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Books > Medicine > General issues > Health systems & services > General practice
Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1973 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.
Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1970 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.
This book helps general practitioners, health visitors and other professionals working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it particularly useful. Each problem is covered in a uniform way, with definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. The book supports service provision in the new primary care environment, and forms a comprehensive practical guide to the full range of difficulties and disabilities affecting the mental health of children and young people.
This book uniquely explores American cultural values as a factor in maternal health. It looks beyond the social determinants of health as primarily contributing to the escalating maternal morbidity and mortality in the United States.  The United States is an outlier with poor maternal health outcomes and high morbidity/mortality in comparison to other high-resource and many mid-level resource nations. While the social determinants of health identify social and environmental conditions affecting maternal health, they do not answer the broader underlying question of why many American women, in a high-resource environment, experience poor maternal health outcomes. Frequent near-misses, high levels of severe childbearing-related morbidity, and high maternal mortality are comparable to those of lower-resource nations. This book includes contributions from recognized medical and cultural anthropologists, and diverse clinical and public health professionals. The authors examine American patterns of decision-making from the perspectives of intersecting social, cultural, and medical values influencing maternal health outcomes. Using an interdisciplinary critical analysis approach, the work draws upon decision-making theory and life course theory. Topics explored include: Cultural values as a basis for decision-making Social regard for motherhood Immigrants, refugees and undocumented mothers Cultural conflicts and maternal autonomy Health outcomes among justice-involved mothers Maternal Health and American Cultural Values: Beyond the Social Determinants is an essential resource for clinical and public health practitioners and their students, providing a framework for graduate-level courses in public health, the health sciences, women’s studies, and the social sciences. The book also targets anthropologists, sociologists, and women studies scholars seeking to explain the links between American cultural decision-making and health outcomes. Policy-makers, ethicists, journalists, and advocates for reproductive health justice also would find the text a useful resource.
This important work offers the first detailed analysis of recent changes in health care for the elderly. The contributors examine primary care in urban, suburban, and rural settings and show what makes each of these successful care-providers.
Antibiotics will soon no longer be able to cure common illnesses
such as strep throat, sinusitis and middle ear infections as they
have done for the last 60 years. Antibiotic-resistant bacteria are
increasing at a much faster rate than new antibiotics to treat them
are being developed. The prescription of antibiotics for viral
illnesses is a key cause of increasing bacterial resistance.
Despite this fact, many children continue to receive antibiotics
unnecessarily for the treatment of viral upper respiratory tract
infections. Why do American physicians continue to prescribe
inappropriately given the high social stakes of this action? The
answer appears to lie in the fundamentally social nature of medical
practice: physicians do not prescribe as the result of a clinical
algorithm but prescribe in the context of a conversation with a
parent and a child. Thus, physicians have a classic social dilemma
which pits individual parents and children against a greater social
good.
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.
During September 10-14, 1984, we held a Research Workshop at the Lake Arrowhead Conference Center, California, bringing togeth er leaders in the field of electronic spatial sensors for the blind from the psychology, engineering, and rehabilitation areas. Our goal was to engage these groups in discussion with one another about prospects for the future of electronic spatial sensing, in the light of emerging technologies and the increasing sophistica tion of behavioral research related to this field. The papers in this book give an update on several of the key research traditions in thi s fi e 1 d. Broader overvi ews are provi ded in the paper by Brabyn, and in our Historical Overview, Final Commentary and the Introductions to each section. In a field as complex as this, some overlap of discussion is desirable and the reader with a serious interest in this field is advised to sample several opinions. This volume, and the conference on which it is based, received assistance from many people and organizations. The Scientific Affai rs Divi sion of the North Atl antic Treaty Organization sup ported the conference as part of their program of Advanced Research Workshops, and the Science and Technology to Aid the Handicapped Program of the National Science Foundation provided additional major financial support. The Center for Social and Behavioral Sciences Research of the University of California, Riverside provided financial as well as major logistical support."
