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Books > Medicine > General issues > Health systems & services > General practice

Vitamin D and the Lung - Mechanisms and Disease Associations (Paperback, 2012 ed.): Augusto A. Litonjua Vitamin D and the Lung - Mechanisms and Disease Associations (Paperback, 2012 ed.)
Augusto A. Litonjua
R6,537 Discovery Miles 65 370 Ships in 10 - 15 working days

Vitamin D deficiency is a worldwide problem and many associations with diseases are being discovered. Recently, there has been an interest in the role that vitamin D plays in the inception and progression of lung disease. Vitamin D and the Lung: Mechanisms and Disease Associations delivers a concise, evidence-based review of the evidence for a role of vitamin D in various lung disorders. Divided into three sections, the first section of the book delivers a review of how vitamin D deficiency emerged in human populations, and gives a perspective on how humans evolved to maximize the efficiency of production of vitamin D. The second section of the book reviews aspects of vitamin D mechanisms on different immune cells, lung tissue, and genetics that have potential impact on lung disease. The third section follows with chapters on associations of vitamin D with the risk for viral infections, asthma and allergies, chronic obstructive pulmonary disease, cystic fibrosis, tuberculosis, and finally, lung cancer with an emphasis on ongoing research and clinical issues and needs for future research in each field. Written by an international group of expert authors, Vitamin D and the Lung: Mechanisms and Disease Associations is an essential text for researchers in the respiratory field and practicing clinicians including internists, pulmonologists, and primary care personnel.

Integrative Ernahrung - Ein Ganzheitliches Konzept Zur Pravention Und Ernahrungstherapie (German, Paperback, 1. Aufl. 2021... Integrative Ernahrung - Ein Ganzheitliches Konzept Zur Pravention Und Ernahrungstherapie (German, Paperback, 1. Aufl. 2021 ed.)
Claudia Nichterl
R1,192 Discovery Miles 11 920 Ships in 12 - 17 working days

Integrative Ernahrung kombiniert die Ernahrungswissenschaft mit traditionellen medizinischen Systemen. Sie bietet ein serioeses Fundament fur individuelle Ernahrungsempfehlungen, die praxisnah und nachhaltig sind. Das Buch stellt die integrative Ernahrungstherapie als ganzheitliches Konzept fur die Pravention und Gesunderhaltung, aber auch als komplementare Unterstutzung zur Behandlung von Zivilisationskrankheiten, wie etwa UEbergewicht, Allergien und/oder Unvertraglichkeiten, Reizdarm, chronisch entzundlichen Darmerkrankungen, Autoimmunerkrankungen vor. Der erste Teil behandelt die Grundlagen und die wesentlichen Prinzipien der Traditionellen Chinesischen Medizin (TCM) im Vergleich zur klassischen Ernahrungswissenschaft und Ernahrungsmedizin. Im zweiten Teil werden die Vorteile der Integrativen Ernahrung anhand von haufigen Beschwerde- und Krankheitsbildern beleuchtet. Im dritten und letzten Teil wird ein Ausblick auf die Einsatzmoeglichkeiten gegeben. Das Buch richtet sich an AErzte und Therapeuten, wie sie mit punktgenauen Tipps und Massnahmen den Therapieerfolg ihrer Patienten unterstutzen koennen, daruber hinaus schatzen auch Konsumenten die Hinweise zur Selbsthilfe.

Pediatric Genetics and Inborn Errors of Metabolism - A Practically Painless Review (Paperback, 2014 ed.): Christine M. Houser Pediatric Genetics and Inborn Errors of Metabolism - A Practically Painless Review (Paperback, 2014 ed.)
Christine M. Houser
R2,440 Discovery Miles 24 400 Ships in 10 - 15 working days

Often, information in review books can raise as many questions as it answers. This interferes with the study process, because the learner must either look up additional information or skip ahead without truly comprehending what he or she has read. As an alternative, Pediatric Genetics and Inborn Errors of Metabolism: A Practically Painless Review presents bite-size chunks of information that can be read and processed rapidly, helping learners to stay active while studying and to pick up new information the first time they read it. This book's question and answer format allows for self-testing or study with a partner or a group. The format also facilitates dipping into the book during a few minutes of downtime at the hospital or office. Pediatric Genetics and Inborn Errors of Metabolism: A Practically Painless Review is a quick and easy way to master these tricky topics and is suitable for those studying for the pediatric board exam, practicing physicians brushing up their skills, and any busy clinician who wants to learn more about these topics while on the go.

