This book comprehensively reviews soft tissue, bone, ligament, and nerve injury of the hand and wrist unique to baseball. Organized into three sections, the book begins with a discussion on fractures of the hand and wrist, including the distal radius, scaphoid, and phalanges. Following this, section two examines ligament injuries from the wrist to the thumb. Section three then concludes the book with an analysis of tendon and nerve injuries. Chapters include high-quality images and tables to supplement expertly written text. Unique and thorough, Hand and Wrist Injuries in Baseball is an invaluable resource for orthopedics surgeons and sports medicine specialists, as well as primary care physicians, emergency room physicians, pediatricians, athletic trainers, and therapists.

The book discusses the impact of genetics, social determinants of health, the environment, and lifestyle in the burden of cardiometabolic conditions in African American and Hispanic/Latinx populations. It includes fully updated and revised chapters on genetics and CVD risk, epidemiology of cardiovascular health, cardiovascular imaging, dyslipidemias and other emerging risk factors, obesity and metabolic syndrome, heart failure, and genetic variations in CVD. Unique aspects within African American and Hispanic/Latinx populations are explored with suggested appropriate therapeutic interventions. New chapters focus on ASCVD risk assessment, emerging precision medicine concepts, the impact of diabetes, resilience and CVD survival, and lifestyle and dieting considerations. Written by a team of experts, the book examines the degree to which biomedical and scientific literature can clarify the impact of genetic variation and environment on cardiovascular disease. The Second Edition of Cardiovascular Disease in Racial and Ethnic Minority Populations is an essential resource for physicians, residents, fellows, and medical students in cardiology, internal medicine, family medicine, clinical lipidology, and epidemiology.

Professional medicine has often been seen as a field that discriminates against women as doctors and patients. Yet women are entering medicine in increasing numbers. This 1998 book explores the position of women in the medical profession in Australia and the UK, asking the key question 'Do women doctors make a difference?' Based on an extensive survey of general practitioners and specialists, the book evokes the culture of contemporary medicine by describing the experiences of doctors themselves, often in their own words. Pringle employs a distinctive theoretical approach, but writes accessibly and with insight about a profession that is slowly being transformed. She notes the success of women in entering medicine and describes the ways in which they have challenged medical authority and practice. This is an original and important work that contains new visions for medical practice.

We invest more in health care than ever before, yet we are more anxious about doctors, hospitals, and the NHS in general. As perceptions of patients' rights have expanded, so has the transparency of the difficult choices that are routine. Government has become more critical of the NHS and the public less willing to wait for treatment. Why does demand for health care consistently exceed supply and how should Government manage the problem? There is a danger that improved rights for the strong and articulate will ignore less visible, or unpopular interests. How should the rights of elderly patients, or children, or those with terminal illnesses be balanced? Who should decide: the government, doctors, NHS managers, citizens, or the courts? How should decision-makers be held accountable, and by whom? How should governance regulate the NHS? As patients become 'consumers' of medical care, what choice do they have as to how, where, and when they will be treated; and should this include hospitals abroad? This completely revised new edition puts patients' rights into their political, economic and managerial contexts. It considers the implications of the Bristol Inquiry and the rhetoric of patients as 'consumers' of care. In balancing the rights of individuals with those of the community as a whole, it deals with one of the most pressing problems in contemporary society.

Primary care providers (physicians, nurse practitioners, physician assistants) make decisions on a daily basis regarding treatment for musculoskeletal problems, including referrals to orthopedic surgeons and other specialists. Despite the large number of patients presenting with musculoskeletal complaints, primary care providers often feel poorly educated about how to assess and manage these conditions. Now in its fully revised second edition, Principles of Orthopedic Practice for Primary Care Providers continues to be a go-to resource for clinicians interested in the effective treatment of musculoskeletal disorders. Written by expert orthopedic, physical medicine and pain management specialists at major Harvard teaching hospitals, the second edition of Principles of Orthopedic Practice for Primary Care Providers represents a high-yield and succinct resource on the assessment and management of musculoskeletal conditions. Chapters overview specific body parts, typical presentations of disease, options for diagnostic testing, treatment paradigms, and anticipated outcomes of management both in the primary care setting and following specialist consultation. The text offers suggested pathways for working up and treating these problems with an emphasis on when referral to a specialist, or surgical intervention, is needed. While all previous chapters have been fully revised, this edition also includes nine brand new chapters, including chapters on pain management, hip-spine syndrome, adult spinal deformity, sports-related injuries, and cost and quality in musculoskeletal care.

