Klachten en ziekten van kinderen zijn voor hun ouders vaak een bron van zorg enongerustheid. Is er sprake van een onschuldige kwaal of heeft het kind misschien een ernstige ziekte? Door hun verantwoordelijkheidsgevoel zijn ouders geneigd aan te dringen op specialistische zorg voor hun kind. Aan de huisarts de uitdaging om tussen de milde kwalen de chronische en levensbedreigende aandoeningen tijdig op te sporen en adequate zorg te bieden aan kind en ouder.Hoe duidt u de klachten van kinderen? Etiologie en pathofysiologie wijken af van die van volwassenen. Bovendien uiten kinderen hun klachten op een andere manier. Kindergeneeskunde biedt op kernachtige wijze de nodige praktische handvatten voor diagnose en behandeling van kinderen. Het uitgangspunt daarbij is niet zozeer de aandoening van het kind, maar zijn of haar klacht en de bijbehorende casuistiek.Kindergeneeskunde is opgebouwd uit vijf delen: een algemeen deel, een klacht- en ziektegericht deel, een deel over spoedeisende problemen, een vierde deel met veelvoorkomende ziekten op de kinderleeftijd en tot slot een deel over interdisciplinaire samenwerking.Kindergeneeskunde is opgebouwd uit vijf delen: een algemeen deel, een klacht- en ziektegericht deel, een deel over spoedeisende problemen, een vierde deel met veelvoorkomende ziekten op de kinderleeftijd en tot slot een deel over interdisciplinaire samenwerking.Kindergeneeskunde verschijnt in de reeks Praktische huisartsgeneeskunde, In deze reeks verschijnen uitgaven met praktische en klachtgerichte informatie over de verschillende deelgebieden in de huisartsgeneeskunde.

Choosing Your Practice is a practical guide for physicians who are making the transition from training to private practice or from one practice to another. The author, a clinician as well as a manager of medical services, offers his colleagues guidance on conducting an intelligent search for the practice, community, and associates that are best for them. Useful strategies also are given for evaluating offers and negotiating agreements with prospective associates.

Discover today's most complete, easy-to-use medical coding guide, written specifically for beginning coders. Green's best-selling 3-2-1 CODE IT!, 7E presents the latest updates for ICD-10-CM, ICD-10-PCS, CPT (R) and HCPCS Level II coding sets, conventions and guidelines. Focused examples, understandable language and clearly defined terms help you master each concept, while extensive exercises, reviews and coding cases let you practice concepts and prepare to earn coding credentials. This well-organized, intuitive approach begins with diagnosis coding before progressing to more in-depth instruction on coding procedures and services. You'll find clear coverage of both ICD-10 code sets with separate, thorough chapters on inpatient and outpatient coding. HCPCS level II and CPT coding are also covered in separate chapters. In addition, MindTap interactive digital tools further reinforce the coding skills you need for success.

Welcome or not, most citizens in Western countries are unable to go through a day without receiving a dose of health information. This book examines the ways in which ordinary people locate and digest the amount of health information available today, focusing on the unexplored 'middle' place of human and technical mediators.

Learn everything you need to know about medical coding with the practical and easy to understand UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, 4E. Using clear, step-by-step instructions, you learn how to code a claim correctly and link the correct CPT and ICD-10-CM codes for reimbursement. You gain an understanding of adjustments, how and when to bill patients, and what to do in case of a denial or rejection. Thoroughly updated coverage introduces the industry's new standard: ICD-10-CM. This edition also details CPT coding and modifiers with more code-specific information and a concentration on specialty coding and levels of coding. Case studies, practice exercises, tips, examples, charts, and photos help improve your performance and ensure that you are well prepared to succeed in a medical coding position in a variety of today's professional settings.

One of the paradoxes of general practice is that we emphasize on the one hand how important it is that the general practitioner learns to tolerate uncertainty, and then regret on the other hand that so few general practitioners research the uncertainties they find in their every day work. In the first chapter of my first edition of this book I suggested that general practitioners were missing opportunities to take part in a fascinating and rewarding professional activity because of an unnecessary fear of the unknown, and tried to encourage more to try research for themselves. There has been an impressive increase in what has been asked about, researched and written about in the last decade and this second edition tries to bring up to date the advice I think may help others to become involved in research for themselves. The basic principles of good research are of course timeless and apply to enquiry in any discipline. However, detail changes; there are new aids to reviewing literature, the increased emphasis in social science research has been matched by a range of new methods of collecting information, computers have revolutionized how data is handled and statistics is an ever-developing science in its own right. The chapters in this book which describe what can be referred to as the technology of the research process have been revised to reflect the impact of these recent developments rather than re-written.

