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.

"Conclusions are usually considered guesses" Henry S. Haskins, American writer in Meditations in Wall Street Students' minds, whether undergraduate or postgraduate, soon become stale when faced with lectures or even not so large textbooks. Supplementing lecture notes and textbooks with multiple-choice questions, therefore, attunes the mind to this style of examination which the student will certainly meet and yet also relieves the tedium and monotony of the conventional learning route. This multiple-choice textbook, therefore, should be used side by side with lecture notes, textbooks and clinical teaching material. The book covers a wide field of genitourinary medicine. This necessarily overlaps with general medicine, urology, bacteriology, virology, psychiatry, sexual medicine, im munology and proctology. With regard to immunology, a basic set of teaching questions are included so that HIV disease may be more easily understood without recourse to immunology textbooks. The answers to the questions are not given in a uniform style. This is partly to relieve monotony, and partly because some questions need no explanation, others need a prose answer and yet others are best answered by a point-by-point explanation. We also provide references for those interested. There is some overlap between questions but only enough, we hope, to facilitate learning but not produce somnolence."

Therapiestudien bei Atemwegserkrankungen.- Wirksamkeit eines Extraktes aus Pelargonium sidoides (EPs 7630) im Vergleich zu Placebo bei Patienten mit akuter Bronchitis.- Nicht-streptokokkenbedingte Tonsillopharyngitis bei Kindern: Wirksamkeit eines Extraktes aus Pelargonium sidoides (EPs 7630) im Vergleich zu Placebo.- Myrtol standardisiert und Antibiotika in der Behandlung der akuten Bronchitis - eine randomisierte, doppelblinde Multizenterstudie.- Adjuvante Therapie mit einer Echinacea-haltigen Phyto-Kombination bei antibiotikapflichtigen Atemwegsinfektionen.- Wirksamkeit und Vertraglichkeit von Efeublattertrockenextrakt: Ergebnisse einer erweiterten Anwendungsbeobachtung bei 372 Kindern im Alter von 0-16 Jahren.- Phytopharmaka bei Atemwegserkrankungen aus der Sicht des Arztes.- Therapiestudien bei Schmerz, Arthrosen, Rheuma.- Wirksamkeit und Vertraglichkeit von Capsicum-Pflastern beim unspezifischen Ruckenschmerz - Ergebnisse zweier RCT.- Ergebnisse zweier randomisierter kontrollierter Studien und einer Anwendungsbeobachtungmit Teufelskrallenextrakt.- Pharmakokinetik von Salicin nach oraler Gabe eines standardisierten Weidenrindenextraktes.- Weidenrindenextrakt - Wirkungen und Wirksamkeit. Erkenntnisstand zu Pharmakologie, Toxikologie und Klinik.- Therapiestudien bei Herz-Kreislauf-Erkrankungen.- Wirksamkeit und Vertraglichkeit eines Wei?dornbeerenextraktes (ROB 10) bei Patienten mit Herzinsuffizienz im Stadium NYHA II.- Wirksamkeit und Vertraglichkeit des Crataegus-Extraktes WS(R) 1442 bei Patienten mit Herzinsuffizienz im Stadium NYHA III im Vergleich zu Placebo.- Meta-analyses of garlic for hypercholesterolemia.- Therapiestudien mit Hypericum.- Zur Wirksamkeit von Hypericum-Extrakt WS(R) 5570 bei Patienten mit depressiven Stoerungen.- ubersicht zu Interaktionsstudien mit Johanniskrautextrakten.- Klinische Studien mit Hypericum-Extrakten bei Patienten mit Depressionen - Ergebnisse, Vergleiche, Schlussfolgerungen fur die antidepressive Pharmakotherapie.- Weitere Therapiestudien und Ausblick.- Vitex agnus castus Ze 440 bei pramenstruellem Syndrom.- Einschatzung eines phototoxischen Risikos bei Buchweizenkraut.- RCT-Pestwurzextrakt Ze 339 vs. Cetirizin bei allergischer Rhinitis.- AEquivalenz von Extrakten: Moeglichkeiten und Forschungsbedarf.- Chinesische Krautermedizin in Deutschland.

