact on human rights of UN agencies. Worsening global equity in access to safe water. Inequalities in global distribution. Poverty and primary health care. Transnational corporations - instruments for global control. Gender equality as a basic right to health. In defence of children and their rights. Literacy and education. Impact of the globalisation of HIV/AIDS. Malaria, tuberculosis and other infectious diseases. The worldwide exclusion of minorities. Saving the human race: environmental sustainability. Global right to health: dream or possibility.

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Book Synopsis"Changing Clinical Care" adopts a fresh, nursing and patient-centred approach to systemisation to aid patients and their carers. The evidence-based methodology outlines real-world experiences in various sectors of healthcare including primary care, cardiac services, general surgery, and care of long term conditions. It sheds light on possible difficulties and examines the key lessons learnt in providing effective systemisation including common problems, pit-falls and effective solutions. It includes high profile prologues by Dame Carol Black, (Past President, Royal College of Physicians of England) Dr David Colin-Thome (National Clinical Director for Primary Care, Department of Health, England) and Professor Alison Kitson (Executive Director, Royal College of Nursing). This book is ideal for all healthcare professionals interested in systemising the delivery of care. It is also of great interest to healthcare policy makers and shapers, and academics and researchers.Table of ContentsPart one: Concepts and contexts. Conceptualising and practising the systematisation of care. Systematisation and health policy. Using a systems perspective to improve healthcare processes. Empowering nursing and patient centred healthcare through the systematisation of clinical work. Using data to inform systematised approaches to care delivery. Part two: Experiences. Searching for systematisation - and its impact. Pathways in general surgery. A multidisciplinary process approach to cardiac services. Systematising the care of long term conditions: the year of care model. A year of care pathway for COPD: problems, pitfalls and solutions from practice. Making primary care systematic: successful cardiac care. Assessing the content and quality of pathways. The organisational elements of systematisation: the Otago experience. The place of the executive in the systematisation of clinical work: the experience of the Royal National. Hospital for Rheumatic Diseases. Networks and communities of practice: systematising collaboration. Part three: Implications. Changing clinical care and workforce development. Systematisation of clinical care and health capital planning. Systematisation and structures of authority. Systematisation in theory and practice.

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Book Synopsis'The following sections are a very good representation of the core developments of complexity thinking in a number of major fields. Our intention is to provide an accessible interdisciplinary introduction to the wonderful intellectual breadth that complexity can offer.' - Jan Bogg and Robert Geyer in the Introduction. Complexity is a new and exciting interdisciplinary approach to science and society that challenges traditional academic divisions, frameworks and paradigms. This book helps the expert, student or policy practitioner have a better understanding of the enormous potential of complexity, and how it relates to their particular area of interest or expertise. It provides excellent representations of the core developments of complexity thinking in a number of major fields. "Complexity, Science and Society" brings together an unrivalled selection of new applications of complexity from leading experts across subjects including medicine and healthcare, education, public policy and social theory, ecology, philosophy, international politics, the arts, modelling and design, and others. Together they offer an unprecedented review of the latest developments. This book is an accessible interdisciplinary introduction to the wonderful intellectual breadth that complexity can offer.Trade Review"A book for those who like their complexity in bite-size pieces...this brevity does allow for the inclusion of a startlingly wide, range of topics, all of which illustrate the flexibility of the concept of complexity, and which also allows for some fascinating links to be made between topics that may otherwise seem to have almost nothing in common" THE PRACTISING MIDWIFETable of ContentsArt and Complexity: Complexity from the outside. Diversity, interconnectivity and sustainability. Education and complexity. Health and complexity. International relations and development. Multi-agent systems and complexity. Philosophy and complexity. Politics and policy. Social theory and complexity. Conclusion: making complexity real.

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Book SynopsisThis work includes Forewords by Benyamin Maoz and John Salinsky, Professor Emeritus of Psychiatry, Faculty for Health Sciences, Ben Gurion University of the Negev, Israel; General Practitioner, Course Organiser and Author, London. 'Two very close friends - a clinical psychologist and a family physician, decide to correspond quite spontaneously with one another via email, each from his vantage point in the therapeutic realm. The work of clinicians in most areas of the health field is stressful and overwhelming and often very lonely. These factors encouraged us to negotiate some very intimate professional moments with one another, each of us reflecting, from his unique perspective, on the dilemmas, doubts, struggles, and rewards of treating our patients...' This book offers insights into the emotional, professional and personal lives of two clinicians. The enlightening stories bring consultations to life, and explore ideas of knowledge, communication, healing and the true meaning of care. Each case offers a glimpse of everyday patients, pressures and lessons. "Behind the Consultation" is ideal for all health and social care professionals. Academics and educators with an interest in medical humanities will also find it invaluable. 'This is not a systematic teaching book of therapeutic skills or methods, but it is a treasury of stories that lead the reader to look into the world of emotions, dilemmas and open questions. Those who would like to learn more of what happens once the door is closed and therapist and patient meet, will benefit from these fascinating stories and later use them in their own personal or professional life. Reading this book of human interactions is, in itself, a process of learning through experience, an enrichment of ones own personality.' - Benyamin Maoz, in the Foreword.Trade Review'I can recommend this book to anyone who has ever brooded over their relationship with a patient and needed to discuss it with a friend.' JOHN SALINSKYTable of ContentsGood luck or good judgment? Changes, moves, adaptations, and me. To treat or not to treat, that is the question! Thrills and secrets. Medical voyeurism. Ethical dilemmas of a psychotherapist. Memorial Day in the therapist's room. Witnessing trauma remembrances. Sa'adia and his limping health. The wonderment of strength. Intractable Michelle. Paying for compassion. On feeling offended. Abuse, freedom, and me. The helper's helplessness: Enrique's story. Psychotherapy without talking. Late understanding on life and death. A time to reap and a time to change.

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Book SynopsisIncreasingly, primary care professionals are faced with challenges in dealing with patients who have been affected by a genetic disorder, or whose family history is of concern. A basic understanding of clinical genetics and the role of the genetics centres leads to greater confidence in the management of these patients. This book is an ideal introduction to the principles of genetics. It outlines the key influences that will affect primary care including screening programmes, the role of genetics education (such as the RCGP Genetics Curriculum) and national guidelines. It provides information on basic clinical genetics and includes some of the more common clinical genetic conditions seen in primary care, such as cystic fibrosis, breast cancer and the haemoglobinopathies. It addresses some of the key ethical issues that may be faced including patient confidentiality, the ethics of reproductive genetic medicine and relevant medico-legal cases. The wider societal impact of genetics is also discussed. An introduction to the increasing impact of genetics into primary care, this book is invaluable for every primary healthcare professional.Table of ContentsBasic concepts in genetics. Raising genetic awareness. Genetics and reproduction. Exemplar genetic conditions. Cancer genetics. Ethical dilemmas and legal cases in primary care genetics. Genetics, genomics and society. Resources for the primary health care professional.

