This book addresses opioids and opioid use disorders from epidemiological, clinical, and public health perspectives. It covers detailed information on the nature of opioids, their effects on the human body and brain, prevention, and treatment of opioid addiction. Unlike other texts, the first section of this volume builds a strong historical, neurobiological, and phenomenological foundation for a deep understanding of the topic and the patient. The second section addresses the most challenging issues clinicians face, including pharmacological and psychosocial treatments, harm reduction approaches, alternative approaches to pain management for the non-specialist, and prescribing guidelines. Treating Opioid Addiction is a valuable resource for psychiatrists, psychologists, addiction medicine physicians, primary care physicians, drug addiction counselors, students, trainees, scholars, and public health officials interested in the effects and impact of opioids in the clinical and epidemiological context.

This book documents the ways that clinical practitioners and trainees have used the "structural competency" framework to reduce inequalities in health. The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers. Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation. Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.

Why buy Important Oral and Maxillofacial Presentations for the Primary Care Clinician? This book gives the Primary Care Clinician a grasp of the basic assessment of Oral and Maxillofacial presentations and will enable him or her to instigate an appropriate management plan. This book is unique in its presentation-based approach. It is a practical, problem-solving tool. It provides a simple, step-by-step algorithm approach to differential diagnosis and early management of seven important oral and maxillofacial presentations: Oral Ulcers, Patches on the Oral Mucosa, Lumps in the Mouth, Lumps of the Face, Facial Pain / Altered Sensation, Restricted Jaw Movement and Neck Lumps. Furthermore, the simple 'Ask', 'Look' and 'Sinister Features' lists for each presentation ensure that key questions are addressed when assessing the patient. Important Oral and Maxillofacial Presentations for the Primary Care Clinician is aimed internationally at medical, dental and allied healthcare professionals working in primary care. What's inside: Chapter 1 covers the basic examination of the mouth, face and neck. Chapters 2-8 each deal with a specific clinical presentation and provide the user with a management algorithm plus essential history and examination findings per clinical presentation. Furthermore, this is backed up with practical explanation and numerous clinical photographs

How do economic stresses on the family, such as dual-earner parents, unemployment, and poverty, affect the human service professional's assessment of the families he or she serves? The field of family sociology is now providing a wealth of empirical, relevant knowledge on the impact of macroeconomic issues on the families most frequently helped by social workers. New Approaches to Family Practice takes current research driven by the family systems theoretical framework and applies it to human services direct practice with families in three specific areas: employed-work and family-work, unemployment, and poverty. To illustrate the linkages from research to practice, the book presents chapters on the theory and research in each of the three target areas, each followed by a chapter on application and tools for direct practice in that area. Individual chapters include case studies, assessment tools, multilevel interventions and evaluations, and strategies for social change. In addition to being a rich resource for the human services professional who works with families, this book is ideal for courses in social work with the family, social work and human services, family studies, and clinical/counseling psychology.

Comprised exclusively of clinical cases illustrating current strategies for obesity management across various types of conditions, this concise, practical casebook will provide obesity medicine specialists and all physicians who treat obesity with the best real-world strategies to properly diagnose and treat patients struggling with weight management. Each section includes a pair of cases that open with a unique clinical presentation, followed by a description of the diagnosis, assessment and management technique recommended and employed, as well as the case outcome and clinical pearls and pitfalls. Cases included in the first sections depict issues involved in obesity management in metabolic syndrome, cardiovascular disease, insulin resistance syndromes, genetic predisposition, and type 2 diabetes. Subsequent sections present cases highlighting particular management strategies, such as psychiatric medication induced weight gain, behavioral interventions, bariatric surgery and pharmacotherapy for obesity. Pragmatic and reader-friendly, Obesity Management: A Clinical Casebook is an excellent resource for physicians who treat overweight and obesity and the complications of these conditions.