The #1 choice for more than 35 years for those involved in the care of adolescents and young adults, Neinstein's Adolescent and Young Adult Health: A Practical Guide, 7th Edition is your go-to resource for practical, authoritative guidance. The fully updated seventh edition, edited by Drs. Debra K. Katzman, Catherine M. Gordon, S. Todd Callahan, Richard J. Chung, Alain Joffe, Susan L. Rosenthal, and Maria E. Trent, offers a comprehensive view of the interdisciplinary nature of the field and is inclusive of the wide variety of health professionals who care for adolescents and young adults. This award-winning text features a full-color design, several new chapters, numerous algorithms, bulleted text throughout for quick reference at the point of care, and fresh perspectives from new editors-making it ideal for daily practice or certification examination preparation. Features significant revisions and new content on opioid use, vaping, gun violence, survivors of childhood cancer and other chronic illnesses, COVID, and more. Includes new chapters on Palliative Care and End of Life, Quality Improvement, Research, and Healthcare for Minoritized, Disenfranchised, and Marginalized Adolescents and Young Adults. Includes key topics such as technology use, the care of transgender adolescents and young adults, reproductive health, sports medicine, college health, and more Features a globally diverse editorial team and authors who are experts in their respective areas and who reflect the demographics of this wide-ranging field Offers comprehensive, evidence-based content from cover to cover, as well as numerous resources and websites on nearly every topic, where professionals, adolescents and young adults, and parents can find up-to-date information Continues to be a highly useful resource for pediatricians, family practitioners, gynecologists, internists, nurse practitioners, physician assistants, residents, medical students, and fellows practicing in traditional primary care and specialty settings serving adolescents and young adults, as well as in school-based and college health centers, juvenile detention centers, emergency departments, urgent care centers and any other facility that provides care to this population." 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 comprehensive text on the pharmacological, medical, and legal aspects of drug abuse has been thoroughly updated for the Fourth Edition, and a new chapter on club drugs added. The chapter on medical effects was completely rewritten to focus on infections that develop in i.v. drug abusers, and information on the international regulation of drug use was added to the chapter on drug abuse and the law. The book is written at a level appropriate for upper level undergraduate students, graduate or medical students, and drug counselors. All major drugs of abuse are covered: tobacco, opiods, central stimulants (including cocaine, amphetamine, and caffeine), alcohol and other sedatives marijuana, club drugs (MDMA, GHB, and ketamine), hallucinogens, and volatile solvents. For each type the authors discuss history and culture, the characteristic patterns of use, subjective and physiological effects, mechanisms of pharmacological action, and toxic effects. Epidemiological aspects are discussed as well as pharmacological treatment possibilities where applicable.

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.

American medicine attracts some of the brightest and most motivated people the country has to offer, and it boasts the most advanced medical technology in the world, a wondrous parade of machines and techniques such as PET scans, MRI, angioplasty, endoscopy, bypasses, organ transplants, and much more besides. And yet, writes Eric Cassell, what started out early in the century as the exciting conquest of disease, has evolved into an overly expensive, over technologized, uncaring medicine, poorly suited to the health care needs of a society marked by an aging population and a predominance of chronic diseases. In Doctoring: The Nature of Primary Care Medicine, the author shows convincingly how much better fitted advanced concepts of primary care medicine are to America's health care needs. He offers valuable insights into how primary care physicians can be better trained to meet the needs of their patients, both well and sick, and to keep these patients as the focus of their practice. Modern medical training arose at a time when medical science was in ascendancy, Cassell notes. Thus the ideals of science, objectivity and rationality became the ideals of medicine, and disease, the target of most medical research, became the logical focus of medical practice. When clinicians treat a patient with pneumonia, they are apt to be thinking about pneumonia in general, which is how they learn about the disease, rather than this person's pneumonia. This objective, rational approach has its value, but when it dominates a physician's approach to medicine, it can create problems. For instance, treating chronic disease, such as rheumatoid arthritis, diabetes, stroke, emphysema, and congestive heart failure, is not simply a matter of medical knowledge, for it demands a great deal of effort by the patients themselves: they have to keep their doctor appointments, take their medication, do their exercises, stop smoking. The patient thus has a profound effect on the course of the disease, and so for a physician to succeed, he or she must also be familiar with the patient's motivations, values, concerns, and relationship with the doctor. Many doctors eventually figure out how to put the patient at the center of their practice, but they should learn to do this at the training level, not haphazardly over time. To that end, the training of primary care physicians must recognize a distinction between doctoring itself and the medical science on which it is based, and should try to produce doctors who rely on both their scientific and subjective assessments of their patients' overall needs. There must be a return to careful observational and physical examination skills and finely tuned history taking and communication skills. Cassell also advocates the need to teach the behavior of both sick and well persons, evaluation of data from clinical epidemiology, decision making skills, and preventive medicine, as well as actively teaching how to make technology the servant rather than the master, and offers practical tips for instruction both in the classroom and in practice. Most important, Doctoring argues convincingly that primary care medicine should become a central focus of America's health care system, not merely a cost-saving measure as envisioned by managed care organizations. Indeed, Cassell shows that the primary care physician can fulfill a unique role in the medical community, and a vital role in society in general. He shows that primary care medicine is not a retreat from scientific medicine, but the natural next step for medicine to take in the coming century.

