Chronic kidney disease (CKD) is a major global public health problem, affecting nearly one in seven adults in the United States alone. It is a disease that integrates chronic illness at several levels, and the progressive condition is associated with high rates of co-morbidity. This text provides a comprehensive, current state-of-the art review of this field, serving as a valuable resource for primary care providers and non-nephrology clinicians that treat patients with CKD. It is comprised of 24 chapters focused on specific aspects of the disease. The first 2 chapters provide a bit of background on the disease, describing the anatomy and physiology of the kidney as well as the definition and epidemiology of the disease. The following 3 chapters discuss the detection, prevention and progression of the disease. The next 6 chapters describe the relationship of the disease with other conditions and most common co-morbidities such as diabetes and hypertension. The chapters, that follow focus on the CKD associated complications and the CKD within special populations such as the elderly and minorities as well as dietary restrictions and drug dosing. The book concludes with discussion on preparation for renal replacement therapy and preemptive organ transplantation as an alternative to dialysis in the management of the advanced CKD. Written by experts in the field, Approach to Chronic Kidney Disease is a comprehensive guide for clinicians, especially primary care providers including residents and fellows in training, who take care of chronic kidney disease patients. It is also a useful tool for researchers dealing with this challenging field.

A patient's job is to tell the physician what hurts, and the physician's job is to fix it. But how does the physician know what is wrong? What becomes of the patient's story when the patient becomes a case? Addressing readers on both sides of the patient-physician encounter, Kathryn Hunter looks at medicine as an art that relies heavily on telling and interpreting a story--the patient's story of illness and its symptoms.

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.

Designed for quick reference, Algorithmic Diagnosis of Symptoms and Signs: A Cost-Effective Approach equips you to effectively interpret more than 230 of the most common symptoms and signs. The ideal aid for the busy clinician, this handy, portable resource promotes a cost-effective patient workup, explaining which diagnostic tests are most appropriate (and when such tests are not indicated). Comprehensive updates throughout put the very latest diagnostic approaches at your fingertips. Features: Evaluate patients efficiently using clear, step-by-step algorithms that spell out what to look for, what tests to order, what differentials to consider, and when to refer to a specialist. Master essential clinical skills with a new section on "Getting the most out of your history and physical examination." Effectively evaluate more conditions through new algorithms for various symptoms and laboratory tests, including algorithms representing diseases that are symptoms of other diseases. Recognize diagnostic alternatives at a glance thanks to differential diagnostic tables. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

Addiction is increasingly being recognized as a major global public health issue, and an ever-growing number of medical specialties, psychological and social science training programs, and professional associations are including addiction as part of their training and continuing education curricula. The first edition of this book presented an overview of the spectrum of addiction-related problems across different cultures around the globe. Sharing the experience and wisdom of more than 260 leading experts in the field, and promoted by the International Society of Addiction Medicine, it compared and contrasted clinical practices in the field of addiction medicine on the basis of neurobiological similarities as well as epidemiological and socio-cultural differences. Building on the success of this inaugural edition, and taking into account the formal and informal comments received as well as an assessment of current need, this textbook presents general updated information while retaining the most requested sections of the first edition as demonstrated by the number of chapter downloads. It also provides a basic text for those preparing for the ISAM annual certification exam. Written by some 220 international experts, it is a valuable reference resource for anyone interested in medicine, psychology, nursing, and social science.

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.

