Medicine / Healthcare: general issues / topics Books

Book SynopsisHealy follows The Antidepressant Era with an even more ambitious and dramatic story: the discovery and development of antipsychotic medication. Once pharmaceutical companies recognized their commercial potential, financial as well as clinical pressures drove the development of ever more aggressively marketed medications.Trade ReviewDavid Healy is one of the founding historians of psychopharmacology, first with his three-volume series of interviews with the first generation of psychopharmacologists, and secondly with his brilliant book, The Antidepressant Era. Now Healy crowns these achievements with this breathtakingly original and important history of the antipsychotics, psychiatry's flagship drugs. In their short lifespan they have revolutionalized psychiatry, converting it from a medical specialty based on psychotherapy to one based on biochemistry. Yet as Healy's analysis shows, commerce has been as influential as science in this transformation--perhaps more so. For its originality, readability, and wisdom, The Creation of Psychopharmacology is the most important contribution to the history of psychiatry since Ellenberger's The Discovery of the Unconscious. -- Edward Shorter, University of Toronto, author of A History of Psychiatry: From the Era of the Asylum to the Age of Prozac[T]his sweeping history of medicine used to treat mental illness takes on the psychiatric and medical establishment...Healy does groundbreaking work...The Creation of Psychopharmacology details how psychiatric medication intersects with academic squabbles and popular culture. -- Janice Paskey * Chronicle of Higher Education *David Healy is a respected historian of psychiatry who has written a book that should spark a major debate. He identifies current trends towards the abandonment of independent research into treatments for mental illness, the demand for Randomised Control Trials as the only acceptable measure of whether a treatment works, and the chilling control pharmaceutical companies now exert over psychiatry...This is an important and thought-provoking book...Healy's warning that, without a debate, we may be moving into an era when cosmetic psychiatry will be the new liposuction is worth heeding. -- Julie Wheelwright * The Independent *This book is a good place to start if you want to get an overview of the role of drugs in the treatment of mental illness...[Healy] capture[s] an important current dilemma. -- Richard Restak * Washington Times *Psychiatrists and historians owe a debt to David Healy. Over the years he has conducted interviews with all the leading figures in psychopharmacology...Drawing on these interviews and his wide reading of the scholarly literature, Healy has now constructed a subtle and compelling narrative of the development of psychotropic drugs...Healy ambitiously relates the emergence of drugs to the wider culture and shows how the two have interacted...[He] has written a highly stimulating and original book, which is brimful of ideas and deserves to be read and debated throughout the psychiatric community and beyond. -- Allan Beveridge * British Journal of Psychiatry *[N]o one has described it more thoroughly, or elucidated the critical intersections between psychiatry and the pharmaceutical industry more clearly. -- Morgan T. Sammons * Contemporary Psychology *Table of ContentsIntroduction 1. Strangers in a Strange Land 2. The Doctoring of Madness before Chlorpromazine 3. Explorations in a New World 4. Psychiatry outside the Walls 5. Twisted Thoughts and Twisted Molecules 6. Positive and Negative 7. The Sorcerer's Apprentice 8. Democracy Notes Acknowledgments Index

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Book SynopsisSilver reviews the causes and characteristics of chronic pain and explores its impact on individual family relationships and on the extended family, covering such issues as employment, parenting, childbearing and inheritance, and emotional health.Trade ReviewIn this latest entry in Harvard University's useful series of concise guides for families aiding sick members, Silver examines how family relationships can be affected by chronic pain: the impact on parents of suffering children, and on children of suffering parents, the role of extended family, the effect on intimacy and sexual activity, and more. Silver clearly discusses medication and other treatments as well, including alternative medicine. Useful sidebars deal with specific issues: one suggests ways to eliminate unhelpful chronic pain behaviors that can alienate friends; another gives a list of pain medications associated with sexual dysfunction. Silver's advice is wise and sensible, based on her own years of practice with chronic pain patients. * Publishers Weekly *Table of Contents1. What Is Chronic Pain? 2. Effect on the Couple 3. Intimacy and Sexual Activity 4. Work Issues 5. Childbearing and Inheritance 6. Growing Up with a Parent in Pain 7. Chronic Pain in Children 8. The Extended Family 9. Emotional Changes and Depression 10. Medication Dependence and Addiction 11. Diagnosing Chronic Pain Conditions 12. Traditional Treatment Options 13. Complementary and Alternative Medicine Afterword Appendix: Resources Suggested Reading Notes Acknowledgments Index

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Book SynopsisStein has produced a book that allows general readers and nonphysicians working with stroke survivors to make sense of the confusing variety of diagnoses and treatment options, and goes on to explore challenges the recovering stroke patient and the recovering family will face during a long recuperation with an uncertain outcome.Trade ReviewJoel Stein has written a comprehensive guide to stroke for patients and their families. It covers all the basics of stroke care, from prevention to returning home from hospital through rehab. Dr. Stein's book will be a 'must' for families and patients living with the after effects of stroke. The writing is clear and easy to understand, and the information-packed text uses patient vignettes skillfully to illustrate very important issues in an engaging and humane manner. -- Walter J. Koroshetz, M.D., Vice Chair, Massachusetts General Hospital Neurology ServiceTable of ContentsIntroduction 1. What Is a Stroke? 2. Finding the Cause of a Stroke 3. Stroke Prevention 4. How the Brain Works 5. Medical Complications after Stroke 6. Recovery and Rehabilitation 7. Stroke in the Young and the Old 8. Impact on Marriage and Relationships 9. Impact on Children and Family 10. Return to Work and Leisure Activities 11. Weakness after Stroke 12. Loss of Sensation or Vision 13. Problems with Memory and Thinking 14. Emotional and Personality Changes 15. Communication Difficulties 16. Swallowing Difficulties 17. Pain and Muscle Spasms 18. Equipment and Home Environment 19. Nontraditional Treatments 20. Understanding Clinical Research Appendix: Resources and Information Index

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Book SynopsisWomen have long needed a book devoted to their unique issues with diabetes. This up-to-date and practical guide advocates simple lifestyle changes that can help women reduce their risk of getting diabetes or, if already diagnosed, prevent the disease's most serious complications.Trade ReviewA sympathetic portrait of the myriad medical and psychosocial considerations that must be navigated for women to maintain healthy glucose levels and optimal quality of life. Focusing primarily on Type 2 diabetes, [the authors] describe risk factors and gender and ethnic-specific conditions that influence progression of the disease. Because much damage (nerve, cardiovascular, kidney, retinal and dental) is done before symptoms appear, the authors stress early diagnosis and intensive management of glucose levels. Testing and monitoring methods, types of insulin and other medications, dietary strategies and daily schedules are presented clearly with charts, tables and lists for easy access. There are helpful sections on the effects of stress, illness, hormonal fluctuations and aging, as well as a discussion of gestational diabetes as it affects women with Type 1 and Type 2 diabetes. * Publishers Weekly *Although there are many fine books about diabetes from the American Diabetes Association, this work is valuable for its focus on women. -- Barbara M. Bibel * Library Journal *It’s refreshing to see a book that focuses on motivating, educating, and helping women to take charge of their health and diabetes. The authors offer a wonderfully personal approach for any woman with diabetes, and Every Woman’s Guide to Diabetes is an empowering tool to help her gain control, become diabetes-savvy, and form a plan of action. As an endocrinologist sensitive to issues of women with Type 1 and Type 2 diabetes, I strongly recommend this book—it’s a must-read. -- Sandra T. Foo, M.D., Diabetes Prevention Program Outcomes Study, St. Luke’s–Roosevelt Medical CenterWomen have unique issues with diabetes. If you’re a woman, are you at risk? Do you know how to find out or what to do about it? Here is thorough, concise information on who’s at risk, how to avoid or prolong avoidance of diabetes and, if diagnosed, how to manage it. Easy to read and informative, Every Woman’s Guide to Diabetes is a must-read for women seeking to avoid or deal with diabetes—and isn’t that all of us? -- Donna Zimmer, Consumer ConnectionTable of ContentsPreface by Stephanie A. Eisenstat Preface by David M. Nathan 1. The New Epidemic 2. Diagnosis 3. Prevention 4. Medical Complications 5. Reproductive Health and Sexuality 6. Psychosocial Impact 7. Management of the Disease 8. Common Questions and Resources Appendixes 1. Body Mass Index (BMI) Table 2. Carbohydrate Counts for Common Fruits, Vegetables, Starches, and Dairy 3. Sample Grocery List for Healthful Eating 4. Choosing a Blood Glucose Meter 5. Mixing Different Kinds of Insulin 6. Disposing of Syringes 7. Insulin Pumps and Other Insulin Delivery Systems 8. Over-the-Counter Medications and Diabetes 9. Complementary (Alternative Medicine) Treatments 10. Your Diabetic Targets Glossary of Terms References Acknowledgments Index

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Book SynopsisMany in developing countries lack access to health technologies. Why does this problem persist? What can be done to improve access, especially for the poor in poor countries? The authors offer a comprehensive analytical framework for access and examine six case studies to explain why some health technologies achieved more access than others.

