Welcome or not, most citizens in Western countries are unable to go through a day without receiving a dose of health information. This book examines the ways in which ordinary people locate and digest the amount of health information available today, focusing on the unexplored 'middle' place of human and technical mediators.

Few concepts can have achieved the status of unchallengeable common-sense in such a short space of time, and across such a broad range of professional activity, as evidence-based practice.

Evidence-Based Practice: A Critical Appraisal stands back from the flurry of excitement and activity that has accompanied the development of evidence-based practice. This is the first text to provide a critical appraisal of the strengths and weaknesses of evidence-based practice, weighing the arguments of both advocates and opponents of the approach. It is also the first text to examine the concept of evidence-based practice as a cross-disciplinary phenomenon, looking at how and why evidence-based practice has spread beyond acute medicine and considers the relevance of the approach for other disciplines. This book also contains an introduction to the basic concepts and terminology of evidence-based practice for those who are less familiar with the approach.

Key features:
Critically appraises the strengths and limitations of evidence-based practice
Covers evidence-based practice in primary care, mental health, public health, nursing, social work and probation, education and human resource management.
Considers what evidence-based practice is and why it has developed
Includes a team of internationally renowned contributors, including John Muir- Gray and Martyn Hammersley

The book is essential reading for a wide range of health care students, practitioners and managers. It is of direct relevance to professionals working in areas where evidence-based practice is emerging strongly such as social work/probation and education. The book will also be of interest to students ofsocial policy.

This fascinating book presents 100 biographies of general practitioners, the majority of whom have made key contributions to the development of general practice and medicine, but also some who have influenced society through engineering, literature, music, politics, sport and other fields. Organised into four different time periods and with key themes in each, the reader will gain an insight into the background of these individuals and what led to their decision to enter the speciality, discover their successes and occasional failures, while also learning about significant events in the history of general practice, medical education, medical politics, medical research, the Royal College of General Practitioners and society as a whole. Key features: * Highly readable and visual introduction to the history of general practice * Includes 100 biographies of a variety of general practitioners from 1640 to the present day * Describes both successes and failures in the development of the specialty and how these have helped direct and shape current clinical practice * Key themes covered include academia and research, medical education, medical politics and society * Ideal for anyone wishing to gain a broader insight into the history of this important specialty, as well as those interested in medical biography Written in an accessible style, and illustrated throughout, the book is an invaluable guide for academics, doctors or students with a special interest in general practice, medical education, medical history or social history.

Discover today's most complete, easy-to-use medical coding guide, written specifically for beginning coders. Green's best-selling 3-2-1 CODE IT!, 7E presents the latest updates for ICD-10-CM, ICD-10-PCS, CPT (R) and HCPCS Level II coding sets, conventions and guidelines. Focused examples, understandable language and clearly defined terms help you master each concept, while extensive exercises, reviews and coding cases let you practice concepts and prepare to earn coding credentials. This well-organized, intuitive approach begins with diagnosis coding before progressing to more in-depth instruction on coding procedures and services. You'll find clear coverage of both ICD-10 code sets with separate, thorough chapters on inpatient and outpatient coding. HCPCS level II and CPT coding are also covered in separate chapters. In addition, MindTap interactive digital tools further reinforce the coding skills you need for success.

This book provides an account of the biogenic synthesis of nanomaterials by using different microorganisms. The chapters are focused on the biosynthesis of various metal and metal oxide nanosized materials by using bacteria, actinomycetes, fungi, and algae, including mechanisms of microbial synthesis. Other chapters summarize recent developments of microbial-based nanostructures for the management of food-borne pathogens, plant pathogenic fungi, as nutrients, and biomedical applications. Microorganisms are discussed not only as biofactories for the synthesis of nanomaterials but also as removal agents of toxic metals from the environment. Exposure sources and ecotoxicity of microbially synthesized nanoparticles are also discussed.