A comprehensive manual, USMLE Step 1 Review helps students prepare for Step 1 of the United States Medical Licensing Examination (USMLE). Editor Joel S. Goldberg covers the full range of material presented in the basic medical sciences courses both in terms of general principles, such as DNA replication and homeostasis, as well as individual organ systems:

This text serves as a very useful clinical guide and realistic approach to the clinical management of melanoma. Primary care physicians, specialists from varying areas of medical practice and numerous other healthcare providers will find this text to be quite useful as a standard daily reference and use in the office setting. It provides a clear and concise source of information in order to make real-life, evidence-based decisions for all aspects of management for cutaneous melanoma. This book also provides the latest breakthroughs in melanoma research, ranging from recent discoveries in genomics and epigenetics, to newly identified genes that have been selectively targeted for the development of a personalized approach to treatment. All chapters are written by specialists and true experts within their respective fields, incorporating the latest scientific, clinical and evidence-based medicine for melanoma (and non-melanoma skin cancers). This up-to-date information can be easily applied and translated to the clinical setting for the melanoma patient.

This comprehensive, practical title invites all clinicians to take a fresh look at the evaluation and management of chronic daily headache (CDH). Developed by a distinguished international panel of experts, the book examines key social and economic issues around CDH and clarifies the diagnosis of CDH disorders, providing an understanding of the underlying biological substrates, offering guidance on the use of diagnostic testing and additional consultations, and outlining treatment strategies with the greatest potential to alleviate the burden of these patients and to provide the highest quality of care. The book fully examines the constellation of symptoms that constitute chronic daily headache, while also discussing the role of behavioral medicine and the important elements involved in taking a good history. The major forms and biology of chronic daily headache are covered, as is the role of diagnostic testing and treatment. The risk factors that lead patients to transform episodic primary headache disorders into the chronic form are examined. Invasive and neuromodulatory techniques are also discussed. A section on the classification of these disorders rounds out this important contribution to the literature. Chronic Headache - A Comprehensive Guide to Evaluation and Management will be of great interest to neurologists, primary care physicians, nurse practitioners, physician assistants, medical students, and other clinicians with an interest in chronic daily headache.

Solid organ transplantation offers a new chance at life to those suffering from failing organs. With these successes, however, comes the everyday management that is required to maintain health. The field of solid organ transplantation has become a part of medicine that generalists should be familiar with, as recipients are living longer and frequently returning to primary care for management. While specialists will still need to be involved with the care of solid organ transplant recipients on a life-long basis, many conditions will still need initial and often ongoing care by generalists, including infections, metabolic conditions, psychiatric illnesses, and malignancy. This book focuses on the care of adult solid organ transplant recipients, and is targeted at the level of the primary care provider. It begins with an introduction and overviews of solid organ transplantation and anti-rejection medications. It then delves into organ-specific chapters that provide the primary care provider with an overview of how to take care of patients with the most commonly-transplanted solid organs: kidney, kidney-pancreas, liver, heart, and lung. The final section focuses on specific complications that arise from transplantation including cancer, metabolic conditions, infections, and common presenting syndromes. Preventative health is also discussed, and the book concludes with a chapter on palliative care. Primary Care of the Solid Organ Transplant Recipient is a unique text that provides the reader with organ and complication-specific sections that can be independently read as they relate to the individual physicians and their patients. Written by experts in the field, this text is a valuable resource for primary care providers, medical students, residents and anyone involved in the care of solid organ transplant recipients.

Qualifizierte Diagnostik des Urinsediments! Dieses Lehrbuch vermittelt umfassend in Theorie und Praxis die qualifizierte Diagnostik des Urinsediments. Es erklart die Grundlagen der Urinsedimentdiagnostik und gibt daruber hinaus auch versierten Untersuchern zahlreiche Tipps. Exzellente Digitalfotografien in der Hellfeld- und Phasenkontrast-Mikroskopie zeigen eindeutig alle morphologischen Merkmale und unterstutzen das sichere Erkennen und Differenzieren der Bestandteile des Urinsediments. Fur Nephrologen, Urologen, Gynakologen, Internisten, Allgemeinmediziner, Studierende der Medizin, MTLAs und medizinisches Fachpersonal. Die 3. Auflage wurde umfassend aktualisiert, einige Kapitel ganzlich erneuert und durch zahlreiche neue hochaufloesenden mikroskopischen Aufnahmen als auch durch Kurzvideos als Zusatzmaterial erweitert.

