Die kindliche Hornhauttrubung gehoert weltweit zu den Hauptursachen fur Blindheit oder eine schwere Sehbehinderung bei Kindern. Die Ursachen sind hierbei vielfaltig und komplex und besitzen ein enges therapeutisches Fenster aufgrund des erhoehten Risikos der Entwicklung einer Amblyopie. Dieses Essential gibt einen komprimierten UEberblick zur Diagnostik, Klinik, Genetik und den aktuellen Behandlungsmoeglichkeiten von angeborenen Hornhauttrubungen und Dysgenesie des vorderen Augenabschnitts.

In diesem essential wird das "Complex Regional Pain Syndrome" (CRPS), fruher als "Morbus Sudeck" bezeichnet, als zermurbende, die Lebensqualitat zerstoerende chronische Schmerzkrankheit vorgestellt. Sie manifestiert sich als lokale akute Entzundung oft nach Bagatelltraumen, charakterisiert durch Schmerz, Schwellung, Temperaturunterschiede und livide Verfarbung der betroffenen Extremitat. Neue Erkenntnisse in der Pathophysiologie dieser immer noch ratselhaften Erkrankung fuhrten zu Fortschritten im Verstandnis, in der Diagnostik und vor allem in der Therapie. Das mit dem CRPS assoziierte Knochenmarkoedem ist heute mit Bisphosphonat- Infusionen heilbar. Sonderformen des CRPS bei Kindern und Jugendlichen, bei Schwangeren und im hohen Alter werden vorgestellt.

Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that provides trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler's Procedures for Primary Care has been the go-to reference for step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care providers. This 4th Edition continues that tradition with new section editors, updated illustrations, new chapters, and much more. No other primary care procedure book compares with Pfenninger and Fowler's breadth and depth of practical, step-by-step content! Access to this product, which may be at the discretion of your institution, is up to 3 years of online and perpetual offline access. Elsevier reserves the right to restrict or remove access due to changes in product portfolio or other market conditions. Provides comprehensive, real-world coverage of more than 230 procedures that arise in the primary care setting, including many that were previously performed only in subspecialty settings, such as joint injections and cosmetic procedures. Includes new chapters: Esophageal Foreign Body Removal, Manual Testicular Detorsion, Symphysiotomy, Zipper Injury Management, and Blood Products. Presents the "how-to" expertise of six new section editors, for a fresh, contemporary perspective throughout the book. Additional focus on the evidence, with plentiful citations to key references, makes this the most evidence-based edition yet. Features numerous updated illustrations, including many more in full color, and incorporates updated ICD-10-CM codes throughout. Provides access to online resources including patient education handouts and consent forms, lists of device manufacturers, and more. Utilizes a concise outline format, detailed text and illustrations, and abundant boxes and tables for quick access to the information you need. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

This indispensable resource provides primary care clinicians with a framework for addressing pediatric mental health problems in the primary care practice. Gain guidance on integrating healthy social-emotional development of children and adolescents with other aspects of health supervision. Obtain surveillance and screening tools to identify early signs and symptoms of mental health disorders and obtain evidence-based interventions to care for children and adolescents with mental health issues. Gain in-depth guidance on the care of special populations of children who may be at increased risk for mental health problems: those exposed to adverse childhood experiences; children in military families; lesbian, gay and bisexual youth; children with gender expression and identity issues; children affected by racism; adolescents who are pregnant or parenting, and much more. Topics include Strength-Based Approach to Promoting Healthy Child Development Healthy sleep, weight, use of media, and active living Children exposed to adverse childhood experiences Violence Prevention Caring for families new to the United States Children in foster or kinship care or involved with child welfare Children of divorce Adopted children Children with chronic medical conditions And more

AMSTARs: Adolescent Contraception: Basics and Beyond highlights the fundamental aspects of contraception with an overview of contraceptive methods and epidemiology, provides up-to-date guidance on medical eligibility criteria, and reviews critical policy advances supporting contraceptive access. TOPICS INCLUDE: Overview (social determinants, epidemiology, cultural and regional differences, and method [includes natural family planning]) CDC medical eligibility criteria Condoms Pills, rings, and patches Depo-Provera and whether it is still a good option in adolescents Intrauterine devices in adolescents (IUD's) Implants (implementation and the management of associated bleeding) Emergency contraception Approaches to contraceptive counseling Implementation of long-acting reversible contraceptives methods into pediatric practice Male involvement in both family planning and preconception care Special cases (case-based contraception scenarios) Advocacy and policy New and on the horizon developments