Neurological Disorders is the latest and fifth monograph in the series on management and treatment in major clinical specialties or patient groups. Each book is complete in'its own right and has been prepared by practising physicians with an interest in treatment and management, together with scientists involved in clinical research. The volumes are intended to fill a gap between standard textbooks of medicine and therapeutics and research reviews, symposia and original articles in superspecialist fields. It is the aim of the series to give authoritative up-to-date advice on treatment and management which will be of use to both specialists and nonspecialists and to allow recent advances in pathophysiol ogy and developments in treatment to be viewed in the context of contemporary clinical practice. The approach is intentionally by the minimum number didactic. Each volume has been written of authors to ensure a degree of continuity and uniformity of style. The first four volumes dealt respectively with gastrointestinal diseases, rheumatic diseases, treatment in the elderly and car diovascular disease. The present volume covers neurological diseases. Chapter 1 is an introduction to drugs and the nervous system. It reviews the chemical basis of neurotransmission and mechanisms of drug action in neurological disease. There follows a series of chapters discussing patient management in general and drug treatment in particular in common neurological problems presen ting in general medical practice. These include headache, cerebral vascular disease, epilepsy and the movement disorders."

Backing up the pioneering medical researchers and experi menters are the phalanxes and cohorts of practising clinicians in district general hospitals and in general practice who may have to implement and apply any breakthroughs and advances in practical and realistic terms. This they cannot, and should not, be expected to do without careful consideration and analysis. It is essential, therefore, to have regular reviews of the growing points of medicine which are constructively critical as well as being enthusiastic and which can present the issues and implications clearly and fairly to clinicians. The Practical Clinical Medicine series is designed to provide such regular reviews on selected subjects. Each volume is under the charge of an invited editor who selects his team of 4-6 experts. Each contribution is an authoritative, detailed and referenced examination of his topic, is clearly presented in an understandable manner and is practical, relevant and applic able to everyday clinical practice. The series is intended as a means of communication between researchers and practising clinicians. It is dedicated to gener alists who provide primary health care in general practice and to generalists providing secondary medical care in district vii viii Series Editors' Foreword general hospitals. Both are involved in applying good general practical clinical medicine for their patients, but can only succeed in a climate of constant review and examination."

An in-depth look at life with an adolescent with schizophrenia, this book is designed for parents of teens who have recently been diagnosed with or who are at risk of developing such a disorder. It is also for other adults, such as teachers, athletic coaches and guidance counsellors, who are regularly in contact with at-risk adolescents. The book combines scientific expertise - including information about available treatments and up-to-date research findings on schizophrenia - with the practical wisdom of parents who have raised teenagers with this illness. In clear and accessible language, Dr. Raquel E. Gur and Ann Braden Johnson explain in detail what is known about the origins, symptoms and potential treatments of schizophrenia. The book includes tips on how to go about getting a diagnosis, what a diagnosis means, when and where to get treatment, and how to navigate the healthcare system. There will also be advice on how to handle everyday life - both at home and at school - once the teen is diagnosed. Pointers on red flags to look out for and about the dangers of doing nothing are included as well to help parents and other adults deal effectively with adolescent schizophrenia, so that their children can enjoy the fullest and most productive life possible.

An in-depth look at prevalent anxiety disorders in adolescents, this book is designed for parents of teens who have recently been diagnosed with or who are at risk for developing such a disorder. It is also for other adults, such as teachers and guidance counsellors, who are regularly in contact with at-risk adolescents. The book combines scientific expertise - including information about available treatments and up-to-date research findings on anxiety disorders-with the practical wisdom of parents who have raised teenagers with these illnesses. In clear and accessible language, Dr Edna B. Foa and Linda Wasmer Andrews explain in detail each of the four major anxiety disorders (social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder). The book includes tips on how to go about getting a diagnosis, what a diagnosis means, when and where to get treatment, and how to navigate the health care system. There is also advice on how to handle everyday life - both at home and at school - once the teen is diagnosed. Pointers on red flags to look out for and about the dangers of doing nothing are included as well to help parents and other adults deal effectively with adolescent anxiety disorders before they become debilitating.

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.