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Book Synopsis"Sound Diagnosis" to the rescue - a little prompt at the bedside, when you need sound guidance to see through a hazy clinical picture and make sense of a problem in the most lucid and confident way. How will you benefit from this diagnosticum? As your bedside companion it will: shed bright light on unclarified diagnostic pictures; encourage use of a systematic method of diagnosis; structure and simplify diagnosis; help you define a problem; make you notice and respond to diagnostic key pointers; direct your energies to the core of the problem; give your knowledge an opportunity to surface; make you more aware and open to reading signs of disease; serve as a ward-round guide; keep you fresh and motivated with each case; and, tie up the loose ends, enabling you to complete a diagnosis.Table of ContentsAssess your patient's problem FIRST. An overview of what lies ahead - constructing a diagnosis. A guided clinical case presentation. The 'Basicologists'. The Haematologists. The Rheumatologists. The Cardiologists. The Nephrologists. The Pulmonologists. The Gastroenterologists. The Neurologists. The Endocrinologists. The Gerontologists. In retrospect, what will I remember?

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Book SynopsisSedation is a vital tool for allowing investigations and procedures to be performed without full anaesthesia, but demand for sedation greatly outstrips the supply of trained anaesthetists. Sedation requires care if it is to be used correctly and modern seditionists, including junior doctors in all specialities, medical students, anaesthetists, dentists, and theatre, dental and paediatric nurses, must be able to demonstrate they can practice safely. They need a sound understanding of the basic sciences involved, and an intimate knowledge of the required standards of practice. This book is a first-line educational resource for all those training in the techniques of sedation, and for those already practising who wish to consolidate their knowledge in a structured way.This highly practical handbook is therefore ideal for experienced and novice practitioners alike. It covers basic principles including patient selection and assessment, pharmacology, resuscitation competencies, monitoring equipment and legal issues, and the numerous clinical scenarios bring pertinent issues to life, emphasising the importance of safe practice. It is a unique universal introduction for practitioners from any clinical background.Table of ContentsPreface. Sedation for procedures, treatments and investigations: a general introduction. Training in sedation. Patient assessment and selection. Principles of safety in sedation. Drugs in sedation practice. Medico-legal aspects of sedation. Sedation in paediatric practice. Sedation and the elderly. Sedation in community dental practice. Sedation for radiological procedures. Sedation in critical care. Sedation in palliative care. Sedation for miscellaneous procedures.

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Book SynopsisThis guide draws together the latest developments in eating disorders. Together with its companion volume "Annual Review of Eating Disorders Part 1-2007", this resource covers the twenty key topics.It is a compilation of reviews from leading scientists and clinicians, and is the essential update for busy professionals and health researchers, with a clear emphasis on clinical implications. It also provides invaluable information for psychologists, psychiatrists, dieticians, family doctors, pediatricians, counsellors and educators.'An impressive collection of comprehensive reviews covering the state-of-the-science in the eating disorders field. These reviews evaluate clinical and empirical data published in 2004-2006 examining issues as diverse as neurobiological influences, body image, and treatment of eating disorders. The depth and scope of the reviews are a testament to the hard work of the editors and the authors who volunteered their time for this important project.' - Kelly L Klump, in the Foreword.Trade Review'The authors successfully summarize this advancing field. [The book] would be of interest to new readers as well as returning practitioners or researchers.' DOODY'S REVIEW SERVICETable of ContentsPsychobiology of eating disorders. Genetics of eating disorders. Sociocultural influences on eating disorders. Epidemiology of eating disorders. Body image. Personality and eating disorders. Neuroimaging. Eating disorders in children and adolescents. Treatment of bulimia nervosa. Treatment for anorexia nervosa.

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Book SynopsisThe new MRCPsych examination has changed significantly. Instead of two distinct parts, there are now three written papers and one clinical exam. This book is completely up-to-date and takes into account the new format. It provides 250 practice best-of-five multiple choice questions (MCQs) and 100 extended matching items questions (EMIs) for Paper I. It contains clear, concise solutions to each question as an aid to revision. It is comprehensive and authoritative, with both authors being members of the Psychiatric Trainee's Committee of the Royal College of Psychiatrists. As well as being an essential revision aid for candidates sitting Paper I, it is also useful when preparing for Papers II and III because of the many similarly themed questions.Table of ContentsAssessment and diagnosis. Basic psychopharmacology. Basic psychology. Psychopathology. Aetiology and prevention. History, ethics and philosophy, stigma and culture.

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Book SynopsisThe structure of the MRCPsych examination has changed significantly. This book is specifically written for the new exam, providing 250 practice best-of-five multiple choice questions (MCQs) and 100 extended matching item (EMI) questions for Paper III. It contains clear, concise answers to questions, along with explanatory notes and further reading for each topic. It gives practical advice on the format and content of the examination and techniques for answering questions. It is comprehensive and authoritative: both authors are members of the Psychiatric Trainees' Committee of the Royal College of Psychiatrists. This is an essential revision aid for candidates sitting Paper III of the MRCPsych examination.Table of ContentsIntroduction. Background. Examination format. Examination content. Techniques for answering questions. Recommended reading. Critical appraisal. General adult. Old age. Forensic. Child and adolescent. Learning disability. Psychotherapy.

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Book SynopsisThis work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives.Overall this work is in two volumes, each of which can stand alone: the companion book Part 1 focuses on the realities of offering and receiving care at a practical and local level; this Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.Trade Review'Public health workers who work in this topic area will find much that is of interest - a useful overview of some current debates.'PUBLIC HEALTHTable of ContentsHarnessing the flow. The social and economic impact of mental health: meeting the challenge. Central control and local freedom: a new balance. New ways of working in mental health services. More than black and white: mental health services provided to black and minority ethnic communities. Race and mental health: there is more to race than racism. Child and adolescent mental health services in England. Third age mental health services. Services for depression, anxiety and post-traumatic stress disorder. Mental health, employment and housing. Devolving mental health social care: policy outcomes in Sweden and England. Mental health in Europe : the Green Paper. Mental health in Europe : the wider challenge.

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Book Synopsis'This book gives a 'bottom-up', practical overview of mental health. I have distilled psychological, biological and sociological background material and siphoned off anything that is not relevant to primary care. I aim to demystify the management of common problems and empower the reader to have a more rewarding and fun time at work and a better ability to cope with the ever-increasing demand and challenge of dealing with multiple physical and mental health issues often brought by a single individual to a time-limited consultation' - Mark Morris.This book provides an up-to-date guide to mental health for primary care workers who are not experts in the field. It is logically structured, providing a clear overview of causal factors before presenting individual conditions in a diagnostic hierarchy. Particular attention is given to areas where there has been a deficit in understanding or training, along with problems that are most frequently encountered and managed in primary care. Meanwhile, a Psychological Tools section introduces solid practical frameworks for managing mental health problems developed from cognitive behaviour therapy, solution-focused and motivational interviewing techniques. A selection of resources for patients is also included. It includes foreword by: Andrew Polmear MA MSc FRCP FRCGP; Former General Practitioner and Senior Research Fellow, Academic Unit of Primary Care, The Trafford Centre, University of Sussex, September 2008.Trade Review'Worthwhile.' DOODY'S REVIEW SERVICE "...comprehensive...can be utilised by any primary health care professional from maternity care through to those working with older adults in varying health disciplines. The non-specialist can develop effective communication techniques and be well equipped to provide reflective and constructive feedback when consulting." Australian Journal of Public HealthTable of ContentsMood Problems. Anxiety Issues and Medically Unexplained Symptoms. Personality Issues. Eating Disorders. Section III – Psychological tools - Psychological Tools – Background Considerations. Psychological Tools – Promoting Change In A Specific Area. Psychological Tools – Tools for General Use. Section IV – Patient resources.

