This concise yet comprehensive reference is the first of its kind and draws on the authors' personal teaching file of cases from the Adult Drug Court in California. The book offers unparalleled insight into the drug court system and the medical problems of drug court patients. It is the first book of its kind in the family medicine literature. The authors share their extensive knowledge of addiction and withdrawal, treatment of patients with dual diagnoses of mental illness and addiction, and treatment of drug-associated diseases such as tuberculosis, hepatitis, and HIV.

An estimated 21 million people are diagnosed each year with a major depressive disorder in the USA, Western Europe and Japan. The economic cost of depression and its impact on sufferers and those around them is enormous. There are numerous therapy choices available, which can be daunting for the clinician trying to achieve the best treatment regimen. "Managing Depression in Clinical Practice" provides a concise overview of the clinical manifestation, diagnosis and management of this debilitating condition. The book gives practical coverage of depression in special populations, the management of treatment non-response and long-term treatment. "Managing Depression in Clinical Practice" is intended as an accessible text for family practitioners and psychiatrists in training and in practice. It will also be of interest to specialist nurses and allied health professionals working in the field.

Despite its direct effect on a patient's health, the literature on treatment adherence does not yet include a summary of proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence Across Multiple Behaviors: A Clinician's Guide differs significantly from many treatment adherence books on the market by focusing on clinicians and the practical tactics they need to improve patient adherence. The book is orgnaized by behavior and special issues as opposed to other texts, which look at treatment adherence as a theoretical concept. Each chapter provides a summary of existing literature regarding the impact of patient non-adherence, including costs, clinical outcomes and health-related quality of life, as well as a review of patient factors related to treatment adherence across behaviors, diseases, and special populations. A discussion of methods for improving treatment adherence takes a look at both proven methods and new technological advances in the field. Each chapter includes a table listing 3-5 key bullets that a clinician could use to address treatment adherence. Actual questions and scoring algorithms for widely used measures of treatment adherence make this book a useful guide for practicing clinicans.

* Offers a concise, comprehensive overview of the diagnosis, treatment and management of common and rarer movement disorders * Written by two key international movement disorder experts * Clinically focused and accessible * Provides a practical guide to the assessment of movement disorders where diagnosis relies on examination and observation rather than radiology and serological assessments Movement disorders attack the part of the brain that controls our movements, they are a complex group of disorders, spanning all aspects of neurological illnesses. Such disorders are widespread, often destroying the independence of those affected. Movement Disorders in Clinical Practice provides a concise, practical overview of the diagnosis, treatment and management of patients with these debilitating conditions, including a brief evaluation of ongoing clinical trials. Edited by two key international movement disorder experts, chapters cover: * Parkinson's disease * Parkinsonian syndromes * Dystonia * Tremor * Restless legs syndrome * An overview of other movement disorders

This practical book is ideal for readers who want to rapidly determine the appropriate imaging for pediatric patients. The text provides a concise and accessible summary of the literature on how and when to use imaging studies. Chapters address the essentials, such as cost-effectiveness, and are written in collaboration by renowned specialists in the fields of pediatrics and pediatric radiology. Topics cover common clinical scenarios in neuroimaging and musculoskeletal, chest, and abdominal imaging. Each imaging recommendation is presented along with the supporting data and the strength of the evidence.

Master high-yield point-of-care ultrasound applications that are targeted specifically to answer questions that arise commonly in the outpatient clinic! Written for primary care providers in Family Medicine, Pediatrics and Internal Medicine, Ultrasound for Primary Care is a practical, easy-to-read guide. Learn to incorporate ultrasound to augment your physical exam for evaluation of thyroid nodules, enlarged lymph nodes, pericardial effusion, chronic kidney disease, and a host of musculoskeletal issues, and much more. Additionally, included are chapters on ultrasound for guidance of procedures including joint injections, lumbar puncture and needle biopsy, to name a few. Well-illustrated and highly templated, this unique title helps you expand the scope of your practice and provide more effective patient care. Puts key concepts in the perspective of common questions that arise in primary care with case-based clinical vignettes that exemplify the situations in which these questions arise Presents information in highly templated chapters that provide a clinical vignette, review of the evidence, description of protocol, illustrations, ultrasound view of anatomy, pearls and pitfalls, algorithms, billing codes, and more. Features additional chapters on procedures, covering Musculoskeletal Aspirations and Injections, Central Line Placement, Thoracentesis, Core Needle Biopsy, and many more. Enhance 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.

In comments that were unfortunately prescient, Dr. Doroghazi said in the first edition "the author feels we are currently experiencing a real estate bubble." And in anticipation of the credit crisis, he said "banks are far too lenient in their lending practices...the problem is that bankers are often not lending their own money considering that a significant percentages of mortgages are sold to Fannie Mae (FNM) and Freddie Mac (FRE), the problem is now actually everyone s." This new and expanded edition provides commonsense advice that all investors, physicians and non-physicians will find profitable in these difficult times. Learn about the power of thrift, the magnificence of compound interest, the malevolence of debt and the perniciousness of fees. See how to pay off the mortgage by age 45, fund your children 's education and retire at a reasonable age rather than continue to work because you must.

General practice provides the first point of contact to medical care for patients across the world. GPs have obligations to patients in their care, to the government for responsible use of resources, and to communities for the standard of health services provided. Ethics is at the heart of health services, dealing with fundamental questions about what ought to be valued, and why. The two disciplines inevitably impact upon each other, and this book brings them together to focus on practical ethics for general practitioners.
In this update of a successful first edition, the authors aim to: help GPs appreciate the ethically significant nature of general practice, drawing attention to the ethical complexity of apparently mundane and everyday experience; present a thoughtful and thought-provoking account of the moral foundations of general practice, exploring how moral concepts such as trust, beneficence, respect for autonomy, and fairness take on unique meanings in the general practice setting; and to discuss some specific ethical issues in detail, offering solutions that are practical as well as ethically sound.
The focus is on practice throughout, ensuring through real cases and discussions with practitioners that the book is not abstract and esoteric in its discussion of philosophical principles, but that it is applicable in the real world of the doctor's surgery. The authors guide their readers through basic approaches to ethical reasoning and use of a practical ethics analysis framework suitable for use in all ethical dilemmas in medicine. Themes covered include the authors' research-based account of trust and the doctor-patient relationship, acting in the patient's best interests, confidentiality, making decisions with patients, beginning and end of life issues, treating children and adolescents, and role conflicts in general practice.

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.

A robust learning tool developed to follow the national standard of Pediatric Primary Care Nurse Practitioner (NP) certification. Written by nursing experts and based on the new American Nurses Credentialing Center (ANCC) Pediatric Primary Care NP examination content outline, this new manual is an essential resource in helping nurses to elevate their careers. Becoming a certified Pediatric Primary Care NP is a rewarding experience, and nurses deserve the knowledge and skills needed to ace their exams. Study and analyze real-life case studies to familiarize yourself with Pediatric Primary Care NP standards of practice. Take advantage of more than 100 sample test questions designed to prepare you for the ANCC’s Pediatric Primary Care NP certification exam. Develop a recommended seven-step plan to get you ready for before and during the day of your exam. If you need to study to become certified as a Pediatric Primary Care NP, this is the right tool for you. No matter where you are in the certification process, make this book your trusted resource for certification preparation.

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.

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.

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.

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.

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.

'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."

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.

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.