This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-world scenarios as additional teaching tools for the reader. Perinatal Palliative Care: A Clinical Guide is divided into four sections. Part One provides the foundation, covering an overview of the field, key theories that guide the practice of perinatal palliative care, and includes a discussion of perinatal ethics and parental experiences and needs upon receiving a life-limiting fetal diagnosis. Part Two delves further into practical clinical care, guiding readers through issues of obstetrical management, genetic counseling, neonatal pain management, non-pain symptom management, spiritual care, and perinatal bereavement care. Part Three discusses models of perinatal palliative care, closely examining evidence for different types of PPC programs: from hospital-based programs, to community-based care, and examines issues of interdisciplinary PPC care coordination, birth planning, and team support. Finally, Part Four concludes the book with a close look at special considerations in the field. In this section, racial, ethnic, and cultural perspectives and implications for PPC are discussed, along with lessons in how to provide PPC for a wide-range of clinical and other healthcare workers. The book closes with a look to the future of the field of perinatal palliative care. Thorough and practical, Perinatal Palliative Care: A Clinical Guide is an ideal resource for any healthcare practitioner working with these vulnerable patient populations, from palliative care specialists, to obstetricians, midwifes, neonatologists, hospice providers, nurses, doulas, social workers, chaplains, therapists, ethicists, and child life specialists.

GPST Stage 3: Written and Simulation Exercises, Second Edition continues the tradition of the BMA award-winning first edition by providing the most relevant and current revision guide for candidates preparing for the GPST Stage 3 assessment. Written by authors who run a highly successful GPST course in West London, and who therefore have first-hand experience of the selection process, the book provides an ideal framework to help candidates prepare for both the written and the simulation exercises used in the assessment. The new edition has been updated to reflect the inclusion of more ethics-based written exercises in the assessment. An additional chapter containing 8 mock tests has also been included, ensuring GPST Stage 3: Written and Simulation Exercises, Second Edition remains the definitive guideto maximise chances of exam success. Includes 60 written priorisation and 45 simulated consultation exercises, all with suggested answers and updated for the new edition More ethics based written exercises have been added reflecting recent changes to the exam. New chapter includes 8 complete mock tests to allow candidates to simulate the experience of sitting the exam Previous edition published February 2013 (9781907816611) Amazon reviews of the first edition: Fully comprehensive for stage 3 GP application process. Covers written prioritisation and communication/consultation scenarios. Full of scenarios laid out in a way that you can practice alone or with a friend ...exactly the type of practice book I have been looking for. Written prioritisation task section included model answers and explains why they are the model answers. Really worth the money. I don't hesitate to recommend it to all my friends preparing for the application process. Excellent book. Covers all of the necessary information to pass the exam. All of the communication stations I did at the selection centre were discussed within the book. Well worth the money!

Since the efforts of Dame Cicely Saunders and the founders of the modern hospice movement, compassion has become a fundamental part of palliative care. In this ground-breaking book, international experts give their critical thoughts on the essence and role of compassion, in both palliative and hospice care over the past half-century. Compassion: The essence of palliative and end-of-life care provides insight into the motivations for, and practice of, compassionate palliative and hospice care, featuring the reflections of leading healthcare professionals, social workers, chaplains and educators. Chapters utilise case examples and first-hand experiences to explore the historical and contemporary discourse surrounding the concept of compassion in palliative medicine. This book is relevant to a multidisciplinary audience of palliative care practitioners, including undergraduate and graduate students in sociology, psychology and theology, and healthcare professionals in oncology and gerontology.

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.

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.

Multiple Sclerosis (MS) is thought to affect almost 2.5 million people worldwide. With the arrival of several new MS drugs and increased availability of information on the internet, many people are confronted by an overwhelming number of information sources about how best to manage their condition. This new book explains, in a clear and accessible way, what is currently known about MS. It provides an explanation of the disease process, symptoms, diagnosis, and how drugs and alternative approaches to disease management work. It also provides supplementary information on how lifestyle and diet changes may help.
Multiple Sclerosis: The Facts addresses the most frequently asked questions about MS, and provides answers in an easy-to-read and accessible format. The book is an invaluable resource for people with MS, and their families and health care workers will also find it a go-to guide to help understand the disease more clearly. This book will also be of interest to medical students and MS researchers.

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.

This convenient handbook is a comprehensive guide to the evaluation and treatment of more than 80 signs and symptoms. It is organized alphabetically, and each entry includes history and physical examinations; causes; differential diagnosis; diagnostic procedures; treatment approaches including when to refer and when to admit; ongoing care and follow-up; and prevention. Contents include: Abdominal pain Back pain Chest pain Diarrhea and steatorrhea Dizziness and vertigo Fatigue and weakness Fever Headache Heart murmurs Jaundice Rash Red eye/pink eye Sleep disturbances Speech and language concerns Vomiting Wheezing And more!