My practice life has spanned 36 years and during that time I have been involved in untangling countless mysterious maladies-or at least trying to do so. All of these efforts were without the benefit of any formal training about family systems. I am greatly encouraged by this book because it first draws attention to the intricate web that mankind has woven for itself. The family physician has often been caught up in this web, and therefore rendered impotent. Efforts to understand all of this are to be applauded. It has been my good fortune to know the editors, Leonard Roberts and Michael Crouch and, as a family physician, I feel that their "hearts are in the right place." They have grown up, medically speaking, in an era when society has become more complex, where life is not easy. Birth and its medical participants are suspect; childhood is complicated by divorce and loneliness; adolescence is a time of aimless searching; young adults are hard pressed to earn a living; the quality of life is being threatened somewhat by the overgrowth of high technology; dying with dignity is at a premium. The editors are to be commended for helping us clarify the role of the family physician in all of this.

Rick lelovsek is one of the "old timers" in computer medicine, developing and using computer systems for over 15 years. At Duke University, he developed one of the first computerized medical records for obstetrics and gynecology and collaborated with Drs. Stead and Hammond in the development of billing and accounting systems. A founding member and current officer of the American Association for Medical Systems and Informatics (AAMSI), he heads up and writes a quarterly newsletter for a special interest group in computers for the American College of Obstetricians and Gynecologists. He is a genuine (medical) "computernik." . I was asked as a favor to review his manuscript and suggest any needed changes before it was sent to a publisher. (He was not at that time planning to send it to Springer-Verlag.) Reading it was one of those pleasures I usually associate with a review article that finally explains those things about a subject that I was aware of but never really understood. I was familiar with practice billing, for example, but didn't really know the whys and hows of it all. Doctor's Office Com puter Prep Kit has filled the gaps in my knowledge with superb detail."

The author's principal aim is to win over the patient through the development of the "positive" aspects of his psychopathology-a concern the significance of which I have also discovered, especially in schizophrenic therapy. It is in this specific sense that Peseschkian speaks of "positive" psychotherapy. His model is a notable synthesis of psychodynamic and behavior-therapeutic elements, making an essential contribution to unified relationships within psychotherapy. In this way Peseschkian is attempting not to directly confront the patient's resistances. The consultation takes place in a loving way through allusions to poetry, proverbs and oriental fairy tales and myths, to which Peseschkian, as a Persian, has direct access. His ability to offer his patient a great treasure of handed-down wisdom knows no bounds. Anyone who has personally experi enced the author's therapeutic enthusiasm and optimism will understand why this method of short psychotherapeutic procedure is highly successful in its effects. Professor Gaetano Benedetti, M. D.

"The Elderly" is the third monograph in a series on management and treatment in major patient groups and subspecialties. Each book is complete in its own right. The whole series, however, has fill a gap between standard text-books of medicine been prepared to and therapeutics and research reviews, symposia and original arti cles in specialist fields. The aim of the series is to present up-to-date authoritative advice on patient management with particular refer ence to drug treatment. The first two volumes in the series, on gastrointestinal diseases and rheumatic diseases, were addressed to major therapeutic areas or subspecialties. The present volume, "The Elderly," is intended to provide overall guidance on the manage ment of a range of medical problems in elderly patients. The elderly make up an increasing proportion of the population and require a substantial proportion of health care resources. The management of elderly patients falls not only upon specialist geriatricians but also upon a range of others, including general practitioners, general physicians and almost all other medical specialists with the excep tion of paediatricians. It has become apparent in recent years that the management of disease in the elderly in general and drug treatment in particular presents new problems and challenges. Some of these relate to the wide spectrum of disease in elderly patients, in whom there is often multiple pathology, while others concern age-induced changes in drug handling or drug effect."

This work presents the knowledge and skills necessary for successful written communication in family medicine. It is intended for use by teachers of family medicine who, as part of their academic responsibilities, are called upon to produce written documents in a wide variety of areas. The book has also been written to serve as a resource for leaders presenting faculty development activities in various aspects of written communication, including writing for publication, administrative and educational communication, and other topics of interest to academicians. The Task Force on Professional Communication Skills was formed in 1981 as an initiative of the Board of Directors and the Communications Committee of the Society of Teachers of Family Medicine (STFM). In early meetings, the Task Force defined its goal as improvement of the communication skills-both written and oral-of STFM members. A survey of Task Force members revealed that the greatest challenges lay in the area of written communication skills, although the needs are not confined to medical article and book writing, but extend to the full range of academic communication. The Task Force set as its first task the creation of a monograph on written communication in family medicine.

