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.

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.

Drei erfahrene Experten formulieren hier ein klar verstandliches Gesamt-Konzept fur das Unternehmen Arztpraxis. Dabei betonen sie die Wechselwirkungen und das sinnvolle Zusammenspiel aller Aspekte, die einen langfristigen Erfolg ermoglichen und begrunden: Betriebswirtschaft, Kooperationsformen, Steuer-, Vertragsarzt-, Arbeits- und Haftungsrecht, Marketing, Mitarbeiterfuhrung, Praxisorganisation und Altersvorsorge. So ist zum Beispiel die enge Verbindung von Praxis- und Privatbereich von existenzieller Bedeutung fur niedergelassene Arzte. Einsteiger wie Arzte, die bereits in eigener Praxis tatig sind, werden hier optimal informiert. "

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 "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 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.

NANOTECHNOLOGY IN MEDICINE Discover thorough insights into the toxicology of nanomaterials used in medicine In Nanotechnology in Medicine: Toxicity and Safety, an expert team of nanotechnologists delivers a robust and up-to-date review of current and future applications of nanotechnology in medicine with a special focus on neurodegenerative diseases, cancer, diagnostics, nano-nutraceuticals, dermatology, and gene therapy. The editors offer resources that address nanomaterial safety, which tends to be the greatest hurdle to obtaining the benefits of nanomedicine in healthcare. The book is a one-stop resource for recent and comprehensive information on the toxico logical and safety aspects of nanotechnology used in human health and medicine. It provides readers with cutting-edge techniques for delivering therapeutic agents into targeted cellular compartments, cells, tissues, and organs by using nanoparticulate carriers. The book also offers methodological considerations for toxicity, safety, and risk assessment. Nanotechnology in Medicine: Toxicity and Safety also provides readers with: A thorough introduction to the nanotoxicological aspects of nanomedicine, including translational nanomedicine and nanomedicine personalization Comprehensive introductions to nanoparticle toxicity and safety, including selenium nanoparticles and metallic nanoparticles Practical discussions of nanotoxicology and drug delivery, including gene delivery using nanocarriers and the use of nanomaterials for ocular delivery applications In-depth examinations of nanotechnology ethics and the regulatory framework of nanotechnology and medicine Perfect for researchers, post-doctoral candidates, and specialists in the fields of nanotechnology, nanomaterials, and nanocarriers, Nanotechnology in Medicine: Toxicity and Safety will also prove to be an indispensable part of the libraries of nanoengineering, nanomedicine, and biopharmaceutical professionals and nanobiotechnologists.

Einfuhrung zur psychosomatischen Frauenheilkunde; Zur Arzt-Patient-Beziehung in der Frauenheilkunde; Aspekte der psychosomatischen Geburtshilfe; Symptome in der Schwangerschaft mit einer moeglichen Psychogenese; Psychosomatische Aspekte der Geburt; Psychosomatische Aspekte des Wochenbetts; Psychosomatische Gynakologie; Symptome und Krankheitsbilder in der Psychosomatischen Gynakologie; Psychosomatische Aspekte kritischer Zeitabschnitte; Askekte der angwandten psychsomatischen Frauenheilkunde; Entwicklungen und Zukunftstendenzen in der psychosomatischen Geburtshilfe und Gynakologie

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.

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."

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."

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."

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.

"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.

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."

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.

This volume addresses gaps in the existing literature of global mental health by focusing on the ethical considerations that are implicit in discussions of health policy. In line with trends in clinical education around the world today, this text is explicitly designed to draw out the principles and values by which programs can be designed and policy decisions enacted. It presents an ethical lens for understanding right and wrong in conditions of scarcity and crisis, and the common controversies that lead to conflict. Additionally, a focus on the mental health response in "post-conflict" settings, provides guidance for real-world matters facing clinicians and humanitarian workers today. Global Mental Health Ethics fills a crucial gap for students in psychiatry, psychology, addictions, public health, geriatric medicine, social work, nursing, humanitarian response, and other disciplines.

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.

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."