The development of immunization has been one of the most striking features in the control of infectious disease in the twentieth century. This book takes into account the need for a simple, concise account of immunization procedures not only in the UK and USA but also in other countries, and to this end a special chapter on immunization in developing countries has been included. Following two introductory chapters, there are nine chapters on various diseases and the vaccines that have been developed to combat them. In each of these chapters, a short discussion of the epidemiology of the disease and the history of immunization against it is followed by a description of the vaccine, its efficacy, contraindications to its use and future developments. These are followed by four general chapters on vaccines for travel, vaccines for selective use, passive immunization and immunization in tropical environments and the book concludes with a chapter on the smallpox vaccination and one on new vaccines. The demand for this book follows the popularity of a series of articles on immunization which appeared in Update. These have been expanded and largely rewritten. I have drawn on many expert sources and have made an effort to provide a balanced and non-controversial opinion with a discussion of alternative procedures where indicated.

Die einzige wissenschaftlich fundierte Monografie zur Nikotinabhangigkeit: Eindringlich und basierend auf den neuesten wissenschaftlichen Erkenntnissen schildern die Autoren die Auswirkungen des Rauchens auf die menschliche Gesundheit. Damit schliessen sie eine Lucke in der deutschsprachigen Literatur. Detailliert beschreiben sie die durch Tabak verursachten Erkrankungen. Sie erlautern Praventionsmassnahmen insbesondere fur Kinder und Jugendliche sowie die Vor- und Nachteile gangiger Therapien, um Rauchern den Entzug zu erleichtern. UEbersichtlich und systematisch behandelt die 2., vollstandig uberarbeitete und aktualisierte Auflage ein einmalig breit gefachertes Spektrum: Geschichte des Tabaks, Epidemiologie der Tabakabhangigkeit, u.v.a.m.

Taking a look at the most common sensory issues kids face, Raising Kids With Sensory Processing Disorders offers a compilation of unique, proven strategies that parents can implement to help their children move beyond their sensory needs. This updated second edition: Shows parents how to characterize their child's sensory issues into one of several profiles. Helps parents find the best adaptations and changes to their child's everyday routines. Provides a week-by-week series of activities and checklists. Helps improve children's performance on tasks like homework, transitions between activities, and interactions with friends. Is written by parents and occupational therapists. Whether it's having to remove tags from clothing or using special dimmed lighting when they study, kids with sensory disorders or special sensory needs often need adaptations in their everyday lives in order to find success in school and beyond.

Despite children making up around a quarter of the population, the first edition of this book was the first to focus on a public health approach to the health and sickness of children and young people. It combined clinical and academic perspectives to explore the current state of health of our children, the historical roots of the speciality and the relationship between early infant and child health on later adult health. Child public health is a rapidly developing field, and is increasingly recognised throughout the world as a major area of focus for population health. Targeting the health of children now is essential if we are to achieve a healthy population as adults. For the second edition the text has been revised and updated with new material on health for all children, global warming, child participation, systems theory, refugees, commissioning, and sustainable development.
Child Public Health 2e will be of interest to public health practitioners, paediatricians, general practitioners with a child health and commissioning interest and GP trainees. Whilst pediatricians are given a unique population perspective on their clinical specialty, public health professionals will gain a specialist insight into a specific population group and primary care doctors, nurses and managers will find support for their commissioning and clinical governance agendas.

Chronic Kidney Disease (CKD) is rapidly becoming a global healthcare problem with an estimated 10% of the general population affected. As a result, it is becoming increasingly important that primary care physicians and general physic, as well as aspiring nephrologists, have a firm understanding of CKD as well as access to the key information.
Practical and highly-accessible, this book provides a comprehensive guide to the understanding and management of patients with CKD. It offers both primary care physicians and non-nephrology specialists an introduction to and insights into the disease. The emphasis is on practical guidance and a focused approach to a number of key topics in the field including epidemiology, diagnosis and management, and the impact of CKD on chronic, non-communicable disease.
This is a unique contribution by internationally renowned experts in the CKD field to update primary care physicians and non-specialists on major issues in this growing global healthcare problem.

Mood disorders are a global health issue. National guidance for their detection and management have been published in the US and in Europe. Despite this, the rate at which depression is recognized and managed in primary and secondary care settings remains low and suggests that many clinicians are still unsure how to screen people for mood disorders. Against the backdrop of this problem, the editors of this volume have designed a book with a dynamic two-fold purpose: to provide an evidence-based overview of screening methods for mood disorders, and to synthesize the evidence into a practical guide for clinicians in a variety of settings--from cardiologists and oncologists, to primary care physicians and neurologists, among others. The volume considers all important aspects of depression screening, from the overview of specific scales, to considerations of technological approaches to screening, and to the examination of screening with neurological disorders, prenatal care, cardiovascular conditions, and diabetes and cancer care, among others. This book is sure to capture the attention of any clinician with a stake in depression screening.