The contributors to this volume, like many others concerned with medical education have for a long whilebeen conscious of the fact that in the training of medical students and in the practice of medicine too little attention is being paid to the psychological aspects of illness and to the use of psychotherapy in patient care. In an attempt to fill this gap medical students at University College Hospital, London, have since 1958 been given the opportunity on a voluntary basis to treat a pa tient with weekly analytically-orientated psychotherapy under supervision for a year or longer. In 1977 a similar scheme was started at the Psychosomatic Clinic of Heidel berg University. We were fortunate in obtaining generous financial support from the European Community which has enabled teachers and students from our two uni versities in Great Britain and the Federal Republic of Germany to collaborate in this student-psychotherapy teaching project and to compare our experiences. In this book we present an account of this joint educational endeavour, including our successes and our failures, as well as our attempts to solve some of the problems we have en countered. We decided to let individual supervisors and teachers who inevitably differed in their approach write their own contributions rather than try to present a unified pic ture which would not have given a fair impression of our work and experience. Ifthis has led to some repetition in the text we hope readers will appreciate the reason for it."

The book provides a summary of results from the 13th year of the BEACH program, a continuing national study of general practice activity in Australia. From April 2010 to March 2011, 958 general practitioners recorded details about 95,800 GP-patient encounters, at which patients presented 149,005 reasons for encounter and 146,141 problems were managed. For an 'average' 100 problems managed, GPs recorded: 69 medications (including 56 prescribed, seven supplied to the patient and six advised for over-the-counter purchase); 11 procedures; 23 clinical treatments (advice and counselling); six referrals to specialists and three to allied health services; orders for 30 pathology tests and six imaging tests. A subsample study of more than 31,000 patients suggests prevalence of measured risk factors in the attending adult (18 years and over) patient population were: obese - 27 per cent; overweight - 35 per cent; daily smoking - 15 per cent; at-risk alcohol consumption - 25 per cent. One in five people in the attending population had at least two of these risk factors. A companion publication, A Decade of Australian General Practice Activity 2001-02 to 2010-11 is also available.

Das Buch richtet sich an Allgemeinmediziner, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Allgemeinmediziner erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des allgemeinmedizinischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Allgemeinmediziner aber auch an Arzte in der Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen."

Viele Erkrankungen und Beeintr chtigungen bei Kindern lassen sich vermeiden oder wenn fr hzeitig erkannt zumindest lindern. Eltern und Betreuer sollten deshalb die Vorsorgem glichkeiten kennen und nutzen: Untersuchungen w hrend der Schwangerschaft, U-Untersuchungen f r Kinder (U1-U9, J1), H rscreening, Impfungen usw. Dieses Buch bietet das notwendige Wissen f r Eltern und Betreuer, um Kinder physisch und psychisch zu f rdern. Mit einem Geleitwort von Ursula von der Leyen, Bundesministerin f r Familie, Senioren, Frauen und Jugend.

Updated second edition of the concise but comprehensive handbook covering clinical infectious disease for students, residents, primary care medical providers, nurses, and PAs. Written in outline format with short, focused chapters, the book presents a systematic method for understanding basic mechanisms, establishing a diagnosis, and implementing appropriate treatment for commonly encountered problems. Essentials of Clinical Infectious Diseases, Second Edition begins with a general framework covering basics of clinical reasoning, antimicrobial agents and microbiology, and antimicrobial stewardship. Individual chapters devoted to the broad range of infectious diseases and topics are organized by body system and feature targeted presentation of pathogenesis and risk factors, microbial causes, clinical manifestations, patient work-up, diagnostic criteria, and medical, antimicrobial, and surgical management. The book also addresses important related topics including fever and neutropenia, approach to evaluating ectoparasite-related infections, infectious diseases approach to sepsis, travel medicine, and basics of infection control and hospital epidemiology. Designed for busy practitioners at any level looking to sharpen the clinical problem-solving skills required to provide the highest quality care to patients with infectious diseases. Key Features: Presents core clinical infectious disease topics in concise easy-to-read format Revised and updated to reflect recent developments in the field consistent with evidence-based literature and current clinical practice guidelines 6 new chapters on lyme disease, anorectal infections, travel medicine, dental infections, antimicrobial stewardship, and clinical reasoning and statistics Focus on the approach to evaluation and management of the patient Incorporates essential antimicrobial therapy information with adult, pediatric, and OB-GYN dosing considerations

