This is a clinical reference data pocket book. It contains the data most frequently used by dietitians and others in practice and is invaluable for dietetic students during their clinical placements. It is both practical and comprehensive. Data is readily accessible from clearly set out tables, clear diagrams and tabbed sections. As well as the core reference data there are useful appendices on various subjects including the nutritional compositions of foods, a weaning guide, a guide to religious influences on diet, useful addresses for relevant organisations and web sites.User-friendly, accessible layout enables quick assimilation of relevant data Tabbed sections help to locate information quickly Clear diagrams help to illustrate important concepts Useful addresses, websites, references and further reading A section on clinical placements (structure, duration, hospital procedures) acts as a "survival' guide for student dietitians. All data revised/updated Section on clinical training structure to be revised as recently changed New standards/protocols have been included New more durable cover.

This book contains a wealth of practical guidance about what doing research actually involves for the often hard-pressed and isolated researcher. It bridges the gap and provides 'real-life' insight into undertaking research in nursing. It focuses on the practicality of research and identifies the pitfalls that can so easily undermine even the most carefully planned project.Practical check lists Case studies Latest information on searching on the Web Include good clinical practice for ethical research - to educate nurses on research - so that they will speak up for patients. Latest information on R & D strategy in the NHS The chapter on a career in research will be expanded and given priority.

Joseph W. Williams examines the changing healing practices of pentecostals in the United States over the past 100 years, from the early believers, who rejected mainstream medicine and overtly spiritualized disease, to the later generations of pentecostals and their charismatic successors, who dramatically altered the healing paradigms they inherited. Williams shows that over the course of the twentieth century, pentecostal denunciations of the medical profession often gave way to ''natural'' healing methods associated with scientific medicine, natural substances, and even psychology. By 2000, figures such as the pentecostal preacher T. D. Jakes appeared on the Dr. Phil Show, other healers marketed their books at mainstream retailers such as Wal-Mart, and some developed lucrative nutritional products that sold online and in health food stores across the nation. Exploring the interconnections, resonances, and continued points of tension between adherents and some of their fiercest rivals, Spirit Cure chronicling adherents' embrace of competitors' healing practices and illuminates pentecostals' dramatic transition from a despised minority to major players in the world of American evangelicalism and mainstream American culture.

This text follows the continuum of care for patients who suffer from mental disorders. From initial assessment, through patient stay to discharge into the community, the contributors focus on best practice and continuity of care. The work should be a suitable companion for qualified mental health nurses and for students on clinical placements. It is designed to be practical and relevant to everyday realities at the sharp end when nursing disturbed patients.

The placebo elicits more passionate debate, scepticism and personal belief than almostany other aspect of medicine. As yet there are no concrete answers - but many challenging observations and powerful effects occur daily in healthcare which need to be examined. This book will stimulate and inform every reader from the experienced practitioner to the new student who has ever asked, What is the placebo really, and why should it matter to me?Written in an accessible and engaging style with contributions from leading figures in healthcare, it tackles issues of the placebo effect in complementary medicine.A clear and engaging exploration of a highly topical subject A clinicians route map through the visible territory and the known research in this areaA fair and even analysis of the possibilities and implications of the topic in clinical practice

It provides the reader with a contemporary review examining the notion of practice knowledge gained from professional experience and its relationship to professional practice expertise. It is divided into four sections: the first broadly examines the nature and forms of knowledge and the relationships between knowledge and practice; the second considers the nature of professional expertise; the third explores these principles in action and the fourth looks at future developments. An essential purchase for all students, educators, researchers and practitioners of physiotherapy, occupational therapy, nursing and indeed all those in the health sciences field. An essential purchase for all students, educators, researchers and practitioners of physiotherapy, occupational therapy, nursing and indeed all those in the health sciences field. * Brings the modern practitioner completely up to date with trends and developments in the field * Relates theoretical examples to professional practice * Explores how professional knowledge and expertise can be developed

WHO and UK government initiatives have been pushing primary care practitioners to closely consider the wider health needs of populations. This book directly addresses issues of everyday importance to practitioners, and covers core elements of specialist courses for post-graduate students. The book has 14 chapters, split into three sections : Core elements of Public Health Nursing Elements of Public Health Policy Issues in Public Health Each chapter has a coherent structure of theory, application and role in practice. Practical or case examples are used and further reading offered. Subject specialists have written specific chapters such as health economics and informatics.Links to specialist courses therefore will have a sound post-registration market. This is the first comprehensive text on public health at the level of post-registrationGrace Lindsay has an increasingly prominent profile in the field of public health.