Is there an epidemic of depression sweeping the world, or are we radically altering our interpretation of normal human experiences? Do we need a dose of medication or a renewed sense of meaning? In this second edition of Beyond Depression, Christopher Dowrick - an academic general practitioner - takes a critical insider's look at commonly held views about the diagnosis and management of depression. He argues that our belief in depression as a medical condition is based on commercial, professional, organisational and cultural factors which combine to sustain the popularity of depression as a concept, which is based more on our values than on science. Based on the best contemporary evidence available, this second edition includes new research findings on the management of mild and recurrent depression, the possibility of a genetic basis to depression, and extended arguments on the limitations of screening, and the placebo effects of antidepressant medication. The author considers alternative ways of understanding the thoughts and feelings that we currently describe as depression, drawing on cross-cultural, religious, political and literary sources. He proposes a conceptual framework that provides a means of moving beyond depression as a medical concept and as a personal problem. When applied to encounters between doctors and patients in primary care it leads us towards enabling narratives, with an emphasis on listening and understanding rather than diagnosis and prescription. Beyond Depression combines a comprehensive analysis of current scientific evidence with an impressive review of linguistic, literary and philosophical perspectives. Moving seamlessly between controlled trials and Camus, from prescribing to Proust, the book is informed throughout by a series of sensitive case studies drawn from the author's personal experience.

There is an ever-increasing emphasis on evidence-based medicine that is distinguished by systematic crafting of the patient-centered research question, detailed literature searches, and careful appraisal of the resulting evidence. The consensus that ultimately emerges must then be applied in specific clinical settings, and it is to this process that translational effectiveness analysis refers. This portable and easy-to-use handbook is intended as a practical teaching guide on translational effectiveness for students and clinicians. Specifically, it will serve as a primer on patient-centered outcomes research methodology in the health sciences and explain how to acquire and understand the fundamental data that determine which reports are valued as the "best available" evidence. It presents an accessible and readily intelligible set of principles which doctors, dentists, nurses, and insurance carriers will be able to use in the process of health care-related decision-making.

Women are entering medical school in equal numbers as men, yet still face unique challenges in a profession where, overall, male physicians outnumber female physicians 3 to 1. Women in medicine also face decisions such as when to have a child during training and often struggle with work-life balance. This book features real stories and advice from mothers in medicine at all stages of training from medical student to practicing physician and addresses the topics that shape the lives, joys, and challenges of women in medicine today. The book is based on the best posts and wisdom shared on the Mothers in Medicine blog, which was established in 2008 by the editor and has published over 1500 posts and has over 4.8 million page views to date. The book is organized by themes that are unique to the physician-mother: career decisions, having children during training, navigating life challenges, practice issues, and work-life balance. Each chapter features an excerpt from the blog followed by an honest discussion of the key considerations, guidelines, and tips as related to each topic in the conversational, personal tone of the blog. The book concludes with a chapter that features the most popular questions posted on the Mothers in Medicine blog and a summary of the responses received from the community of readers. Mothers in Medicine: Career, Practice, and Life Lessons Learned is a valuable and contemporary resource for pre-medical students, medical students, residents, and physicians.

Neurology: An Oxford Core Text introduces neurology to the medical student in a concise, innovative and memorable way. Praised by lecturers and students alike for breaking down the barriers which conventionally surround this difficult subject, this book is highly recommended reading for medical undergraduates. It covers the most important neurological problems in clinical practice, highlights the crucial neuroanatomical and neurophysiological background, introduces the pathogenesis of neurological disease, discusses treatment and management, and also covers ethical and rehabilitation issues. Neurology: An Oxford Core Text * introduces the major neurological diseases * deals with weakness, visual symptoms, headaches, blackouts and stroke * covers the general principles of history-taking * gives practical advice on how to perform simple neurological examination * has detailed instructions on examination in particular clinical circumstances * includes 24 case histories * is fully illustrated with clinical photos and line diagrams It is an essential purchase for all medical students and those looking for a high quality introduction to the subject.