Family Physicians need to be expert and active providers of mental health care. Their rapport with patients and accessibility enable them to control minor mental health conditions before these problems become critical. Brief Mental Health Interventions for the Family Physician is an ideal resource for Family Physicians. It provides a "refresher course" of sensible paths toward resolution of common mental health problems. It features an easy to read style, and well-focused references. The book summarizes the basic components of brief therapy and reviews how to conduct a brief therapy interview. It also includes chapters on specific clinical conditions and situations that routinely confront the family physician. Each chapter includes an outline, a case example or vignette, and a concise discussion of brief therapy strategies for the disorder. Primary care physicians will find this convenient text an ideal handy reference and review.

How did doctors make a living? Making a Medical Living explores the neglected socio-economic history of medical practice, beginning with the first voluntary hospital in 1720 and ending with national health insurance in 1911. It looks at private practice and how this was supplemented by public appointments. In this innovative study, Anne Digby makes use of new archival sources of information to produce a compelling picture of ordinary rather than elite doctors, and of the dynamics of provincial rather than metropolitan practice. From the mid-eighteenth century doctors travelled to see ordinary patients, developed specialisms and expanded institutions. Despite limitations in treatment, doctors raised demand for their services as illuminating case studies of women, children, the poor and the affluent show. But doctors did not limit their own numbers, and were largely unsuccessful in restricting competition from other practitioners, with the significant exception of women. Consequently, many GPs struggled to make a living by seeing numerous patients at low fees. Doctors' entrepreneurial activity thus helped shape English medicine into a distinctive pattern of general and specialist practice, and of public and private health care.

When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to make relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of a consultation may not then be what was hoped for or intended on either side. What may be lost, or not even achieved, is a sense of working with one another - hence the 'problem patient' or 'quack doctor'. This book describes the factors that may complicate the clinical transaction between patient and doctor, emphasising and explaining the influence of often unconscious personal aspects. This is encompassed within a readily applied and concise model, which yields a fresh analysis and understanding. The insight gained can help doctors, within their own consultational styles, to better manage their interaction with patients. Plentiful clinical case vignettes illustrate this approach to understanding and managing clinical transactions and will be welcomed by clinical students and doctors in training, as well as by their trainers.

When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to make relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of the consultation may not then be what was hoped for or intended on either side. This 1994 book considers the factors which may cause problems in the doctor-patient relationship, emphasising and explaining the often unconscious personal aspects of doctor and patient within a model studied from various perspectives. Through this insight doctors can be helped to manage their interactions with patients within their own consultational style, thereby avoiding many unnecessary professional relationship problems. This analysis, which is well-illustrated by clinical case vignettes, is sure to be welcomed by clinicians, trainees and course organisers in all areas where communication between individuals plays an important role.

During the last 8-10 years the research on homocysteine has become very active. Hundreds of articles are now published each year. A disturbed homocysteine metabolism can be an underlying factor for pregnancy complications and fetal malformations, cardiovascular disease, dementia, psychiatric and neurologic disorders and possibly carcinogenesis. A disturbed homocysteine metabolism can in most cases be normalized by treatment with folate and/or vitamines B12 and B6. Many of these findings therefore directly concern most practitioners.

As a follow up and review book to Dr. Robert Taylor's highly successful FAMILY MEDICINE: PRINCIPALS AND PRACTICE, TAYLOR'S FAMILY MEDICINE REVIEW will become an indespensible study guide for family practice residents preparing for certification exams, practioners preparing for recertification and medical students during their family practice clerkship. Complete with over 1,200 questions drawn directly from and keyed to FAMILY MEDICINE, this question and answer book will provide an extensive review all the issues confronted by family practitioners in clinical practice.

Doing Practitioner Research Differently encourages those embarking on practitioner research to consider the validity of innovative methods and styles of reporting. The book looks at three methods of enquiry and reporting - visualisation, conversation and fictional writing.
Using practitioners' own accounts and research reports as case studies, this book explores the reasons why some practitioners reject the traditional research methods. It looks at the challenges faced by these practitioners and the conditions in higher education that encourage or inhibit innovative practitioner research. The case studies used illustrate that there are modes of enquiry and reporting that can foster the development of professional thinking and practice.

eBook available with sample pages: HB:0415237572

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.