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Book SynopsisThis book makes the case for 'ordinary' people to get the health and social care which the state has promised them for over 60 years but which has not been delivered. What is the case for choice? How can choice be made real for the individual? What impact can genuine, individually financially-empowered choice have on effective funding, purchasing, delivery, and outcomes? How can a genuine market grow and thrive? How can the quest for choice include the large numbers of NHS and social care staff on whom success depends? The book urges individual financial empowerment, through a life-long health savings account for all NHS and social services.Trade Review'John Spiers' detailed yet fluent book demonstrates how we can achieve better healthcare for all by harnessing the one economic system that we know is effective in allocating resources efficiently and delivering individuals and families the goods and services they need and want. As well as being of obvious value to those involved in the policy process, this book will be very useful in the world of medical and management education (particularly on MBA courses for those involved in hospital management, and on MA and MSc courses in public sector management) and also for students and teachers of economics-related courses.'From the Foreword by Professor Philip Booth, Institute of Economic Affairs'John Spiers has the gift of presenting complex ideas clearly. This makes this book a challenging offering to current public policy debates.' Professor Michael Connolly, University of Glamorgan 'Wonderful read. As John Spiers shows in this sprightly,erudite, concise book, when you ask the right questions, you get the right answers. He asks what a patient-centred health care system should look like and comes up with novel and pragmatic answers.' Professor Regina E Herzlinger, Harvard Business School 'This detailed and robust publication will help you unravel the political, social and economic influences that shape and guide healthcare provision... Offers erudite analysis that provides food for thought' NURSING STANDARD 'The discussion in this book is of considerable importance...makes a strong and important case for helping individuals make choices, based on the provision of information with which to make those choices...This book provides compelling information on the shortcomings of Britain's National Health System and will give those outside of Britain pause to consider whether this system is one that should be emulated...the need to fix a "broken" system is critical. This book provides an important set of ideas and policies that have implications beyond the British healthcare system.' DOODY'S REVIEW SERVICE "A very interesting book...will be a useful addition to academic libraries and also as a resource in local clinical practice areas." Journal of Community NursingTable of ContentsContents Includes: Why choice? Two concepts of order. Six policy recommendations. The present reforms ‘coherent and right’? What are politicians for? Cancer and “the efficiency myth”. The ‘choice agenda’ and the problem of knowledge. Between the data and the deep blue sea. Coercion, contagion, learning, coaching. My body, but your decision? ‘Concordat’, and shared decision-making. Culture, kultur, and permission to change.

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Book SynopsisWith packed curricula in most health care training institutions, and hectic schedules in practices and administrative offices, time for teaching vital communication and interpersonal skills is often at a premium.This book is designed to equip trainees with the skills needed to deal effectively with conflict, difficult behaviours and other complex situations, employing a 'learning by doing' approach for effective and engaging learning. It has been designed for practice leaders, hospital leaders and public health professionals helping health care professionals upgrade their skills, and especially for faculty members who teach students and residents. It contains over 100 exercises designed for use in a variety of training situations, and which take into consideration the often limited training time available for non-clinical topics. The exercises range in length from minutes to over an hour, whilst a selection grid allows trainers and educators to select the right exercises to cover topics in the available time.Trade Review'Ellen Belzer has developed this fun, interactive, introspective teaching method to address the ACGME interpersonal communication and professionalism competencies with situations so realistic we felt we could insert our own names. Everyone who participates will learn from this experience. We recommend this resource to all family medicine residencies.' KAREN MITCHELL, THE FAMILY MEDICINE RESIDENCY FACULTY 'An excellent resource and provides a great deal of guidance for each training module...This book is an excellent source of information on topics related to communication and conflict. It provides everything a trainer or educator needs to conduct any type of session on these challenging human issues. Few books in the training arena are focused solely on professionals in healthcare, so this one should be a welcome addition to the library in any healthcare department or organization...4 Stars' DOODY'S REVIEW SERVICE "Tutors will find this book very useful, particularly it they are bored by their own PowerPoint or acetate lectures and are looking for a way to bring the topics alive - without being too gimmicky." JOURNAL OF PERIOPERATIVE PRACTICE "Imagine a box filled with the most interesting and exquisite jewellery - one piece more beautiful than the next. If you are responsible for leading colleagues or if you do any type of organizational development, Ellen Belzer's book is a collection of treasures you will turn to again and again. There are 100 in-depth training activities including case studies, self-assessments, role plays and more. Do you need to address an issue of colleagues who aren't getting along? It's in there. Effective communication in crisi situations? It's in there. Turf wars? It's in there. Ellen Belzer has done the work for you - instructions for the facilitator and participants are specific to healthcare and copy-ready." EXCEPTIONAL PATIENT CARE "A clear and easy read - written in concise, plain English with an absence of "psychobabble" and buzz words - as a general guide for health professionals in communicating with people in some very difficult or delicate situations - not uncommon for our field - it is thought-provoking and informative." ADDICTION TODAY "This is a praiseworthy volume and is worth the purchase in order to browse through and find the relevant communication topic area. Healthcare training professionals as well as other professional trainers would benefit greatly in purchasing this text especially if they are looking to brighten up their teaching methods in a subject area which is often squeezed by time constraints in an otherwise packed curriculum." INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENTTable of ContentsUsing this Book. Definitions. Conflict Management. Negotiating Strategies – Bargaining. Dealing with Difficult Colleagues. Difficult Conversations. Communicating in Crisis Situations. Dealing with Organizational Change. Communicating with Emotional Intelligence. Appendices.Tips for trainers. The art of giving critiques. Quotations on training topics. Matrix 1: Exercises by training subject. Matrix 2: Exercises by profession. Matrix 3: Exercises by time allotment. Suggested Readings.

