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Books > Medicine > General issues > Health systems & services > General practice
"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:
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.
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.
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.
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.
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. Well-written and superbly documented . . . . Both physicians and
lawyers will find this book useful and fascinating. 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. 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. 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.
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.
General practitioners and nurses working in a variety of settings have no control over the type of problems that patients present. Whether they want to deal with sexual abuse or not is irrelevant: sooner or later they will be presented with the problem by a patient who will assume that both their physical problems and their distress may be discussed with a practitioner of medicine or nursing.;It is only recently that doctors have become familiar with the concept that sexual abuse may be an important factor in almost any complaint.;Dr Wakley has written sensitively about the problems of those confused and distressed by sexual abuse and of the responses of those who pick up the unspoken and spoken clues. Some patients may need to be referred to ther specialists but others can be successfully treated over a short period of time in their own general practice.;This is not comfortable reading. Dr Wakley discusses problems that evoke an uneasy response. At the same time, the practitioner is helped to acquire knowledge and develop new skills to extend the scope of medical care.
The "Europe against Cancer" programme has, from its inception, emphasised the key role which general practitioners must play in the actions necessary to achieve its aim of reduc ing the incidence and the mortality from cancer in the European Community. General practitioners, because of their day-to-day direct and continuing contact with patients, playa role not only in primary prevention and education of patients, but also in motivating their patients to accept secondary prevention and screening, some of it carried out by general practitioners themselves. These preventive activities are in addition to their traditional role in the care and management of patients with cancer at home, and increas ingly, their role in active treatment. In view of the importance of the general practitioner in the "Europe against Cancer" pro gramme, the European Commission, with a view to providing general practitioners with up-to-date useful information, has sponsored the production of this series of publications on organ based cancers, especially written for general practitioners. MICHEL RICHONNIER Coordinator ofthe "Europe against Cancer" programme, Commission ofthe European Communities, Brussels Preface To decrease the death rate of lung cancer is today one of the major challenges of medical doctors all over the world. In Europe alone, one person is dying of lung cancer every two minutes. Accordingly, most physicians will regularly in their career be confronted with a patient being either suspect of or having a lung cancer.
The first pocket-size resource to guide PA students through their family medicine rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Family Medicine edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as abdominal pain, headache and fatigue. It also provides a systems-based approach to more than 70 of the most frequently encountered disease entities you will see in this rotation, including diabetes, anxiety, and coronary artery disease. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the family medicine rotation, including incision and drainage, joint injections, and skin biopsies. Key Features: Provides a pocket-size overview of the PA family medicine rotation Describes common clinical presentations, disease entities, and procedures Offers a step-by-step approach to diagnosis and treatment planning Offers clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Pediatrics; Behavioral Health.
Was ist Public Health? Was sind seine Aufgaben? Welche Ausbildungs- und Berufsmoglichkeiten gibt es? Welche Bedeutung hat dieser fachubergreifende Bereich angesichts der sich andernden Anforderungen an das moderne Gesundheitssystem und die dringende Notwendigkeit von Reformen? Diese und andere Fragen erortert das "Handbuch Public Health," das die derzeit umfassendste Information uber dieses Thema bietet. Internationale Experten diskutieren die Ziele und Aufgaben von Public Health, schreiben uber Management und Intervention, Analyse und Forschung, Berufsbild und Karrierechancen u.v.a. Ein Nachschlageteil informiert uber die renommiertesten Public-Health-Ausbildungsstatten. Daruber hinaus bietet er erstmals einen Uberblick uber samtliche postgraduale Ausbildungsmoglichkeiten zum Master of Public Health sowie alle wesentlichen Public-Health-Kurse ohne Diplomabschluss. Weiters finden Sie ein ausfuhrliches Glossar, Begriffserklarungen sowie die aktuellsten E-Mail-Adressen von Universitaten, Instituten, Organisationen und Verlagen."
"Endocrine and Metabolic Disease" is in two sections. The first is a systematic review of clinical and therapeutic aspects of endocrine diseases, whilst the second considers the clinical pharmacology of drugs used in endocrinology. All the major areas of endocrinology and metabolism are covered. Thyroid, adrenal and pancreatic disease are discussed in depth and there are separate chapters on the ovary and testes as well as on the pituitary gland and parathyroids. There is a useful pharmacopoeia of drugs used in endocrinology at the end of the volume.