For clinicians who see patients suffering from non-life-threatening crises, Minor Emergencies, 4th Edition, provides concise, expert guidance on what to do and what not to do for nearly 200 common presentations, including both the correct procedural and pharmaceutical treatments. Completely updated with the latest equipment, devices, dosages, and techniques, this award-winning reference delivers fast, efficient guidance just when you need it. Instructional videos clearly demonstrate pearls and pitfalls of a wide variety of procedures. Offers a practical approach to common minor emergencies, with brief, to-the-point guidance on everything from febrile seizures in children, foreign body removal, and initial management of epistaxis to rib fractures, sacroiliac joint injection, and patellar dislocation reduction. Includes new ultrasound examples throughout, plus new chapters on floaters, prophylaxis following sexual exposure, leg edema, piercing complications, Taser injuries, and more. Provides at-a-glance guidance with "What to Do" and "What NOT to Do" checklists. Presents information in a highly templated format, with each topic given 2-3 pages of coverage. Features a discussion box at the end of each chapter with a quick overview of clinical manifestations, differential diagnosis, and other points of consideration-with evidence. Includes access to 38 procedural videos such as removing foreign body from skin, upper facial injury-fracture examination, and more. Offers procedural sedation recommendations from Dr. Daniel Wolfson. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

A collection of 15 papers from The American Ceramic Society s 38th International Conference on Advanced Ceramics and Composites, held in Daytona Beach, Florida, January 26-31, 2014. This issue includes papers presented in Symposium 5 - Next Generation Bioceramics and Biocomposites and Symposium 9 - Porous Ceramics: Novel Developments and Applications.

Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice's patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government's incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.

Als Schmerzpatient mussen Sie ggf. regelmassig Schmerzmedikamente einnehmen, um den Alltag bewaltigen zu koennen. Dieser Ratgeber erklart verstandlich die Wirkungsweise und die moeglichen Risiken der verschiedenen Substanzen, wie sie richtig eingesetzt werden und welche Nebenwirkungen auftreten koennen. Der Leser erhalt auf praktische Fragen klare Antworten, z.B.: Welche Tatigkeiten darf ich unter Schmerzmitteln ausuben, darf ich Maschinen bedienen oder Auto fahren? Sind Schmerzmittel in der Schwangerschaft und Stillzeit erlaubt? Wie lange durfen Schmerzmittel eingenommen werden? Die Autoren sind AErzte und Experten auf dem Gebiet der Schmerzmedizin und kennen die Sorgen und Fragen von Patienten. Sie wenden sich an alle, die Schmerzmedikamente verschrieben bekommen haben oder rezeptfrei verkaufliche Schmerzmedikamente einnehmen.

Personalized and precision medicine (PPM)—the targeting of therapies according to an individual’s genetic, environmental, or lifestyle characteristics—is becoming an increasingly important approach in health care treatment and prevention. The advancement of PPM is a challenge in traditional clinical, reimbursement, and regulatory landscapes because it is costly to develop and introduces a wide range of scientific, clinical, ethical, and socioeconomic issues. PPM raises a multitude of economic issues, including how information on accurate diagnosis and treatment success will be disseminated and who will bear the cost; changes to physician training to incorporate genetics, probability and statistics, and economic considerations; questions about whether the benefits of PPM will be confined to developed countries or will diffuse to emerging economies with less developed health care systems; the effects of patient heterogeneity on cost-effectiveness analysis; and opportunities for PPM’s growth beyond treatment of acute illness, such as prevention and reversal of chronic conditions. This volume explores the intersection of the scientific, clinical, and economic factors affecting the development of PPM, including its effects on the drug pipeline, on reimbursement of PPM diagnostics and treatments, and on funding of the requisite underlying research; and it examines recent empirical applications of PPM.

This history of the medical profession in pre-Revolutionary Russia examines an influential segment of the educated elite. The author shows how Russian physicians differed in social origin, careers, and professionalization from their counterparts in other lands.

Originally published in 1982.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Selected as a Doody's Core Title for 2022! Perfect for primary care physicians, nurse practitioners, and PAs, who are routinely confronted with behavioral health disorders among patients in a primary care setting, the second edition of this unique multimedia handbook-now affiliated with the Association of Medicine and Psychiatry-sits at the intersection of primary care and psychiatry. You'll find much that is new: updated fundamentals on depression, anxiety, psychosis, substance, and eating disorders, as well as overviews on CBT, motivational therapy, and common pharmacological therapies. With contributors from the worlds of both psychiatry and primary care, you have a perfect package on how to integrate the two in order to deliver better mental health care for your patients. Ebook now features 30-minute educational videos, instructional PowerPoint slides, and a 15-question multiple-choice assessment for every chapter. Includes tips on navigating the psychiatric interview and updated DSM-5 diagnostic criteria. Disorder-specific chapters follow a handy templated format: clinical highlights, diagnosis, treatment, medications, practice tips, and more. True-to-life case studies and patient scenarios illuminate key concepts in psychiatry. Guidance on navigating the Collaborative Care Model and applying the primary care psychiatry assessment. Packed with easy-to-read figures and tables that helps make information easy to digest and implement. 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.