Diagnostik und Therapie sind die Pfeiler, auf denen die Medizin ruht. Beide wurden in der letzten Zeit wesentlich erweitert und vertieft - teils zum Nutzen der Patienten, teils aber auch zu deren Nachteil. Betroffen sind alle Fachgebiete der nicht-operativen Medizin inklusive der Pneumologie. Im Bereich der Pharmakotherapie von Lungenerkrankungen fehlte bisher ein Nachschlagewerk im deutschen Sprachraum. Meistens wird das Thema lediglich kursorisch in Lehrbuchern der Inneren Medizin und Pneumologie abgehandelt: Wenig vertieft bzw. kritisch abgehandelt mit Therapieempfehlungen ohne wissenschaftliche Evidenz. Erstmalig im deutschen Sprachraum liegt nun dieses fachbezogene Lehrbuch mit neuesten Erkenntnissen der Pharmakotherapie vor. Es wendet sich vor allem an Internisten und Pneumologen, ist aber auch fur Padiater, Thoraxchirurgen und Allgemeinarzte von grossem Interesse.

This is the first book to explore the impact of 'burnout' on the current NHS GP workforce and how this can be addressed, from an insider GP perspective. Adam Staten, recently qualified GP, and Euan Lawson, Fellow of the RCGP with over 20 years experience, discuss in engaging, accessible chapters how burnout manifests psychologically, the complex reasons why GPs burn out and the individual and broader impact this can have. Most importantly, the book offers practical advice on how to avoid burning out and combat the negative effects of an increasingly high-pressure role, exploring how GPs can develop resilience and work in a way that builds a healthier work-life balance. A section is dedicated to the array of GP job options, with testimonies from practitioners working in diverse areas from education and academia to military and humanitarian settings. This book explores the challenges of working in general practice today, but it also demonstrates the potential for every GP to experience a personally and professionally satisfying career. Providing practical, workable advice and links to resources for help and support, the book enables readers to find opportunity within the perceived 'crisis'. By reading this book, you will find the means to improve not just your own working life but also to enhance the way you deliver care to your patients.

Evidence Based Practice in Primary Health Care is split into two sections. The frist discusses how the individual can apply evidence based medicine in the clinical setting, and the second covers the wider issue of changes in organisation and strategy to promote better and more effective delivery of care within a practice or primary care group. Chapters are writtten by leading specialists in evidence based primary care from Australlia, the UK, and mainland Europe

Derived from ASAM's definitive work , Principles of Addiction Medicine, 6th Edition , this companion resource is ideal for residents, fellows, and practitioners in psychiatry, as well as addiction medicine specialists and other healthcare workers who provide care to patients with substance use disorders. Streamlined and easy to use, the Essentials volume provides authoritative information on everything from the pharmacology of addiction through diagnosis, assessment, and early intervention-all in concise, easy-to-navigate format for ease of reference. Presents the collective wisdom of hundreds of esteemed authorities on the art and science of addiction medicine, including the physical, emotional, and mental health effects of substance misuse. Features key points, review questions, and suggested readings that help maximize understanding and retention of essential concepts. Covers the various forms of addiction management, treatment of individual patient populations, management of intoxication and withdrawal, pharmacologic and behavioral interventions, recovery programs, medical disorders and complications, co-occurring addiction and psychiatric disorders, pain and addiction, children and adolescents, and ethical, legal, and liability issues. Follows the format of the larger text, with each chapter in Essentials providing a summary of the corresponding chapter in Principles . Serves as a day-to-day clinical resource as well as a review tool for those preparing for addiction medicine and addiction psychiatry certification exams. Enhance 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.