This book examines the principles and realities of ethics in midwifery practice today. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. Through a series of case studies, options and issues for consideration are reviewed, particularly in areas of increasing concern and debate such as confidentiality, autonomy, screening, abortion, assisted conception and withholding treatment. This book will be of value to all students and practicing midwives who need to understand the principles and practice of ethics, especially how to apply ethical thought and action in their own day-to-day work.Explains clearly ethical theory, especially how dilemmas occur, the bases for ethical decisions and how conflicts may be resolved Outlines specifically how ethical principles can be applied in real-life practice, and in situations which may involve midwives in team decisionsOutlines detailed case studies which illustrate key ethical dilemmas and ways to consider resolutions within these Explores and clearly delineates the ethical dimensions of the midwifes role (new chapter in the second edition)Includes a new chapter on conscientious objection to participation in abortion Has greater focus on assisted conception and issues surrounding this, as this becomes a topic of more widespread interestAdds a new chapter on withholding and withdrawing treatment, mainly in relation to neonates, again to reflect an area of growing concern and controversy All of Part One the general foundations are updated and revised New chapter on ethical dimensions of the midwifes role, with an emphasis on the midwife as the researcherNew case in the confidentiality chapter New case in the accountability chapter on client abuse, with a focus on the accountability of the midwife who knew about this but did nothingNew case in the autonomy and consent chapter looking at enforced caesarian section, with a focus on ethics rather than the law (where the focus usually lies in reviewing this area) New chapter on assisted conception, replacing resource allocation which looked only briefly at thisNew chapter on withholding and withdrawing treatment relating mainly to neonates

Clearly written and well-presented results are more readily accepted by examiners and fellow clinicians, however achieving this can be very difficult. This comprehensive text takes thefears and tears out of writing up research results. It provides a practical guide to the process of preparing a written research report, ensuring the information can be easily followed and understood. It details the sequence of events which must be followed if the written account is to be accessible to the reader and acceptable to the examiners. This practical guide provides help and reassurance for all those taking up the challenge of writing up their results.Follows a logical, step-by-step sequence Provides a checklist for thesis preparationFocuses specifically on reporting health science research Written in a readable style with the minimum use of jargon

The ongoing process of bio-evolution has produced materials which are perfectly adapted to fulfil a specific functional role. The natural world provides us with a multitude of examples of materials with durability, strength, mechanisms of programmed self-assembly and biodegradability.

The materials industry has sought to observe and appreciate the relationship between structure, properties and function of these biological materials. A multidisciplinary approach, building on recent advances at the forefront of physics, chemistry and molecular biology, has been successful in producing many synthetic structures with interesting and useful properties.

"Structural Biological Materials: Design and Structure-Property Relationships" represents an invaluable reference in the field of biological materials science and provides an incisive view into this rapidly developing and increasingly important topic within materials science.

This book focuses on the study of three sub-groups of structural biological materials:

Hard tissue engineering, focussing on cortical bone
Soft tissue engineering
Fibrous materials, particularly engineering with silk fibers.

The fundamental relationship between structure and properties, and certain aspects of design and engineering, are explored in each of the sub-groups. The importance of these materials, both in their intrinsic properties and specific functions, are illustrated with relevant examples. These depict the successful integration of material properties, architecture and shape, providing a wide range of optimised designs, tailored to specific functions.

Edited by Manuel Elices of the Universidad Politecnica de Madrid, Spain, this book is Volume 4 in the Pergamon Material Series.

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This volume examines recent developments in the use of intelligent materials and systems for drug delivery. Controlled release technology is moving from being a simple carrier of active agents to becoming a powerful and flexible method that permits subtle modulation of the delivery profile based on the needs of the biological host. The chapters collected here cover recent advances in materials with responsive properties, novel concepts in controlled release technology, new applications, and microanalytical techniques for rapid and accurate measurements of small samples.

Chiropractic Peripheral Joint Technique is an essential and accessible text for all students and practitioners of chiropractic, osteopaths, physiotherapists and other manual therapists. Edited by a leading author in the field, Chiropractic Peripheral Joint Technique includes much new work and innovations for treating peripheral joint problems in addition to a catalogue of the traditional chiropractic techniques. This new book concentrates on the peripheral joints (e.g. shoulder, knee etc.) and will be a useful ready reference on chiropractic technique for both the student beginning clinical work and the busy practitioner. A chapter is also included on the temporo-mandibular joint.An essential and accessible text for all students and practitioners Extensively illustrated with over 400 illustrations Highly practical approach, ideal for speedy reference when a problem is encountered

