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.

Thoroughly revised and updated, the all-time best-selling, most complete family medicine board review guide continues to be the resource of choice for anyone preparing to take the American Board of Family Medicine (ABFM) examination. This 6th edition features dozens of new cases and hundreds of new questions that assess your knowledge of the latest diagnostic methods, medications, and management techniques, two new authors, two entirely new sections, many new chapters, increased Category 1 CME credits, and more. It's simply the best way to keep absolutely up to date on all concepts relevant to primary care and family medicine practice. It's also the only ABFM review text that mimics the actual format of the exam, making it the most effective review tool available for passing boards.

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.

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.

Addiction has touched the lives of nearly everyone, often leaving a path of chaos and destruction. This text clearly presents the topic of Addiction Medicine in a concise single volume that is presented in a manner that will be easily understood by the non-Addictionologist. Topics covered include the neurobiology of addiction, the most commonly abused substances and the behavior of the addict. A chapter is dedicated to growing up in a home with an addicted parent and the many challenges that relate to adult behaviors and the development of addiction. A structured approach to screening and diagnosing addiction as well as screening for comorbid psychiatric disorders is presented. Advice is given on how to move the addict along the stages of change and how stress affects the addict and what can be done to mitigate the effects. The spiritual aspects of addiction and recovery are discussed is detail as are twelve-step programs. Medical mnemonics and phrases commonly used in the recovering community are scattered throughout the text to aid retention and to help the clinician speak the language of recovery; relating better to the addict seeking help.

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.

Blueprints Family Medicine provides a complete, yet succinct review of the key concepts and topics that students need to know for a four- to six-week family medicine clerkship. With its concise, well-organized format, it serves as an ideal rapid reference for day-to-day patient care as well as subject examinations and board review. Updates throughout reflect the most current treatment and management strategies. A new section covers the 25 drugs most commonly prescribed in the primary care setting. Case vignettes demonstrate clinical applications. 100 USMLE-style review questions, with full explanations, facilitate exam preparation. Key Points at the end of each chapter summarize important information. Clinical boxes highlight clinical manifestations, differential diagnoses, and treatment options. A helpful appendix provides easy access to evidence-based resources.

Coronary heart disease remains the leading cause of death in both men and women in most industrialized countries. Yet it is largely preventable, and health care providers can acquire the skills to help their patients reduce their risks substantially. Traditional risk factors such as cigarette smoking, hypercholesterolimia, hypertension, sedentary lifestyle, obesity and glucose intolerance explain a major proportion of coronary events. Recent evidence also suggests important adjunctive roles for hormone replacement therapy in postmenopausal women, and aspirin prophlaxis in individuals at high risk of a first myocardial infarction. Emerging evidence indicates an important role for diet in the prevention of heart disease. Although the importance of lifestyle and behavioral modifications may well be known among physicians and other health-care providers, the implementation of this knowledge has been limited. One reason is that the information supporting the value, feasibility and cost-effectiveness of risk-reduction strategies has not been previously synthesized and made widely available to health-care providers in office and community settings.
Prevention of Myocardial Infarction fills these critical gaps by providing a state-of-the-art compendium of the scientific evidence on the efficacy of coronary disease prevention, while focusing on helping clinicians develop intervention skills to utilize available knowledge. Chapters by leading authorities in cardiovascular epidemiology, clinical cardiology, cost-effectiveness analysis, and public health translate the theory of preventive cardiology into feasible implementation. The counseling and other intervention strategies described in thistextbook have documented clinical efficacy and cost-effectiveness, and they require little time to learn or implement. The book is written mainly for primary care providers, including general internists and family physicians, but will also be of interest to medical subspecialties such as cardiologists and endocrinologists, as well as medical students, dietitians, psychologists, epidemiologists, and students, practitioners, and researchers in public health.

