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."

Healing the Wounds is the most revealing book eve written by a doctor about his own profession. In it David Hilfiker breaks the silence surrounding the everyday practice of medicine and gives us a dramatically personal account of how the family doctor gets by in a world of spiraling information and high anxiety. Drawing on his years of rural and urban experience, Dr. Hilfiker lets us all know what it really feels like to be a doctor. What do you do when you make a serious medical mistake? Is it enjoyable to play God? What do you say to a patient who wants reassurance when the essence of diagnosis is uncertainty? What about money? What happens when you patient is taking forever, your waiting roomas full, and you want to get home? Dr. David Hilfiker graduated from Yale College and the University of Minnesota Medical School. He practiced medicine as a Board Certified Family Practitioner in a small town in rural Minnesota from 1975 to 1982, and now works in Washington, D.C., where he is medical director of Community of Hope Health Services and St. Josephas House, a shelter for homeless men with AIDS.

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.

"Practitioner Research in Health Care" is concerned with the notion of "practitioner research", a developing field of research. It meets an ever-increasing demand for a research methodology text which recognizes the particular problems and issues of health care practitioners researching their own practice. The advantages and problems of "insider knowledge", and the characteristics of research roles and relationships, and how these can be integrated with practitioner responsibilities, are discussed and examples are used to illustrate these issues.;This book should be of interest to all health care workers involved in research; students and practitioners of midwifery, nursing, occupational therapy and clinical psychology; and doctors.

Urgent Care Dermatology: Symptom-Based Diagnosis, by Drs. James E. Fitzpatrick, Whitney A. High, and Lamar Kyle, helps you quickly identify skin conditions and provide necessary treatment at the point of care. Concise, to-the-point text is highlighted by more than 1,000 high-quality photographs - all conveniently organized by lesion appearance - making this resource ideal for first-line clinicians to quickly identify and treat dermatologic conditions. Appearance-based format designed for non-specialists who diagnose and treat skin conditions, such as family practice physicians, urgent care providers, nurse practitioners, and physician assistants Organized by presentation (scaly lesions, blisters, etc.), with a full chapter on treatment pearls that offers expert advice pertaining to diagnosis and treatment Richly illustrated with more than 1,000 full-color clinical examples of lesions you're likely to see Each topic is covered in a two-page spread for quick reference - text on the left and images on the right Up-to-date coverage of morbilliform eruptions, scaly papular lesions, dermatitis (eczematoid reactions), and abscesses, as well as a timely chapter on cutaneous diseases of travelers organized by global region Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices Appearance-based format designed for non-specialists who diagnose and treat skin conditions, such as family practice physicians, urgent care providers, nurse practitioners, and physician assistants. Organized by presentation (scaly lesions, blisters, etc.), with a full chapter on treatment pearls that offers expert advice pertaining to diagnosis and treatment. Richly illustrated with more than 1,000 full-color clinical examples of lesions you're likely to see. Each topic is covered in a two-page spread for quick reference - text on the left and images on the right. Up-to-date coverage of morbilliform eruptions, scaly papular lesions, dermatitis (eczematoid reactions), and abscesses, as well as a timely chapter on cutaneous diseases of travelers organized by global region. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices.

Whenever the integrity of the skin is impaired, via trauma or surgical incision, wounds und wound healing are the natural consequences. Thus, every physician should be interested in the biological processes involved in wound healing. The physician does not usually interfere with these natural processes, knowing that the body heals itself (natura sanat). It is not until the natural wound healing process is disturbed, that we realize how little we know about this area. Our limited knowledge is not even available to most physicians. Advances in the areas of cell-and molecular biology have also resulted in substantial progress in the field of wound healing. Today, we know that the process of tissue repair occurs in three phases and is controlled by specific cells. These cells release potent mediators which in turn regulate the function of other cells surrounding the area. "Certain rules apply to the healing of wounds and injured tissue. You must follow nature for nature will never follow you," this sentence writen by Paracelsus in his book "Chirurgia magna" is still valid today. Current reseach in wound healing is exploring these rules and integrating them into new therapeutical concepts. The purpose of this book is to make current knowledge on basic healing processes, research in this area and on wound management available to most physicians. Due to the importance of wound healing and the successful combination of basic science and clinical aspects, I would like this book to be widely accepted.

"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.

Seit dem Beginn der Arbeiten zur ersten Auflage dieses Woerterbuchs sind mehr als 25 Jahre vergangen. Mein damals gehegter Wunsch, dass mit diesem Werk der botanischen Forschung und Praxis ein zuverlassigeres Mittel zur schnellen Orientierung uber Etymologie, Geschichte und Aussprache der botanischen Namen in die Hand gegeben werden koennte, ist uber Erwarten in Erfullung gegangen, wie die zahlreichen Zuschriften und Rezensionen gezeigt haben. Auf der anderen Seite sind aber im vergangenen Vierteljahrhundert gerade auf dem taxonomischen Gebiet Veranderungen in einer Groessenordnung von mehreren Tausenden eingetreten, die allein schon deswegen eine Neubearbeitung dieses Buches erforderlich machten. Es genugt hierfur, die von mir damals benutzte 9. Aufl. des ZANDER von 1964 mit der aktuellen 14. Aufl. von 1993 zu vergleichen, die insgesamt 27 308 Namen, darunter aber 8209 Synonyme, umfasst. Es war also zunachst angebracht, das taxonomische Material zu aktualisieren und die Synonyme bis auf wenige, in der Forschung noch diskutierte (z. B. Pritzelago = Hutchinsia) oder aus Gewohnheit beibehaltene Relikte (z. B. Ophrys fuciflora statt regelhaftem Ophrys holoserica) zu eliminieren. Zugleich habe ich die Mate- rialgrundlage durch die massenhafte Neuaufnahme von Gattungen und Arten der Bakterien, Algen, Flechten, Moose und Farne, aber auch der Gymnospermen und Angiospermen, erheblich erweitert. Aus konventionellen Grunden sind auch die mykologischen Taxa weiterhin in diesem Buch vertreten, selbst wenn nach neueren Erkenntnissen die Pilze nicht mehr dem Pflanzenreich zugeordnet werden koennen. Auf dieser Grundlage bietet das Woerterbuch jetzt mehr als 35 000 Taxa, die einer etymo- logischen Prufung zu unterziehen waren.