This is a practical handbook, whichwill provide an everyday reference for the inexperienced to provide artificial nutrition in a safe and effective manner. Total Parenteral Nutrition (TPN) is a means of providing nutrients to patients whom, for whatever reason, are unable to take food orally This book covers the whole range of factors involved in TPN, patient selection and suitability for TPN, contraindications to patients receiving TPN and the practicalities involved such as line selection. It examines the range of treatment options available that are alternatives to TPN. It is also a unique publication in that it considers the patients opinion, body image and lifestyle. Despite its broad coverage, the book is able to explain new techniques concisely, which will help readers professional development and increase their confidence in using these techniques.The books elementary nature makes it ideal for nurses or junior medical staff who are unfamiliar with this therapy or who lack knowledge about central venous catheters. Appendix contains step by step procedures referred to throughout the book that can be adapted by the reader to develop new local protocols.The book is illustrated with anatomical drawings and drawings of catheters which will give the reader a clearer understanding of aspects of TPN treatment. Focuses on the multidisciplinary team involved in TPN patient care i.e. pharmacists and dieticians. The editor is recognised and well respected in this field and has already published work in journals.

Mens health covers a variety of physical, psychological, social, lifestyle and political factors, all of which will be covered in the book. As the whole concept is still emerging, the text will not attempt to be either comprehensive or definitive, but will be seen to add to the pool of knowledge and help set the agenda for future work.

The life and work of Joseph Babinski (1857-1932) has been revisited by two French physicians whose enthusiasm for the subject is reflected in the depth and breadth of documentary sources. From Babinski's Polish roots, his father (an intrepid revolutionist, his brother(the gold miner and famous gastronome Ali-Bab to the Babinski circle, his friends, his colleagues and his disciples, the reader will find a refreshing perspective on a particularly fascinating period in French medicine. His scientific contribution is analyzed in detail, with for the first time a complete bibliography of his publications. These includes not only the Babinski Sign, but also the earlier and heretofore less-known concerning pathological anatomy and histology, the papers on cutaneous and tendinous reflexes, cerebellar and vestibular semeiology, hysteria and pithiatism, localization of spinal cord compression s and the birth of French neurosurgery.

Nurses and others in the front-line(paramedics, ambulance staff, hospital and GP receptionists, social workers etc) are reporting an increasing incidence of violence and aggression from patients/clients. Some of these outbursts have resulted in permanent injury, even death, to the health care worker. The book is structured so that the notion of violence becomes more explicit with each succeeding chapter, until finally the violent outburst arrives. It offers practical prevention and management strategies, based on sound research, and provides a comprehensive view of the problem which will be of value to people working in a variety of clinical situations.Topical, vital subject Excellent mix of theory and practiceWide appeal to a variety of nurses and other professionals

This book provides a comprehensive research-based source of material, which focuses on the important issue of dementia and family care. It critically examines how dementia is defined, diagnosed and "treated" and provides a new environmentally focused approach to this challenging and growing issue for nurses and other care givers.

This book will provide a clear and practical guide to implementing clinical audit in practice. Divided into three parts, it introduces and contextualises what clinical audit is and how it fits in with other strategies such as evidence-based practice. The second part consists of a step-by step guide to conducting a clinical audit project in practice and part three sets out the issues which need to be considered when implementing a clinical audit programme and disseminating the results. By working through the manual, readers will be equipped to design, plan and implement a clinical audit project in order to develop patient care in line with the latest available evidence.Clearly written, practical handbook. RCN-Linked. Multi-disciplinary approach. Extensive use of case studies and exercises.Leading Authors in their field.

All healthcare professionals working with complementary therapies must be fully aware of legal boundaries, responsibilities and liabilities in the practice of complementary therapies. This book covers all the main topics and principles and deals with points specific to individual therapies, helping practitioners to practice confidently.Legal aspects of using and integrating complementary therapies in health care practice present an area of anxiety for therapists, nurses and others Bridget Dimond is very well known in the UK as a speaker in this topic. It is the subject on which she is most frequently asked to talk at conferences.Information is clearly presented and extremely practical