This indispensable toolkit is full of practical hints and tips to enhance and develop the role of nursing in general practice. The user-friendly, straight-forward style makes it great for quick reference, bringing together all the basic information required to find a clear career path. This toolkit, along with the linked on-line material, prepares readers for adjusting their roles in accordance with patient needs, personal and professional aims and career aspirations. It is ideal for all nurses and health care assistants in general practice, including healthcare students wanting a career in general practice. Practice managers, PCT managers, health care educators and general practitioners will also find it of great interest.

To maintain the correct balance between patient choice and patient protection, all health care practitioners must draw on their own knowledge and training. Patients often feel they have been badly informed, or have been deprived of the power to make decisions, even though the practitioner was "acting in the patient's best interests." This book discusses and evaluates the two main approaches to advocacy: empowering the patients with information, and endorsing their needs by speaking out on their behalf. It is an accessible yet authoritative analysis of the nature of advocacy in the health care professions, and puts forward a research-based model which practitioners can use in their study or in everyday

A thorough examination of lab-on-a-chip circuit-level operations to improve system performance A rapidly aging population demands rapid, cost-effective, flexible, personalized diagnostics. Existing systems tend to fall short in one or more capacities, making the development of alternatives a priority. CMOS Integrated Lab-on-a-Chip System for Personalized Biomedical Diagnosis provides insight toward the solution, with a comprehensive, multidisciplinary reference to the next wave of personalized medicine technology. A standard complementary metal oxide semiconductor (CMOS) fabrication technology allows mass-production of large-array, miniaturized CMOS-integrated sensors from multi-modal domains with smart on-chip processing capability. This book provides an in-depth examination of the design and mechanics considerations that make this technology a promising platform for microfluidics, micro-electro-mechanical systems, electronics, and electromagnetics. From CMOS fundamentals to end-user applications, all aspects of CMOS sensors are covered, with frequent diagrams and illustrations that clarify complex structures and processes. Detailed yet concise, and designed to help students and engineers develop smaller, cheaper, smarter lab-on-a-chip systems, this invaluable reference: Provides clarity and insight on the design of lab-on-a-chip personalized biomedical sensors and systems Features concise analyses of the integration of microfluidics and micro-electro-mechanical systems Highlights the use of compressive sensing, super-resolution, and machine learning through the use of smart SoC processing Discusses recent advances in complementary metal oxide semiconductor-integrated lab-on-a-chip systems Includes guidance on DNA sequencing and cell counting applications using dual-mode chemical/optical and energy harvesting sensors The conventional reliance on the microscope, flow cytometry, and DNA sequencing leaves diagnosticians tied to bulky, expensive equipment with a central problem of scale. Lab-on-a-chip technology eliminates these constraints while improving accuracy and flexibility, ushering in a new era of medicine. This book is an essential reference for students, researchers, and engineers working in diagnostic circuitry and microsystems.

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.

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.

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.

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.

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

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.

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.

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.

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.

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."

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.

Stroke is the leading cause of disability and the third leading cause of death in the developed world. The past decade has witnessed a paradigm shift in the management of stroke, with the understanding that care of acute stroke patients by specialists working in dedicated stroke units greatly improves patient outcomes; as a consequence, stroke units now exist in all major hospitals in the UK and Europe. Interventions to treat stroke have also increased in complexity, and the discipline of stroke medicine is now recognised as a medical specialty. This book is a concise, accessible and authoritative source of relevant and focussed information about stroke disease. It contains a thorough review of the management of cerebrovascular disease - everything you need to function effectively on an acute stroke unit. Tables and diagrams aid quick reference and easy comprehension. The most up-to-date and clinically relevant resource on the market, Stroke in Practice equips all medical professionals with evidence-based, practical knowledge and a comprehensive understanding of treatment of stroke. 'This text is directed at the non-specialist and emphasises practicality over academic niceties. If it inspires enthusiasm for a fascinating condition and convinces the reader that stroke is preventable, treatable and yet potentially devastating for patients and their families, it will justify its existence.' from the foreword by Kennedy R Lees

"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.