This book examines the theory and practice of traditional medicine in modern China. Farquhar describes the logic of diagnosis and treatment from the inside perspective of doctors and scholars. She demonstrates how theoretical and textual materials interweave with the practical requirements of the clinic. By showing how Chinese medical choices are made, she considers problems of agency in relation to different forms of knowledge. "Knowing Practice" will be of value not only to anthropologists interested in medical practice but also to historians and sociologists interested in the social life of technical expertise and traditional teachings.

Closely geared to general practice yet without neglecting basic theory, this book has retained so much appeal among readers .as to warrant a third edition. We assume that the work has retained its place among the leading publications on psychosomatics because it embodies our strong interest in the 'here and now' of medical practice. The timing of this thoroughly revised and enlarged edition appears opportune as psychosomatic basic care and the medicine of dialogue acquire more meaning in daily routine practice, and as the need for basic information increases. We conceive psychosomatics to be an integral part of medicine. When we speak of 'psychosomatic disorders' in this book, our premise is that somatic and psychosocial aspects play an important role in their pathogenesis and course. This notion constitutes the very basis of what is understood as psychosomatic medical treatment. Such a point of departure calls for a consistent spirit of cooperation with regard to the problems involved. This alone satisfies the initial requirement of simultaneously considering both the somatic and psychosocial aspects of health and illness.

A workshop to look at strategies, methods of implementation and evaluation of vocational training and Continuing Medical Education in General Practice was held in June 1990 in London. This text represents papers written by contributors to the workshop and pre-circulated papers which describe health systems and educational realities in six countries: Denmark, Finland, Iceland, Norway, Sweden and the UK. The first part of the books compares the structure care systems and General Practice education in the UK and Nordic countries. The second part reviews teaching under five headings, each introduced by a brief commmentary highlighting the main issues and indicating the consensus view. Of particular note is the last chapter which presents demography and health service organization, arrangements for General Practice and primary health care, vocational (specialists) training of GPs, and continuing medical education for each of the six countries.

In dem Buch werden sowohl von allgemeinarztlicher wie von klinisch-pharmakologischer Seite die Moglichkeiten, aber auch die Grenzen rationaler Arzneimitteltherapie in der primararztlichen Praxis dargestellt; insbesondere werden die Rahmenbedingungen und Probleme des Umgangs mit Arzneimitteln in der Allgemeinpraxis behandelt, die sich in vielen Bereichen von denen der medikamentosen Therapie im Krankenhaus erheblich unterscheiden. Das Buch markiert einen neuen Anfang bei der langfristigen Kooperation zwischen Allgemeinarzten und klinischen Pharmakologen zur Optimierung der Arzneimitteltherapie in der Praxis.

The cost of malpractice insurance to physicians has been increasing in recent years, as has the threat to physicians of being sued. This book describes and analyzes the workings of the market for physicians' liability insurance. The authors use their own data and other sources to study questions such as: Is the market for medical malpractice insurance competitive? Has the profitability of medical malpractice insurance been excessive? Why do malpractice insurers demand reinsurance? What effect has insurance regulation had on premiums? And it explores what experience rating is and how it is done.

Highly readable . . . . interdisciplinary history of a high order.
-- The Historian

Well-written and superbly documented . . . . Both physicians and lawyers will find this book useful and fascinating.
-- Journal of the American Medical Association

This is the first book-length historical study of medical malpractice in 19th-century America and it is exceedingly well done . . . . The author reveals that, beginning in the 1840s, Americans began to initiate malpractice lawsuits against their physicians and surgeons. Among the reasons for this development were the decline in the belief in divine providence, increased competition between physicians and medical sects, and advances in medical science that led to unrealistically high expectations of the ability of physicians to cure . . . . This book is well written, often entertaining and witty, and is historically accurate, based on the best secondary, as well as primary sources from the time period. Highly recommended.
-- Choice

Adept at not only traditional historical research but also cultural studies, the author treats the reader to an intriguing discussion of how 19th-century Americans came truly to see their bodies differently . . . . a sophisticated new standard in the field of malpractice history.
-- The Journal of the Early Republic

By far the best compilation and analysis of early medical malpractice cases I have seen . . . . this excellently crafted study is bound to be of interest to a large number of readers.
-- James C. Mohr, author of Abortion in America: The Origins and Evolution of a National Policy

The assessment of outcomes of medical interventions is a central concern of patients, physicians, nurses, and of individuals, groups and government agencies who pay for medical care. Outcome assessments are incomplete without measurements of functional status. Functional Status Measurement in Primary Care provides an indepth discussion of psychometric issues as applied to functional status assessment and details the practical experience of Family Physicians/General Practitioners in several countries with functional status measurements in their patient populations. International experience with the use of the Darthmouth COOP Charts is described along with their practical application in the daily practice of physicians and nurses of ambulatory patients.