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Book SynopsisQuality communication contributes to smoother running practices, better care and services, greater efficiencies, fewer unhealthy conflicts, more satisfied staff and patients, and an improved ability to meet the challenges of an evolving and increasingly complex health care environment - With packed curricula in most health care training institutions, and hectic schedules in practices and administrative offices, time for teaching vital communication and interpersonal skills is often at a premium. This book equips trainees with the skills needed to communicate effectively with patients, colleagues and the community, employing a 'learning by doing' approach for effective and engaging learning. It is designed for practice leaders, hospital leaders and public health professionals helping health care professionals upgrade their skills, and especially for faculty members who teach students and residents. Featuring more than 100 exercises ideal for use in a variety of training situations, this book takes into consideration the often limited training time available for non-clinical topics. Exercises range in length from minutes to over an hour, whilst a selection grid allows trainers and educators to select the right exercises to cover topics in the available time.Trade Review'Ellen Belzer has developed this fun, interactive, introspective teaching method to address the ACGME interpersonal communication and professionalism competencies with situations so realistic we felt we could insert our own names. Everyone who participates will learn from this experience. We recommend this resource to all family medicine residencies.' The Family Medicine Residency Faculty, Providence Hospital, Michigan "A clear and easy read - written in concise, plain English with an absence of "psychobabble" and buzz words - as a general guide for health professionals in communicating with people in some very difficult or delicate situations - not uncommon for our field - it is thought-provoking and informative." ADDICTION TODAYTable of ContentsIntroduction. Using this book. Definitions. Effective listening. Improving patient relationships. Customer service strategies. Dealing with customer complaints. Managing patient expectations.Confidentiality and privacy issues. Intercultural communication. Communicating for coordination and consistency. Communicating to prevent and reduce medical errors. Communicating with your community. Appendix A. Tips for trainers. Appendix B. The art of giving critiques. Appendix C. Quotations on training topics. Matrix 1: Exercises by training subject. Matrix 2: Exercises by profession. Matrix 3: Exercises by time allotment. Suggested reading.

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Book SynopsisThe structure of the MRCPsych examination has changed significantly. This book is specifically written for the new exam, providing 250 practice best-of-five multiple choice questions (MCQs) and 100 extended matching item (EMI) questions for Paper II. It contains clear, concise answers to questions, along with explanatory notes and further reading for each topic. It gives practical advice on the format and content of the examination and techniques for answering questions. It is comprehensive and authoritative: both authors are members of the Psychiatric Trainees' Committee of the Royal College of Psychiatrists. This is an essential revision aid for candidates sitting Paper II of the MRCPsych examination.Table of ContentsIntroduction – Background. Examination format. Examination content. Techniques for answering questions. Recommended reading. Advanced psychopharmacology. Genetics. Neurosciences. Advanced psychological processes. Epidemiology. Research and statistics.

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Book SynopsisThis greatly expanded, revised and updated new edition of the Guide comprehensively covers every aspect of the new membership examination of the Royal College of General Practitioners, the nMRCGP[registered]. It takes you through all the main medical topics fundamental to general practice, all relevant non-clinical areas, and practice for the examination itself. Use this book as a starting point, a guide, or for summing up to ensure you are as well read as you think you are. The aim is to save you the colossal amount of time you would otherwise need to cover the same ground and have all the information you need in one place. 'General Practice is a fantastic career and the MRCGP has always been a worthwhile exam to work for. You will get an incredible amount out of it that will form a solid base for your career, if you are willing to put in the time and effort. Enjoy, and good luck!' - Sarah Gear.Table of Contents1. Introduction Part 1: Clinical 2. Cardiovascular 3. Diabetes 4. Chronic kidney disease 5. Gastrointestinal tract 6. Respiratory disorders 7. Older people 8. Mental health 9. Chronic fatigue syndrome/myalgic encephalomyelitis 10. Medically unexplained symptoms 11. Frequent attenders 12. Paediatrics 13. Women’s health 14. National Strategy for Sexual Health and HIV (2001) 15. Men’s health 16. Ophthalmology 17. ENT 18. Osteoporosis 19. Back pain 20. Osteoarthritis 21. COX-2 inhibitors 22. Obesity 23. Metabolic syndrome 24. Exercise 25. Alcohol misuse 26. Drug misuse 27. Air travel Part 2: Non-Clinical 28. Introduction 29. The future of general practice 30. Personal medical services 31. Appraisal 32. Clinical governance 33. Medical error 34. Medicine and the Internet 35. Evidence-based medicine 36. Chronic disease management 37. Guidelines 38. General practitioners’ workload Part 3: Consultation Models And Critical Reading 39. Consultation models 40. Critical reading Part 4: Statistics 41. Statistics Part 5: Practice For the nMRCGP® 42. Practice for the nMRCGP® 43. Applied Knowledge Test (AKT) 44. Clinical skills assessment 45. Exams and courses to consider while doing your training 46. After you qualify 47. Useful websites and references

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Book SynopsisThis book sets out to answer the key question of how healthcare providers can move from a fragmented to an integrated provision, including how ICT be used to develop a market approach - variety and choice of service providers for patients - against a background of institutionalised and ingrained practices. A team of academic and practitioner experts with many years' healthcare and research experience considers the broad issues of transforming healthcare using ICTs, electronic health records (EHRs), and approaches taken internationally to the healthcare integration challenge. The book will be essential reading for those involved in ICTs at a strategic or managerial level, and for contractors and developers implementing solutions on their behalf. The book will also be of interest for all those concerned with integrating healthcare and ICT at every level throughout the world.Trade Review'An interesting and informative resource - this book will be enlightening to readers interested in the many aspects of integrated care, and to those who are involved in large-scale information systems projects at many levels.' International Journal of Integrated CareTable of ContentsPart 1: Transforming Healthcare Services Using ICT. Integrating Healthcare. Information Systems (IS) Integration Approaches in Healthcare. Modernizing Healthcare really connecting for health? Integrating Healthcare with ICT. The National Programme for IT (NPfIT): Is there a better way? Part 2: Electronic Health Records. Electronic Records for Patient Centred Healthcare. Integrating Electronic Health Records. Socio-Technical Approaches to EHRs. Part 3: Global ICT Adoption and Implementation in Healthcare. New IT and the Kaiser Chiefs: EMR integration in the Aloha State. Some insights into the National Healthcare Systems of the United Kingdom and the Netherlands. Customer Value and Lean Operations in Healthcare.

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Book SynopsisWhat do young people need to know about their health - and how can you help them learn it? This practical guide will help you to broach health subjects (ranging from the banal to the embarrassing to the deadly serious) with the adolescents you encounter in your professional life. Drawing on research and collaboration with specialists in areas such as dietetics, mental health, drugs and alcohol, fitness, education and careers, along with young people themselves, Hot Topics in Adolescent Health provides a range of support mechanisms for professionals working with young people. Using interactive methods of delivery, this practical guide and complimentary CD provide figures, diagrams and suggested activities to explore each topic within a group setting and point to other resources for further information. The book covers both the basic and more detailed issues beginning with an introduction to adolescence and puberty before exploring key issues such as body image, diet and exercise, mental health, drugs, alcohol, relationships and sex (including contraception, sexual health, pregnancy and abortion) - giving lots of inspiration on how to confidently answer those tricky questions. Sections on consent and confidentiality when working with young people, as well as a vital summary of child protection policy and procedure, will also prove useful. It is highly recommended for healthcare professionals, teachers, therapists, counsellors, community group leaders and all people working with adolescents.Table of ContentsPuberty. How do I look? Body image during puberty. Mental health. Healthy eating. Exercise. What’s your poison? Smoking, alcohol and drugs. Consent, confidentiality and the law. Relationships and sex. Contraception and young people. Sexual health. L8r baby! Teenage pregnancy. Gangs