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

This issue of Physician Assistant Clinics, guest edited by Patrick Parenzin, is devoted to Pediatric Orthopedics. Articles in this issue include: Human Trafficking: Knowing the signs, Adolescent Concussion: Evaluation and treatment, Adolescent Idiopathic Scoliosis, Pediatric Upper Extremity Trauma, Toe Walking, Developmental Dysplasia of the Hip, Anterior Knee Pain in Adolescents, Adolescent Back Pain, Cerebral Palsy, Toeing, Bowing and Flatfeet in Children, and more.

Awarded First Prize, in the Primary health care category, at the 2013 BMA Medical Book Awards.Following the familiar, easy-to-use "at a Glance" format, this brand new title provides a highly illustrated introduction to the full range of essential primary care presentations, grouped by system, so you'll know exactly where to find the information you need, and be perfectly equipped to make the most of your GP attachment.

"General Practice at a Glance" Is comprehensively illustrated throughout with over 60 full-page colour illustrationsTakes a symptoms-based approach which mirrors the general practice curriculumOffers 'one-stop' coverage of musculoskeletal, circulatory, respiratory, nervous, reproductive, urinary, endocrine and digestive presentationsHighlights the interrelations between primary and secondary careIncludes sample questions to ask during history taking and examinationFeatures 'red flags' to highlight symptoms or signs which must not be missed

This accessible introduction and revision aid will help all medical students and junior doctors develop an understanding of the nature and structure of primary care, and hit the ground running on the general practice attachment.

Selected as a Doody's Core Title for 2022! Encompassing all occupants of aircraft and spacecraft-passengers and crew, military and civilian-Fundamentals of Aerospace Medicine, 5th Edition, addresses all medical and public health issues involved in this unique medical specialty. Comprehensive coverage includes everything from human physiology under flight conditions to the impact of the aviation industry on public health, from an increasingly mobile global populace to numerous clinical specialty considerations, including a variety of common diseases and risks emanating from the aerospace environment. This text is an invaluable reference for all students and practitioners who engage in aeromedical clinical practice, engineering, education, research, mission planning, population health, and operational support. Features eight new chapters including Precision Medicine, Musculoskeletal System and Performance, Human Spaceflight Mishaps and Incidents, and Crew Escape and Survival Systems. Covers important approaches to Human System Integration and Risk Management, as well as Aeromedical Certification. Addresses important aeromedical issues involving agricultural aviation, military aviation, long-duration spaceflight, and commercial spaceflight. An excellent review tool for the American Board of Preventive Medicine - Aerospace Medicine certification exam and Continuing Certification, with outstanding contributions from a team of expert scientists and medical providers. 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 book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.

This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Anthony J. Viera and Devdutta Sangvai, is devoted to Population Health. Articles in this issue include: What is Population Health?; Measuring Health; Prevention as a Population Health Strategy; Value-Based Care; The Business Case for Population Health Management; Primary Care Transformation; Patient Engagement; Quality Improvement Principles and Practice; Lean Management; Population Health and AMCs: High cost meets high efficiency; Models of Population Health Management; Tools for Population Health Management; Clinically Integrated Networks; Assessing and Addressing Social Determinants of Health; and Population Health Policies.

Selected for an International Impact Book award, 2022! Selected as a Doody's Core Title for 2022! New chapter on COVID-19 vaccines is available in the eBook version (free with purchase of the printed version) Engaging, accessible, and filled with practical communication advice, Let's Talk Vaccines helps you educate patients on the importance of life-saving vaccines using a patient-centered and empathetic approach. Covering everything from the science of vaccine safety to the psychology of risk communication, this essential guide includes real-life examples and thoughtful, evidence-based techniques that will help patients understand vaccines and make informed decisions. Ideal for primary care providers, pediatricians, family physicians, nurse practitioners, and public health advocates, it provides an excellent framework for how to approach difficult discussions, with the goal of improving the health of each patient as well as the community at large. Directly addresses the increasing trend of parents choosing not to vaccinate their children, including the history and psychology of the anti-vaccine movement. Examines the issues underlying vaccine hesitancy, answering the common questions and concerns that vaccine-hesitant patients may raise during office visits. Helps you dispel myths and fears that many patients have, with particular attention paid to misinformation and skepticism on social media. Covers the anti-vaccine movement's assertions about autism, autoimmune illnesses and allergies, toxic ingredients, overwhelming the immune system, conspiracies, and more - bringing you up to date with the most common issues and effective approaches to the vaccine discussion. Provides practical tips on approaching the vaccine-hesitant parent and how anti-vaccine patients change their minds, with a focus on remaining a positive partner in your patients' care and finding greater success in your vaccination efforts. 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. Awards/Honors: International Impact Book Award Indie Reader Discovery Award: Health/Medicine/Nutrition 2022 Book of the Year - Finalist Paris Book Awards: Honorable Mention - Nonfiction Reader's Favorites: Book Excellence

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.

