Handheld Computers in Medicine is an essential volume of information needed for all physicians, especially those in the primary care specialties. It is in the tradition of Mark Ebell's recent successful Springer book and CD-ROM, Evidence-Based Diagnosis: Handbook of Clinical Prediction Rules. (This enables the clinician to make an automatic calculation of risk assessment based on the patient's presenting symptoms, which are fed into the program. By working with the CD-ROM, a risk calculation can be made in seconds, all within the time period of a standard office visit.) Ebell is a renowned family physician and educator who has devoted his career to assessing and processing clinical information, which is to be used in making an accurate diagnosis and prescribing the correct therapeutics in the shortest time period. If this is to be done correctly, the physician must be able to implement a variety of electronic information bases effectively, and during the time period of a standard office visit. Nothing accomplishes this goal as efficiently as handheld PCs and Palm Pilots. This allows the physician to engage the patient, take a case history, perform a physical examination, access patient records, complete the diagnosis and prescribe the necessary therapeutics and process the bill coding, all without leaving the patient's side. Depending on the physician's degree of 'tech-savvy' skills, this can be an exhausting and intimidating process. It can be especially complicated to convert an entire office practice, then conform to a particular healthcare organization's plan of operation. Ebell's book and CD-ROM set operates as a concise guide to enable any physician and healthcare professional to implement the use of handheld computers into their practice. It is important to note that the spirit of this publication's goal is to eliminate error and thus raise the level of quality in all aspects of patient care.

Fully revised for its third edition, the Oxford Handbook of Clinical Diagnosis provides a concise and practical summary of the reasoning processes behind clear and confident diagnosis. The handbook is set out systematically with symptoms and signs through each specialty, and includes a detailed description of the basis of logical evidence-based differential diagnosis. This new edition has been updated with more straightforward diagrams as well as brand new images to help aid understanding. Including rarer diagnoses alongside common conditions, and vital information about longer-term management alongside the initial treatments, this handbook will ensure your excellence and confidence no matter what signs and symptoms your patient presents with. Providing practical help when dealing with problems outside your area of expertise or with unforeseen situations, you can be sure that this handbook will be the reader's perfect companion to sharp and self-assured diagnoses throughout their medical career.

This comprehensive text on the pharmacological, medical, and legal aspects of drug abuse has been thoroughly updated for the Fourth Edition, and a new chapter on club drugs added. The chapter on medical effects was completely rewritten to focus on infections that develop in i.v. drug abusers, and information on the international regulation of drug use was added to the chapter on drug abuse and the law. The book is written at a level appropriate for upper level undergraduate students, graduate or medical students, and drug counselors. All major drugs of abuse are covered: tobacco, opiods, central stimulants (including cocaine, amphetamine, and caffeine), alcohol and other sedatives marijuana, club drugs (MDMA, GHB, and ketamine), hallucinogens, and volatile solvents. For each type the authors discuss history and culture, the characteristic patterns of use, subjective and physiological effects, mechanisms of pharmacological action, and toxic effects. Epidemiological aspects are discussed as well as pharmacological treatment possibilities where applicable.

Like its predecessors, this edition of FUNDAMENTALS OF FAMILY MEDICINE will present the medical student and practitioner with common clinical problems of family practice, placing special emphasis on those problems most common in the office setting. Topics such as pregnancy, labor and delivery, common problems of the elderly, headache, hypertension, urinary tract infections, osteoarthritis, HIV, anxiety disorders and athletic injuries are thoroughly reviewed and updated and include new information on drugs, as well as new case studies. The third edition will also include new discussion questions, new information on problems of the infant and child and tables describing the Folstein Minimental Status Exam and assessment of the elderly. New chapters include: The Family Physician's Role in Responding to Biological and Chemical Terrorism and Information Mastery: Evidence-Based Medicine. A unique, continuing feature of the third edition will be The Index Family paradigm, a three-generation extended family with selected illnesses. A genogram will introduce this family model and specific family members will form the basis of case presentations for discussions that follow each chapter. Useful material on clinical prevention consultations and referrals will also be updated and featured. This book -- clinical, portable and easy-to-use -- is a "must have" for all students in Family Medicine.

This text is designed to enhance patient care by providing the primary care practitioner with contemporary up-to-date information on the wide variety of topics they will confront in their practice. With the rapid and wide-spread technological advances of recent years, no single aspect of medicine has become as daunting as informatics. Physicians are now confronted with a broad and enormous range and volume of information. Accessing, managing and implementing this information is a serious task.This text has a practical, reader-friendly approach that provides access to key issues. It will provide the primary care physician with the fundamentals of informatics, including electronic medical record (EMR), electronic scheduling, billing and using scientific databases.As information continues to make the rapid leap from paper to bytes, this book is essential for staying current. It shows how to most effectively implement the changes to the advantage of both the physician and patient.

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

This thesis describes the design and fabrication of ultrasound probes for pedicle screw guidance. The author details the fabrication of a 2MHz radial array for a pedicle screw insertion eliminating the need for manual rotation of the transducer. He includes radial images obtained from successive groupings of array elements in various fluids. He also examines the manner in which it can affect ultrasound propagation.