Diversity in Action - Case Studies in Cultural Psychiatry (Paperback, 1st ed. 2022): Steve H. Koh, Gabriela G. Mejia, Hilary M.... Diversity in Action - Case Studies in Cultural Psychiatry (Paperback, 1st ed. 2022)
Steve H. Koh, Gabriela G. Mejia, Hilary M. Gould
R3,155 Discovery Miles 31 550 Ships in 12 - 17 working days

This book presents an extensive collection of high-yield case vignettes with recommendations for a comprehensive approach to cultural psychiatry. Culture is defined from an anthropological perspective, with an emphasis on aspects of culture beyond race, ethnicity, and other traditional demographic categories. The goal of this book is to offer clinical applications of cultural psychiatry via examination of special populations, systems, and settings. With ever-changing geopolitical environments, institutional structures, and sociodynamics, attention and consideration of context is paramount. Theoretical models and specific frameworks for evaluating cultural influence on the manifestation, development, and treatment response of mental health illnesses are presented. The chapters are organized to showcase different ways in which culture plays into everyday clinical practice. Emphasis is placed on the full sum of the care delivery transaction within a larger context, including public and community systems of care. Real-world case examples are discussed in each chapter to help contextualize the dynamic nature that culture plays in practice across inpatient and outpatient settings. Each case presents with relevant academic and historical background and practical operational advice for psychiatrists providing care within these respective communities. The authors address diverse clinical cases related to refugee and asylum seekers, military service members, survivors of human trafficking, incarcerated populations, and more. Training recommendations and best practices are outlined including psychopharmacology, psychosocial treatments, and cultural adaptations to evidence based treatments. Diversity in Action: Case Studies in Cultural Psychiatry is a useful resource for all psychiatrists, psychologists, general practitioners, social workers, nurses, administrators, public policy officials, and all medical professionals working with a culturally diverse subset of patients seeking mental health.

Functional Symptoms in Pediatric Disease - A Clinical Guide (Paperback, 2014 ed.): Ran D. Anbar Functional Symptoms in Pediatric Disease - A Clinical Guide (Paperback, 2014 ed.)
Ran D. Anbar
R4,697 Discovery Miles 46 970 Ships in 10 - 15 working days

Many children with medical conditions fail to improve despite physicians' best efforts. Sometimes, we ascribe this failure to lack of adherence to therapy or to the severity of the condition. What we often fail to appreciate, however is that sometimes the lack of improvement can be explained by the patients' psychological states. The first section of Functional Symptoms in Pediatric Disease: A Clinical Guide teaches children's health care providers to recognize functional symptoms that can complicate organic disease as well as symptoms that are believed to be purely functional in origin. Literature reviews, case studies and quizzes are provided in each chapter, with video demonstrations included in some of the chapters. The second section of the book will help clinicians differentiate the patients for whom referral to a mental health provider is mandatory from those for whom other approaches may be useful. For the latter group, the book teaches clinicians to empower themselves by learning how to incorporate various therapies for functional disorders into their practice, including biofeedback, basic cognitive behavioral therapy techniques, hypnosis, acupressure, yoga and meditation. Practical strategies for obtaining training in these modalities are provided in the appendix. Useful for practicing clinicians including pediatricians, family practitioners, pediatric subspecialists, child psychiatrists, psychologists, other mental health care providers and practitioners of alternative and complementary medicine, Functional Symptoms in Pediatric Disease: A Clinical Guide is an important new book that will help children's health care providers consider the possible impact of functional contributions to the clinical presentation of their patients.

Genetic Medicine - A Logic of Disease (Paperback, Revised): Barton Childs Genetic Medicine - A Logic of Disease (Paperback, Revised)
Barton Childs
R1,034 Discovery Miles 10 340 Ships in 12 - 17 working days

In Genetic Medicine: A Logic of Disease, Barton Childs demonstrates that knowledge of the ways both genes and environment contribute to disease provides a rational basis for medical thinking. This "genetic" medicine, he explains, should help the physician use the results of laboratory tests to perceive the uniqueness of the patient as well as that of the family and the cultural conditions in which the patient's condition arose. Childs thus provides a conceptual framework within which to teach and practice a humane medicine.