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.

Provides the GP trainee and trainer with a practical guide to making the best use of the vocational training programme.
This new edition has been completely revised to reflect the most recent changes to GP training and assessment. It sets out a practical framework within which trainees and trainers can work to ensure that trainees are as prepared as possible, not only for their MRCGP or Summative Assessments, but also for their whole careers in general practice.

This volume features papers on the theme of issues in health and health care for special groups, social factors and disparities. This includes papers dealing with macro-level system issues and micro-level issues involving special groups, social factors and disparities linked to issues in health and health care. The volume also contains an examination of health and health care issues of patients and providers of care especially those related to special groups and social factors including education, family, income, government, neighborhoods, social networks, health beliefs and attitudes. This includes a focus on links to policy, population concerns and patients and providers of care as ways to meet health care needs of people both in the US and in other countries.

This issue of Primary Care: Clinics in Office Practice, guest edited by Dr. Diane M. Harper, is devoted to Women's Health. Articles in this issue include: Social Constructs of How Women View and Obtain Their Healthcare; Becoming Reproductive; Family Planning and Contraception; Termination of Pregnancy; Female Athlete Triad; Menopause; Bone Health in Women; Cancers in Women; Cancer Survivor Health Needs for Women; Women's Health and the Military; Transgendered Women: Female to Male and Male to Female; Plastic Surgery for Women; Integrative Health for Women; Geriatric Medicine and Palliative Care for Women; and Medication Assisted Treatment (MAT) Considerations for Women with Opiate Addiction Disorders.

This issue of Physician Assistant Clinics, devoted to Geriatrics, is guest edited by Steven D. Johnson, PA-C. Articles in this issue include: Falls and the Older Adult: Prevention and evaluation; Cognitive Decline and Dementia; Shared Medical Appointments for Older Adults; Advanced Care Planning and Physician Orders for Life-Sustaining Treatment Program (POLST); Palliative Care; Home Care; Successful Aging; Functional Assessment and Pain Management; and more! CME is also available for subscribers to the series.

Real-life primary care case studies* from more than 50 primary care providers, including physician assistants, nurse practitioners, and physicians! 101 Primary Care Case Studies offers real-life patient scenarios and critical thinking exercises to help you work through a patient's chief complaint. Through narrative case studies, you will determine how best to diagnose, treat, and manage your patient based on the history of present illness, review of systems, relevant history, and physical examination findings. This workbook will ask probing questions to help you determine differential and most likely diagnoses, diagnostic tests to order, and appropriate patient management strategies using relevant and timely references to support your decisions. The organization of each case study simulates the patient care journey from chief complaint to outcome. Serving as a virtual clinical preceptor, this workbook can be used independently or in a classroom setting. It is accompanied by a robust online student supplement that provides answers to all questions, real outcomes of the cases, and valuable personal insights from the authors on how the patient was successfully managed. Not only will this workbook help you work through patient cases clinically, it will also share important, but often overlooked, bedside manner skills needed to successfully communicate with and care for your patients. Covering conditions across all organ systems and across the lifespan, this workbook is organized by chief complaint, providing an authentic perspective on what to expect in the patient care environment. It even includes information on pathophysiology and how to use ICD-10 and CPT (E/M) codes in your documentation. The book uniquely weaves together both the science and art of medicine by including personal insights into quality and compassionate care. Key Features Provides real-life patient cases from an interprofessional author team of physician assistants, nurse practitioners, and physicians Uses a templated case study design and critical thinking exercises to help you methodically work through various patient scenarios Teaches clinical and bedside manner skills imperative for delivering quality patient care Covers patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations Offers additional insight on patient education, medical and legal concerns, and interprofessional collaboration Includes a robust online student supplement with valuable insights from the authors on how they successfully managed the cases Provides instructors with a table of contents that is filterable by chief complaint, diagnosis, patient population, and organ system