Dieser UEbungsatlas fur Neuropadiater und Neurologen beinhaltet eine didaktisch aufgearbeitete Sammlung von EEG-Beispielen mit wissenschaftlichen Definitionen und knappen Fallbeschreibungen. Das breite Spektrum an Kurvenmaterial reicht vom Neugeborenen bis zum jungen Erwachsenenalter und hilft dem EEG-Lernenden, eigene Befunde zu erheben und zu bewerten.

This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.

This forward-looking resource shines needed light on-and offers realistic solutions for eliminating-health disparities affecting one of the most vulnerable populations: children. Its multilevel framework identifies sources of pediatric health inequities in developmental, societal, familial, financial, and service delivery contexts and sets out innovations for breaking down and addressing longstanding concerns. Plentiful opportunities are described for reducing gaps and promoting equity at various service platforms, from locally-based improvements to systemwide tech upgrades, that can be used as models for revamping larger health policy. And the authors' long-term perspective emphasizes screening, wellness care, early intervention, and prevention strategies to support young patients in the transitions between childhood, adolescence, and young adulthood. Included in this compact idea book: Disparities in child health: a review Quality of care in pediatrics and health disparities: the increasing role of quality improvement science Community health worker interventions Technology-based interventions to address pediatric health disparities Place-based strategies in promoting health equity Future directions for a solutions-based approach With its clear delineation of issues and priorities, and its workable recommendations for addressing them, Disparities in Child Health is a ready source of ideas and advocacy for practitioners and researchers in pediatrics, maternal and child health, and general practice/family medicine.

This title focuses on the work, well-being and lives of doctors during a period of constant change and crisis in the National Health Service and of growing anxiety about levels of clinical competence and accountability. The alarming number of well-publicized 'failures' by medics - at the Royal Bristol Children's Hospital, the Kent and Canterbury Hospital, for instance, and the appalling breach of trust by Dr Harold Shipman -the Manchester General Practitioner found guilty of murdering 15 patients - has led to a Government enquiry into the accountability of the profession. All, it seems, is far from well among medics.;The text shows how GPs are responding to their changing roles in a changing society; and how such responses may be understood in a context of whole life histories as well as within the norms of medical culture. Doctors, as a profession, have tended, for many reasons, to hide behind a professional curtain in what can be a very 'male' world. Some matters - surrounding the emotional well-being of doctors - are hard for doctors to talk about in this world where, too often, they have been taught to cope, like 'good men should'. The book reveals the emotional problems doctor

Significantly revised and updated, the fourth edition of this popular AAP policy manual helps you identify, prevent, and treat pediatric environmental health problems. This comprehensive guide puts critical children's health information and answers to parents' questions at your fingertips. From asbestos to radiation, ultraviolet rays, pesticides, asthma, lead, tobacco, and child care and school environments-current information on an exhaustive range of environmental health issues is included. Most chapters on chemical and physical hazards are organized in sections that describe the pollutant, routes of exposure, systems affected, clinical effects, diagnostic methods, treatment, and prevention of exposure and include suggested responses to questions that parents may ask. Topics include Addressing Environmental Health in Primary Care Food and Water Chemical and Physical Exposures Public Health Aspects of Environmental Health Emerging Technologies And more

With up to 60 per cent of women experiencing both physical and emotional symptoms during the menopause, including hot flushes, mood swings and loss of libido, managing these symptoms can be a complex task. Managing the Menopause is a highly practical, evidence-based reference, covering all forms of management in detail. Providing guidance on prescribing, as well as the advantages and disadvantages of various products and therapies, particular emphasis is given to addressing concerns over the long-term complications of Menopausal Hormone Therapy (MHT) use. The book contains new chapters on nutrition, ovarian tissue cryopreservation and migraine in the menopause and previous chapters have been fully updated to inform readers of the latest research. Treatment plans are included in the text, helping clinicians to support their patients quickly and effectively. A comprehensive review of the menopause that is easily understood at all levels, this is an essential guide for clinicians.

This volume provides innovative methods to evaluate the attainment and contributions of primary systems and practitioners. It extends the previous edition by highlighting two additional areas: equity in health services and health, and overlap between clinical medicine and public health. It provides an important basis for future directions in health policy.

Professional medicine has often been seen as a field that discriminates against women as doctors and patients. Yet women are entering medicine in increasing numbers. This 1998 book explores the position of women in the medical profession in Australia and the UK, asking the key question 'Do women doctors make a difference?' Based on an extensive survey of general practitioners and specialists, the book evokes the culture of contemporary medicine by describing the experiences of doctors themselves, often in their own words. Pringle employs a distinctive theoretical approach, but writes accessibly and with insight about a profession that is slowly being transformed. She notes the success of women in entering medicine and describes the ways in which they have challenged medical authority and practice. This is an original and important work that contains new visions for medical practice.