Our ability to map and intervene in the structure of the human brain is proceeding at a very quick rate. Advances in psychiatry, neurology, and neurosurgery have given us fresh insights into the neurobiological basis of human thought and behavior. Technologies like MRI and PET scans can detect early signs of psychiatric disorders before they manifest symptoms. Electrical and magnetic stimulation of the brain can non-invasively relieve symptoms of obsessive-compulsive disorder, depression and other conditions resistant to treatment, while implanting neuro-electrodes can help patients with Parkinsons and other motor control-related diseases. New drugs can help regenerate neuronal connections otherwise disrupted by schizophrenia and similar diseases.
All these procedures and drugs alter the neural correlates of our mind and raise fascinating and important ethical questions about their benefits and harms. They are, in a sense, among the most profound bioethical questions we face, since these techniques can touch on the deepest aspects of the human mind: free will; personal identity; the self; and the soul. This is the first single-author book on what has come to be known as neuroethics. Walter Glannon uses a philosophical framework that is fully informed by cutting edge neuroscience as well as contemporary legal cases such as Terri Schiavo, to offer readers an introduction to this fascinating topic. He starts by describing the state of the art in neuroscientific research and treatment, and gives the reader an up-to-date picture of the brain. Glannon then looks at the ethical implications of various kinds of treatments, such as: whether or not brain imaging will end up changing our viewson free will and moral responsibility; whether patients should always be told that they are at future risk for neurological diseases; if erasing unconscious emotional memories implicated in depression can go too far; if forcing behavior-modifying drugs or surgery on violent offenders can ever be justified; the implications of drugs that enhance cognitive abilities; and how to define brain death and the criteria for the withdrawal of life-support. While not exhaustive, Glannons work addresses a wide range of fascinating issues and his pathbreaking work should appeal to philosophers, psychiatrists, neurologists, neurosurgeons, radiologists, psychologists, and bioethicists.

The shift in the care of people with serious mental illness to community-based care has been the subject of intense policy, educational and research activity, yet the provision of effective services remains problematic. This book brings together experts from a range of disciplines to provide a comprehensive and contemporary account of community services. Section I: Contemporary Issues in Community Health Care Services provides an informed and critical overview of the effect of policy framework, organizational structures, economic issues and the principles of 'good' practice in the provision of community services for people with serious mental health problems. Section II: Specific Intervention strategies summarises much of the work to date on working effectively with people who have serious mental health problems. It combines research evidence and practical illustrations of approaches and interventions with informed comment on their efficacy and implementation in routine clinical practice. Chapters include key points, case studies, questions for reflection and discussion and suggested further reading. Relevant research and evidence is cited throughout and the need for further research in this area are emphasised. All students and practitioners involved in planning, providing and evaluating services for people who have serious mental health problems will find this book an invaluable source of information for developing and delivering effective services.Leading editors and contributors Multidisciplinary perspectives, includes contributions from nurses, social workers, OTs and clinical psychologistsEvidence-based First book to provide a comprehensive and practical overview of strategies for working in this areaFocuses on practice through case-studies

The Health and Safety at Work Act, together with current and impending EU Directives, obliges those responsible for hazardous areas, those who work in such areas and those who supply equipment for use in such areas to demonstrate that they have taken all necessary and reasonable steps to prevent fires and explosions. This book addresses these issues, seeks to explain the ever increasing complexity of standards and codes pertaining to this field and describes their method of application and the application of other procedures to assist those involved.

The only book which provides comprehensive cover of this vital area.
Written by a leading Internationally recognised UK authority in this field.

Research-based and clinically relevant, the authors explore the crucial role of 'non-specific' aspects of treatment, such as trust, care, positive expectations and understanding in the healing process. It has much to offer all health care professionals concerned with holistic practice and with helping patients to promote their own health.Covers a very topical area Patient-centred approach very currentUses published research and established theory to develop a model of the process of healing--authoritative and practical Relevant to all healthcare workers, including holistic care practitioners, doctors, nurses, occupational therapists, physiotherapists, psychologists

Stable isotope techniques offer advantages in safety, sensitivity, specificity, and economy for many types of pharmaceutical investigations when compared to conventional techniques. Nevertheless, pharmaceutical researchers are slow to embrace stable isotope techniques.

This book assembles in one place comprehensive reviews of the many applications of stable isotopes and the background material necessary to understand the application. This approach is a deliberate attempt to encourage the usage of stable isotopes in pharmaceutical research. A bonus to the reader is the high standard of contributions from a very talented and diverse group of investigators.

Hardbound. In this volume, there are five reviews of topical subjects. The availability of drugs for the successful treatment of many diseases results in an increase in the number of people who live to their eighties and nineties at which time Alzheimer's disease is most prevalent. The steady progress which is being made in our understanding of this complex disease and in the development of drugs for its treatment are reviewed in Chapter 1. Chemotherapy of another disease which often resists treatment may have another weapon in its armoury if recent work on modifying a naturally occurring anticancer compound (camptothecin) succeeds in reducing its side-effects; recent efforts in this field (described in Chapter 2) may yield a drug of value in treating cancer of the colon and stomach.Transporting a drug molecule to a specific site of action continues to present a challenge. The use of phosphates and phosphonates to protect the drug from hydrolysis or o