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Book SynopsisRewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-four chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMESTable of ContentsVolume One. Part 1 Overview. The context for provision of child and adolescent mental health services. Pre-school. Middle childhood. Adolescence. Part 2 General issues. Temperament. Resilience and risk. Attachment theory and looked-after children. Family issues. Separation, divorce and reconstituted families. Death, dying and bereavement. Effects of parental mental illness (including substance misuse) on children and families. Child abuse and safeguarding. Behaviour management. Volume Two. Part 3 Pre-school. Postnatal sepression. Crying and colic. Feeding in babies and toddlers. Tantrums, aggression and sibling rivalry. Breath-holding. Head-banging and body-rocking. Part 4 Middle Childhood. Anxiety, worry, fears and phobias. School refusal. Bullying. Enuresis. Faecal incontinence. Tics and Tourette Syndrome. Part 5 Adolescence. Depression. Self-harm. Eating disorders. Chronic Fatigue Syndrome / Myalgic Encephalomyelitis. Volume Three. Part 6 Problems that may present at any age. Conduct disorder. Developmental disorders Part 1 - Attention-Deficit / Hyperactivity Disorder. Developmental disorders Part 2 - autistic spectrum disorders. Developmental disorders Part 3 - speech and language. Developmental disorders part 4 - motor development. Specific and generalised learning disability. Sleep problems. Adjustment Disorder and Post-Traumatic Stress Disorder. Traumatic brain injury. Obsessive-Compulsive Disorder. Recurrent abdominal pain. Physical presentations of emotional distress. Chronic paediatric illness. Part 7:Specific Issues. Consent, competence, capacity and confidentiality. Diet and exercise. Imaginary friends, voices and psychosis. Sexualised behaviour and gender issues. Stealing. Referral.

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Book SynopsisAs our understanding of the mechanisms of the brain and nervous system that underlie the conscious experience of pain has increased over the past 60 years, so too has the field of pain management. What began as almost exclusively the domain of anaesthetists has become multidisciplinary, and now comprises many other specialisms including neurology, psychology, nursing, occupational therapy and physiotherapy. This spate of activity has been paralleled by a similar growth in research: in neurophysiology, psychology and pharmacology as well as clinical medicine. Simultaneously, the pharmaceutical industry has spent billions of pounds and dollars in the search for better drugs for relieving pain. This ground-breaking book is compiled by former contributors to The Special Interest Group for Philosophy and Ethics of the British Pain Society. The issues discussed include satisfactory relief of chronic pain, the inadequacy of scientific biomedicine in offering answers, and ethical problems arising in pain medicine. 'Suffering cannot be found in a laboratory test or imaging study; it is only observable by communicating with the sufferer. The eleven chapters in this book approach this conundrum from vastly different perspectives, some highly personal and others broadly social. Issues such as the interface between the physician and the pharmaceutical industry are also presented. Each chapter describes a facet of the problems of suffering and some of the available paths to recovery.' John D Loeser in the ForewordTable of ContentsForeword. Preface. Introduction. The tao of pain. Suffering and choice. Questions of pain. Bundling with big pharma. What are pain clinics for? Management of the difficult patient in the pain clinic. Exploiting the placebo response: culpable deception or a neglected path in the search for healing? Prostituting pain. Michelle. Recovery from alcoholism and other addictions. Learning to accept suffering.

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Book SynopsisThe collection includes: *Trade Review'I would like to tell you a bit about the sort of bookshop we are. We are fiercely independent and will never be part of any large organisation. Our stock is quite small and very carefully chosen. Some might say we are idiosyncratic and even eccentric. To those people I would say: who cares? If you want run of the mill textbooks, carelessly written best sellers and formulaic genre books there are plenty of places to get them. There is only one Green Bookshop.' John Salinsky "A master-class in how to achieve compulsive readability - Getting people to read has never been more important, because it has never been more difficult. John Salinsky is the man with the necessary knack." THE WRITERTable of ContentsThe Green Bookshop opens its doors. Books that won prizes. Great books that should have won prizes. Two books by one writer. A handful of classic novels. Short stories and essays. Books and the cinema. Biography and memoirs. Non-fiction. Classic books about general practice. Best new books about general practice. Consultation and communication. Education for primary care. Psychiatry, psychology and a bit of philosophy. Reading for pleasure. Index of authors. Index of titles.

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Book SynopsisMental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series has been written to address this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. This first book outlines the specific health issues, experiential aspects, treatment options and wider implications of mental health-substance use, as well as defining the field, through contributions from international experts and practitioners. This Introduction and the subsequent volumes will challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.Table of ContentsSetting the scene. Learning to Learn. What is in a name? The search for appropriate and consistent terminology. The mental health-substance use journey. A matter of human rights: people’s right to health care for mental health-substance use. The importance of physical health assessment. The experience of illness. The psychological impact of serious illness. Working with people with mental health-substance use. Skills, capabilities and professional development: a response framework for mental health-substance use. Attitudes and brief training intervention: a practical approach. Ethics: mental health-substance use. Brain injury, mental health-substance use — Christ Holmwood. Heatwave, mental health-substance use.

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Book SynopsisMental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series addresses this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. Having set the scene with the first book's Introduction, this second book in the series tackles service development: how to evaluate the current state from a firm knowledge base, plan and manage change to provide better services, and continue monitoring and evaluating them on an ongoing basis. The volumes in this series are designed to challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educatorsTable of ContentsSetting the scene. Historical policy context of mental health-substance use. Epidemiological issues in mental health-substance use: a case for life course approach to chronic disease epidemiology. National mental health development unit - an English perspective. Severe mental health and substance use: developing integrated services - a UK perspective. An Australian rural service system’s journey towards systemic mental health-substance use capability. Developing and evaluating innovative community programme. Guidelines for working with mental health-substance use. Strategy development, model policy and procedures. The implications of workplace stress on service development. Team working. Communication: the essence of good practice, management and leadership. Spirituality, mental health-substance use. Sexuality, mental health-substance use. Mental health in the UK: the legal dimension. Useful chapters. Useful contacts.