Primary Child and Adolescent Mental Health - A Practical Guide,Volume 2 (Paperback, 1 New Ed): Quentin Spender, Judith... Primary Child and Adolescent Mental Health - A Practical Guide,Volume 2 (Paperback, 1 New Ed)
Quentin Spender, Judith Barnsley, Alison Davies, Jenny Murphy
R1,652 Discovery Miles 16 520 Ships in 12 - 17 working days

Rewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-eight chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMES

Primary Child and Adolescent Mental Health - A Practical Guide, Volume 3 (Paperback, 1 New Ed): Quentin Spender, Judith... Primary Child and Adolescent Mental Health - A Practical Guide, Volume 3 (Paperback, 1 New Ed)
Quentin Spender, Judith Barnsley, Alison Davies, Jenny Murphy
R1,659 Discovery Miles 16 590 Ships in 12 - 17 working days

Rewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-eight chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMES

Primary Child and Adolescent Mental Health - A Practical Guide, Volume 1 (Paperback, 2 Rev Ed): Alison Davies, Quentin Spender,... Primary Child and Adolescent Mental Health - A Practical Guide, Volume 1 (Paperback, 2 Rev Ed)
Alison Davies, Quentin Spender, Judith Barnsley, Jenny Murphy
R1,657 Discovery Miles 16 570 Ships in 12 - 17 working days

Rewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-eight chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMES

Celiac Disease (Hardcover, 2014 ed.): S. Devi Rampertab, Gerard E. Mullin Celiac Disease (Hardcover, 2014 ed.)
S. Devi Rampertab, Gerard E. Mullin
R6,508 Discovery Miles 65 080 Ships in 10 - 15 working days

Celiac Disease is an authoritative text intended to educate healthcare practitioners, gastroenterologists, physicians and nutritionists about the diverse manifestations, complications and management of gluten-sensitive enteropathy. The seventeen-chapter text provides the latest research on pathophysiology, including animal models, immunopathogenesis, genetics and the intestinal microflora. The book also features chapters on diagnosis, monitoring, complications and nutritional management, including therapies on the horizon. The text concludes with appendices that provide educational tools for symptom monitoring and dietary guidance. Written by specialists in their respective fields, Celiac Disease is a comprehensive resource that provides the healthcare practitioner an evidence-based practical guide to pathogenesis and therapy of celiac disease.

Aging and Lung Disease - A Clinical Guide (Paperback, 2012): Margaret Pisani Aging and Lung Disease - A Clinical Guide (Paperback, 2012)
Margaret Pisani
R3,222 Discovery Miles 32 220 Ships in 10 - 15 working days

People age 65 and older are the fastest growing segment of the U.S. population. In the 2010 census 16% of the population, 50 million people, were age 65 and older. That number is projected to increase to 66 million by the year 2050. Life expectancy has also increased, with recent CDC reports indicating life expectancy at 77.9 years. Age-adjusted death rates have decreased significantly with the largest changes occurring in older patients. Despite these trends, the 10 leading causes of death include several pulmonary etiologies including lung cancer, chronic respiratory diseases, influenza and pneumonia.

Aging and Lung Disease: A Clinical Guide is devoted to understanding the impact of respiratory diseases in older patients. It includes reviews of physiology of the aging lung, allergy and immunology of the aging, as well as sleep changes over the life cycle. There are also comprehensive reviews on specific disease topics including chronic obstructive lung disease, lung cancer, atypical mycobacteria, interstitial lung disease, pulmonary hypertension, pulmonary embolism, obstructive sleep apnea, sleep disorders in older patients. Two chapters focus on unique issues in older patients; HIV and lung transplant. Included also are important chapters on assessing functional and cognitive status and end-of-life issues in older patients with lung disease. In addition to outlining the current state of knowledge, each chapter focuses on special considerations when caring for older patients. Of particular interest to pulmonologists, internists, and gerontologists, other readers, such as pulmonary and geriatric nurse practitioners, as well as clinical researchers interested in both pulmonary and aging issues, will find Aging and Lung Disease: A Clinical Guideto be a vital resource for improving their care of older patients with lung disorders.