A staple of family medicine training for 30 years, Essentials of Family Medicine offers a comprehensive introduction to this specialty designed just for clerkship students. Covering principles of family medicine, preventive care, and a full range of common ambulatory care problems, it provides all the guidance you need to succeed on a clinical rotation in family medicine. This 7th Edition features many significant changes, including a new, stronger focus on the hands-on "how-tos" of family medicine...a great deal of new coverage related to direct care, the context of care, and community medicine...input from a new Student Advisory Board to ensure the practicality and utility of the content... and many other key updates to keep Essentials of Family Medicine as relevant as possible for today's practice. You'll appreciate its user-friendly writing style, focus on common clinical problems, and use of case studies to illustrate practical applications of key concepts. Meet the challenges of contemporary practice with many brand-new chapters and updates throughout. Effectively navigate the challenges you'll face in your clerkship thanks to a new emphasis on how to approach specific situations. Enjoy content that's optimized for your needs through input from an advisory team of 4th-year medical students. See how concepts apply to practice with chapter-opening case studies, and build your clinical skills with clinical questions and case discussions that simulate the patient encounter.

Safe and effective prescribing is one of the pillars of medical practice but is much more complicated than it seems. Many new prescribers find prescribing extremely challenging, and a plethora of independent, multidisciplinary prescribers are also seeking guidance. However, pharmacology textbooks are rarely practical. They warn to 'take care when prescribing erythromycin to a patient on warfarin, as the INR may rise'. But what should the prescriber actually do? Surviving Prescribing fulfils an important need by offering practical advice for real-world prescribing problems. The book complements existing educational resources but adds a new perspective. Written by experienced contributors from a variety of professional backgrounds, the content speaks directly to the problems routinely seen in hospital prescribing. And all in one, pocket-sized volume. Whether revising for the national Prescribing Safety Assessment, preparing for starting on the wards, or looking for a quick reference guide, this book is an essential companion.

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.

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.

This isn't just another text full of rehashed disease models and facts you can obtain anywhere. Instead, written in a humorous and conversational style, this book will provide you with insights gleaned from the author's over 30 years of practical experience in adult primary care, plus: * A comprehensive treatment of primary care psychiatry, including mood disorders, chronic pain and mind-body medicine; * A manual of common musculoskeletal problems that you probably didn't learn much about in med school or residency, but that you see every day, AND steroid injection techniques; * A discussion of the basic facets of being a primary care doctor: knowing, connecting, deciding, and communicating; * New, efficient and often more effective approaches to common complaints like headaches, dizziness, and fatigue; * A score of diagnoses you must never, ever miss (but surely will if you aren't vigilant); * And more

The new edition of this successful handbook provides a balance of evidence-based information on Genitourinary Medicine (GUM), including HIV/AIDS. It provides high quality, digestible clinical detail and also practical information on the ever-increasing medico-legal, ethical, and procedural issues of growing importance when dealing with these complex topics. Designed primarily for the trainee in GUM, it is also a valuable reference and resource for the specialist physician, nurse, and other professionals working in the field of sexual health. The new edition remains relevant to those working in this field and features practical enhanced sections on contraception and genital dermatology written by specialist contributors, and information for general practitioners in order to provide services for STIs. The book consists of three easy-to-follow sections. The first section deals with routine management within GUM; medico-legal and ethical issues, the standard patient, special situations, and routine clinical and laboratory processes that include simple flow chart guidance on common clinical presentations. The second section details GUM conditions in a disease-orientated style, including STIs and also other genitourinary problems that may present. The third section on HIV provides a contemporary epidemiological overview of this infection, basic viral biology and pathogenesis, a disease-orientated description of conditions both directly related and opportunistic, and their management and data on special situations such as pregnancy. Finally guidance on commonly used abbreviations is shown together with a useful resource directory for staff. In essence this handbook provides a wealth of simple and easy to follow information on STIs and the principles of providing a service including administrative and medico-legal issues that are sometimes difficult to locate. This book will be of global use to all those with an interest in sexual health whatever their level of expertise and wherever they may practice.