Since the publication of the first edition, there have been advances in both the diagnosis and the management of many of the cholestatic liver diseases. Cholestatic Liver Disease, Second Edition thoroughly updates the topics previously addressed, such as primary biliary cirrhosis, primary sclerosing cholangitis, and cholestatic variants of drug hepatotoxicity and viral disease. New treatments, such as the development of the farnesoid X receptor agonists for the treatment of PBC, are highlighted. Current guidelines and areas of uncertainty are also covered. Additionally, new chapters have been added to reflect the changing landscape of cholestatic liver disease. Cholestatic Liver Disease, Second Edition is a concise yet comprehensive summary of the current status of the field and is of value to clinicians and researchers interested in patients with cholestatic liver disease provide that will help to guide patient management and stimulate investigative efforts.
The harmful consequences of alcoholism for the unborn child are still largely unknown. This book presents a detailed description of fetal alcohol syndrome as well as fetal alcohol spectrum disorders with respect to their clinical presentation, diagnosis, epidemiology, and pathogenesis. It also includes detailed considerations of underlying psychopathology, prevention, and therapy as well as the social consequences and impacts to patients.
This volume provides a history of Eosinophilic Esophagitis (EoE), a basic understanding of the physiology of the eosinophil, and a current understanding of the pathophysiology and genetics of EoE. The emphasis is on clinical applications including presenting symptoms, diagnosis and treatment options for patients with EoE. Written by both pediatric and adult experts in the fields of gastroenterology, allergy and pathology, this volume includes the most up to date information. Providing practical information useful in the treatment of patients, this book will be of great value to gastroenterologists, allergists, pathologists, medical residents, fellows, internists, and general practitioners who treat patients with eosinophilic esophagitis.
This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.
This book focuses on a formative period in the development of modern general practice. The foundations of present-day health care in Britain were created in the century before the National Health Service of 1948, when medicine was transformed in its structure, professional status, economic organization, and therapeutic power. In the first full-length study of general practice for these years, Anne Digby deploys an impressive range of hitherto unused archival material and oral testimony to probe the character of general practitioners careers and practices, and to assess their relationships with local communities, a wider society, and the state. An evolutionary approach is adopted to explain the origins and nature of the many changes in medical practice, and the lives of ordinary doctors. The study also explores the gendered nature of medical practice as reflected in the experience of a golden band of women GPs, and examines the hidden role of the doctors wife in the practice.
‘Hilarious, bitter, poignant and profound, this is the human condition laid brilliantly bare, like an existential soap opera – only with more laughs.‘ - Philip Hoare, author of Leviathan It was the kind of phone call we all dread. Your elderly father has been admitted to hospital. He’s not well and he needs your help. Your mum is about to be left at home alone. She needs you too. The answer? Simple. Drop everything. Go. Just be there. Just help. The reality? Not so straightforward. Suddenly, you’re a kid again, stranded in the overheated house you grew up in. They need you 24/7, that much is obvious. And you want to help, of course you do. But soon your life starts to unravel almost as quickly as their health. In between bouts of washing, feeding, cooking and fighting there are days that test you, days where everything goes wrong and days where everyone, miraculously rises to the occasion. And in between all of that, you learn how to care. But this time with feeling. Irresistibly funny, unflinching and deeply moving, this is a love letter to family and friends, to carers and to anyone who has ever packed a small bag intent on staying for just a few days. This is a true story of what it really means to be a carer, and of the ties that bind even tighter when you least expect it. This is The Reluctant Carer.
