Psychosomatic diagnostics and therapy are of increasing importance in the acute treatment, prevention and rehabilitation of cardiovascular diseases. The connection between heart disease and the psyche as well as the psychosocial concomitant symptoms is well documented. Basics of cardiology and psychosomatic medicine Doctor-patient relationship Ethical issues, gender effects, psychocardiology along the lifespan Psychosomatic problem areas and comorbidities Causes and consequences: Personality factors, risk behaviors, depression, anxiety disorders Specific diagnostics and treatment concepts - outpatient and inpatient Interdisciplinary cooperation Acute Cardiology, Heart Failure Units and Rehabilitation In accordance with German and European recommendations and guidelines, among others Position Paper on the Importance of Psychosocial Factors in Cardiology from the DGK (German Society of Cardiology) National Health Care Guideline Chronic CHD ESC Guidelines on CVD Prevention in Clinical Practice Suitable for the courses according to the curricula "Basic Psychocardiological Care" (D) and "Cardiological Psychosomatics" (A). For deepening the corresponding contents of the courses "Basic Psychosomatic Care". The book offers cardiologists, internists, general practitioners, psychotherapists and psychologists all practice-relevant basics to be able to treat their patients in the best possible way.

A significant number of patients seen by general practitioners are suffering from infections. Although many of these are minor and self-limiting, they provide an important opportunity for improving the doctor's own understanding of the patient's response to illness, and for enabling the GP to educate the patient in ways in which certain infections may be prevented. Infectious diseases are also a major cause of mortality and morbidity in the modern developed world and, with more people travelling internationally than ever before, there is an increased risk of the spread of serious, non-endemic disease. An important part of the primary health care team's work is directed towards the prevention of infection through health education, immunization, or a combination of both these approaches. Infection provides a unique insight into the role of infection, seen from the combined perspective of GPs, an infectious diseases physician, and a medical microbiologist. It provides detailed information on the wide range of infections which are seen by GPs, including trivial viral infections, life-threatening acute bacterial meningitis, and imported infections such as malaria or typhoid fever. Included are case histories which reflect common practice both in primary care and within the hospital setting, as well as proposed guidelines for the management of infections which may present in general practice. Throughout the authors emphasize the role of teamwork as well as prevention in contemporary primary care through improved patient education.

Sudden death in athletes is a global problem. Although it is a relatively rare phenomenon (1/100,000 persons), when it does occur, it is often as an incomprehensible event. In fact, it strikes subjects who presumably should be much healthier than the general population. In the previous 20 years, many authors have studied this problem in an attempt to understand the causes and prevent these events, and it has been determined that, in the vast majority of cases, athletes who die suddenly have an underlying heart disease (arrhythmogenic cardiomyopathy, hypertrophic cardiomyopathy, coronary anomalies, channelopathies, etc.).In most cases these diseases do not produce major symptoms and do not preclude sports activity even at the highest levels, although they do increase the incidence of sudden death. How to discover these diseases in asymptomatic athletes is a hotly debated issue. In particular, there is controversy as to whether all athletes should undergo detailed medical screening, including electrocardiogram, or whether the costs of this screening are too high in relation to the event incidence. The purpose of this book is to accurately analyze the causes of sudden death in athletes and to provide cardiologists and sports physicians with useful tips on how to identify at-risk individuals.

Chronic kidney disease (CKD) is a major global public health problem, affecting nearly one in seven adults in the United States alone. It is a disease that integrates chronic illness at several levels, and the progressive condition is associated with high rates of co-morbidity. This text provides a comprehensive, current state-of-the art review of this field, serving as a valuable resource for primary care providers and non-nephrology clinicians that treat patients with CKD. It is comprised of 24 chapters focused on specific aspects of the disease. The first 2 chapters provide a bit of background on the disease, describing the anatomy and physiology of the kidney as well as the definition and epidemiology of the disease. The following 3 chapters discuss the detection, prevention and progression of the disease. The next 6 chapters describe the relationship of the disease with other conditions and most common co-morbidities such as diabetes and hypertension. The chapters, that follow focus on the CKD associated complications and the CKD within special populations such as the elderly and minorities as well as dietary restrictions and drug dosing. The book concludes with discussion on preparation for renal replacement therapy and preemptive organ transplantation as an alternative to dialysis in the management of the advanced CKD. Written by experts in the field, Approach to Chronic Kidney Disease is a comprehensive guide for clinicians, especially primary care providers including residents and fellows in training, who take care of chronic kidney disease patients. It is also a useful tool for researchers dealing with this challenging field.