'Cardiovascular Disease' is the fourth monograph in the series on management and treatment in major clinical sub specialties or patient groups. Each book is complete in its own right and has been prepared by practising physicians with specialist experience and a particular interest in treatment and management. The series has been prepared to fill a gap between standard textbooks of medicine and therapeutics and research reviews, symposia and original articles in specialist fields. The volumes aim to give authoritative, up-to-date advice on treatment and management which will be of use to both specialists and non-specialists and allow recent advances and developments to be seen in the context of contemporary clinical practice. The first three volumes dealt respectively with gastroin testinal diseases, rheumatic diseases and treatment in the elderly. Cardiovascular disease covers the range of common diseases affect ing the heart and the circulation. In view of the importance of coronary heart disease as a cause of death and morbidity a substan tial part of the book is devoted to description of the factors asso ciated with coronary artery disease (hyperlipidaemia and hypertension) and their management by drug and non-drug means. A further five chapters are devoted to the clinical syndromes asso ciated with coronary heart disease and their management. These not only consider acute 'in hospital' management, including sur gery, but also address epidemiological questions, including approaches to secondary prevention of myocardial infarction."

There are many textbooks which give detailed descriptions of the causes, clinical features and treatment of disease. There are a number of books devoted to clinical methodo logy which tell the student the questions which he must ask and describe the physical signs that he should seek. The authors of these books rarely devote more than a page or two to a job description and advice on how to acquire clinical skills. Although a sound knowledge of the facts is essential, a good doctor differs from a bad doctor more by his attitude and craftsmanship than by his knowledge. These important matters receive scant attention in the textbooks because the authors regard them as part of the spoken tradition which is taught at the bedside or in the clinics and is absorbed by watching clinicians while they are dealing with patients. The image of the doctor who greets patients with his pen poised over a prescription pad, and the calls for holistic medicine, imply that a number of students do not pick up the relevant attitudes and skills on the way. That this feeling is shared by the profession itself is suggested by the forma tion of a society to promote the treatment of the whole patient, and another for the promotion of humanism in cardiology. Good doctors have been treating the whole patient humanely since the profession was founded, and I find it shocking that it is thought that such societies are necessary."

In the sixth edition of this work John Fry has reverted to the format of the earlier editions published in 1965, 1970 and 1973 and has presented statistical data drawn widely from many sources. General practice in the United Kingdom and elsewhere throughout the world has undergone many changes in the past decade. This new edition brings the available statistical informa tion up to date and indicates the way ahead. General practice, the College and the National Health Service have been closely linked in effecting change. The membership of the College con tinues to grow and its influence in changing the face of general practice in the United Kingdom is significant. John Fry's new book presents that characteristic blend of fact and personal opinion which was so successful in earlier editions and so valuable to general practice and others in primary health care. Once again he has shown what can be achieved by one man based on his own work and those of others in general practice. John Lawson RCGP, 1983 President of the Royal College of General Practitioners vi Preface The Present State and Future Needs series had its roots in the dark days of the early 1960s when morale in general practice was low and when numbers of new entrants were actually going down. They were the days of mass emigration of doctors from Britain and the National Health Service. The fourth and fifth editions were entitled Trends in General Practice (1977 and 1979)."

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, opioids, 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.

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.

Women and Exercise is an invaluable resource for all physicians, from general practitioners to specialists seeking information outside their specialty, who need up-to-date information and expert advice about women and exercise.

The discipline of knowledge transfer has existed for many years across disciplines, but has more recently gained exposure within the health care field including medicine, nursing, health sciences, public health and health services research. Knowledge transfer is a complex iterative process that aims to implement high quality evidence into practice ensuring that better health outcomes are achieved across different levels including patients, health professionals, health systems and policy makers. This book provides an introduction to the field of knowledge transfer, examining the different approaches to knowledge transfer as well as detailing challenges to its implementation in practice. This book examines what knowledge transfer is, and how it may differ across different contexts and settings.

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.

Nancy Ainsworth-Vaughn studied stories, topic control, "true" questions, and rhetorical questions in 101 medical encounters in US private-practice settings. In exceptionally lucid and accessible style, Ainsworth-Vaughn explains how power was claimed by and co-constructed for both patients and doctors (previous studies have focused upon doctors' power). The discourse varied along a continuum from interview-like talk to conversational talk. Six chapters are organized around data and include extended examples of actual talk in detailed transcription; four of these data-oriented chapters focus upon dynamic, moment-to-moment use of speech activities in emerging discourse, such as doctors' and patients' stories that co-constructed selves, and a patient's sexual rhetorical questions. Two more chapters offer non-statistical quantitative data on the frequency of questioning and sudden topic changes in relation to gender, diagnosis, and other factors. Contributing to discourse theory, Ainsworth-Vaughn significantly modifies previous definitions for topic transitions and rhetorical questions and discovers the role of storytelling in diagnosis. The final chapter provides implications for physicians and medical educators.

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.