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Book SynopsisKanki captures the determination of some African nations—including Botswana, Nigeria, Senegal, and Tanzania—to provide lifesaving antiretroviral therapies to their citizens. By emphasizing the dramatic results investments in AIDS treatments in Africa can bring, the book provides lessons to nations about scaling up their own treatment responses.

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Book SynopsisAssessing Child Survival Programs in Developing Countries provides local health system managers with basic principles for rapid precise program monitoring and evaluation in difficult tropical conditions.

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Book SynopsisThe report of the Commission on the Education of Health Professionals for the 21st Century, an independent initiative of 20 leaders from around the world, addresses the evolving demands of health systems in an interdependent world. It articulates a fresh vision and recommends renewed actions, with a focus on institutional and instructional reforms.

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Book SynopsisOffers an interpretation of care labor in the United States by tracing the roots of inequity along two interconnected strands: unpaid caring within the family; and slavery, indenture, and other forms of coerced labor.Trade ReviewA powerful and persuasive critique, Forced to Care weaves together an insightful historical narrative about caregiving. Why is care of the ill and infirm a private, family responsibility and not a public entitlement? This important and timely book should be part of the national discussion about America's health care system. -- Karen Brodkin, University of California, Los AngelesIn a strikingly original book, Glenn provides the kind of full view that will be foundational to a major advance in our thinking about caring labor. She offers an impressive account of how gender and race have intertwined in caring labor and how coercion in care work has endured despite considerable change over time. Creative, astute, and compelling, this book will appeal to a wide range of readers in health care, labor relations, and law and social welfare policy. -- Marjorie DeVault, Syracuse UniversityA tour de force! Glenn presents a powerful interpretation of the social construction of care work, moving beyond the standard focus on individuals to pinpoint the ideological and material underpinnings of the care system. She reveals an evolving system that remains rooted in the coercion of women, especially immigrant women and women of color, and she offers thoughtful recommendations for a profound reorganization of care work that truly meets the needs of both those who give and those who receive care. -- Mimi Abramovitz, author of Regulating the Lives of WomenIn this incisive analysis, Glenn turns a brilliantly critical eye on the institutions that pit money against love. Taking the long historical view on the relationship between freedom and labor that made her prize-winning book Unequal Freedom so eye-opening, she reveals how the supposedly 'free' market still rests on a basis of coercive social demand rather than choice. -- Myra Marx Ferree, University of WisconsinScouring the history of Native American boarding schools, nineteenth-century reformatories, and programs to Americanize immigrants, Glenn brilliantly reveals the role of coercion in caregiving. An important read for us all. -- Arlie Hochschild, author of The Time BindGlenn advocates for both care providers and those receiving care and uses her vast knowledge of the history and foundation of the problems to offer concrete solutions to the difficulties both face as our aging society pushes us closer to a crisis in the fastest growing segment of healthcare in America -- Kari O'Driscoll * Feminist Review *[Glenn's] evidence is compelling and deals with a wide variety of examples that proves how coercion and caregiving have gone hand in hand. She uses evidence from the coercion of African-American women in general, slavery, Native-American women, as well as White women. She provides the reader with information on how class, race, and gender have formed the caregiving policies of twenty-first century America and how policies and laws have favored women as carers. -- Elin Weiss * Metapsychology *

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Book SynopsisGus White grew up on the wrong side of the color line in Jim Crow Tennessee, then became the first black medical student at Stanford and a top surgeon at Harvard. Throughout his career he has witnessed unconscious bias against nonwhite patients. Seeing Patients shares these sobering stories and outlines concrete solutions to medical inequity.Trade ReviewWhite, noted professor of orthopedic surgery at Harvard University, addresses the pervasive but hidden problem of prejudice in medicine in this revealing book. He uses extensive research to show how subconscious stereotyping of Blacks, women, and other minorities influences the doctor–patient relationship and how many people, therefore, receive substandard treatment. -- Clarence Waldron * Jet *As vital to medicine as mapping the rhythm of the heart and the firing of the nerves is an understanding of the diversity of the human family. Gus White takes us on a marvelous personal journey that illuminates what it means to care for people of all races, religions, and cultures. The story of this man becomes the aspiration of all those who seek to minister not only to the body but also to the soul. -- Jerome Groopman, MD, author of How Doctors ThinkSeeing Patients is a powerful and extraordinarily important book. Dr. White uses his own experience to enable us to take a close look at the sensitive issue of bias in health care, and the damage it does. He knows from the inside how good people can be negatively affected by historical and cultural forces they are not even aware of. He acknowledges the magnitude and complexity of the problem, and encourages medical schools and physicians to work together to solve it. -- James P. Comer, MD, author of Leave No Child Behind: Preparing Today’s Youth for Tomorrow’s WorldGus White has written a tour de force—a compelling story about race, health and conquering inequality in medical care. Growing up in the segregated South, receiving medical training at all-white Stanford, caring for Americans and Vietnamese in Vietnam, Dr. White has a uniquely perceptive lens with which to see and understand unconscious bias in health care. He offers astute analysis and prescriptions for eliminating inequalities, and his journey is so absorbing that you will not be able to put this book down. -- Charles J. Ogletree, Jr., author of All Deliberate SpeedThis is first and foremost the immensely enjoyable story of Gus White’s astonishing life’s journey. With all his achievements, he has not lost sight of his roots. Recruiting minorities into medicine has been one of his life’s priorities, and he has been a leader in promoting cultural literacy in all physicians. Seeing Patients is both exciting and insightful. -- Alvin F. Poussaint, MD, Professor of Psychiatry, Harvard Medical SchoolThe intertwining journeys of both orthopaedics and civil and human rights are chronicled in Dr. White’s life and career. Despite the progress made in these areas, unequal medical treatment in this country still exists due to biases, stereotypes, generalizations, language differences, and cultural barriers. -- Steven L. Frick, MD * AAOS Now *White’s story—part autobiography, part call to action—is a compelling and often uncomfortable read about a hidden world where even the most compassionate and egalitarian caregivers often fail a basic command of the Hippocratic oath: to do no harm. -- Sean Silverthorne * Harvard Business School Alumni Bulletin *Armed by the unique perspective afforded by being both within the American medical establishment and an African American whose grit and talent put him there, highly respected Harvard Medical School professor White is a crystal-clear visionary. The best means to improve health care for all, he says, is for medical schools to produce physicians who are not only scientifically competent but also equally culturally competent… Part stirring autobiography, part reasoned apology for egalitarian health care, White’s book makes a powerful case. -- Donna Chavez * Booklist *White uses his unique insights to discuss health care disparities, making it timeless and a must-read book that has the power to change the way we see the world…As the coronavirus pandemic brings racial, economic, and health care disparities into stark focus, Seeing Patients impresses upon us the need to see each other as fellow humans. -- Mary E. Arthur * Anesthesia & Analgesia *In this autobiography, White, Harvard’s first African American department chief, writing with Chanoff, chronicles his experiences growing up in Tennessee and his professional journey through medical school. Along the way, readers are shown how racism has impacted and still affects African Americans and others in the medical profession and in the medical system in general. -- A. W. Klink * Library Journal *White grew up in Memphis during the Jim Crow era. Affected deeply by the blatant racial prejudice he encountered in the South, as a student in Ivy League universities, as a physician during the Vietnam War, and as an orthopedic surgeon, White offers a deeply personal account. Part autobiography, and part sociological treatise on issues including race, the book chronicles how White’s epiphany in Vietnam (‘When I came out of that carnage in Vietnam, I came out with an even stronger sense that in the final analysis we are all so much more similar than different’) led to his realization that ‘the persistent derogation of out-groups’ results in unequal treatment of many categories of people. This understanding inspired him to become an activist dedicated to increasing knowledge and awareness of diversity issues. A fascinating account of how White became a professor of medical education/orthopedic surgery and the first African American department chief at Harvard’s teaching hospital, this book explains such sociological principles as race, class, and in-group/out-group processes in clear, uncomplicated prose. His a very enjoyable account of the remarkable life of an individual who did what a lot of people say they want to do: make a difference. -- C. Apt * Choice *When White attended Stanford in the late ’50s he was one of four students of color. A recommendation letter written by a mentor then included ‘this is a pale, colored boy’ to avoid misunderstanding. Now White recounts his ground-breaking life in an engaging, matter-of-fact manner… A chance encounter with a woman who felt doctors judged her by her full-body tattoo led White to consider disparities in health care. Challenges exist on both sides of the stethoscope, White argues, noting that the uncertainty felt by many African-American patients over how they will be perceived also impacts the medical encounter; the burden for alleviating racial and other disparities (such as those based in age, gender, and sexual orientation) falls on the medical and educational communities. Accessible, thought-provoking, and valuable. * Publishers Weekly *Gus White is many things—trailblazing physician, gifted surgeon, and freedom fighter. Seeing Patients demonstrates to the world what his colleagues and friends already knew—that he is also a compelling storyteller. This powerful memoir weaves personal experience, scientific research, and even political theory to reveal how the enduring legacy of social inequality shapes America’s medical field. Perfect for medical practitioners and patients alike, Dr. White offers both diagnosis and prescription. -- Jonathan L. Walton, Plummer Professor of Christian Morals, Harvard University