Selected as a Doody's Core Title for 2022!Practical and highly organized, The5-Minute Clinical Consult 2023 provides rapid access to the diagnosis, treatment, medications, follow-up, and associated conditions for more than 540 disease and condition topics to help you make accurate decisions at the point of care. Organized alphabetically by diagnosis, it presents brief, bulleted points in a templated format and contains more than 100 diagnostic and therapeutic algorithms. Edited by Frank J. Domino, Robert A. Baldor, Kathleen A. Barry, Jeremy Golding, and Mark B. Stephens, this up-to-date, bestselling reference delivers maximum clinical confidence as efficiently as possible, allowing you to focus your valuable time on providing high-quality care to your patients. Get quick access to all-new content, including Ocular Trauma, Oppositional Defiant Disorder, and Sick Sinus Syndrome. Find the answers you need quickly thanks to an intuitive, at-a-glance format, with concise, bulleted text; hundreds of diagnostic and therapeutic algorithms; ICD-10 codes; DSM-5 criteria; and much more. Make confident decisions aided by current evidence-based designations in each topic. A reliable, go-to resource for clinicians in primary care, family medicine, emergency medicine, nursing, and pediatrics. Written by esteemed internal medicine and family medicine practitioners and published by the leading publisher in medical content, The 5-Minute Clinical Consult 2023, 31st Edition includes a 10-Day Free Trial to 5MinuteConsult.com, an evidence-based, online workflow tool easily integrated at the point of care. 5MinuteConsult.com provides online-exclusive content, including: More than 1,200 additional topics, including the full contents of The 5-Minute Pediatric Consult and The 5-Minute Sports Medicine Consult Online-exclusive topics and algorithms on COVID-19 and Telemedicine Differential diagnosis support from an expanded collection of algorithms Current evidence-based designations highlighted in each topic Thousands of images to help support visual diagnosis of all conditions A video library of procedures, treatment, and physical therapy techniques An A-to-Z Drug Database from Facts & Comparisons (R) Guidance on laboratory test interpretation from Wallach's Interpretation of Diagnostic Tests More than 3,000 patient handouts in English and Spanish Approximately 100 Diseases and Conditions in Spanish ICD-10 codes and DSM-5 criteria FREE point-of-care CME and CE: 0.5 credits each time you search the site to find the best treatment for your patients. This activity has been reviewed and is acceptable for up to 20 prescribed credits by the AAFP and the ANCC.The 5-Minute Clinical Consult Premium 2023: 1-Year Enhanced Online Access + Print, 31st Edition or an online-only subscription, available at www.5MinuteConsult.com Consider a subscription to 5MinuteConsult.com, available for 1 year with the purchase of 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.
Written by physicians who are experts in both traditional and complementary medicine, Integrative Medicine, 5th Edition, uses a clinical, disease-oriented approach to safely and effectively incorporate alternative therapies into primary care practice. Drawing on available scientific evidence and the authors' first-hand experiences, it covers therapies such as botanicals, supplements, mind-body, lifestyle choices, nutrition, exercise, spirituality, and other integrative medicine modalities. This highly regarded reference offers practical guidance for reducing costs and improving patient care while focusing on prevention and wellness for a better quality of life. Explains how to make the best use of integrative medicine and the mechanisms by which these therapeutic modalities work, keeping you at the forefront of the trend toward integrative health care. Templated chapters make it quick and easy to find key information such as dosing, pearls, the Prevention Prescription, and Therapeutic Reviews that incorporates the Evidence vs Harm Icon.   Uses the reliable SORT method (Strength of Recommendation Taxonomy) to provide evidence-based ratings, grading both the evidence and the relative potential harm. Thoroughly updated, ensuring that you remain well informed regarding the latest evidence. Contains 10 new chapters covering clinician resilience, supporting immunity, NASH/fatty liver, hair loss, rethinking the movement prescription, compassion practices, prescribing low-dose naltrexone, psychedelics, tapering off PPIs and opioids, as well as an expanded osteopathy chapter. Covers timely topics aimed at reducing the epidemics of polypharmacy and opioid overuse, as well as supporting immunity in the face of infectious diseases. Provides online access to multiple-choice questions for every chapter-perfect for board exam review. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.Â
This handbook provides tools for nurse educators, ethics educators, practicing nurses and allied health professionals for developing confidence and skill in ethical decision making in interdisciplinary settings such as acute and chronic care hospitals and clinics. It is useful for all healthcare personnel who face ethical issues in the course of their work and who work with nurses to resolve these issues. While the content is based on a US context, the concerns of nurses internationally are discussed and emphasized. Nurses working in acute and chronic care settings face many obstacles to providing good care and are often the first line of defense related to patient safety and meeting the needs of patients and their families. Some of the obstacles to optimal patient care are institutional, some sociocultural, and others the result of inadequate communication. Evidence points to the idea that while nurses do have the knowledge and skills to address practice problems of various sorts, they may not be confident in their skills of ethical decision making and advocacy actions. This is a resource to develop moral agency on behalf of individuals and to address broader barriers to good care raised at the local, community, or social levels.