The only textbook for PA students by PA educators that covers everything you need to know for your clinical medicine courses.This groundbreaking clinical textbook designed specifically for physician assistant students was developed by PA educators to ensure that you have the exact information you need to succeed in your challenging clinical medicine courses. Designed with the unique PA curriculum in mind, Clinical Medicine for Physician Assistants addresses current ARC-PA standards, providing you with a single go-to resource for all the topics you'll need to master. Organized by body system, this text provides the in-depth, head-to-toe foundation you'll need as you prepare to move into clinical practice. Not only does it cover hundreds of clinical conditions, but it also provides important insights on how to manage the most common chief complaints, system by system, with useful algorithms to guide you through patient visits. Chapters include a digestible and methodical review of conditions, including pathophysiology, etiology, history, signs and symptoms, physical exam, and diagnosis details for each. Also included are treatment options, patient education, and special considerations for various patient populations. Additionally, you'll find key points at the end of each chapter, along with knowledge checks to help you synthesize and apply what you learned. Key Features: The first clinical medicine textbook developed for PAs by PAs specifically for the PA curriculum Designed to reflect current ARC-PA competencies and standards for clinical medicine courses Covers all the clinical topics on the current NCCPA PANCE blueprint and more Includes chapters on surgery, abuse, care of the LGBTQ+ patient population, and preventive medicine More than 300 four-color illustrations, dozens of algorithms, and 600 useful tables and boxes to facilitate learning Key points and knowledge checks to reinforce learning Useful guidance for navigating common chief complaints Robust instructor resources, including an instructor manual, PowerPoint lectures, case studies, an image bank, and a test bank with more than 1,000 questions

This concise text delivers a basic introduction to neurology and is designed for use by medical students during their rotation in neurology and related disciplines. Updated and expanded, this second edition follows the same order as the first, starting with how to approach a patient with a neurologic problem followed by the latest information on the phenomenology, pathophysiology and symptoms of common adult and pediatric neurologic diseases. Supplementing the learning experience are clinical cases that begin each chapter and videos of examples ranging from how to perform the normal neurologic exam to abnormal exam findings. Easy-to-read and richly illustrated, Fundamentals of Neurologic Disease, 2nd Edition is an invaluable resource for anyone seeking to learn the fundamentals of neurology.

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 editions preserve the original texts of these important books while presenting them in durable paperback and hardcover 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.

Now in its 5th edition, this practical handbook was winner of the BMA's "Best new book in primary care" award and is a best-seller in the field of women's health care. The clear, evidence-based text is packed with readily accessible information, interspersed with figures and tables for easy reference in the busy GP surgery. The book covers areas not normally included in standard gynaecology textbooks and will be invaluable for gynaecologists in training, those preparing for the MRCGP, MRCOG and DRCOG examinations, as well as the well-informed lay woman.

This new edition has been comprehensively revised to reflect recent developments. All the chapters have been updated or completely rewritten, and new authors have been selected on the basis of their expertise and direct experience of primary care. Each chapter includes a section on the questions patients frequently ask, along with the answers. There are also model consultations on common problems - what a good GP might realistically cover in a ten minute appointment. The chapters include: menstrual problems, vaginal discharge and sexually transmitted infections, cystitis, chronic pelvic pain, infertility and early pregnancy loss, unwanted pregnancy, contraception, breast disorders, eating disorders and complementary medicine - reviewing evidence as it affects women's health.

New chapters include: menopause and osteoporosis - with a detailed review of the evidence weighing up the risks and benefits of HRT, premenstrual syndrome, vulval disorders, incontinence, sexual problems, domestic violence, breast, cervical and ovarian cancer screening, familial cancers and health promotion in primary care.

This book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries. This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women's Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter. This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.