The number of individuals who are obese or overweight has dramatically increased over recent years and is now becoming epidemic. These individuals are more likely to suffer cardiovascular diseases and therfore physicians, specialists, and trainees increasingly need to deal with these issues on the ward and in clinic. As a result, the need for appropriate knowledge of up-to-date clinical management of obesity and its associated cardiovascular problems is essential for any practicing physician.
Obesity and Cardiovascular Disease is a readily assimilated pocket guide to obesity and cardiovascular disease. It is intended to be used "on-the-go" and is compact enough to be on hand while in consultation with patients. It provides a clear and succinct overview of contemporary clinical management of cardiovascular risk stratification, and fully covers the diagnosis and treatment of cardiovascular in obese patients and individuals with increased visceral adiposity, translating up-to-date clinical research findings into clinical practice. Particular emphasis is placed on recent updates in practical care in obesity and cardiovascular disease, such as new diagnostic techniques and novel pharmacological and surgical approaches, as well as cardiac visceral fact, ethnic differences in adiposity-related cardiovascular risk, and metabolically healthy, but obese subjects. Topics are presented in an easily accessible format with numerous illustrations, photographs, tables, diagnostic and therapeutic algorithms while highlight boxes summarize the main concepts discussed in each chapter.

General Practice is undergoing the most major series of changes since the introduction of the National Health Service in 1948. They concern both concepts of care and practical details of the way care is delivered. In spite of the hostility generated by the changes most of the broad general concepts have been accepted. The principle of patients having more choice is widely sup ported, the inclusion of preventive medicine and antici patory care in the responsibilities of practice has few opponents, the introduction of audit as a way of im proving performance has been generally welcomed. Even the idea of putting GPs in better financial management of patients and drug budgets has had supporters in prin ciple. The antipathy has generally related to the method of introduction of these changes. One important con cern has been the time requirements of the New Con tract and the feeling that these will erode the real nature of our work: the close personal relationship with pa tients. If we improve the quality of our management this is less likely to happen. We shall be able to work within the New Contract and retain the quality of service we pro vide. If we improve the understanding of our staff of what we are trying to achieve we are more likely to reach the targets that we set whilst keeping people happy. vii This book sets out to explain the New Contract."

The Oxford Handbook of General Practice has been a lifeline for busy GPs since the first edition published in 2002. Covering the whole of general practice, with hands-on advice from experienced practitioners, this essential handbook provides rapid access to information to help with any day-to-day problems which might arise in general practice. The new third edition takes into account the significant changes in primary care since publication of the second edition in 2005. Written in line with the new GP curriculum, the authors have provided new material on the GP contract, foundation level doctors in general practice, and training for general practice. All chapters have been completely revised and updated throughout, with input from a team of specialist reviewers and contributors. The chapter on child health has been radically updated and specific chapters have now been dedicated to pregnancy and contraception/sexual health. The handbook also includes quick reference practical management boxes for paediatric and elderly patients, a plate section of colour images, and reference to online guidelines and resources.Revised to include the latest guidelines and management practices, this authoritative handbook is critical reading for all those working in general practice.

What are your chances of getting access to timely, affordable, quality medical care? Do you understand how the game is played? This book will help you appreciate the odds. Contents include training and certifying of health care providers; caveats; acute, chronic and preventive care; cruise ship medicine; medicine and weapons of mass destruction as well as generation of nuclear energy; reforms; economics; pharmaceuticals, additives and supplements.

General Practice is undergoing the most major series of changes since the introduction of the National Health Service in 1948. They concern both concepts of care and practical details of the way care is delivered. In spite of the hostility generated by the changes most of the broad general concepts have been accepted. The principle of patients having more choice is widely sup ported, the inclusion of preventive medicine and antici patory care in the responsibilities of practice has few opponents, the introduction of audit as a way of im proving performance has been generally welcomed. Even the idea of putting GPs in better financial management of patients and drug budgets has had supporters in prin ciple. The antipathy has generally related to the method of introduction of these changes. One important con cern has been the time requirements of the New Con tract and the feeling that these will erode the real nature of our work: the close personal relationship with pa tients. If we improve the quality of our management this is less likely to happen. We shall be able to work within the New Contract and retain the quality of service we pro vide. If we improve the understanding of our staff of what we are trying to achieve we are more likely to reach the targets that we set whilst keeping people happy. vii This book sets out to explain the New Contract."