"

Polycyclic Hydrocarbons - Volume 1 (Paperback, Softcover reprint of the original 1st ed. 1964): Regina Schoental Polycyclic Hydrocarbons - Volume 1 (Paperback, Softcover reprint of the original 1st ed. 1964)
Regina Schoental; Eric Clar
R3,005 Discovery Miles 30 050 Ships in 10 - 15 working days

Polycyclic hydrocarbons are of interest in many fields of science: theoretical chemistry, physical chemistry, organic chemistry, dyestuff chemistry and biology. With regard to the latter, I am indebted to Dr. Regina Schoental of the Medical Research Council for the review in this present work of carcinogenesis by polycyclic hydrocarbons. This book is designed to present the facts in a simple and clear order and to derive empirical rules from them, but it does not present a com prehensive theory about polycyclic hydrocarbons. An attempt is made instead to extend classical symbolism into modern structural chemistry. Thus extensive use is made of Robinson's aromatic sextet, which is applied in an uncompromising and strict way. This quasi-classical attempt is encouraged further by such completely unexpected dis coveries as those of Dewar benzene and of the electronic asymmetry of formally symmetric hydrocarbons. How difficult it is to break away from any established way of thinking has been admirably expressed by Kekule ("Organische Chemie," 1861, Part 1, page 4, translated from the German): "All our ideas are based, to an extent much greater than we ordinarily believe, on those of our predecessors. Our accumulated experience, the notions of which our training has accustomed us to, of whatever kind they have been, influence the course of our thoughts far more than we are willing to admit; only too frequently the following of our regularly used, well trodden way of thinking leads us to overlook the simplest of correlations."

Pressure Ulcers in the Aging Population - A Guide for Clinicians (Hardcover, 2014 ed.): David R. Thomas, MD, Gregory A.... Pressure Ulcers in the Aging Population - A Guide for Clinicians (Hardcover, 2014 ed.)
David R. Thomas, MD, Gregory A. Compton, MD
R2,976 Discovery Miles 29 760 Ships in 10 - 15 working days

Medical practitioners receive little, if any, formal training in the prevention, assessment and management of pressure ulcers and other chronic wounds. Pressure Ulcers in the Aging Population: A Guide for Clinicians is a resource primarily aimed at physicians interested in the fundamentals of wound care. This book is written for geriatricians, internists, general practitioners, residents and fellows who treat older patients and unlike other texts on the market addresses the specific issues of wound prevention and managment in older individuals. Pressure Ulcers in the Aging Population: A Guide for Clinicians emphasizes prevention, proper documentation and the team care process which are often overlooked in standard texts. Chapters are written by experts in their fields and include such evolving topics as deep tissue injury and the newer support surface technologies.

Problems in Paediatrics (Paperback, Softcover reprint of the original 1st ed. 1982): J Hood Problems in Paediatrics (Paperback, Softcover reprint of the original 1st ed. 1982)
J Hood
R1,522 Discovery Miles 15 220 Ships in 10 - 15 working days

This book has been written with general practitioners primarily in view, describing common paediatric conditions that present in the outpatient clinics and those that require admission to hospital. The book is neither a textbook of paediatrics nor a handbook but is aimed to provide guidelines for the more commonplace conditions. Some aspects therefore, have been dealt with in detail, where felt relevant, while others are omitted on grounds of probable rare encounter. It is hoped that this volume will provide the family practitioner with an insight in the paediatrician's approach to many of the common problems in chifdren and to help him decide on the best course of action to follow. The care of children constitutes a significant and important part of a family doctor's work and practitioners are keen to promote optional care in all circumstances. It is hoped that the endeavours of this book will go in some small way to help put across the practitioner's approach.

Endocrinology and Diabetes - A Problem-Oriented Approach (Hardcover, 2014 ed.): Francisco Bandeira, Hossein Gharib, Airton... Endocrinology and Diabetes - A Problem-Oriented Approach (Hardcover, 2014 ed.)
Francisco Bandeira, Hossein Gharib, Airton Golbert, Luiz Griz, Manuel Faria
R4,988 Discovery Miles 49 880 Ships in 10 - 15 working days

Endocrinology, and diabetes care in particular, is a dynamic field where clinicians must translate new evidence into clinical practice at a rapid pace. Designed in an engaging, case-based format, Endocrinology and Diabetes: A Problem Oriented Approach offers a wide range of thought-provoking case studies that reflect contemporary, challenging, hands-on clinical care. Further, by providing a list of specific clinical problems, this format offers the reader a more convenient and pointed way to solve precise clinical problems in a timely manner. Developed by a renowned, international group of experts, this comprehensive title covers the most common clinical problems in endocrinology and diabetes and should be of great interest to endocrinologists, diabetologists, internal medicine physicians, family physicians, fellows, and residents.