This book is for all those who teach general practice to medical students, both those based in academic departments and `service' general practitioners. It aims to combine the theoretical basis for teaching with practical material, and explores the extent to which general practice can and should take on teaching traditionally carried out in hospital (e.g. basic clinical skills training).

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

This book comprehensively reviews soft tissue, bone, ligament, and nerve injury of the hand and wrist unique to baseball. Organized into three sections, the book begins with a discussion on fractures of the hand and wrist, including the distal radius, scaphoid, and phalanges. Following this, section two examines ligament injuries from the wrist to the thumb. Section three then concludes the book with an analysis of tendon and nerve injuries. Chapters include high-quality images and tables to supplement expertly written text. Unique and thorough, Hand and Wrist Injuries in Baseball is an invaluable resource for orthopedics surgeons and sports medicine specialists, as well as primary care physicians, emergency room physicians, pediatricians, athletic trainers, and therapists.

The book discusses the impact of genetics, social determinants of health, the environment, and lifestyle in the burden of cardiometabolic conditions in African American and Hispanic/Latinx populations. It includes fully updated and revised chapters on genetics and CVD risk, epidemiology of cardiovascular health, cardiovascular imaging, dyslipidemias and other emerging risk factors, obesity and metabolic syndrome, heart failure, and genetic variations in CVD. Unique aspects within African American and Hispanic/Latinx populations are explored with suggested appropriate therapeutic interventions. New chapters focus on ASCVD risk assessment, emerging precision medicine concepts, the impact of diabetes, resilience and CVD survival, and lifestyle and dieting considerations. Written by a team of experts, the book examines the degree to which biomedical and scientific literature can clarify the impact of genetic variation and environment on cardiovascular disease. The Second Edition of Cardiovascular Disease in Racial and Ethnic Minority Populations is an essential resource for physicians, residents, fellows, and medical students in cardiology, internal medicine, family medicine, clinical lipidology, and epidemiology.

Cardiovascular disease remains the greatest cause of morbidity and mortality. Over the past 10-15 years many studies have clarified the risks that are important, and the interventions which are effective. This book breaks new ground in both providing clear recommendations on what should be done, and the evidence on which these recommendations are based. It accords with current views that guidelines should be based on evidence, and that the evidence should be clear. The book is split into three sections: the first reviews the risk factors for cardiovascular disease and the clinical effectiveness of reducing them; the second examines methods of implementation in practice; and the final section makes practical recommendations, explicitly based on the evidence in the fist two sections.

This book is written for all women who find themselves unexpectedly pregnant and want information and advice on the available options facing them. It explains what will be inolved if the woman decides on adoptions, abortion, or motherhood. It also discusses why unplanned pregnancies occur and what happens to a woman's body in early pregnancy. The whole book is brought to life iwth many extracts from interviews with women who have had unplanned pregnancies talking about their varied experiences and the choices they took.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

The new edition of this successful book has been up-dated to incorporate recent advances in both approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and research at St Christopher's Hospice, Dame Cicely Saunders presents practical, balanced advice on the general ethical and medical principles of caring for dying patients. This will continue to be an invaluable handbook for all hospice physicians and nurses as a compassionate source of factual information.