Pediatric and Adolescent Urologic Imaging provides a comprehensive reference for health care providers of children and adolescents with urologic conditions. This is the first book in which each chapter is written collaboratively by at least one author from each specialty. This unique approach melds the expertise of each specialist and offers it to the reader in a manner aimed at reinforcing the integration of clinical information to radiologic imaging. The book is arranged into two sections allowing for easy access to the information. The first section covers the principles of each radiologic modality as well as radiation safety and the history of uroradiology. The second section integrates the lessons of the first section into specific urologic conditions arranged anatomically and includes additional unique conditions. Pediatric and Adolescent Urologic Imaging is a key reference for pediatric urologists and radiologists as well as primary care providers, general urologists and radiologists, fellows, residents, medical students, and mid-level providers.

This is the first history of general practice under the National Health Service, from 1948 to the present. It is written by a team of contributors all of whom have, in various ways, been deeply involved in the development of primary health care in Britain. Between them, they cover all the main aspects of general practice, including changing concepts of illness and clinial practices, politics and organization, medical education, public relations, and international comparisons. They examine how the relative stagnation of the early years, when morale and funding were low, gave way to a renaissance in general practice in the 1960s which changed the service out of all recognition. // Published with an extensive chronology and statistical appendix, this book will serve as an essential reference for medical historians and for the wide variety of people involved in health-care services, both in Britain and the wider world. fifty years, from 1948 to the present. It is written in a clear and accessible manner by a team of distinguished medical historians, many of whom are, or have been, general practitioners deeply involved in the development of primary health care services in this country. The book covers all the main aspects of general practice, including changing concepts of illness and clinical practices, politics and organization, medical education, public relations, and international comparisons. Between them, the contributors show how the oldest branch of medicine gradually rediscovered its role alongside the rapid advances of specialized medicine. They explain how, after a period of relative stagnation in the 1960s, there followed a renaissance in general practice which changed the service out of all recognition. Published with an extensive chronology and statistical appendix, this book will serve as an essential reference for medical historians as well as the wide variety of people involved in the health care services.

The second edition of PROTOCOLS IN PRIMARY CARE GERIATRICS continues its mission of improving practical, clinical knowledge among physicians and others caring for elderly people, while providing updated information on several major areas in the field. Reflecting current practice trends, a new chapter on home care has been added as well as one on comprehensive geriatric assessment. Revised guidelines for falls, incontinence, and drug treatment are also featured. Designed to provide both quick reference to clinical problem-solving schemes and lists, as well as a lucid, readable discussion of basic topics in geriatrics, the book's value lies in its combination of brief, readable chapters, a section of notes in outline form, staightforward clinical approaches, didactic exercises, and new updated case studies. Family physicians, primary care internists, and other primary specialists caring for elderly people will find this book of great value. It is also not to be missed by residents, as well as nursing homes, hospitals, and indiviual health care professionals, other than physicians, who will benefit from its use as a clinical reference guide.

Der wirtschaftliche Druck auf Arzte nimmt standig zu. Fehlentscheidungen in der Arztpraxis kosten nicht nur Gewinn, sondern gefahrden die Selbstandigkeit.

Dieses Praxis-Buch hilft Ihnen

- die Erfolgsfaktoren Ihrer Arztpraxis zu steuern
- wirtschaftliches Handeln konkret anzuwenden
- fit in Fachausdrucken zu werden
- Gesprachskompetenz bei Steuerberatern, Anwalten, Banken und Behorden zu erlangen
- Ihren Erfolg zu planen

Steigern Sie Ihren Praxis-Erfolg in wenigen Schritten Konzentrieren Sie sich auf die wirklich wichtigen Massnahmen. Senken Sie Kosten und Steuern Mit zahlreichen Checklisten."

"See your patient as a person, not a disease." This is the essential message of an experienced and compassionate physician who questions the prevailing medical model of patient care - that every illness has a physical cause that can be identified and treated medically - and who argues for the necessity of taking the psychological and social circumstances of the patient into account in the process of diagnosis and treatment.

"I have advised countless medical students and applicants over more than two decades and I repeatedly found myself agreeing with the advice given by the Daneks." —Michael V. Drake, M.D.Professor and Associate Dean, School of Medicine University of California, San Francisco

"These authors have the experience, knowledge, and writing skills to lead the lost through the maze of uncertainties of medical schools and beyond."—Robert H. Shapiro, Ph.D.Academic Dean and Provost U.S. Naval Academy

"Any student thinking about a career in medicine should have this book."—Tyrone D. Taborn Publisher and Editor-in-Chief Career Communications Group, Inc.

Here, at last, is the book that will help you realize your dream of a career in medicine. Whether your goal is to work in a busy city hospital ER, as a country doctor, or in research, here you'll find innovative ways to actively plan and tailor your medical school education to meet your specific needs. Explore your many options with:

• Straight facts on the medical school admissions process
• Up-to-date information on the MCAT
• Advice on selecting the right medical school
• The current medical trends and the most attractive specialties

This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.