Dangers of Alcohol 2E describes how alcohol affects the function of the nervous, cardiovascular and digestive systems. Clear illustrations and explanations describe the short and long term affects of alcohol on the: brain and nerves heart stomach liver reproduction Also shows the process of alcohol absorption and its effect on the liver and explains reproductive side effects, including risks to an unborn baby. Intoxication and side effects as well as other consequences of alcohol abuse are defined. Made in the USA. Available in English and Spanish Available in the following versions : 20" x 26" heavy paper laminated with grommets at top corners ISBN 9780781782395 20" x 26" heavy paper ISBN 9780781782388 20" x 26" heavy paper laminated with grommets at top corners Spanish ISBN 9780781773362 20" x 26" heavy paper Spanish ISBN 9780781773355

General practitioners (GPs) and other members of the Primary Health Care Team (PHCT) play a crucial role in the provision of health care for children. At least 25% of GP consultations are with children, and many of the problems encountered are specific to this population group. However, children do not represent a homogeneous population and several ages of childhood are recognised, each with its unique set of illnesses and problems: the neonate, infant, pre-school child, school age child and the adolescent. Furthermore, both the childhood population and their illnesses change with time; new illnesses such as HIV have appeared and others, not seen for many years (such as rickets, tuberculosis and congenital rubella syndrome) have returned. Thus a comprehensive knowledge of the varied aspects of child health is needed; recognition of the acutely ill child, developmental surveillance, immunisation, treatment of chronic illness, and psycho-social issues. GPs are also increasingly involved in influencing configuration and the commissioning of services at a local level. This textbook provides practical guidance for GPs, GP registrars, practice nurses and health visitors dealing with child health in the 21st century. It undertakes a focused, problem-orientated approach based on the more common childhood problems encountered by GPs. Each chapter includes the essential background theory, but the emphasis is on making the clinical approach relevant and sensitive to primary care. Solutions to clinical scenarios are provided, based upon current, best available evidence. Site and system specific chapters are combined with sections looking at wider issues such as ethics and law, multicultural issues, and immunisation.

The Sixth Edition of Anatomy & Pathology: The World's Best Anatomical Charts features 52 new and updated anatomical charts created by some of the world's best medical illustrators. This reference is an essential addition to every library, whether you are a health professional, student, or interested consumer.
These anatomical charts show the human body in a format that provides a clear and visual understanding of human anatomy, physiology, and diseases. Medical terminology and easy-to-understand supporting text are printed directly on each chart so you never have to refer to a separate key card or manual. The convenient size and format make it ideal for studying, patient consultation or quick reference.
Systems of the Body: 12
Structures of the Body:16
Diseases, Disorders and Conditions: 24
58 pages
52 full color charts
size 10" x 12"
Spiral bound, soft cover

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.

Over the course of the previous seven editions, Pediatric Nephrology has become the standard reference text for students, trainees, practicing physicians (pediatricians, nephrologists, internists, and urologists), subspecialists, and allied health professionals seeking information about children's kidney diseases. It is global in perspective, reflecting the fact that the international group of editors are all acknowledged world experts. The latest edition of this text is no different, providing a comprehensive, state-of-the-art overview on pediatric nephrology. Much like the previous edition, the latest edition reviews the most critical aspects of the field. Topics covered include developmental physiology and diseases, renal physiology and diagnostic approaches, glomerular disease, kidney involvement in systemic diseases, renal tubular disorders, homeostasis, cystic kidney disease and related disorders, urinary tract disorders, hypertension, acute kidney injury, and chronic kidney failure. Unlike the previous edition, however, the chapters in this edition now combine physiology, clinical management, and pathology for ease of use. The latest edition also includes a new section on the evaluation of different disorders that can have multiple etiologies, setting the stage for the evaluation and management of specific diseases. This book serves as a superb resource and an invaluable asset for practitioners, health professionals, and trainees seeking out information about children's kidney diseases.

All long-term illnesses, whatever their diagnosis, have much in common. The difficulties and challenges that come with illness, and the strategies to overcome them, are shared by most patients. Managing an illness effectively and tackling the difficulties it causes can greatly improve how you feel and your quality of life. This book identifies the challenges posed by illness and suggests a wide variety of ways in which you might meet them. Key to this is the idea of becoming expert in managing your own illness and learning how best to deal with it. The authors accept that you know more than them about how you experience it, so that rather than telling you what to do, they offer a tool box from which you may pick the strategies that best suit you. The two authors, one a person with a long-term illness and one a doctor, combine their expertise and experience to offer a practical and comprehensive guide along your own unique journey. If you have a long-term illness, or if you care for someone who does, then this is a book for you.