Vocational training for general practice has been tremendously successful over the past two decades, but the need became apparent at the beginning of the 1990s for revision of the education of GP trainers already experienced in setting up a training practice, who were demanding a fresh, more detailed consideration of the educational aspects of vocational training. The authors of Professional Education for General Practice comprise general practitioners from training practices, regional advisers in primary care, and an expert in adult education. They describe the history of vocational training and examine the educational requirements of adult learners, then go on to discuss particular aspects of curriculum design, assessment, teaching methods, trainer-trainee relationships, and evaluation, followed by an appraisal of what changes are needed in training for general practice in the future. Throughout the preparation of the book the authors worked closely with general practice trainers and trainees as well as their educators, thus ensuring that the book is completely appropriate for these groups. This book is essential for everyone involved in teaching GP trainers as well as for the trainers themselves, and will be of interest to doctors training in primary care.

There is currently a great deal of interest in patients with functional somatic symptoms--physical complaints which are not explained by organic findings--but until now there has been little information available on the principles and practical methods of their treatment. This book covers all the key topics in the management of somatic disorders, and will be invaluable both as a comprehensive reference and as a practical clinical guide. The authors have included material on the problems specific to children and the elderly, the organization of service provision, as well as the clinical syndromes characteristic of somatic disorders such as hypochondriasis, chronic pain, chronic fatigue, and low back pain.
Treatment of Functional Somatic Symptoms is the first comprehensive, authoritative and practical guide on the management of a wide variety of medically unexplained symptoms encountered frequently in all areas of primary and hospital care. The book will be useful to clinicians and to research workers as a source book and a clinical manual.

This book presents the latest knowledge on both the physiological and the microbiological aspects of wound healing. Fresh insights into the process of cutaneous wound healing are described, which involves tissue regeneration and repair processes consisting of a sequence of molecular and cellular events. The management of infected wounds is then discussed in detail, covering the roles of traditional medicine practices, novel anti-infective formulations, non-antibiotic approaches, and probiotic bacteria. A section devoted to the interdisciplinary approach to wound care addresses topics including in vitro and in vivo research models, the development of advanced wound dressings, tissue engineering, and the potential applications of bioscaffolds. The authors are all leading researchers in the field. This book is an attempt to showcase current research status and future directions in the area of wound-healing research, which must be of interest to a large group of readers and researchers interested in this field.

The demand for quality control of medical care has increased dramatically in recent years. In response to higher public awareness and political trends, the implementation of audit has swept through general practice in the UK, fuelled by the appearance of improved data collection systems and the greater sophistication of primary care teamwork.

This concise yet comprehensive guide to the theory and practice of medical audit in the primary health care setting is edited by two university lecturers who are also practising GP's. It includes contributions from a range of practitioners who have experience of audit in action, and an appreciation of the potential pitfalls involved. This theoretical and practical guide to the challenge of medical audit has proved to be and will continue to be of value to general practitioners, trainees, and all members of the primary health care team.

Administrators in medical, nursing and health science programs are witnessing a substantial increase in the number of students with disabilities entering their programs. Concurrently, the benefits of diversity in healthcare are becoming increasingly apparent and important. A commitment to disability inclusion for qualified students should be a high-level goal of nursing, medical, and other health science programs. To support this goal, leaders in these areas must develop robust programs and an understanding of the needs of qualified students with disabilities in the health sciences and accompanying best practices for inclusion. This book of case studies is the perfect companion to Meeks' and Neal-Boylan's recently-published book Disability as Diversity. It contains ten cases related to medicine and nursing but with significant relevance to other health professions. Each case is preceded by an introduction with instructions on how to use it. The cases are followed by discussion questions and perspectives from the student, faculty and disability resource professional viewpoints. The cases are then deconstructed with reference to the book Disability as Diversity, relevant citations from the literature and case law. Developed by some of the most notable researchers and clinicians in the field this case book serves as truly invaluable resource for deans, program directors, faculty and student affairs personnel. Offices can use these cases as a platform for critical discussion and training about disability processes, policies and decision-making regarding accommodations and inclusion.

This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients. Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.