This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to make relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of a consultation may not then be what was hoped for or intended on either side. What may be lost, or not even achieved, is a sense of working with one another - hence the 'problem patient' or 'quack doctor'. This book describes the factors that may complicate the clinical transaction between patient and doctor, emphasising and explaining the influence of often unconscious personal aspects. This is encompassed within a readily applied and concise model, which yields a fresh analysis and understanding. The insight gained can help doctors, within their own consultational styles, to better manage their interaction with patients. Plentiful clinical case vignettes illustrate this approach to understanding and managing clinical transactions and will be welcomed by clinical students and doctors in training, as well as by their trainers.

When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to make relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of the consultation may not then be what was hoped for or intended on either side. This 1994 book considers the factors which may cause problems in the doctor-patient relationship, emphasising and explaining the often unconscious personal aspects of doctor and patient within a model studied from various perspectives. Through this insight doctors can be helped to manage their interactions with patients within their own consultational style, thereby avoiding many unnecessary professional relationship problems. This analysis, which is well-illustrated by clinical case vignettes, is sure to be welcomed by clinicians, trainees and course organisers in all areas where communication between individuals plays an important role.

Effective communication with patients suffering from cancer and their relatives is essential for providing the best possible standards of care. This practical guide will help you to improve your ability to recognize and respond to the physical, psychological, and spiritual problems which cancer patients experience. For the first time in one volume, practical guidelines which have proven efficiency over years in clinical practice are presented. Real dialogues illustrate a clear model of eliciting, assessing, and responding to patients' needs and concerns with an emphasis primarily on the skills and strategies needed for effective communication between health professionals and patients trying to adapt to a fear-provoking diagnosis and an uncertain future. The book also provides invaluable guidance on how to deal with your own emotional responses to the challenges faced in working with seriously ill people. Everyone who cares for cancer patients will benefit from the sympathetic yet practical advice offered in this book.

How did doctors make a living? Making a Medical Living explores the neglected socio-economic history of medical practice, beginning with the first voluntary hospital in 1720 and ending with national health insurance in 1911. It looks at private practice and how this was supplemented by public appointments. In this innovative study, Anne Digby makes use of new archival sources of information to produce a compelling picture of ordinary rather than elite doctors, and of the dynamics of provincial rather than metropolitan practice. From the mid-eighteenth century doctors travelled to see ordinary patients, developed specialisms and expanded institutions. Despite limitations in treatment, doctors raised demand for their services as illuminating case studies of women, children, the poor and the affluent show. But doctors did not limit their own numbers, and were largely unsuccessful in restricting competition from other practitioners, with the significant exception of women. Consequently, many GPs struggled to make a living by seeing numerous patients at low fees. Doctors' entrepreneurial activity thus helped shape English medicine into a distinctive pattern of general and specialist practice, and of public and private health care.

Which developments can be expected to take place in the dental health of the Dutch population in the decades to come, and what are the influential factors? What effects might the changing supply of dental professionals, the additional substitution of responsibilities from dentists to dental hygienists and the possible reforms in health care insurance have on the nation's oral status? These are some of the central questions discussed in this report by the Scenario Committee and the research group. For this purpose, the Committee developed a computer simulation model of dental health care which was used to analyze future scenarios. The future scenarios described in this report clearly show that a number of crucial decisions must be taken if dental health care is to remain accessible and available for all sections of the population in the future.

The first STG report to embody scenarios on population aging, health and care appeared in 1985. This report describes developments since 1985, reviewing the current position and setting out updated scenarios. The 1985 report set out three scenarios, in which the central focus was on the developing future pattern of demand for care by the elderly. The present report too sets out three scenarios, centring on the demand for care, in which account is taken of a variety of factors; it also details four strategic scenarios whose central focus is on the developing supply of care and which set supply and demand one against the other. Three of the strategic scenarios -- emphasizing respectively intramural, extramural and informal care -- suppose the demand for care to be met in full; the fourth scenario, which rolls current policies on the care of the elderly forward into the future, pinpoints discrepancies between the need for care and the extent to which that need is likely to be met, making clear in so doing that a review of long-term policy for the elderly is urgently needed.

General practitioners and nurses working in a variety of settings have no control over the type of problems that patients present. Whether they want to deal with sexual abuse or not is irrelevant: sooner or later they will be presented with the problem by a patient who will assume that both their physical problems and their distress may be discussed with a practitioner of medicine or nursing.;It is only recently that doctors have become familiar with the concept that sexual abuse may be an important factor in almost any complaint.;Dr Wakley has written sensitively about the problems of those confused and distressed by sexual abuse and of the responses of those who pick up the unspoken and spoken clues. Some patients may need to be referred to ther specialists but others can be successfully treated over a short period of time in their own general practice.;This is not comfortable reading. Dr Wakley discusses problems that evoke an uneasy response. At the same time, the practitioner is helped to acquire knowledge and develop new skills to extend the scope of medical care.

The cost of malpractice insurance to physicians has been increasing in recent years, as has the threat to physicians of being sued. This book describes and analyzes the workings of the market for physicians' liability insurance. The authors use their own data and other sources to study questions such as: Is the market for medical malpractice insurance competitive? Has the profitability of medical malpractice insurance been excessive? Why do malpractice insurers demand reinsurance? What effect has insurance regulation had on premiums? And it explores what experience rating is and how it is done.