Working in the outpatient clinic is a key training experience for medical students. When they arrive at the clinic, students may discover that their time on the inpatient wards does not necessarily prepare them to perform well in the outpatient setting. Everything is different in the clinic, from the nature and context of the patient encounter to the student's role in note-writing, oral case presentation, and case discussion with the attending physician. The purpose of this book is to guide students as they transition to the world of 15-minute appointments, telemedicine, cyberchondriasis, motivational interviewing, shared medical appointments, and real-time informatics. The aim is to give students a clear understanding of their role in a variety of clinic settings, to evaluate and present their patients well, maximize learning, and provide excellent care for their patients. Excelling in the Clinic explains the process of becoming an effective, efficient, and scholarly worker in the primary care clinic.

Doctors, patients, investigators, administrators, and policymakers who assign diagnoses assume three elements: the name describes an entity with conceptual or evidentiary boundaries, the person setting the name has a high degree of certainty, and the name has a consensus definition. This book challenges this practice and offers an alternative to assigning diagnoses: quantitating diagnostic uncertainty in personal and public medical plans. This book offers the stakeholders' views participating in a workshop, sponsored by the Barbara Volcker Center/Hospital for Special Surgery, taking place in April 2020, about uncertain diagnoses. Chapters examine the circumstances in which diagnosis names are "unassignable", either because patients do not fit within diagnostic "boxes" or because health abnormalities evolve and change over time. In addition, the book deconstructs the processes of diagnosis and explores how different stakeholders used diagnosis names for various purposes. In examining pertinent questions, the book offers a roadmap to achieving consensus definitions or including measures of uncertainty in personal care, research, and policy. Diagnoses Without Names: Challenges for Medical Care, Research, and Policy is an essential resource for physicians and related professionals, residents, fellows, and graduate students in internal medicine, rheumatology, and clinical immunology as well as investigators, administrators, policymakers.

Cicely Saunders is universally acclaimed as a pioneer of modern hospice care. Trained initially in nursing and social work, she qualified in medicine in 1958 and subsequently dedicated the whole of her professional life to improving the care of the dying and bereaved people. Founding St. Christopher's Hospice in London in 1967, she encouraged a radical new approach to end of life care combining attention to physical, social, emotional and spiritual problems, brilliantly captured in her concept of "total pain." Her ideas about clinical care, education and research have been hugely influential, leading to numerous prizes and awards in recognition of her humanitarian achievements. This book includes a selection of Cicely Saunders' most important writings throughout a period of over forty years.
Full articles, chapters, editiorials, reviews, and commentaries include important clinical themes relating to the care of dying people such as pain and symptom management, issues of communication and truth telling, and the needs of particular patient groups, such as those with cancer and other diseases. The book includes pieces that reflect on the wider development of the palliative care field and on policy and organizational issues. Some of the papers take up the theme of spiritual care at the end of life, as well as the question of euthanasia, raising in turn issues of a wider theological and philosophical nature.
The articles are written for a multi-disciplinary audience and will be of enormous interest to many professionals now working in palliative care. The collection will become a key work of reference for those interested in the evolution of hospice and palliative care and will serveas an important sourcebook of many currently hard to obtain publications by the acknowledged founder of the modern hospice movement. This book will also stand as a remarkable testimony to the personal contribution of Cicely Saunders and the influence she has had upon the modern field of palliative and end of life care.

The NHS has undergone substantial reform and investment since 1980, yet demand for care still exceeds supply and difficult choices remain between patients. Why is this so? On what basis should these decisions be made and by whom? As patients become 'consumers' of care, Who Should We Treat? puts patients' rights into their political, economic, and managerial perspectives to consider one of the most pressing problems in contemporary society.

This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

This is the third book in a new international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. There are few more distressing problems for patients and families than the development of a primary or secondary brain tumor. Treatment is often palliative, though intensive, from the start. Little firm evidence exists to guide the physician in caring for patients with seizures refractory to standard treatment. Most of the work is based on case reports or personal experience. This book draws the information together in an easily accessible form so that the book can be read and referred to on the ward, or before a domiciliary visit.
Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find this book invaluable. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists and nurse practitioners in palliative care, oncology and neurology.

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.