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Book SynopsisMental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series addresses this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. Having outlined the field and service development in previous books, the third book in the series explores how professionals can best respond to the particular concerns and dilemmas arising from and in mental health-substance use for individuals and their families. It aims to inform, develop and educate these responses by sharing knowledge and enhancing expertise in this fast-developing field by exploring the interrelated psychological, physical, social, legal and spiritual experiences. The volumes in this series are designed to challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.Table of Contents1. Setting the scene 2. The family perspective 3. The individual’s perspective: Hard to reach people or hard to access services? 4. The female perspective 5. The older adult’s perspective 6. The young person’s perspective 7. The child’s perspective 8. The additive effect of mental health–substance use on cognitive impairment 9. Mental health–substance use first aid 10. Mental health–substance use: Why do general practitioners need to know about it? 11. Mental health–substance use: Presenting together in primary care–the practical challenge 12. Integrated service and system planning debate 13. Mental health–substance use in emergency settings 14. Crime, prison, mental health–substance use 15. Communicating harm reduction

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Book SynopsisThe Mental Health-Substance Use series provides clear guidance for professionals on this complex and increasingly recognised field. It concentrates on the concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, as well as the future direction of practice, education, research, services, intervention, and treatment. This final book in the series provides the basis of best practice for offering effective interventions to affected individuals and their families, exploring the effects of various substances, both controlled and proscribed, and the impact of substance use in schizophrenia. Therapeutic interventions such as Eye Movement Desensitisation and Reprocessing (EMDR) and dialectical behaviour therapy are discussed, as are relapse prevention and the specific needs of groups such as older people and young adults. Associated topics such as individuals within the criminal justice system, and brain injury (the symptoms of which often mimic mental health-substance use) complete this highly comprehensive guide. The volumes in this series are designed to challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care response, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.Table of ContentsSetting the scene. Alcohol and mental health. Cannabis and mental health. Stimulants and mental health. Prescription drugs and mental health. Tobacco and mental health. Substance use and schizophrenia. Eye Movement Desensitization and Reprocessing. Post-traumatic stress disorder and substance use. Attention deficit hyperactivity disorder and substance use. The older adult. The young person. The young person and dialectical behaviour therapy. Prison, crime and active intervention. Relapse prevention in mental health. Relapse prevention in substance use. Neuropsychiatry: brain injury, mental health-substance use. Useful chapters. Useful contacts.

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Book SynopsisThe involvement of children and young people in consultations about aspects of their health or illness is often limited, with their role in diagnosis and decision-making on treatment options secondary to that of parents or carers. However, research shows that most children and young people want greater involvement, that this can both improve their understanding of their illness and positively influence healthcare outcomes. Policy recommendations increasingly require health professionals to involve children and young people in healthcare, but there is little available guidance on building the knowledge and skills needed to do so effectively. This book meets that need, including an overview of the particular issues involved and providing structured guidance for different types of consultations, including children with learning difficulties, disabled children and children as carers. Edited by eminent researchers, and with highly experienced contributors, this book is an invaluable resource for GPs and GP registrars, paediatric and emergency consultants and specialist registrars, nurses, paramedics, healthcare educators and trainees, and all those who work with children and young people in health-related contexts.Table of ContentsFinding a voice: The development of children’s healthcare. Involving children: Why it matters. The third voice in the consultation. Involving children: How to do it. Professional speak and child talk. Listening to young carers and their families. Improving communication: Practical Exercises. Consent and confidentiality. Safeguarding children: Heeding the message. Communication challenges: Overcoming disability. Taking your child to a consultation.

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Book Synopsis'Becoming a first year doctor is a stressful time...you are suddenly member of a medical team. People often feel out of their comfort zone, and are commonly too embarrassed to ask for help or advice - ' Gastroenterology concerns a large number of patients and is a commonly encountered area of medicine that all doctors are exposed to, even if they are working in a different specialty. It covers disorders of the gastrointestinal tract, pancreas, gallbladder and liver. This practical, user-firendly guide to gastroenterology for the junior doctor consolidates knowledge on common gastroenterological problems. Its unique approach offers logical explanations of investigations and ways to interpret results; it also outlines complications, prognoses and management and contains vital information on running successful ward rounds. Concise and easy to read, The Junior Doctor's Guide to Gastroenterology helps you to make informed, confident decisions and gives you the assurance to optimise your time in gastroenterology.Table of ContentsAbbreviations. Targeted gastroenterology examination. Inserting a nasogastric tube. Endoscopy. Lower GI endoscopy/colonoscopy. Abdominal ultrasound. Acute abdominal pain. Gastro oesophageal reflux disease. Oesophageal cancer. Inflammatory bowel disease. Colorectal cancer. Acute liver failure. Acute pancreatitis. Pancreatic cancer.

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Book SynopsisThis textbook provides strategies for primary health professionals to apply behavioral medicine principles and concepts. Many behavioral medicine textbooks assume a Western care model, where providers receive behavioral health training and have access to behavioral medicine specialists. However, in many international practice care environments providers receive minimal behavioral medicine training, specialists are unavailable, and patients originate from many cultures and ethnic backgrounds. Behavioral Medicine in Primary Care recognizes this, enabling physicians, social workers and others unfamiliar with behavioral medicine to meet the mental and behavioral health needs of their patients. Its focus on patients from multiple settings and cultures and its comprehensive, practical format illustrate skills that can be applied immediately wherever care is being provided. It is aimed at everyone seeing patients for primary healthcare purposes, including physicians, assistant physicians, nurses, midwives, social workers, or healthcare workers in community health sites, private clinics, or in patients' homes. 'A practical, very readable manualA". Wherever you practice or teach primary medical care around the globe, this book will help you provide better care to your patients.' Stephen J. Spann, in his Foreword 'Application of the principles advocated by Behavioral Medicine in Primary Care will make a difference to patient outcomes, whatever country or continent that they live in.' Gabriel Ivbijaro, in his Foreword An invaluable resource for those who dare to take on the challenge of initiating behavioral change in their patients using principles and strategies proven effective in multiple countries and cultures Alfred Loh, in his ForewordTable of ContentsBehavioral Medicine: Principles and Practice. Why Behavioral Medicine in Primary Care Training? The Mind-Body Connection: Patients with Somatic Complaints with No Organic Cause. Behavioral Change. Family Systems in Behavioral Health. Social and Cultural Influences on Health. The Management of Common Mental Health Concerns in Primary Care. Psychosocial Treatments in Primary Care. Physician and Practitioner Well-Being. Developing Behavioral Medicine in International Settings.

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Book SynopsisIn recent decades, global healthcare professionals and organisations have formed a wide, evidence-based consensus that breastfeeding is usually the best option for both mother and baby. However, women and professionals alike often face a sea of shifting attitudes and values, and complex social, cultural, political and economic factors that may influence women's feeding decisions. This book examines the global evidence, and the factors that affect women's decisions around initiating breastfeeding and maintaining it through the first year of their children's lives. It outlines potential areas for development and policy change at practitioner and strategic levels, and shows how health professionals can effectively communicate and provide information to help women make unpressured but informed decisions. Breastfeeding - Contemporary Issues in Practice and Policy is essential reading for healthcare professionals, policy movers and shapers, and all those with an interest in breastfeeding who wish to influence the development of related policies, practices and healthcare services.Table of ContentsIntroduction. Exploring the Politics and Practices of Breastfeeding. The Promotion of Breastfeeding: A Time and a Need to Change. Initiating Breastfeeding: a Time for Change - Listening to the Experiences of Mothers. Supporting the Continuation of Breastfeeding. Breastfeeding and Nutrition. Towards Evidence-Based Practice. Concluding Remarks.