This evidence-to-practice volume deftly analyzes the processes and skills of integrating mental healthcare with primary care, using multiple perspectives to address challenges that often derail these joint efforts. Experts across integrative medicine offer accessible blueprints for smoothly implementing data-based behavioral interventions, from disease management strategies to treatment of psychological problems, into patient-centered, cost-effective integrated care. Coverage highlights training and technology issues, key healthcare constructs that often get lost in translation, and other knowledge necessary to create systems that are rooted in-and contribute to-a robust evidence base. Contributors also provide step-by-step guidelines for integrating behavioral health care delivery in treating cancer, dementia, and chronic pain. Among the topics covered: The epidemiology of medical diseases and associated behavioral risk factors. Provider training: recognizing the relevance of behavioral medicine and the importance of behavioral health consultations and referrals. Screening for behavioral health problems in adult primary care. Health care transformation: the electronic health record. Meeting the care needs of patients with multiple medical conditions. Smoking cessation in the context of integrated care. This depth of clinical guidance makes Behavioral Medicine and Integrated Care an essential reference for practitioners on all sides of the equation, including health psychologists and other professionals in health promotion, disease prevention, psychotherapy and counseling, and primary care medicine.
This book covers several areas, such as immunology, infectious diseases, physiology, general nursing, and medicine as well as measurement accuracy and the history of our understanding of fever. This book employs an interdisciplinary approach to exploring our concept of body temperature and specifically fever. The present volume revolves around thermometry, taking the reader on a journey from the past to the present. Yet while the emphasis is on the clinical importance of obtaining accurate, quantitative measurements of body temperature, the reader is also introduced to the most recent clinical work on the subject. This book represents a truly cross-disciplinary collaboration, using evidence-based practice to integrate physiological and immunological knowledge. The authors' intention with this volume is to help readers gain better insight into the importance of using knowledge from different disciplines to develop an appreciation of the different aspects of body temperature. In addition, the reader will come to understand the concept of fever in a broader perspective than is traditionally adopted.
This is the second edition of a well-received book that has been revised and updated to reflect the state of the art in laser and light source technology. After an initial chapter describing the latest understanding of laser physics and safety, subsequent chapters consider laser treatment of vascular lesions, laser treatment of pigmented lesions and tattoos, laser removal of unwanted hair, ablative and non-ablative fractional resurfacing, and use of laser treatment for medical purposes. The book is extremely practical and reader friendly. All chapters are very well illustrated, include quick and clear bullet points, and feature a homogeneous structure covering core concepts, currently available technologies, indications and contraindications, an example of a consent form, and the author's personal treatment approaches. The authors are without exception world experts in the field from North America or Europe.
This handbook addresses the delivery of high quality pediatric behavioral healthcare services that are multitiered, evidence-based, and integrated, involving interprofessional collaboration across child serving systems, such as pediatrician offices and schools. The book sets forth a contemporary, leading edge approach that reflects the relationship between biological and psychosocial development and the influence of multiple systems, including the family, community, school, and the healthcare system on child development and functioning. It assists child-focused providers in developing knowledge about the relationship between biological and psychosocial development and between pediatric physical health and behavioral health problems. Chapters cover common chronic illnesses and behavioral conditions and include guidelines for screening, assessment, diagnosis, prevention, and coordinated intervention. Chapters also include representative case studies that help illustrate efficacious, effective service-delivery approaches. The handbook concludes with recommendations for future research and directions for integrated pediatric behavioral healthcare. Topics featured in the Handbook include: Behavioral health aspects of chronic physical health conditions, including asthma, diabetes, chronic pain, traumatic brain injury, and cancer. Physical health implications of behavioral health and educational problems, including ADHD, learning disabilities, substance abuse, and ASD. Coping with chronic illness and medical stress. Patient adherence to medical recommendations and treatments. School reintegration after illness. The Handbook of Pediatric Behavioral Healthcare is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, and other practitioners in clinical child and school psychology, primary care medicine, social work, child and adolescent psychiatry, public health, health psychology, pediatric medicine, nursing, behavioral therapy, rehabilitation, and counseling.