Fatigue in Cancer provides a comprehensive review of the key issues involved in the research and practical application of current evidence and best practice guidelines for addressing cancer-related fatigue. An international group of contributors draw together core topics relating to this complex area of cancer management, focusing on issues of definition, patho-physiology, treatment related variables and the psychological, social and emotional impact on patients, families and carers. Critical reviews of practical management strategies for both adults and children are included, as are the current approaches to the measurement of cancer-related fatigue in clinical and research contexts. The book contributes a multi-disciplinary overview of a problem increasingly overlooked by cancer scientists, researchers, and clinicians.
This book demonstrates the considerable capacity of cancer-related fatigue to impact on quality of life. Its multi-disciplinary focus and consideration of prioritised areas of future research will ensure that it will prove invaluable for all health professionals and researchers in oncology and palliative care.

This book assembles many of the foremost writers and clinicians in the field of team-based primary care to share their own relational reflections. It features narratives from fields such as integrated behavioral health, integrated primary care, primary care behavioral health, medical family therapy, health psychology, primary care psychology, and clinical social work. The key focus of the chapters are the relationships that are formed during primary care delivery. The book is organized into six core chapters: Family of Origin, Teachers and Mentors, Our Patients and Ourselves, Colleagues and Collaborators, Clinician as Patient, and Death and Loss. Each chapter contains a variety of styles and formats of narrative medicine, including personal reflections, story-telling, and poetry. Connections in the Clinic will be of interest to a wide audience of clinicians and educators dedicated to a reflective or story-telling approach to healing.

There is increasing ethnic diversity in our society posing challenges for health professionals and health care. Existing texts on ethnicity and health are often esoteric and academic in focus, accessible to researchers and policy analysts rather than health practitioners. Other texts consider a single health topic or cultural group.

Ethnicity, Health and Primary Care is a new book, intended as a broad but concise and practical introduction to ethnicity and health care for a wide range of health professionals - general practitioners, GP registrars, practice and community nurses, bilingual workers, medical students and other health practitioners in training. Although focusing on primary care, the book's general principles and its clinical coverage will be highly relevant to other health and social care practitioners, in addition to those developing and commissioning health services.

Chapters have been written to enable busy practitioners and students to grasp the essentials quickly and easily. The book aims to stimulate readers to learn about and develop an effective approach to ethnic diversity in health care.

Rather than be an encyclopaedia of different ethnic groups and cultural practices, this book emphasises the need for practitioners to respond to people as individuals within a broader understanding of the diverse needs of communities. It thus promotes generic principles for good practice wherever diversity has an impact. Having underlined these principles the book considers major clinical topics and groups arguably of particular concern for the health of diverse ethnic communities.

Developed by a renowned group of international authors, this engaging, case-based title once again offers readers a wide range of thought-provoking case studies that reflect contemporary, challenging, hands-on clinical care. Expanded and fully updated, Endocrinology and Diabetes: A Problem Oriented Approach, 2nd Edition addresses the complete range of endocrinologic problems found in patient care, offering the reader a convenient and pointed way to solve clinical problems in a timely manner. Due to its comprehensive coverage and practical focus, this title has developed a special place in the field of endocrinology and will again be of great interest to endocrinologists, diabetologists, internal medicine physicians, family physicians, fellows, and residents. The enthusiastic reception and warm welcome of the first edition of this book was overwhelming and gratifying. Despite many standard texts that cover physiology and clinical aspects of endocrinology, this book found a special place because it focused on patient care and practical aspects of endocrine practice. In the current volume we were fortunate to again have the honor of collaboration by international authors who pride themselves foremost as clinical endocrinologists. We hope our readers will find this updated, improved edition worthwhile, and use it for the benefit of their patients.

Patient participation and user involvement are central to current thinking about the effective delivery of desired healthcare outcomes. Working with the person who lies behind every patient is core to palliative care. A voice can only become significant when it is listened to and acted upon. With palliative care increasingly addressing the needs of people with a variety of conditions in a range of settings, as well as with advances in research, technology, and information, the challenge to be 'a voice for the voiceless' is greater than ever.

This book addresses key aspects in the provision of patient-centred palliative care and tracks significant developments in user involvement. It sets the philosophy within the cultural, social and political context of modern healthcare, particularly addressing issues of quality, standards, education and bereavement. A key component in the delivery of high quality palliative care is the multi-professional team. Following a discussion of teamwork, five core professions present a critical analysis of their working practices. The book concludes with a commentary from a palliative care user and a bereaved carer.

It is often somewhat glibly asserted that the patient is, or should be, at the centre of care. There have been few attempts to examine how to keep him or her there without professional needs and protocols crowding him or her out. This book asks how we listen and why we listen. The book focuses on the challenges of how professionals can keep the needs of the patient central in clinical care and how the patient can influence the direction of that care.