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Book SynopsisThis third volume in the Companion to Medical Humanities series considers the concept of treatment as an active process which produces an outcome, be it effective, inappropriate or inadequate. It invites the reader to examine the relevance of the patients' belief in any given treatment and their confidence in the practitioner. Against a person-centred backdrop, it investigates boundaries, and reflects on the practical demands on a health care system limited in its resources, where the price of choice for one may be the restriction of service for the other. It also questions the supposed contrasts between treatment and cure, redefining the meaning of care in daily practice. It offers inspirational reading for all academics and professionals with an interest in the medical humanities, as well as researchers in philosophy of medicine and medical ethics. CPD with Radcliffe. This book can be used to achieve CPD (Continuing Professional Development) points through directed reading. We provide a free online form, and downloadable certificate for your appraisal portfolio. For more information and to claim CPD points on this book, visit www.radcliffehealth.com/cpdTable of ContentsAbout the editors and authors. Introduction. Acknowledgement. Playing God (poem by Glenn Colquhoun). The patients' stories. On treatment and its effects. Wonderful treatment. Treatment - a matter between subjects. Deciding on treatment. Paternalism, power and autonomy. Symptoms without disease: territory without a map. The paradox of placebo - real and sham in medicine. Considering the alternatives or Who is the medicine man? Boldness and temperance in treatment. Index.

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Book SynopsisGrowing numbers of women who experience pregnancy loss of all kinds - from early spontaneous miscarriage to stillbirth - seek help from practitioners of complementary and alternative medicine (CAM) in their recovery and preparation for future pregnancy. However, CAM is largely unregulated, and can be an unfamiliar and confusing area for mainstream health professionals. Many of these also have questions about the efficacy and safety of complementary or alternative treatments, and what they may be able to offer. Meanwhile, CAM practitioners may be unaware of the medical investigations and treatments available for conditions such as miscarriage, ectopics, gestational trophoblastic disease, preterm labour, foetal reduction, intrauterine death and stillbirth, and other less common complications. This book, written by an experienced CAM practitioner, aims primarily to provide medical professionals with the knowledge and confidence to advise women seeking complementary or alternative treatments. The author draws on her experience as a CAM practitioner to illustrate key areas where integrating sound and professional CAM into standard practice can offer women benefits, including improved psychological recovery from pregnancy loss. It also gives CAM practitioners greater insight into conventional medicine, and aids them to better understand, respect and care for women experiencing pregnancy loss. This book will be essential reading for all those who work with women who have experienced pregnancy loss, including health visitors, midwives, GPs, practice nurses, counsellors, psychotherapists, and CAM practitioners of all kinds.Table of ContentsPregnancy of loss defined. Causes and risk factors. Multiple pregnancy and infertility. Investigations, treatment and management. Psychological issues in pregnancy loss. Preparing for the next pregnancy. Complementary and alternative medicine in context. Professional issues.

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Book SynopsisThis book explores and offers solutions to critical issues in graduate medical education, including how students are taught and evaluated and how their educational programs are funded. It will be key reading for medical educators, policy makers and all individuals and organizations with an interest in medical education.Trade Review'An important book about this most formative time in a physician's life, the history of graduate medical education, the key issues that consume present interests of medical educators, and the options that the profession and society have for going forward. It is timely. Workforce shortages, financial constraints, new knowledge and technologies, and dramatically changing demographic patterns in society pose challenges. Changes are needed; will wisdom or reflex reactions inform the changes?' From the Foreword by David C. Leach, M.D. 'This book should be required reading for anyone associated with graduate medical education - 5 Stars!' Doody Book ReviewsTable of ContentsGraduate Medical Education: Then and Now. Credentialing in Medicine: Protecting the Public. Teaching and Learning: Establishing an Educational Continuum. The Evaluation of Residents: Assessing Competent Performance. Work Hours and the Supervision of Residents. Science and Service: The Pillars of Professionalism. No Tempests, No Teapots: Fostering Research in Medical Education. Psychomotor Education: Point and Counterpoint. Teaching by Residents: Passing it on. Mentoring Young Physicians: The Need for Nurture. Funding Graduate Medical Education: Who Will Pay? Manpower: Supply and Distribution. Obligations of Residents: With Rights Come Responsibilities. Recommendations: What Then Must We Do? Afterword. Appendix. Index.

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Book SynopsisSharing the costs of ill health is the mark of a civilised society. However, every society has limited healthcare resources, and must therefore make finely balanced decisions on how best to allocate them. The National Institute for Health and Clinical Excellence (NICE) has been responsible for the UK's health resource allocation for a decade. To inform its decisions, a Citizens Council of 30 members of the general public was established by NICE to gauge the underlying values of the society it serves. A number of national and international organisations and governments have asked NICE to share its experiences in establishing and running the Citizens Council, and encouraging and supporting patient involvement. As part of NICE's response, this book provides an up to date 'position statement' on the Citizens Council, an exploration of how patients interact with NICE and how their views are taken into account, and a national and international perspective on new issues facing the interaction between patients, the public and healthcare provision. 'Reading this volume will enable you, the reader, to assess how well NICE is acting as a means of fostering responsible public choice. I hope you profit from its chapters as much as I have.' - Albert Weale in his ForewordTable of ContentsFigures and tables. List of contributors. Glossary. Preface. Foreword. 1. The establishment of NICE. 2. NICE’s commitment to patient, carer and public involvement. 3. Patient and carer involvement in NICE clinical guidelines. 4. Patient involvement in NICE technology appraisals. 5. From patient involvement in clinical guidance to lay involvement in public health guidance. 6. Patient involvement in NICE interventional procedures. 7. Patient and voluntary organisation support for implementing NICE. Guidance. 8. Community engagement to improve health — how well is NICE implementing its own recommendations? 9. Background to NICE’s Citizens Council. 10. Ordinary people, extraordinary wisdom. 11. The Citizens Council reports. 12. Social value judgements: implementing the Citizens Council report. 13. The view of a Citizens Council member. 14. A Citizens Council in the making — dilemmas for citizens and their hosts. 15. Accountability for reasonableness and the Citizens Council. 16. Engaging the American public in setting healthcare priorities. 17. Harvesting and publishing patients’ unanswered questions about the effects of treatments. 18. The future of patient and public involvement: some concluding thoughts.

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Book SynopsisPatients' perspectives on their experiences of illness and treatment are increasingly valued by the medical profession as a source of information to enhance professional development, peer support and the quality of care provided. This book explores the development of an in-depth, relational and reflexive approach to narrative inquiry, drawing on counselling and arts-based approaches to researching accounts of illness. The significance of patient stories is explored through narrative research conversations with people whose personal accounts of a range of conditions provide powerful insights into the impact of illness on identity, life stories and the experience of patienthood. It offers suggestions for using narrative methods in medical education and practice to help professionals to both attend to patients' narratives and reflect on their own stories. Developing a Narrative Approach to Healthcare Research will be of interest to educators, practitioners, students and researchers in healthcare and the social sciences. 'I will recommend this book to my students; I hope other healthcare professionals will do the same and that some, like me, will go on to explore how narrative and story can be harnessed to both explore experience and to teach within healthcare.' - from the Foreword by Karen Forbes 'I would recommend this book to everybody who is involved in caring for people who suffer serious illness - whether they are professionals, family or friends. I also recommend it to social scientists and health professionals who want to conduct research in ways that capture the richness of peoples' lived experience.' - Kim Etherington, Professor of Narrative and Life Story Research, University of Bristol, UK.Table of ContentsPreface. Part One. Part Two. Part Three.