Providing a critical update and review of salient topics needed for the proper cardiac evaluation and care of athletes, this text is designed to be the most up-to-date and practical manual for all health care providers who evaluate and treat athletes, including sports cardiologists, general cardiologists, sports medicine specialists, team doctors and athletic trainers. The book is divided into three key sections. The first section discusses essential topics pertaining to the pre-participation cardiac screening of athletes, providing a framework for how best to perform pre-participation cardiac evaluations and optimize the interpret at ion of cardiac screening test results, and a guide to assist the streamlining of appropriate downstream testing when required. The second section reviews the management and care of athletes with specific, existing cardiovascular disorders, providing the reader with fundamental principles to help recognize and advise levels of sport participation to athletes with these disorders. The final section deals with acute sideline management of the symptomatic athlete and will again provide practical algorithms for cardiologists and non-cardiologists alike who are responsible for athlete health and safety in the sports arenas and training facilities. Written and edited by highly regarded experts in the field of sports cardiology, including several cardiologists who are collegiate and professional team physicians and who work with professional sports organizations on developing policies for cardiac screening and monitoring, Sports Cardiology is an excellent practical resource for all clinicians working in the field.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

This volume provides an eloquent review of the anatomy and physiology of phonation, the work-up of patients with voice disorders, basic evaluation of wind instrument performance and dysfunction, and a full description of the most common skeletal and non-skeletal dentofacial anomalies, including their means of diagnosis and treatment. This is followed by a comprehensive review of literature on the vocal and acoustic features of affected patients, as well as the special considerations in wind instrumentalists. The effect of orthodontic therapy/ orthognathic surgery on voice, associated upper airway changes, and wind instruments performance is emphasized. The information provided in this book will heighten the patients', therapists', teachers' and physicians' awareness of the vocal characteristics and wind instrumentalists concerns often associated with these conditions. Dentofacial Anomalies: Implications for Voice and Wind Instrument Performance is addressed to otolaryngologists, laryngologists, speech-language pathologists, voice teachers, professional voice users, wind instrumentalists, instrument teachers, arts medicine physicians, physical therapists, orthodontists and other dentists, as well as members of the general public who are concerned about their voices and or wind instrument playing.

Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions. A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor. A woman with a common cold demanding (but not receiving) antibiotics. A man with a sore knee. A young woman who has been trying to conceive for a while but now finds herself pregnant and isn't sure she wants to go through with it. A 7-year-old boy with 'tummy aches' that don't really exist. These are his patients. Confessions of a GP is a witty insight into the life of a family doctor. Funny and moving in equal measure it will change the way you look at your GP next time you pop in with the sniffles.

This is a practical introduction to understanding and undertaking health needs assessment, a key issue in primary care. The different assessment methods, including surveys and patient views, are given a straightforward analysis and there is invaluable advice on how to measure their effectiveness.

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns. Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented by a number of chapters which address special considerations such as the frail patient and chronic opioid use. Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

Selected as a Doody's Core Title for 2022! Encompassing all occupants of aircraft and spacecraft-passengers and crew, military and civilian-Fundamentals of Aerospace Medicine, 5th Edition, addresses all medical and public health issues involved in this unique medical specialty. Comprehensive coverage includes everything from human physiology under flight conditions to the impact of the aviation industry on public health, from an increasingly mobile global populace to numerous clinical specialty considerations, including a variety of common diseases and risks emanating from the aerospace environment. This text is an invaluable reference for all students and practitioners who engage in aeromedical clinical practice, engineering, education, research, mission planning, population health, and operational support. Features eight new chapters including Precision Medicine, Musculoskeletal System and Performance, Human Spaceflight Mishaps and Incidents, and Crew Escape and Survival Systems. Covers important approaches to Human System Integration and Risk Management, as well as Aeromedical Certification. Addresses important aeromedical issues involving agricultural aviation, military aviation, long-duration spaceflight, and commercial spaceflight. An excellent review tool for the American Board of Preventive Medicine - Aerospace Medicine certification exam and Continuing Certification, with outstanding contributions from a team of expert scientists and medical providers. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.