Pulmonary Sarcoidosis - A Guide for the Practicing Clinician (Hardcover, 2014 ed.): Marc A. Judson Pulmonary Sarcoidosis - A Guide for the Practicing Clinician (Hardcover, 2014 ed.)
Marc A. Judson
R5,496 Discovery Miles 54 960 Ships in 10 - 15 working days

"Pulmonary Sarcoidosis: A Guide for the Practicing Clinician" is a valuable resource for clinicians of varied disciplines concerning the care of the sarcoidosis patient. Sarcoidosis is a multi-system disorder and represents a major challenge to physicians. Although any organ may be involved with sarcoidosis, the lung is the most common organ affected. Chapters are written by distinguished authors who have extensive experience in caring for these patients. Detailed figures and tables are provided to guide the practicing clinician through all aspects of the condition, from clinical manifestations to treatment options. "Pulmonary Sarcoidosis: A Guide for the Practicing Clinician" is fully comprehensive and evidence-based and will be an essential addition to the bookshelves of all whose practice involves the care and treatment of patients with sarcoidosis.

Pediatric Development and Neonatology - A Practically Painless Review (Paperback, 2014 ed.): Christine M. Houser Pediatric Development and Neonatology - A Practically Painless Review (Paperback, 2014 ed.)
Christine M. Houser
R2,021 Discovery Miles 20 210 Ships in 10 - 15 working days

Often, information in review books can raise as many questions as it answers. This interferes with the study process, because the learner must either look up additional information or skip ahead without truly comprehending what he or she has read. As an alternative, "Pediatric Development and Neonatology: A Practically Painless Review" presents bite-sized chunks of information that can be read and processed rapidly, helping learners to stay active while studying tounderstand and processnew information the first time they read it. This book's question and answer format allows for self-testing or study with a partner or a group. The format also facilitates dipping into the book during a few minutes of downtime at the hospital or office. "Pediatric Development and Neonatology: A Practically Painless Review" is a quick and easy way to master these tricky topics and is suitable for those studying for the pediatric board exam, practicing physicians brushing up on their skills, medical students and pediatric residents doing rotations, and any busy clinician who wants to learn more about these topics while on the go. "

Dermatology (Paperback, Softcover reprint of the original 1st ed. 1985): L. Fry, M.N. Cornell Dermatology (Paperback, Softcover reprint of the original 1st ed. 1985)
L. Fry, M.N. Cornell
R1,533 Discovery Miles 15 330 Ships in 10 - 15 working days

DDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was con cerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symp toms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. vii Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.

TxNxM1 - The Anatomy and Clinics of Metastatic Cancer (Paperback, Softcover reprint of the original 1st ed. 2002): J.M. Debois TxNxM1 - The Anatomy and Clinics of Metastatic Cancer (Paperback, Softcover reprint of the original 1st ed. 2002)
J.M. Debois
R5,968 Discovery Miles 59 680 Ships in 10 - 15 working days

Although distant metastases are the most dreaded situation in the evolution of cancer of every organ, the medical literature has surprisingly given little attention to the anatomical relationship between the primary tumor and metastasic sites. Only risk factors, treatment possibilities, and survival results are extensively examined.
Stimulated by the occurrence in his practice of some puzzling and unexpected metastases, the author reviewed more than 12,000 references. He looked for anatomical relationships highlighting the relation between the location of the primary tumors and the particular patterns of metastasis observed. It would seem that the pathways and flows' are apparently a more decisive factor in the implantation of the metastases than the seed and soil' properties of the cancer cells and the metastatic site.
Aided by his colleague Dr. T. Geukens, M.D., the author includes original anatomical drawings, illustrating the sometimes unexpected pathways the cancer cells follow in order to reach the organs where they will become lodged and give rise to metastatic tumors. The subject has apparently not been exhausted in the literature and several ideas are given for further research.