Jede medizinische Fachrichtung benoetigt labormedizinische Diagnostik. Neben bildgebenden Verfahren ist sie die wichtigste Hilfsdisziplin im medizinischen Alltag. Die Anzahl der Daten und Befunde steigt rapide an. Ursachen hierfur sind die Automatisierung und die Einfuhrung neuer Methoden. Anhand von Fallbeispielen werden Laborbefunde interpretiert und die Aussagekraft einzelner Werte erlautert. Raschen UEberblick ermoeglicht die Gliederung der klinischen Fragestellungen je nach Fachrichtung. Eine praktische Einfuhrung fur Studenten und AErzte in Ausbildung sowie fur Personen, die im medizinisch-diagnostischen Bereich tatig sind.

Online-Gentests oder Direct-to-Consumer (DTC)-Gentests sind kommerziell verfugbare Untersuchungen zur Bestimmung individueller genetischer Merkmale eines Menschen. Online-Gentests werden weltweit uber das Internet ohne Beteiligung eines Arztes verkauft. Die Entwicklung dieses Marktes floriert, jedoch sind durch die neuen Testverfahren auch Risiken entstanden. Anhand einer Marktanalyse entschlusselt die vorliegende Arbeit die DTC-Branche und zeigt auf, dass die online verfugbaren Gentest-Angebote auf nahezu alle Lebensbereiche des Menschen ausgerichtet sind. Die Angebote genetischer Analysen reichen von der Auswahl des optimalen Partners uber Vaterschaftstests bis hin zur Erhebung genetischer Risikoprofile fur Krebserkrankungen oder die Vorhersage der Lebenserwartung; sogar Analysen des gesamten menschlichen Genoms sind uber das Internet bestellbar und koennen ohne arztliche Begleitung durchgefuhrt werden. Der Trend der Online-Gentests demonstriert eindrucksvoll die neuen Herausforderungen unserer Zeit. Vor dem Hintergrund aktueller technischer Entwicklungen in der Gendiagnostik setzt sich die Arbeit mit der rechtlichen Zulassigkeit sowie den Chancen und Risiken auseinander, die mit der Durchfuhrung kommerzieller Erbgut-Analysen verbunden sind. Dies eroeffnet sowohl die ethische Diskussion um Online-Gentests als auch die Frage nach Loesungsansatzen. Ob und inwieweit gesetzgeberischer Handlungsbedarf besteht, wird abschliessend anhand von Loesungsmoeglichkeiten erarbeitet.

Der Blick der deutschen Mehrheitsgesellschaft auf das Themenfeld Medizin ist weitgehend sakular. Menschen muslimischen Glaubens stellen hingegen die Begriffe "Gesundheit" und "Krankheit" sowie ihre Haltungen und Erwartungen gegenuber medizinischen Interventionen und dem gegenseitigen Verhaltnis von Arzt und Patient haufig direkt in religioese Zusammenhange. Daraus ergeben sich spezifische Bedurfnisse und Erwartungen, die glaubige muslimische Patienten sowohl von christlichen als auch von sakular eingestellten Menschen unterscheiden. Dieses essential zeigt anhand einer Reihe von Einzelinterviews Facetten der Rolle religioeser UEberzeugungen muslimischer Patienten fur den Umgang mit Krankheit, Medizin und dem Gesundheitssystem. Er wendet sich an AErzte und medizinisches Personal ebenso wie an Laien mit einem Interesse an interreligioesen und interkulturellen Fragen.

Is lowering your temperature when you have a fever helpful? Do you really need to finish every course of antibiotics? Or could some of the treatments you think are healing you actually be harming you? Medicine has significantly advanced in the last few decades. But while we have learned a lot, we still rely on medical interventions that are vastly out of date and can adversely affect our health. In this game-changing book, infectious-disease expert and Rotavirus vaccine inventor Dr Offit highlights fifteen common medical interventions still recommended and practised by medical professionals, despite clear evidence that they are harmful - including the treatment of acid reflux in babies and the reliance on heart stents and knee surgery. By presenting medical alternatives, Overkill gives patients invaluable information to help them ask their doctors better questions and to advocate for their own health.

Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions. A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor. A woman with a common cold demanding (but not receiving) antibiotics. A man with a sore knee. A young woman who has been trying to conceive for a while but now finds herself pregnant and isn't sure she wants to go through with it. A 7-year-old boy with 'tummy aches' that don't really exist. These are his patients. Confessions of a GP is a witty insight into the life of a family doctor. Funny and moving in equal measure it will change the way you look at your GP next time you pop in with the sniffles.