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Book SynopsisRey draws on multidisciplinary sources to explore a universally shared experience. From antiquity to the 20th century, she contrasts the different cultural perceptions of pain in each period, as well as the medical theories advanced to explain its mechanisms, and the various therapeutic remedies formulated to relieve those suffering from it.Trade ReviewAn intriguing analysis of the evolving influences of society and culture on pain thresholds throughout the ages. * New Scientist *This is an interesting and important study. The translation has been well done. -- Anthony Campbell * Journal of Consciousness Studies [UK] *We know quite a bit about the development of certain pain relievers and have often heard the story of anaesthesia...but we know much less of the broader cultural history of pain. This historical gap is addressed by this splendid book...Dr. Rey has used pain as a key medical, biological, cultural and philosophical theme; she has fashioned a history of medicine around the concept of pain...She has undertaken a large task and carried it out with great success. To capture as much of our changing views of such a large topic as she has managed to do in a 350-page book is a considerable feat. -- Gert H. Brieger * Nature Medicine *Roselyne Rey presents a detailed history of the medical treatment of pain from Antiquity to the 1950s. In brief sections on Egyptian, Greek, and Roman medical practice, on the Middle Ages and the Renaissance, on the 'Classical Age' and the Enlightenment, the author runs through some 3,000 years of medical history, demonstrating the very ambiguous and frequently ambivalent attitude towards suffering held by medical parctitioners. -- Tim Hitchcock * Social History of Medicine *In this erudite and broadly conceived work, Rey discusses the social construction of pain in Western history from antiquity to modern times. -- Roy Porter, Professor of the History of Medicine, Wellcome Institute for the History of MedicineIn this erudite and broadly conceived work, Rey discusses the social construction of pain in Western history from antiquity to modern times. * Choice *An elegant treatment of the history of pain...readable and fascinating... I know of nothing comparable. -- John C. Liebeskind, Founding President, International Pain Foundation, and Past President, American Pain SocietyTable of ContentsAcknowledgments Introduction Antiquity The Middle Ages and Pain: A World to Investigate Pain in the Renaissance Pain in the Classical Age Pain in the Age of Enlightenment The 19th Century: The Great Discoveries Communication Strategies: The Approach to Pain during the First Half of the 20th Century Conclusion A Modern View J. Cambier Notes Selected Bibliography Glossary Index

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Book SynopsisWhen we or our loved ones fall ill, our world is thrown into disarray, our routines are interrupted, our beliefs shaken. David Morris offers an unconventional, deeply human exploration of what it means to live with, and live through, disease. He shows how desire—emotions, dreams, stories, romance, even eroticism—plays a crucial part in illness.Trade ReviewEros and Illness lends authority and vision to the very private experiences of personal pain and illness. As his wife Ruth succumbs to an aggressive early form of dementia, David Morris ‘corrects’ what he thinks he knows about pain and suffering with his own anguish. From this personal experience emerges the daring formulation of medical eros. What Morris is trying for is almost impossible, but he pulls it off. He is trying to enter illness carrying its presumed antithesis. He proposes that some valuable things are possible within the experience of serious illness, that one can undergo states of profound quest, of abandon, of all that is not ordinary, constricted life. Only a scholar of Morris’s stature who has had to suffer his battering losses would be able to propose such a profound challenge to the world of medicine. -- Rita Charon, Columbia UniversityThis remarkable book focuses on the fundamental and fraught relationship of what the author terms ‘medical logos’ and ‘medical eros.’ These terms mirror the philosophical relationship of logos to eros, and bear upon how desire and knowledge in the context of illness reshape that relationship. David Morris is not afraid to delve deep into personal experience. His writing is clear, communicative, and filled with sections that are brilliant in conception and execution—such as the discussions on Modigliani, light, appearance and disappearance, and assenting to life in death-boundedness. This book is a tour-de-force. -- Thomas Dumm, Amherst CollegeEros and Illness eloquently illustrates how much medical humanities, narrative medicine, and similar new disciplines can contribute to more effective and compassionate care by reminding clinicians that illness is more than a series of data points. -- Suzanne Koven * Los Angeles Review of Books *

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Book SynopsisSports concussions make headlines, but you don't have to be an NFL star to suffer traumatic brain injury. In Shaken Brain, Elizabeth Sandel, MD, shares stories and research from her decades treating and studying brain injuries. She explains what concussions do to our bodies, how to avoid them, and how to recover.Trade ReviewA fascinating page turner. Propelled by Dr. Sandel’s exceptional storytelling and clinical expertise, Shaken Brain sheds light on the myths and misunderstandings surrounding concussions, and their consequential impact on so many lives. -- Marilyn Spivack, cofounder and past President, Brain Injury Association of AmericaA thoroughly engaging and enlightening account, this book explores the often perplexing issues and controversies surrounding post-concussion symptoms. A vital read. -- Mel Glenn, MD, Spaulding Rehabilitation NetworkI was a doctor in 2002 when I suffered a traumatic brain injury. Even in my position, it was difficult to find information about post-concussive consequences and care. Shaken Brain fills in the gaps. Uniting clinical research, scientific data, and personal stories, this crucial resource is one that both physicians and their patients can look to for answers. -- Cheryle Sullivan, MD, author of Brain Injury Survival KitThe first step to improving concussion care is improving concussion education. Whether you’re an athlete, a parent, a medical professional, or none of the above, having the proper knowledge about what a concussion is and what to do when one is sustained can often be the difference between a quick recovery and a lengthy one. A book like Shaken Brain offers needed information. -- Brittni Souder, former soccer player and Board Member, PINK ConcussionsShaken Brain is frank, accessible, and authoritative—a crucial tool for sharing medical knowledge. Read this book if you are a traumatic brain injury survivor, a clinician, a family member, or simply interested in learning more about brain health. -- David Cifu, MD, Virginia Commonwealth University School of Medicine and the US Department of Veterans AffairsA physician with over 25 years’ experience studying and treating concussion details what happens in the human brain when it is injured, and how medical providers can help…Emphasizing that it isn’t just athletes who need to worry, Sandel examines the high incidence of concussion among certain vulnerable populations, including the very young, elderly, homeless or impoverished, and victims of child abuse or domestic violence. To that end, she looks at prevention as a public health issue…Her expertly presented and researched work will be invaluable for anyone concerned about concussions. * Publishers Weekly *I recommend Shaken Brain to anyone interested in a deeper, nuanced understanding of concussion/mild TBI. Dr. Sandel effortlessly conveys the information typically found in a textbook with the ease and style of a novelist. It is a valuable resource for patients who have experienced concussion and their families, as well as for the physicians, therapists, and scientists who have made it their life’s work to help them. -- John Leddy * Brain Injury *

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Book SynopsisCancer has become the scourge of the twentieth century. This book explores the revolution in public health, the origins and principles of molecular biology, and our emerging understanding of the causes of cancer.Trade ReviewOne of Choice's Outstanding Academic Titles for 1997 "A collection of beautifully written, reflective essays... Cairns's writing is a fine example of how science can be presented to the general reader in an extremely scholarly way, and why writing of this kind can be of equal interest to fellow scientists, reflecting as it does a remarkable imagination and intellect... [A] reflective and thoughtful account... "--Sir David Weatherall, The Times Higher Education Supplement "[Cairns's] lucid exposition shows how experiments, observations, and calculations support some of the grand conclusions of modern biology. He offers fresh--although sometimes controversial--insights."--Joel E. Cohen, Nature "A brilliant and impressive analysis... [t]his book should be in everyone's personal library for many reasons; first, because Cairns is a lyrical writer and, second, he writes about science and molecular biology based on vast scientific knowledge, stressing the importance of history and of appreciating ultimate causes for all aspects of our lives and all that affects us. Interwoven are his perceptions of the beautiful and gracious things in life-art, music, literature-all with exquisite clarity. Matters is a joy to read."--Choice "Although this is a set of essays rather than an autobiography... several incidents of the distinguished physician-researcher's life surface amusingly... Well documented, the entire book has much to offer for serious general readers... "--BooklistTable of ContentsForewordPrefaceAcknowledgmentsCh. 1A History of Mortality3Ch. 2A History of Molecular Biology: The Storage of Biological Information43Ch. 3A History of Molecular Biology: The Management of Biological Information89Ch. 4Cancer and the Molecular Biology of Multicellular Systems127Ch. 5The Epidemiology of Cancer166Ch. 6Population201Notes241Index253