Real-life examples of how to apply intelligence in the healthcare industry through innovative analytics Healthcare analytics offers intelligence for making better healthcare decisions. Identifying patterns and correlations contained in complex health data, analytics has applications in hospital management, patient records, diagnosis, operating and treatment costs, and more. Helping healthcare managers operate more efficiently and effectively. Transforming Healthcare Analytics: The Quest for Healthy Intelligence shares real-world use cases of a healthcare company that leverages people, process, and advanced analytics technology to deliver exemplary results. This book illustrates how healthcare professionals can transform the healthcare industry through analytics. Practical examples of modern techniques and technology show how unified analytics with data management can deliver insight-driven decisions. The authors--a data management and analytics specialist and a healthcare finance executive--share their unique perspectives on modernizing data and analytics platforms to alleviate the complexity of the healthcare, distributing capabilities and analytics to key stakeholders, equipping healthcare organizations with intelligence to prepare for the future, and more. This book: Explores innovative technologies to overcome data complexity in healthcare Highlights how analytics can help with healthcare market analysis to gain competitive advantage Provides strategies for building a strong foundation for healthcare intelligence Examines managing data and analytics from end-to-end, from diagnosis, to treatment, to provider payment Discusses the future of technology and focus areas in the healthcare industry Transforming Healthcare Analytics: The Quest for Healthy Intelligence is an important source of information for CFO's, CIO, CTO, healthcare managers, data scientists, statisticians, and financial analysts at healthcare institutions.
Backing up the pioneering medical researchers and experi menters are the phalanxes and cohorts of practising clinicians in district general hospitals and in general practice who may have to implement and apply any breakthroughs and advances in practical and realistic terms. This they cannot, and should not, be expected to do without careful consideration and analysis. It is essential, therefore, to have regular reviews of the growing points of medicine which are constructively critical as well as being enthusiastic and which can present the issues and implications clearly and fairly to clinicians. The Practical Clinical Medicine series is designed to provide such regular reviews on selected subjects. Each volume is under the charge of an invited editor who selects his team of 4--6 experts. Each contribution is an authoritative, detailed and referenced examination of his topic, is clearly presented in an understandable manner and is practical, relevant and applic able to everyday clinical practice. The series is intended as a means of communication between researchers and practising clinicians. It is dedicated to gener alists who provide primary health care in general practice and to generalists providing secondary medical care in district vii viii Series Editors' Foreword general hospitals. Both are involved in applying good general practical clinical medicine for their patients, but can only succeed in a climate of constant review and examination."
In this book East and West are united in a total vision which gives the reader an expansive view of inner lives and behaviors, some of which are healthy and some not. The author presents an analysis of contemporary social relationships and the attitudes associated with them. But he does far more than this. He also vividly describes the "primary" and "secondary" capabili ties of the psyche, capabilities that are valid for all times and all situations. Peseschkian draws on his experiences in the Middle Eastern homeland of his youth and also on the insights he has gained through his psychotherapeutic practice. He does not stop with special examples, but draws conclusions that are valid for people everywhere. He then molds these conclusions into an illustrative system. Uniquely interesting are the passages where the author describes errors in the development of a child and erroneous attitudes on the part of the educator, such as when he characterizes the punitive behavior of parents: "Right from the start a child must learn to obeYi" "There must be punishmenti" and "You have to break the child's wilL" Or when he shows how tensions between the parents are transferred to their children: "You're just like your father. He doesn't know what punctuality is either. " The author attempts to integrate his faith in psychotherapy with his vision of the world and also tries to understand the world's religions as an expression of their times."
So folgte eine Kur der anderen. Aber schon bald vergass man die neuroti- sche Ursache meiner Krankheit ...Es war ja kaum anders moglich: ich brachte meinen behandelnden Arzten grosses Vertrauen entgegen und glaubte ihnen bedingungslos, wenn sie meine Schmerzen heute einem Feh- ler im Stoffwechsel oder Blutkreislauf zuschrieben und dann wieder der Tu- berkulose oder allerhand Infektionen, teils blamabler Art. Weiter muss ich bekennen, dass mir jede Behandlung eine Zeitlang Linderung verschaffte, was die neueste Diagnose wieder bestatigte. Fruher oder spater schien diese aber doch weniger zuzutreffen, aber niemals ganz falsch zu sein, weil bei mir kein Korperteil fehlerlos funktioniert. Italo Svevo, Die Bekenntnisse des Zeno (1923)* Was somatische Fixierung nicht bedeutet Bei dem Begriff somatische Fixierung denken viele Hausarzte zu Unrecht an eine bestimmte Kategorie von Patienten, die haufiger arztliche Hilfe in Anspruch nimmt als andere und bei der sie keinen oder kaum einen Rat wissen: Patienten, die fur den Hausarzt ein Problem darstellen und die er deshalb als "lastige Patienten", "Problempatienten" oder "hysterisch" etikettiert. |
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