Filling a gap in literature, this concise and practical book presents the principles of virtual orthopedic assessment and shares insights into the use of technology for distance patient-physician communication. Offering expert know-how and best practices, it equips readers with essential information on how to best remotely manage the diagnosis, treatment and follow-up of patients.The book starts by defining telemedicine and presenting the basic requirements. The following chapters each focus on a specific joint or compartment, highlighting its peculiarities in terms of remote clinical assessment, and also discussing data security, patient confidentiality and consent as well as medico-legal issues. Moreover, the book features a dedicated chapter that analyzes specific issues related to remote assessment in children, older patients, noncompliant patients, and patients with pain. Covering all the basic and practical aspects of this emerging field, this book is a must-read for orthopedists and other professionals, such as general practitioners and physiotherapists, wanting to gain insights into remote orthopedic patient care.

This comprehensive, first-of-its kind title is an indispensable resource for pharmacists looking to learn or improve crucial patient assessment skills relevant to all pharmacy practice settings. Pharmacists' role as health care practitioners is evolving as they are taking a more active part in primary patient care -- helping patients manage their medications and diseases, providing patient education, and, in some jurisdictions, prescribing and adapting medications. To perform their day-to-day duties, pharmacists are best-served using a framework called the patient care process. This framework involves three steps: patient assessment; care plan development and implementation; and monitoring and follow up. Organized in four parts, this practical book begins with introductory chapters regarding the basics of patient assessment and the patient care process. Part II includes a detailed assessment of common symptoms encountered by pharmacists. Part III discusses assessment of patients with various chronic illnesses. Part IV addresses select specialized topics and assessment considerations. An invaluable contribution to the literature, Patient Assessment in Clinical Pharmacy: A Comprehensive Guide will be of great benefit to pharmacists, regardless of their practice setting, and to pharmacy students as well.

In The Surprising Lives of Small-Town Doctors, physicians put down their stethoscopes and pick up their pens to share some of the most frightening and pivotal moments of their careers. From making igloo house calls to bandaging animal bites to performing surgeries they may have only read about in textbooks, these young doctors speak of the many rewards of practising medicine in small communities. They also detail the fears, failures, and challenges of providing health care in the farthest reaches of our country--where the need for doctors is the greatest. Collectively, these stories capture the spirit, innovation, and resilience of these rural doctors and the communities they serve.

Im seit 1985 jahrlich als Buch erscheinenden Arzneiverordnungs-Report werden die Rezepte fur die Patienten der gesetzlichen Krankenversicherung (GKV) mit Methoden der evidenzbasierten Medizin analysiert. Seit dieser Zeit bietet der Report eine unabhangige Informationsmoeglichkeit uber die verschiedenen Komponenten der Arzneimittelverordnung und tragt damit zur Transparenz des Arzneimittelmarkts, zur Bewertung von Arzneimitteln und zu einer sowohl zweckmassigen und sicheren evidenzbasierten als auch wirtschaftlichen Arzneitherapie bei.

Selected as a Doody's Core Title for 2022! Long regarded as "the book" in the field for in-depth learning as well as decision support at the point of care, Primary Care Medicine, 8th Edition, continues its tradition as a comprehensive, evidence-based, action-oriented information resource. Presented in companion electronic format updated quarterly, its problem-based orientation spans the full spectrum of problems encountered in adult primary care practice. Chapters address screening, diagnosis, prevention and management, including indications for referral and approaches to patient education and shared decision making. Clear, practical, bulleted recommendations and an extensive annotated bibliography of best references follow detailed discussions of pathophysiology, clinical presentation, differential diagnosis, and strategies for workup and treatment. Now with its 40th-anniversary edition, this exceptional text is a must-have resource for physicians, nurse practitioners, physician assistants, students, and residents- offering the most complete and up-to-date resource available for primary care education and practice. Included interactive eBook incorporates quarterly updates featuring critically reviewed important new evidence as well as a study guide for students and tables for shared decision making. Fully updated chapter content based on nearly 4,000 new references and real-world advice in bulleted form at the end of each chapter ensure current, easily accessible, evidence-based point-of-care decision support. Unique problem-based chapter organization covers the spectrum of adult primary care, highlighted by more than 400 tables, figures, and photographs, many in color. Chapters present actionable, scientifically validated guidance that allows physicians to go beyond standard consensus guidelines and provide highly personalized care. Best evidence is integrated with considerations of affordability, cost-effectiveness, convenience, and patient preference. Special consideration is given to team-based approaches of primary care delivery, recognizing its increasing importance to achieving high levels of practice performance. 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 invaluable guide to the GPVTS supports trainees from the process of application, through to qualification and beyond. Written by a recently qualified general practitioner, it combines a frank and friendly approach with a wealth of insider knowledge to guide the trainee through each stage of the training process. It not only features real-life case studies from those in training or who have recently completed training but also gives handy hints and tips on how to avoid some of the common trainee pitfalls. This first hand account aims to guide trainees through all the highs and lows of training and practising as a GP plus everything inbetween.