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Book SynopsisArgues that post-traumatic stress disorder is a cultural product put together by the practices, technologies, and narratives with which it is diagnosed, studied, and treated and by the various interests, institutions, and moral arguments mobilizing these efforts. This book includes an account of the treatment of Vietnam veterans with PTSD.Trade ReviewWinner of the 1998 Wellcome Medal for Anthropology as Applied to Medical Problems, Royal Anthropological Institute "Allan Young... would disagree with the notion that [PTSD] has always been with us, arguing that the traumatic memory is a man-made object... His book is a lucid case-study of the way medicine and society have managed to build up this man-made disorder over the past century and a half."--Gerald Weissmann, The London Review of Books "Allan Young has written a splendid and much needed book... Young's book is an invaluable contribution to an emerging and exciting area of scholarship. Intellectually bold, analytically rigorous, and rhetorically compelling, The Harmony of Illusions will both delight and provoke--perhaps even infuriate--friends and foes of the PTSD diagnosis."--Eric Caplan, American Journal of Sociology "The well-researched description of the development of the construct of PTSD within American psychiatric circles makes for fascinating reading as the personalities of the players are presented along with their ideas."--William Yule, The Times Higher Education Supplement "An ambitious and richly informative account of the growth and progress of modern psychiatry itself and particularly of the intimate relationship between that discipline and its broader social and political context. As a model study of the construction of mental illness, this book represents a significant contribution to the history of science and medicine."--Philip Jenkins, American Historical Review "A stringent critique of the diagnosis of post-traumatic stress disorder (PTSD), which came into vogue after the Vietnam war... Young's work is scientific in the best sense, i.e., clear, precise, and free of jargon and polemics."--Kirkus Reviews "Young has produced a fascinating book. It is also very timely given current debates, both within and beyond psychotherapy, about trauma, abuse and its recovery."--Janet Sayers, British Journal of PsychotherapyTable of ContentsAcknowledgmentsIntroduction3Pt. IThe Origins of Traumatic Memory1Making Traumatic Memory132World War I43Pt. IIThe Transformation of Traumatic Memory3The DSM-III Revolution894The Architecture of Traumatic Time118Pt. IIIPost-Traumatic Stress Disorder in Practice5The Technology of Diagnosis1456Everyday Life in a Psychiatric Unit1767Talking about PTSD2248The Biology of Traumatic Memory264Conclusion287Notes291Works Cited299Index321

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Book SynopsisThe American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? This book, written by a leading health care economist, tackles these and other key questions.Trade Review"[Dranove] offers important insight into a complicated and critically important sector of our society."--Booklist "[Dranove] raises interesting points on the benefits of managed care but does not hesitate to point out where MCOs can go wrong. While the book emphasizes the business aspect of healthcare, an economics degree is not necessary to understand the principles that are illustrated."--Library Journal "When you ask people why they don't like managed care, they usually don't give clear answers ... But most people haven't had particularly bad experiences themselves ... So it's been hard for most of us to know just how managed health care really does stack up ... It's no longer so hard, thanks to The Economic Evolution of American Health Care, by David Dranove... A wealth of information."--David R. Henderson, The Wall Street Journal "Although everyone will not agree with the author's theories and conclusions, he offers important insight into a complicated and critically important sector of our society."--Booklist "Many governments are actively considering market-based solutions to health care inflation. My message to them is simple: before you try to emulate much of what we have done, read David Dranove."--Jerome P. Kassirer, Canadian Medical Association Journal "David Dranove acknowledges many of the problems of contemporary managed care but argues that, properly structured, it would be a very good idea."--Lawrence P. Casalino, New England Journal of Medicine "An excellent book that makes accessible a great deal of interesting and relevant research... It reviews a remarkable list of important policy issues in a very short space and provides sharp economic insight into each of them. Even more, it is written in clear, non-technical language... I recommend it highly."--Alain C. Enthoven, Healthplan "The Economic Evolution of American Health Care delivers a great deal of new and valuable information in a crisp, very readable style. It is an excellent primer on the state of the US health care industry and on the economics of competition in health care."--Sherry Glied, Health EconomicsTable of ContentsAcknowledgments vii Introduction 3 Part One: The Rise of Managed Care 5 Chapter 1. Marcus Welby Medicine 7 Chapter 2. The Origins of Managed Care 28 Chapter 3. The Government Steps In 45 Chapter 4. Managed Care Takes Over 65 Part Two: The Modern Health Economy 91 Chapter 5. The Business of Health Care 93 Chapter 6. Merger mania 115 Chapter 7. Quality 136 Chapter 8. Fulfilling the Promise of managed Care 159 Notes 177 Bibliography 193 Index 203

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Book SynopsisBecause of rapidly aging populations, the number of people worldwide experiencing dementia is increasing and the projections are grim. This title exposes the predicaments embedded in current efforts to slow down or halt Alzheimer's disease through early detection of presymptomatic biological changes in healthy individuals.Trade ReviewShortlisted for the 2014 Mavis Gallant Prize for Non-Fiction, Quebec Writers' Federation "[T]houghtful ... convincing... Margaret Lock is an extremely sharp critic of the Alzheimer's scene."--W. F. Bynum, Times Literary Supplement "[A] diligent survey of research, literature, conferences, and interviews... Lock proves that the science of the disease is just as compelling as poignant accounts from caregivers and those suffering from Alzheimer's disease. Lock highlights just how much we don't know, from problems with Alzheimer's pathology, testing, and diagnosis to the search for a drug treatment... While science plugs away at solving the Alzheimer's conundrum, Lock's call for improved care and social support takes on a new urgency."--Publishers Weekly "[Lock] delivers key concepts in epidemiology, neuroscience and genetics in a way that is both scholarly and free of unnecessary technical details. Lock's bird's-eye view and mix of diverging sources of information is refreshing... For its wide scope and balanced critical evaluation, The Alzheimer Conundrum is an inspiring read for everyone working in the field."--Eus Van Someren, Nature "Comprehensive, cogent, and densely detailed, The Alzheimer Conundrum provides a useful antidote to media hype about 'silver bullets' that are 'just around the corner' and makes an important contribution to our understanding of an achingly tragic disease that touches virtually all of us."--Glenn Altschuler, Psychology Today "The Alzheimer Conundrum: Entanglements of Dementia and Aging is a welcome addition to a body of work that has so productively explored the historical contingencies, cultural specificities, and philosophical dilemmas that surround and shape bodies and people's understandings and inhabitances of them."--Aaron Seaman, Somatosphere "The Alzheimer Conundrum is a gem for young scientists and medical students, and it will challenge them to step back from traditional models, standardised diagnostic procedures and disease specificity to adopt a broader philosophical approach: when is a disease not a disease? ... Lock's rigorous unpacking of research studies and refusal to accept statements and conclusions from research papers at face value result in a thorough and honest appraisal of the current state of the field. It will be a great help in understanding the confusion and conflicting evidence surrounding this highly important topic."--Rose Anne Kenny, Times Higher Education "Lock's empirical account is a very welcome addition to the literature on biomedical uncertainty."--Des Fitzgerald, LSE Review of Books "[W]hether medical researchers or the general reader, this is a meaningful reading."--Liu, Economic Observer (China) "The Alzheimer Conundrum is an engaging read that, while quite granular in its detail, is never dry... Lock clearly summarizes, synthesizes, and critiques the results from research in molecular biology, genetics, neuroimaging, and epidemiology."--Jason Karlawish, Health Affairs "The Alzheimer Conundrum is an eloquently reasoned, provocative work."--Choice "The strength of this book is the in-depth detailing of the limitations of the existing science of Alzheimer's... This book is particularly relevant for researchers in the field of dementia: for those coming from a bio-medical perspective it may help them to be more reflexive about the choices they make in their studies, and for social scientists it may help to further understandings of and potential links with more medically focused research."--Jane Tooke, Journal of Ageing & Society "Lock's book is balanced, brilliant, and inspirational... The sheer travel, research, and organization that went into its creation are beyond impressive. Its lasting contribution is to leave the thoughtful reader in the AD field pondering the notion of a conundrum--after all, riddles abound in many aspects of our lives, always pointing to uncertainty."--Daniel R. George and Peter J. Whitehouse, Culture, Medicine, & Psychiatry "The Alzheimer Conundrum is a provocative account of why Alzheimer's disease (AD) is such a puzzling mix of scientific hypotheses, research agendas, pharmaceutical interests, funding objectives, and theories of aging... A timely critique of the disease model and its cultural consequences. The book's appeal is that it takes readers beyond scientific fields to consider social, historical, and cross-cultural dimensions of AD that broaden conceptual debates about mind and body, nature and nurture, and normal and pathological."--Stephen Katz, Bulletin of the History of MedicineTable of ContentsAcknowledgments ix Orientations 1 Chapter 1 Making and Remaking Alzheimer Disease 26 Chapter 2 Striving to Standardize Alzheimer Disease 51 Chapter 3 Paths to Alzheimer Prevention 76 Chapter 4 Embodied Risk Made Visible 100 Chapter 5 Alzheimer Genes: Biomarkers of Prediction and Prevention 132 Chapter 6 Genome-Wide Association Studies: Back to the Future 156 Chapter 7 Living with Embodied Omens 174 Chapter 8 Chance Untamed and the Return of Fate 207 Chapter 9 Transcending Entrenched Tensions 229 Afterword: Portraits from the Mind 243 Notes 247 Bibliography 277 Index 301