Regenerative medicine (RM) is a rapidly expanding topic within orthopedic and spine surgery, sports medicine and rehabilitation medicine. In the last ten years, regenerative medicine has emerged from the fringes as a complement and challenge to evidence-based medicine. Both clinicians and patients alike are eager to be able to offer and receive treatments that don't just surgically replace or clean old joints or inject away inflammation or work as a stop-gap measure. Regenerative medicine encompasses everything from the use of stem cells and platelet-rich plasma (PRP) to prolotherapy, viscosupplementation and beyond. This book will provide healthcare practitioners dealing with spine and joint pain with the most current, up-to-date evidence-based information about which treatments work, which treatments don't, and which are on the horizon as potential game changers. Chapters are arranged in a consistent format and cover the spine, shoulder, elbow, hand and wrist, hip, knee, and foot and ankle, providing a thorough, top-to-bottom approach. A concluding chapter discusses current and future directions and applications of RM over the next decade or two. Timely and forward-thinking, Regenerative Medicine for Spine and Joint Pain will be a concise and practical resource for orthopedists, spine surgeons, sports medicine specialists, physical therapists and rehabilitation specialists, and primary care providers looking to expand their practice.
This book provides a comprehensive review of the complex, growing mental health challenges faced by culturally diverse populations of children and adolescents.Suicide Among Diverse Youth: A Case-Based Guidebook is the first book of its kind, and is designed specifically to bridge the knowledge and skills gap encountered by most clinicians dealing with youth from diverse cultural backgrounds, particularly those different than that of the clinician. The title begins with two introductory chapters, which cover cultural aspects of suicidality among youth, culturally informed treatment of suicidality with diverse youth, and examples of preventative approaches. These are followed by population specific chapters which cover a broad spectrum of diverse populations, including underserved ethnic and racial populations in the United States, LGBTQ youth, as well as various immigrant populations from Eastern European and Middle Eastern countries. These case-based chapters are structured in a cohesive, easy-to-read format that promotes ease of reference, beginning with a clinical case report, review of literature, unique characteristics and risk factors associated with suicidality, and evidence-based practice provided by the authors from their considerable experience. The authors are often from the same ethnic, racial, or cultural group that they discuss in their writings; providing experiential knowledge where scientific knowledge is lacking. Suicide Among Diverse Youth: A Case-Based Guidebook is a unique resource that offers the clinical material needed to treat diverse adolescent patients with sensitive, intersectional, and culturally-informed care, and will provide an indispensable resource for medical professionals working with, and caring for these patients.
Improvements in health care in the 21st century mean people are living longer, but with the paradox that chronic illness is increasingly prevalent. Dementia, a term used to describe various different brain disorders that involve a loss of brain function that is usually progressive and eventually severe, is a condition associated with an ageing population and is becoming increasingly common. Worldwide there are approximately 24 million people with dementia, expected to rise to 81 million by 2040. Inevitably, people living with dementia will die, but their needs at the end of life are not well known. This book describes what might be achieved if the values and best practice of both dementia care and palliative care are brought together, to achieve quality end of life care for this specific group of patients. It explores what is known about the experience of dying with dementia, using a narrative approach, and develops a model that draws together a 'person-centred' approach to care. The book examines the possibilities and the challenges faced when trying to improve quality of life for people with dementia, and presents examples of good practice from across the world.
This book is written for people working in primary care, who want
to understand more about how they contribute to improving the
health and health care of the populations that they serve, and for
people working in public health, who want to understand the
essential contribution of primary care to improving health. It sets
out the nature, purpose and relevance of public health approaches
to primary care practitioners and primary care organizations. |
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