International Perspectives on Primary Care Research examines how the evidence base from primary care research can strengthen health care services and delivery, tackle the growing burden of disease, improve quality and safety, and increase a person-centred focus to health care. Demonstrating the inter-professional nature of the discipline, the book also features a section on cross-nation organisations and primary care networks supporting research. National perspectives are offered from researchers in 20 countries that form part of the World Organization of Family Doctors, providing case histories from research-rich to resource-poor nations that illustrate the range of research development and capacity building. This book argues the importance of primary care research, especially to policy makers, decision makers and funders in informing best practice, training primary health care providers and achieving equitable distribution of care.

Designed as a highly visual and practical resource to be used across the spectrum of lifelong learning, Ballweg's Physician Assistant, 7th Edition, helps you master all the core competencies needed for physician assistant certification, recertification, and clinical practice. It remains the only textbook that covers all aspects of the physician assistant profession, the PA curriculum, and the PA's role in clinical practice. Ideal for both students and practicing PAs, it features a succinct, bulleted writing style, convenient tables, practical case studies, and clinical application questions that enable you to master key concepts and clinical applications. Addresses all six physician assistant competencies, as well as providing guidance for the newly graduated PA entering practice. Includes five new chapters: What Is a Physician Assistant, and How Did We Get Here?, Effective Use of Technology for Patient-Centered Care, Success in the Clinical Year, Transitioning to Practice and Working in Teams, and Finding Your Niche. Features an enhanced focus on content unique to the PA profession that is not readily found in other resources, more illustrations for today's visually oriented learners, a more consistent format throughout, and a new emphasis on the appropriate use of social media among healthcare professionals. Provides updated content throughout to reflect the needs of the PA profession, including new content on self-care for the PA to help prevent burnout, suicide, and other hazards faced by healthcare professionals. Guides students in preparation for each core clinical rotation and common electives, as well as working with special patient populations such as patients experiencing homelessness and patients with disabilities. Includes quick-use resources, such as objectives and key points sections for each chapter, tip boxes with useful advice, abundant tables and images, and more than 130 updated case studies. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices, as well as exclusive eBook chapters: A Primer on Learning Objectives, A Primer on Item Writing, and A Primer on Team-Based Learning.

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.

This manual is a combination and revision from the assessment of sexual maturity stages developed for the PROS study on girls in 1995 and for the PROS puberty study on boys in 2005. It will assist the pediatric health care provider in learning how to assign the stages of the physical changes of pubertal development using the system described by Marshall and Tanner as well as correct techniques for breast palpitation and testicular measurement. This manual uses the classic photographs of Tanner and van Wieringen as well as many taken specifically for this resource.

?er 1000 Stichworte: Wer schnelle Information ?er Krankheitsbilder, Ursachen, Symptome, Behandlung und Vorbeugung sucht, findet hier verst?dliche Antworten und Rat.

Die vergessene Alternative zur aufwendigen Arzneitherapie! In diesem Buch erfahren Sie alles Wissenswerte uber die erfolgreiche Behandlung von Erkrankungen mit Hilfe der Ernahrungstherapie. Die Vorzuge gegenuber der herkoemmlichen Arzneitherapie liegen auf der Hand: Sie ist risikoarm, effizient, kostengunstig und vor allem hat der Patient keinerlei Nebenwirkungen zu befurchten. Dieses Kompendium gibt praxisbezogene Ernahrungstipps zu einem grossen Spektrum von Krankheiten, wie zum Beispiel bei Cholesterinproblemen, koronarer Herzkrankheit, Bluthochdruck, Diabetes mellitus und Krebs. Der Inhalt basiert auf jahrzehntelanger diatetischer Erfahrung grosser Kliniken. Alphabetisch geordnete Stichwoerter bieten dem Arzt, der Diatassistentin und der OEkotrophologin einen schnellen Zugriff auf Informationen zu annahernd 600 Krankheitsbildern aus allen Fachgebieten der Medizin. Jetzt als vollstandig uberarbeitete und erweiterte Neuauflage!