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Book SynopsisDue to rapidly aging populations, the number of people worldwide experiencing dementia is increasing, and the projections are grim. Despite billions of dollars invested in medical research, no effective treatment has been discovered for Alzheimer's disease, the most common form of dementia. The Alzheimer Conundrum exposes the predicaments embeddedTrade ReviewShortlisted for the 2014 Mavis Gallant Prize for Non-Fiction, Quebec Writers' Federation "[T]houghtful ... convincing... Margaret Lock is an extremely sharp critic of the Alzheimer's scene."--W. F. Bynum, Times Literary Supplement "[A] diligent survey of research, literature, conferences, and interviews... Lock proves that the science of the disease is just as compelling as poignant accounts from caregivers and those suffering from Alzheimer's disease. Lock highlights just how much we don't know, from problems with Alzheimer's pathology, testing, and diagnosis to the search for a drug treatment... While science plugs away at solving the Alzheimer's conundrum, Lock's call for improved care and social support takes on a new urgency."--Publishers Weekly "[Lock] delivers key concepts in epidemiology, neuroscience and genetics in a way that is both scholarly and free of unnecessary technical details. Lock's bird's-eye view and mix of diverging sources of information is refreshing... For its wide scope and balanced critical evaluation, The Alzheimer Conundrum is an inspiring read for everyone working in the field."--Eus Van Someren, Nature "Comprehensive, cogent, and densely detailed, The Alzheimer Conundrum provides a useful antidote to media hype about 'silver bullets' that are 'just around the corner' and makes an important contribution to our understanding of an achingly tragic disease that touches virtually all of us."--Glenn Altschuler, Psychology Today "The Alzheimer Conundrum: Entanglements of Dementia and Aging is a welcome addition to a body of work that has so productively explored the historical contingencies, cultural specificities, and philosophical dilemmas that surround and shape bodies and people's understandings and inhabitances of them."--Aaron Seaman, Somatosphere "The Alzheimer Conundrum is a gem for young scientists and medical students, and it will challenge them to step back from traditional models, standardised diagnostic procedures and disease specificity to adopt a broader philosophical approach: when is a disease not a disease? ... Lock's rigorous unpacking of research studies and refusal to accept statements and conclusions from research papers at face value result in a thorough and honest appraisal of the current state of the field. It will be a great help in understanding the confusion and conflicting evidence surrounding this highly important topic."--Rose Anne Kenny, Times Higher Education "Lock's empirical account is a very welcome addition to the literature on biomedical uncertainty."--Des Fitzgerald, LSE Review of Books "[W]hether medical researchers or the general reader, this is a meaningful reading."--Liu, Economic Observer (China) "The Alzheimer Conundrum is an engaging read that, while quite granular in its detail, is never dry... Lock clearly summarizes, synthesizes, and critiques the results from research in molecular biology, genetics, neuroimaging, and epidemiology."--Jason Karlawish, Health Affairs "The Alzheimer Conundrum is an eloquently reasoned, provocative work."--Choice "The strength of this book is the in-depth detailing of the limitations of the existing science of Alzheimer's... This book is particularly relevant for researchers in the field of dementia: for those coming from a bio-medical perspective it may help them to be more reflexive about the choices they make in their studies, and for social scientists it may help to further understandings of and potential links with more medically focused research."--Jane Tooke, Journal of Ageing & Society "Lock's book is balanced, brilliant, and inspirational... The sheer travel, research, and organization that went into its creation are beyond impressive. Its lasting contribution is to leave the thoughtful reader in the AD field pondering the notion of a conundrum--after all, riddles abound in many aspects of our lives, always pointing to uncertainty."--Daniel R. George and Peter J. Whitehouse, Culture, Medicine, & Psychiatry "The Alzheimer Conundrum is a provocative account of why Alzheimer's disease (AD) is such a puzzling mix of scientific hypotheses, research agendas, pharmaceutical interests, funding objectives, and theories of aging... A timely critique of the disease model and its cultural consequences. The book's appeal is that it takes readers beyond scientific fields to consider social, historical, and cross-cultural dimensions of AD that broaden conceptual debates about mind and body, nature and nurture, and normal and pathological."--Stephen Katz, Bulletin of the History of MedicineTable of ContentsAcknowledgments ix Orientations 1 Chapter 1 Making and Remaking Alzheimer Disease 26 Chapter 2 Striving to Standardize Alzheimer Disease 51 Chapter 3 Paths to Alzheimer Prevention 76 Chapter 4 Embodied Risk Made Visible 100 Chapter 5 Alzheimer Genes: Biomarkers of Prediction and Prevention 132 Chapter 6 Genome-Wide Association Studies: Back to the Future 156 Chapter 7 Living with Embodied Omens 174 Chapter 8 Chance Untamed and the Return of Fate 207 Chapter 9 Transcending Entrenched Tensions 229 Afterword: Portraits from the Mind 243 Notes 247 Bibliography 277 Index 301

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Book SynopsisTrade Review"A Financial Times Best Summer Book""A Financial Times Best Book of the Year: Science""Wide-ranging investigation into efforts by scientists to create digitised “twins” of human beings that promise a future of predictive medicine, but also ethical challenges." * Financial Times *"Virtual You is the most comprehensive and comprehensible account so far of the way in which the revolution in computing and data is starting to transform human biology and medicine."---Clive Cookson, Financial Times"[An] immensely thought-provoking book."---Nick Smith, Engineering and Technology"Virtual You‘s scope is as epic as its vision, taking us through medical history from Vesalius to Venter, and from the Antikythera mechanism to supercomputers and beyond. This means the concepts come at you thick and fast, although as a non-mathematician, I found the explanations refreshingly clear."---Claire Ainsworth, New Scientist"Computer simulations are coming to play a leading role in many fields of science. Science writer Highfield and computer scientist Coveney show in vivid examples how medical researchers are creating digital twins of individual patients and then using these virtual humans to guide treatments for a wide range of diseases."---Clive Cookson, Financial Times

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Book SynopsisDescribes the basic principles of carbon dioxide measurement using the capnogram and how to interpret the abnormal, such as: tracheal, oesophageal and blind nasal intubation; cardiac arrest; and apnoea. This book is intended as a reference in the operating theatre and on the IC unit.

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Book SynopsisRelates the process of quality assurance to the drive to improve the quality of anaesthetic practice. This book addresses aspects such as risk management, resource management, standards and postgraduate training, critical incidents and human error, and, use of computers. It is intended for those working in anaesthetic departments.

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Book SynopsisThis text guides the GP through practical issues such as how to construct a business plan; how to handle staff and encourage teamwork; how to make partnerships work; and how to develop and use relations with FHSAs, consultants and suppliers.Table of ContentsMaking a business plan; the optimal practice size; developing practice premises; choosing a new partner; part time work and job sharing; good partnership relationships; meetings and decisions for partners; practice management structure; the essentials of team work; making attachment work; housekeeping; communications - internal and external; managing clinical records; networking; the range of primary care skills; selecting a practice.

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Book SynopsisAccurate analysis of blood gases is vital to give information on a patient's respiratory and circulation state as well as the adequacy of resuscitation. This text guides the reader through the basic principles and a new system of interpretation.Table of ContentsHow to take an arterial blood gas sample; the survival guide to understanding acid-base balance; too much alkali; the survival guide to understanding oxygenation; too little oxygenation; complex situations; special situations; putting it all together; self assessments.