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Book SynopsisThe Clinical Skills Assessment (CSA) of the new Membership of the Royal College of General Practice (nMRCGP) examinations can be a daunting test: candidates face assessment on an unknown situation by a 'patient' and assessor, however, help is at hand. This book has been written by a CSA examiner in concert with GP training programme members to help candidates approach the exam feeling prepared, calm and in control. It includes advice on preparation, consultation skills, how the assessment is marked, and 12 practice CSA cases, along with advice on how candidates can create cases with which to practise and assess each other. Clear, practical, and based on sound knowledge and proven techniques, this book will be essential reading for nMRCGP CSA candidates. 'Rhona is a passionate and compassionate educator with a strong sense of natural justice, and also a long-standing MRCGP examiner. She has developed an approach to understanding and preparing for the Clinical Skills Assessment (CSA) that is already tried, tested and proven. An approach that will enhance the candidate's ability as a GP at the same time as preparing them for the CSA.' - Simon Gregory in his ForewordTable of ContentsSection 1: Preparing for the CSA examination. Section 2: Practice CSA cases. Section 3: The next steps.

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Book SynopsisDifferential diagnosis texts for the MRCP can overload candidates with detailed information, making revision seem difficult and overwhelming. In contrast, this book avoids exhaustive lists of often rare causes and concentrates instead on a maximum of five of the most common causes in terms of prevalence for each scenario, making revision more structured and manageable. The book includes diagnostic hints - clinical or lab clues that point towards a specific diagnosis - and a unique chapter on key ECG causes and features. Although primarily intended for MRCP Part I & II and FCPS (Pakistan) Part II candidates, this book will also be useful for undergraduate students preparing for finals.Table of ContentsGeneral Physical Examination. Cardiology. ECG. Pulmonology. Gastroenterology & Hepatology. Neurology. Hematology. Nephrology. Endocrinology. Infectious Diseases. Clinical Pharmacology. Rheumatology. Dermatology. Ophthalmology. Psychiatry. ENT. Obstetrics & Gynecology. Pediatrics. Procedures. Miscellaneous.

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Book SynopsisWe have written this book because the story it tells warrants a wide audience. We see the purpose of this book as informing discussion and decision-making around reconfigurations of maternity care, so that planning, communication, management and recruitment can be improved and shared vision articulated and understood.A" Throughout the world, women-centred care is gaining prominence in providing maternity care. Many birth centres open each year to meet this need - but at the same time, many close or are shelved. So why should the turnover in organisations that deliver such a vital service to women be so high, thwarting many midwives from practising as they would wish? This carefully researched and passionate book tells the story of a birth centre that did fail, and the painful but valuable lessons it presents for others. Many of the issues and behaviours illustrated - lack of leadership, support, vision and plain-dealing, and tensions between bureaucracy and women-centred care - will find resonance in maternity services and midwifery experiences in the UK and throughout the world. Tensions and Barriers in Improving Maternity Care is a vital and challenging resource for all midwives, managers and policy makers and shapers with an interest in maternity and women-centred care. "A remarkably detailed analysis of the politics of a birth centre trapped in a medicalised system that threatened and rapidly destroyed it. It is a vivid example of how autonomous midwifery is undermined by an organisational structure in which management focuses exclusively on one model of care." - From the Foreword by Sheila Kitzinger 'I would recommend this powerful book to all supervisors of midwives as it provides profound insights into the impact of loss and grief upon the midwives who are often left feeling isolated and vulnerable when dealing with difficult circumstances.' - Nessa McHugh, lecturer in midwifery at Edinburgh Napier University, and leader of the Preparation and Practice of Supervisors of Midwives programme.Table of ContentsBirth Centres. The Research Story. The Story of the Birth Centre. The Dream job: niche practice in midwifery. Opposition to the Birth Centre. The experience of the Birth Centre midwives. Spiralling downwards: interventions in the Birth Centre. The Writing on the Wall. The Birth Centre: ideals, models and tensions.

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Book SynopsisUndergraduate and postgraduate teaching increasingly favours a symptom-based approach to diagnosis. Unlike many other textbooks in acute medicine, this book reflects this shift in emphasis, presenting a logical and structured approach to the diagnosis and initial management of acutely unwell adults. It discusses the relevant pathophysiology of each clinical presentation, and provides a comprehensive table of differential diagnoses, highlighting common causes. The book's description of generic emergency management emphasises important diagnoses, and explains relevant history, examination findings and investigations involved in assessment or diagnosis. Senior medical students and junior doctors in their first four years after qualifying will find this an invaluable aid to honing their clinical practice. The logical systems of diagnostic thought will serve them throughout their careers. No book can replace hard work on the ward and in clinics but books can speed up the acquisition of skills by fostering sound basic principles and developing the right instincts. Diagnosis in Acute Medicine is particularly helpful in this regard. I strongly recommend it.A " - From the Foreword by Ian PavordTable of ContentsSection 1: Introduction to medical diagnosis. Section 2: Critical illness. Section 3: Cardiovascular and respiratory presentations. Section 4: Gastrointestinal presentations. Section 5: Neurological presentations. Section 6: Miscellaneous presentations. Section 7: Biochemical abnormalities.

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Book Synopsis'Peripheral vascular disease is common and has a significant adverse effect on the quality of life. A general practice with a list size of 6000 patients will have approximately 30 symptomatic patients with peripheral vascular disease' - Anita Sharma Peripheral vascular disease is a commonly neglected condition and therefore often presents in an advanced stage or in a life-threatening manner. General practitioners can play a vital role by making early diagnoses, prompt referrals, and in coordinating vascular risk factor management in primary care. This book is a concise and practical guide to recognising, managing and reducing the cardiovascular risk factors in patients with peripheral vascular disease (PVD). Completely up-to-date, it offers clear direction for all primary care professionals. 'A pleasure for any busy professional to read and an excellent source and reference book for all primary care professionals. Students, nurses and registrars will be surprised with the descriptions of various pathologies simply explained, which they will seldom have noticed while working on hospital wards.' Dr Michael Taylor, in his Foreword 'A welcome source of knowledge and information, particularly for those working in the primary care setting with the aim of improving their standards of care.' - Dr Deepak Bhatnagar, in his Foreword 'Anita Sharma is an experienced, practising GP whose book on PVD offers new insights for primary care professionals and is a generous contribution to the work of primary care practitioners everywhere.' - Gail Richards, in her ForewordTable of ContentsVaricose veins. Deep vein thrombosis. Oral contraceptive and deep vein thrombosis. Primary care oral anticoagulant management. Prevention of post operative venous thromboembolism. Diabetic foot. Restless leg syndrome. Intermittent claudication. Leg ulcers. Ankle Brachial Pressure Index. The management of PAD in Primary Care. Tackling smoking—Role of GP. PAD Primary care service framework. Secondary care referral. Commissioning services for peripheral vascular disease. One stop clinic. Multiple choice questions

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