Acupuncture for Pain Management (Paperback, 2014 ed.): Yuan Chi Lin, Eric Shen-Zen Hsu Acupuncture for Pain Management (Paperback, 2014 ed.)
Yuan Chi Lin, Eric Shen-Zen Hsu
R4,315 Discovery Miles 43 150 Ships in 10 - 15 working days

Acupuncture for Pain Management is intended as the premier resource for learning the fundamentals of the art of medical acupuncture. Edited by top pain medicine specialists at Harvard and UCLA, and based on their popular annual workshop at the American Society for Anesthesiologists, the book is the perfect synthesis of Western and Chinese medicine. Anesthesiologists, pain medicine specialists, primary care physicians, osteopaths, neurologists, psychiatrists, physical medicine and rehabilitation specialists, and other health professionals looking to add acupuncture to their repertoire will benefit from the concise and practical approach of the book. Features: Each individual meridian discussed in detail Acupuncture for 25 clinical conditions, including headache, menstrual pain, low back pain, insomnia, and more Aimed at acupuncturists as well as practitioners who want to add acupuncture to their clinical armamentarium

Resistant Hypertension - Epidemiology, Pathophysiology, Diagnosis and Treatment (Hardcover, 2013 ed.): Giuseppe Mancia Resistant Hypertension - Epidemiology, Pathophysiology, Diagnosis and Treatment (Hardcover, 2013 ed.)
Giuseppe Mancia
R3,778 Discovery Miles 37 780 Ships in 10 - 15 working days

A growing number of people suffer from so-called resistant hypertension, that is to say, high blood pressure that does not respond to treatment. This disorder is of great current interest and importance for public health, being a common clinical problem faced by both primary care clinicians and specialists. Furthermore, as older age and obesity are among the strongest risk factors for uncontrolled hypertension, the incidence of resistant hypertension will likely increase as the population becomes more elderly and heavier. While the prognosis of resistant hypertension is unknown, cardiovascular risk is undoubtedly increased since patients often have a history of long-standing, severe hypertension complicated by multiple other cardiovascular risk factors. This volume, compiled by a panel of world-renowned experts, offers a comprehensive exploration of resistant hypertension, covering epidemiology, complex diagnostic aspects, and the therapeutic options currently available, with due attention to overall treatment strategies. New therapeutic agents and procedures, such as renal denervation and baroreceptor stimulation, are also described. In addition, the book addresses the economic aspects of resistant hypertension and the role of the different professional figures, from GPs to hypertension specialists, in dealing with it.

Clinical Uncertainty in Primary Care - The Challenge of Collaborative Engagement (Hardcover, 2014 ed.): Lucia Siegel Sommers,... Clinical Uncertainty in Primary Care - The Challenge of Collaborative Engagement (Hardcover, 2014 ed.)
Lucia Siegel Sommers, John Launer
R5,792 Discovery Miles 57 920 Ships in 10 - 15 working days

This is a book about primary care clinicians and the "clinical uncertainty" endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences.

This book is also about "addressing" uncertainty in primary care practice and "engaging" it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient s problem. It also requires carefully managed communication, facilitating dialogue with the patient and encouraging shared problem-solving.

Most importantly, this book is about "collaborative engagement with case-based uncertainty in the setting of small groups of clinicians. "Sommers and Launer contend that the medical profession s tradition of working independently should be augmented with an explicitly shared, collegial one of jointly creating wisdom through practice-based learning.

An international panel of expert clinicians and educators provides: Perspectives on clinical uncertainty in the medical literatureA taxonomy of clinical uncertainty with patient examplesAnalysis of the educator role to support clinicians in engaginguncertainty A compendium of small group methods for collaborative engagement with clinical scenariosAnalysis of the special challenges ofcollaborative engagement

A mind-opening manifesto, "Clinical Uncertainty in Primary Care" will equip primary care clinicians, educators, public health and behavioral health professionals with resources for infusing practice with meaning through collegial collaboration.