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Book SynopsisThis unique publication, co-published with the King''s Fund, is about talk and action in health care rationing. It presents the latest thinking and practical experience in rationing today. Read about why rationing is inevitable, look at what the public thinks, and decide for yourself what action should be taken in the futureTable of ContentsIntroduction and context: introduction, Bill New; The rationing agenda in the NHS, Bill New; Responses to the rationing agenda, Jo Lenaghan. Section 1 Talk: The inevitability of rationing in the NHS, Chris Heginbotham; Public opinion and rationing - a review of the evidence, Jack Kneeshaw. The rationing debate: Devising a package of health care services the NHS is responsible for - for, Bill New; against, Rudolph Kelin; Maximising the health of the whole community - for, A.J. Culyer; against, John Harris; Rationing health care by age - for, Alan Williams; against, J. Grimley Evans; Central government should have a greater role in rationing decisions - for, Jo Lenaghan; against, Stephen Harrison; Rationing within the NHS should be explicit - for, Len Doyal; against, Jo Coast; Direct public and patient involvement in rationing - the possibilities for direct public involvement, Anna Coote; - the possibilities for direct patient involvement, Heather Goodare; The moral limits to public and patient involvement, Len Doyal. Section 2 Action: New Zealand priority criteria project, Hadorn, Holmes; Setting priorities - can Britain learn from Sweden? McKee, Figueras; Setting priorities - is there a role for citizen's juries? Lenaghan et al; The Asbury draft policy on ethical use of resources, Crisp et al; Responses to Asbury proposal, Thomasma et al; A purchaser experience of managing new, expensive drugs - interferon beta, Rous et al; How can hospitals ration drugs? Bochner et al; responses to Boshner et al.

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Book SynopsisSuitable for anaesthetists, this title provides an introduction to total intravenous anaesthesia (TIVA), starting with the basic pharmokinetic and dynamic principles and moving on to an overview of the pharmacology of the major intravenous anaesthetic drug groups.Table of ContentsGlossary. Preface. 1 Historical and Scientific Background of Intravenous Anaesthesia. 2 Types of Intravenous Anaesthesia. 3 Pharmacokinetics and pharmacodynamics of drugs used in TIVA: Sedative-Hypnotics. 4 Use of Intravenous Anaesthesia Techniques in Special Patient Populations. 5 Intravenous Anaesthesia Delivery and Monitoring Systems. 6 Advantages and Disadvantages of Intravenous Anaesthesia. Organ and Tissue Toxicity. 7 The Future of IV Anaesthesia. Index.

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Book SynopsisFocuses on the drugs used to treat the illness or injury in intensive care. This book addresses the other issue for those caring for the critically ill - how organ function will affect the drugs used, and how to adapt management accordingly. It includes principles of pharmacology; absorption, transport, and elimination of drugs.Table of ContentsContributors. Preface. Part 1: Basic Pharmacology. Pharmacokinetics and Pharmacodynamics. Drug Action. Renal Failure. Hepatic Failure. Heart Failure. Gut failure. Brain failure. Respitatory Failure. Children. Safe Drug Prescribing in the Critically Ill. Index.

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Book SynopsisA book which discusses the role of narrative in medicine from various angles, covering both theoretical and practical aspects. It includes real examples of patients' narratives, the use of narrative as a therapeutic tool, teaching narrative to students and the narrative medical record. It is aimed at General Practitioners and medical educators.Trade Review"Add NBM to your EBM and discard your medical mythology" - Journal of the Royal Society of MedicineTable of ContentsIntroduction. 1.Why study narrative?. 2.Turtles all the way down. Illness stories. 3.Themedian isn't the message. 4.The night my life changed. 5.The good bleed guide. 6.Stories of dying. 7.Have i got epilepsy or has it got me?. Filler: the conker tree. Narrative in medicine. 8.Pain narratives. 9.Following hte story: continuity of care in general practice. 10.Narrative and mental health. 11.Sirens, stray dogs and the narrative of hilda thomson. 12.The surgeon's narrative. Filler: pressuring mrs thomas to accept her treatment. Learning and teaching narrative. 13.Literature in medicine. 14.Teaching humanities in the undergraduate medical curriculum. 15.The golden narrative in british medicine. 16.Nursing, narrative and the moral imagination. Filler: Upwardly mobile. Understanding narrative in health care. 17.Stories that we hear and stories we tell. 18.Narrative in psychotherapy. 19.The narrative in medical record. 20.Anecdote in clinical practice. Filler: Dead notes. Broader perspectives on narrative in health care. 21.Narrative in medical ethics. 22.Cross cultural medical narratives: some case studies from latvia and siberia. 23.The narrative stream in medical negligence. 24.Narrative based medicine in an evidence based world. Filler: Dear tom

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Book Synopsis"The authors should be congratulated for providing such a tool to assist professionals in improving the health of their local populations" - Health Services Journal.Trade Review"The authors should be congratulated for providing such a tool to assist professionals in improving the health of their local populations" - Health Services JournalTable of ContentsEpidemiological issues. The development of practical approaches. Needs assessment in primary care. Whose priorities?. Listening to patients and professionals. Health needs assessment in developing countries. Clinical and cost effectiveness issues

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Book SynopsisA compilation of systematic reviews of available scientific evidence in various research areas including: Non-randomised studies; Outcome measurement; Randomized trials; Statistical methods; and, Area level analysis. It is intended for health care researchers from those in primary care to those in specialized fields.Table of ContentsContributors. Foreword. 1.Researching health services. Part one: measurement of benefits and costs. 2.Patient-assessed outcome measures. 3.The use of health-related quality of life measures in economic evaluation. 4.Collecting resource use data in clinical studies. 5.Designing and using patient and staff questionnaires. Part two: Methods of evaluating health care. 6.Choosing between randomised and non-randomised studies. 7.Comparison of effect sizes derived from randomised and non-randomised studies. 8.Factors that limit the number, quality, and progress of randomised trials. 9.Ehics of randomised trials. 10.Implications of sociocultural contexts for ethics of randomised trials. 11.Evaluation of health care interventions at area dn organisation level. 12.Qualitative methos in health services research. Part three: Statistical methods. 13.Statistical methods: good practice and identifying opportunities for innovation. 14.An introduction to bayesian methods in health services research. 15.Quality of life aassessment and survival data. Part four: Presenting, interpreting, and synthesising evidence. 16.Systematic reviews of randomised trials. 17.Handling uncertainty in economic evaluations of health care interventions. 18.Consensus development methods for creating clinical guidelines. Part five: Future developments. 19.Horizon scanning: early identification of new health care technologies. 20.Evaluating new and fast-changing technologies. 21.Research implementation methods. Appendices. I What does "systematic" mean for reviews of methods?. Ii Different types of systematic review in health services research. Index

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Book SynopsisThis pocket guide supplies key resuscitation facts in an easily read format to serve as an aide-memoire to anyone working in emergency situations. Each key statement is presented as an easy to remember rule. Each rule is explained and supported by relevant current references and any exceptions are identified.Table of ContentsContributors. Foreword. Preface. BASIC LIFE SUPPORT. 1. Confidence Does Not Imply Competence. 2. You Can’t Start a Blue Heart. 3. If the Face is Blue, The Heart is Too. 4. An Airway is What You do to the Head, Not What You Put in the Mouth. 5. It is Better to Deliver 17% Oxygen to the Lungs, Than 100% to the Back of the Throat. 6. Suction is Not Catheterisation by the Oral Route. 7. Gasping is Not Breathing. 8. Two Hands are Better Than One. 9. Only a Fool Breaks the BLS Rule. ADVANCED CARDIAC LIFE SUPPORT. 10. Bring the Equipment to the Patient, Not the Patient to the Equipment. 11. The Laryngoscope is an Oxygen Deprivation Device. 12. Save the Day With an LMA. 13. If You Can Put It In, You Can Pull It Out. 14. Oxygen is Free - Don’t Make Your Patient Work For It. 15. You Are In Deep Waters When the Oxygen Runs Out. 16. Treat the Patient, Not the Monitor. 17. Paddles in, People Out - Paddles Out, Paddles in. 18. Pray When You Defibrillate. 19. An AED in Your Hands is Worth Two Manuals in a Rush. 20. When It’s Going Down the Tubes Think of Your NAVAL. 21. There is No Drug That Will Convert VF to Sinus Rhythm. 22. Think of the Causes to Begin and Treat Them If You Want to Win. 23. Adenosine, Shut That Door!. 24. A Positive Pericardiocentesis Only Indicates There is a Clot at Both Ends of the Needle. 25. Ease Off the Base or You’ll Pump Up the Acid. 26. There is No Value in the Emergency Transportation of a Corpse. 27. Resuscitation is Not Resurrection. 28. Do Not Resuscitate to Bed Availability. 29. Every Shroud Has a Silver Lining. MEDICAL EMERGENCIES. 30. Almost Anything Can Be Done at the Scene, but This Does Not Mean That It Should. 31. A Stethoscope is No More Than a Badge of Office. 32. Can’t Talk, Can’t Breathe. 33. Beware the Asthmatic with a Normal pCO2. 34. The Pulse Oximeter Measures Oxygenation, Not Ventilation. 35. In a Ventilation Crisis, to Cope Remember DOPE. 36. The Patient Who Refuses Oxygen is Often Hypoxic. 37. When the GCS is Eight, Proceed Not to Intubate. 38. If You Cannot Decompress a Tension, Think Laterally and Go Laterally. 39. Head Injuries Cause Fits and Fits Cause Head Injuries. 40. Alcohol is Not a Cause of Unconsciousness. 41. Pupils, Pin-Pricks, Pulses. 42. Organophosphate Poisoning Produces Excess SLUDGE. 43. Pale and Sweaty with Wheeze, Think Cardiac Disease. 44. Minutes equals Myocardium. 45. Not Pot No T. 46. Do Not Be Shocked When the IM Route Fails. 47. Avoid Colloid in the Critically Ill: Reach for the Ringer’s. 48. CT and LP Have No Place in MD. PAEDIATRIC RESUSCITATION. 49. Babies Are Born With An Integral Pillow. 50. Pff-Pff-Pff-Help-Help-Help. 51. The Stomach Will Fill With Air at the Expense of the Lungs. 52. Compression is One Third of the Chest Diameter, Irrespective of Age. 53. CRT 2 is Good For You. 54. You Can Get Vascular Access If You Want It Badly Enough. 55. IO it to Him to Get the Drugs In. 56. All Sick Children are Hypoglycaemic. 57. To Get the Dose of Adrenaline (Epinephrine), Work out the Weight and Divide By Ten. 58. Penicillin V Halves Mortality. 59. Parents are Part of the Resuscitation Team. 60. Do Not Resuscitate the Date of Birth. Index.

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Book SynopsisWith contributions from leading medical statisticians, this book provides an introduction to confidence intervals. It includes chapters such as: diagnostic studies; clinical trials and meta analyses; and, confidence intervals and sample sizes. It features methods for using confidence intervals, illustrative worked examples and helpful checklists.

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Book SynopsisThe aim of this work is to reduce the risks of medical treatment and enhance the safety of patients in all areas of healthcare. The first section discusses the incidence of harm to patients, while other sections examine features of the healthcare systems that are essential to safe practice.Trade Review"Recommended for all in health care because safety has always been an issue." (Eye News, 2011) "Therefore I believe that this book should be read by anyone involved in, or responsible for healthcare . . . This makes a compelling case to benefit from the safety and quality improvement approaches described in the book." (The Bulletin of the Royal College of Pathologists, 1 July 2011)Table of ContentsUnderstanding adverse events. Errors and adverse events in medicine. The development of risk management. Clinical governance. Reducing risks in obstetrics. Reducing risks in paediatrics. Risk management in anaesthesia. Risk management in surgery. Risk management in A&E medicine. Reducing risks in hospital general medicine. Risk management in clinical oncology. Risk management in psychiatry. Risk management in general practice. Communicating risk. Guidelines and pathways. The role of human factors engineering. Working time, stress and fatigue. Training and supervision. Teams, culture and managing risk. Creating and maintaining safe systems. Impementation of risk management. Clinical incident reporting. Investigation and analysis of adverse events. Caring for patients harmed by treatment. Supporting staff. Dealing with complaints. Resolving disputes. Claims management

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Book SynopsisDay care surgery is a major surgical speciality and the care of the patient preoperatively and perioperatively is an important part of the anaesthetist's skills. This book addresses the practical and technical issues that the anaesthetist in training needs to know. It presents safe and effective practice in day care anaesthesia.Table of ContentsContributors. Foreword. Preface. 1. Patient selection, assessment, and preparation (Jean M. Millar). 2. Principles of general anaesthesia (Alexander P. L. Goodwin). 3. Inhalation anaesthesia (Angela Freschini, Ian Smith). 4. Intravenous anaesthesia (John Peacock). 5. Regional anaesthesia (Johan Raeder). 6. Sedation (Glenda Rudkin). 7. Postoperative pain and emesis: a systematic approach (Jan Jakobsson). 8. Assessment of recovery, discharge, and late follow-up (Ian Jackson). 9. The pediatric day case (Dori Ann McCulloch). 10. The future of day surgery (Ian Smith). Index.

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Book SynopsisThis comprehensive, well referenced text provides an up to date review of what is known scientifically about occupational and environmental causes of sickness, disability, and death. It also includes information on the scientific methods used in acquiring this knowledge, making it a complete reference for both clinicians in occupational medicine, and researchers.Trade Review"this is a thoroughly recommendable textbook both for those working in the field of occupational epidemiology and, in particular, those in training in the subject" - Journal of Epidemiology and Community HealthTable of ContentsContributors. Preface To The Second Edition. Introduction. 1 Occupational epidemiology. Occupational Cancer. 2 Metals and chemicals. 3 Ionising radiation. 4 Electromagnetic fields. 5 Asbestos. 6 Man made mineral fibres. 7 Silica. Non-Maligant Diseases. 8 Asthma. 9 Dermatoses. 10 Neurobehavioural disorders. 11 Noises and vibration. 12 Back and limb disorders. 13 Injuries at work. 14 Work stress. 15 Work in agriculture. 16 Work and pregnancy. 17 Occupation and infertility. Methodology. 18 Study design. 19 Assessment of exposure. 20 Measurement of outcome. 21 Molecular assessment of exposure, effect, and effect modification. 22 Evaluation of preventive measures. 23 Analysis and interpretation. Commentary. 24 Setting health based standards from the occupational to the general environment. Index.

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Book SynopsisTable of Contents1 Introduction. 2 Children in the uk today. 3 Inequalities in child health. 4 Nutrition. 5 Accidents and abuse. 6 The impact of disability and inequality on children. 7 Emotional and behavioural problems of children. 8 Fetal origins of adult disease. 9 Ensuring a healthy future for our children. Appendices. Index

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Book SynopsisThe purpose of this book is to help doctors and health professionals with their writing problems. It consists of several hundred topics, from the process of writing to authorship, and from the use of semi-colons to the law of late literals. These are arranged alphabetically with cross referencing.Trade Review"To conclude, having this volume to hand is essential if you want to revise your writing skills in those idle moments and be amused at the same time." (Sultan Qaboos University Medical Journal, December 2010)

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Book SynopsisThoroughly updated and revised, the new edition of this accessible guide aims to outline why there is a gap between research findings and what actually happens in clinical practice. It covers a number of topics including the sources of information on clinical effectiveness and methods of information, how to close the gap between research and pratice, potential roles for lay people, the role of decision support, barriers to the use of evidence in clinical practice, the role of decision analysis, implementing research findings in developing countries and how to encourage the implementation of results from economic evaluation.Table of ContentsCriteria for the implementation of research evidence in policy and practice. Sources of information on clinical effectiveness and methods of dissemination. Closing the gap between research and practice. Implementing research findings into practice: beyond the information deficit model. Roles for lay people in the implementation of health care. Implementing research findings in clinical practice. Roles for lay people in the implementation of health care research. Using research findings in clinical practice. Evidence-based policy making. Barriers and bridges to evidence based clinical practice. Decision support. Decision analysis and the implementation of research findings. Implementing research findings in developing countries. Opportunity costs on trial: new options for encouraging implementation of results frm economic eval. Changing clinical practice in the light of evidence

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Book SynopsisThis work is split into two sections. The first discusses how the individual can apply evidence-based medicine in the clinical setting, and the second covers the wider issue of changes in strategy to promote more effective delivery of care within a practice or primary care group.Trade ReviewIn the Royal Society of Medicine Journal review of the first edition of this book, David Seamark wrote: “Evidence-based medicine provokes reactions from enthusiasm to loathing. Silagy and Haines’ well laid out book seeks to reconcile the two extremes by explaining why evidence-based medicine is relevant to daily practice in primary care and by asking primary care professionals to regard themselves as learners and not just practitioners.”Table of ContentsContributors. Preface to the second edition. Getting started: how to set priorities and define questions. Tracking down the evidence. Critical appraisal. Applying the evidence with patients. Screening and diagnostic tests. Evaluating the application of evidence. An overview of strategies to promote implementation of evidence based health care. Clinical practice guidelines. Role of information technology. Continuing medical education as a means of lifelong learning. Integrating research evidence into practice. Appendix 1: Using MEDLINE to search for evidence. Appendix 2: Some further sources of information and resources that facilitate evidence-based practice. Index