From the Foreword: Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which, and the extent to which it is intrinsic to medicine and they present a cogent case for itsspecial relationship to primary care practice Clinical Uncertainty in Primary Care not only presents amodel of collegialcollaboration and support, it also implicitly legitimatesit. Renee Fox. "

Prevention of Type 2 Diabetes - From Science to Therapy (Paperback, 2012 ed.): Derek Leroith Prevention of Type 2 Diabetes - From Science to Therapy (Paperback, 2012 ed.)
Derek Leroith
R3,206 Discovery Miles 32 060 Ships in 10 - 15 working days

There is a world-wide epidemic on obesity. This epidemic is driving the immense proportions of Type 2 diabetes across the globe. While there are numerous therapies for treating Type 2 diabetes, the most effective therapy is prevention. Prevention of Type 2 diabetes can be achieved properly by simultaneous prevention of obesity. Prediabetes, or metabolic syndrome, is the period between simple obesity and diabetes, and this critical period needs to be identified in a more consistent and systematic manner by clinicians worldwide. Clinical trials have indicated that diabetes prevention can be achieved by lifestyle changes and also by certain medications, though none are yet approved for use in prevention. On the other hand, there are funding agencies such as the NIH, CDC, and State Institutions that are interested in studying the prevention paradigms in different communities and ethnic minorities who are most prone to this epidemic. For these reasons, this title by renowned physician-scientist Derek LeRoith is both timely and vitally important for academic physicians, practitioners, allied health care providers, analysts, community activists, and all others interested in this increasing epidemic. This book provides a unique and comprehensive synthesis of the prevention and early diagnosis of Type 2 Diabetes, focusing on identifying risk factors and then moving into topics that address how to prevent their progression to full-blown diabetes. The difficult task of changing patients' behavior is given special emphasis. The chapters in this practical volume are written by a wide range of international experts, reflecting the editor's distinguished, internationally renowned career. The volume is organized in eight sections: an introduction to the overall issue of prevention, definitions of values based on ADA guidelines, pathophysiology, discussion of a range of interventional trials regarding prevention, and an overview of state-of-the-art clinical management approaches. Comprehensive and timely, Prevention of Type 2 Diabetes: From Science to Therapy is an essential reference for those treating and researching Type 2 Diabetes.

Groups - A Guide to Small Group Work in Healthcare, Management, Education and Research (Paperback, 1 New Ed): Glyn Elwyn,... Groups - A Guide to Small Group Work in Healthcare, Management, Education and Research (Paperback, 1 New Ed)
Glyn Elwyn, Trisha Greenhalgh, Fraser MacFarlane
R1,497 Discovery Miles 14 970 Ships in 12 - 17 working days

In this introductory text, the author presents the law relating to child care and the reforms introduced by the Children Act 1989, assessing its impact on child care practice and procedures. Focusing on a practical interpretation of the law by the use of hypothetical examples, practice notes and recommendations, the book illustrates its relevance to those working in the caring and health professions, and incorporates details of various sets of Guidance and Regualtions issued by the Department of Health. In addition it provides an outline of adoption law, the principles of consent to treatment and the effect of surrogacy and "assisted reproduction" on the legal definition of parenthood.

Sexually Transmitted Diseases - A Practical Guide for Primary Care (Paperback, 2nd ed. 2013): Neil S. Skolnik, Amy Lynn Clouse,... Sexually Transmitted Diseases - A Practical Guide for Primary Care (Paperback, 2nd ed. 2013)
Neil S. Skolnik, Amy Lynn Clouse, Jo Ann Woodward
R1,557 Discovery Miles 15 570 Ships in 10 - 15 working days

Sexually Transmitted Diseases: A Guide for Primary Care, second edition, covers the diagnosis and treatment of STDs and other information critical to patient care and reflects the last five years of significant changes in information about STDs. Updated to reflect the 2010 Center for Disease Control Guidelines on the Treatment of STDs, this book also contains new information about: -the epidemiology of herpes virus infections -expedited partner therapy -changes in recommendations for HPV vaccination for men -changes in resistance patterns for antimicrobial therapy for gonorrhea and chlamydia -treatment recommendations for bacterial vaginosis -treatment recommendations for genital warts In order to better meet clinician needs, the book has been streamlined to quickly convey critical, evidence-based information. Whether seeking information about particular conditions (including HPV, herpes, syphilis, trichomoniasis, HIV and AIDS, and others) or related patient issues (such as STD exposure evaluation and evaluation of sexual assault), Sexually Transmitted Diseases, second edition, contains the knowledge doctors need in a friendly, to-the-point format.

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