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Book SynopsisBased on a meeting in November 2000, this book brings together researchers from a wide range of disciplines to examine the biological, behavioral, social, cultural and ethical aspects related to the placebo effect. Perspectives on the necessity for including a placebo in randomized clinical trials will also be examined. This is the first attempt to examine the evidence-base of the placebo effect and will provide important information for clinicans.Table of ContentsContributors. Foreword. 1 An Overview. Section 1: Historical and Ethical Perspectives. 2 “Seeing” the Placebo Effect: Historical Legacies and Present Opportunities. 3 Ethical Issues in Use of Placebo in Medical Practice and Clinical Trials. Section 2: Elucidating Placebo Effects: Explanatory Mechanisms. 4 Explanatory Mechanisms for Placebo Effects: Cultural Influences and the Meaning Response. 5 Explanatory Mechanisms for Placebo Effects: Cognition, Personality and Social Learning. 6 Explanatory Mechanisms for Placebo Effects: Pavlovian Conditioning. 7 Regression to the Mean or Placebo Effect?. Section 3: Elucidating Placebo Effects: Intervening Psychophysiology. 8 Neuriendocrine Meidators of Placebo Effects on Immunity. 9 Endogenous Opioid and Non-Opioid Pathways as Mediators of Placebno Analgesia. Section 4: Use of Placebo Groups in Clinical Trials-Methodological and Ethical Issues. 10 Placebo controlled Trials and Active Controlled Trials: Ethics and Inference. 11 When is it Appropriate to Use a Placebo Arm in a Trial?. 12 The Pros and Cons of Non-Inferiority (Equivalence) Trials. 13 Use of Placebo in Large-Scale, Pragmatic Trials. 14 Placebo Controls in Clinical Trials of New Therapies for Conditions for which there are Known Effective Treatments. Section 5: Priorities for Future Research. 15 The Research and Ethical Agenda. Section 6: Conclusions and Future Directions. 16 Conclusions and Future Directions. Appendix. Index.

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Book SynopsisThis perennial bestseller is an ideal introductions to epidemiology in health care. The fifith editon retains the book's simplicity and brevity, at the same time providing the reader with the core elements of epidemiology needed in health care practice and research. The text has been revised throughout, with new examples introduced to bring the book right up to date.Table of Contents1 What is Epidemiology?. 2 Quantifiying Disease in Populations. 3 Comparing Disease Rates. 4 Measurement Error and Bias. 5 Planning and Conducting a Survey. 6 Ecological Studies. 7 Longitudinal Studies. 8 Case-control and Cross Sectional Studies. 9 Experimental Studies. 10 Screening. 11 Outbreaks of Disease. 12 Reading Epidemiolgical Reports. Further Reading. Index

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Book SynopsisConcentrating on the essential elements in treatment and transport of the wounded in a major incident this title provides easily assimilable information on: symbols and terminology; first actions; METHANE report; command; safety; communications; triage; treament; and transport.Table of ContentsFirst actions. METHANE report. Command. Safety. Communications. Triage. Treatment. Transport

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Book SynopsisIndispensable to all personnel working in trauma * Contains 70 easy-to-remember rules * Shows how patients can be handled and treated with confidence in the first hours of injury * includes the approach to the patient initial assessment and resuscitation, as well as the investigation and definitive care.Table of ContentsThe primary directives. 1 Anxiety provokes memory loss: so learn a system and stick to it. 2 All 4 one and one for all. 3 Civilian and military trauma care is different. Preparation. 4 Any time preparing is time well spent. 5 If in doubt, call the Trauma Team. 6 Save yourself before the casualty. 7 The Team Leader is always right. Approach to the patient. 8 Assume the worst and proceed accordingly. 9 Read the wreckage. 10 Do a frisk or take a risk. 11 Don’t let the obvious distract from the occult. 12 The Trauma Team can only look or listen, not both. Initial assessment and resuscitation. 13 Tourniquets save lives. 14 If the bleeding is dramatic, use a novel haemostatic. 15 If you decide to crack the chest, survival’s almost nil at best. 16 The airway is more important than the cervical spine. 17 When NEXUS guidelines clear the spine, the spinal board’s a waste of time. 18 All trauma patients are dying for oxygen. 19 It is not lack of intubation that kills, it is lack of oxygenation. 20 Do not delay with a burned airway. 21 Think of cricothyrotomy when all else fails. 22 Look at the neck TWELVE times in the primary survey. 23 A hard collar does not protect the cervical spine. 24 All Trauma surgeons Occasionally Miss Cervical Fractures. 25 When patients with facial injuries look up at heaven they will soon be there. 26 Blood on the floor is lost forever more. 27 Short and thick does the trick. 28 Hidden blood loss will CRAMP your resuscitation. 29 Surgery does not follow resuscitation, it is part of resuscitation. 30 The stabbed stay stabbed until they reach theatre. 31 O Negative is good, but you can have too much of a good thing. 32 An injury above and below the abdomen implies an injury in the abdomen. 33 A penetrating wound below the nipple involves the abdomen. 34 Examination of the abdomen is as reliable as flipping a coin. 35 Neurogenic shock is hypovolaemic shock until proved otherwise. 36 Think of the causes of PEA or your patient is for THE CHOP. 37 Respiratory rate is the most sensitive indicator of deterioration, but nurses record TP not TPR. 38 Head injury alone does not cause hypotension. 39 Resuscitate the mother and the baby will look after itself. 40 Children are not small adults. 41 Everyone is equal, but some are more equal than others. 42 Limb splintage is part of resuscitation. 43 The Glasgow Coma Scale does not measure prognosis. 44 A patient has a front, a back, two sides, a top and a bottom. 45 Put a finger in before putting a tube in. 46 The agitated patient will calm down while deteriorating. 47 You are not dead until you are death warmed up. 48 The golden rule is golden fluid in the golden hour. 49 It doesn’t hurt to give analgesia. Investigation and definitive care. 50 The golden hour belongs to the patient. 51 You can assess vision with the eyes closed. 52 You may read the newspaper, but you cannot read the DPL. 53 FAST procedure, quick decision. 54 A tension pneumothorax cannot be diagnosed on a chest X-ray. 55 A supine chest X-ray may be worse than no chest X-ray at all. 56 Investigation must never impede resuscitation. 57 Serial blood gases are the signposts on the road to resuscitation. 58 Patients are transferred, not their injuries or investigations. 59 Never believe a transferring hospital. 60 Better a negative laparotomy than a positive postmortem. 61 Go down the middle and be liberal. 62 Fix the pelvis to fix the bleeding. 63 Biology is the mother of all fixation. 64 The solution to pollution is dilution. 65 It doesn’t pay to be complacent about an elderly fracture of the rib. 66 A missed tertiary survey is a missed injury. 67 With multiple casualties do the most for the most. 68 Black is beautiful, and some things are never as black as they seem. 69 Predicting survival is hit and miss with ISS and TRISS. 70 Stop the clot before it stops the patient. The last rule Death is the only certainty in life. Reader’s rules

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Book SynopsisThis is the first text to systematically review the evidence for obstetric anesthesia and analgesia. Evidence-based practice is now being embraced worldwide as a requirement for all clinicians; in the everyday use of anesthesia and analgesia for childbirth, anesthetists will find this synthesis of the best evidence an invaluable resource to inform their practice. Contributions from anesthetic specialists trained in the skills of systematic reviewing provide a comprehensive and practical guide to best practice in normal and caesarean section childbirth. This book, coming from one of the world's leading obstetric centers and the cradle of evidence-based medicine, is a much needed addition to the obstetric anesthesia literature.Table of ContentsContributors. Preface. Acknowledgments. Section 1: Analgesia for Normal Labor. 1 Consent for obstetric analgesia and anesthesia. 2 Epidural analgesia and the progress of labor. 3 Maintenance of epidural analgesia for labor—continuous infusion or patient controlled. 4 The use of transcutaneous electrical nerve stimulation for labor pain. 5 Is nitrous oxide an effective analgesic for labor? A qualitative systematic review. 6 Choice of local anesthetic for labor and delivery—bupivacaine, ropivacaine and levobupivacaine. 7 Intrathecal opioids in labor—do they increase the risk of fetal bradycardia?. 8 Epidural catheter design and the incidence of complications. Section 2: Anesthesia for Cesarean Section. 9 The effect of increasing central blood volume to decrease the incidence of hypotension following spinal anesthesia for cesarean section. 10 The use of vasopressors for the prevention and treatment of hypotension secondary to regional anesthesia for cesarean section. 11 Is regional anesthesia safer than general anesthesia for cesarean section?. 12 Prevention and treatment of side-effects of neuraxial opioids. 13 Multimodal analgesia following cesarean section: use of non-steroidal anti- inflammatory drugs combined with neuraxial opioids. Section 3: Complications of Obstetric Anesthesia. 14 The use of neuraxial anesthesia in parturients with thrombocytopenia: what is an adequate platelet count?. 15 A rational approach to aspiration prophylaxis. 16 Postdural puncture headache. 17 Epidural analgesia and back pain. 18 Analgesia for external cephalic version. 19 Is there a difference between the obstetric and non-obstetric airway?. Appendix: Jadad scale for reporting randomized controlled trials. Index

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