This book tells true and poignant stories from both sides of the physician-patient/parent relationship and provides a unique glimpse into how parents and physicians think, feel, and interact. The stories are grouped under four sections: Hope, Compassion, Communication, and Trust. Each section includes stories contributed by parents from all across the United States and by pediatricians practicing at many of the best children's hospitals throughout the country. The parents tell of interactions with physicians that had a significant impact on them and their child and offer context and insight that promote empathy and reflection. The physicians tell of interactions with patients and families that served as learning moments in their career and promote the humanization of medicine and show there is more to a physician beyond their scientific knowledge and white coat. The stories are edited by Barry P. Markovitz - a pediatrician specializing in critical care medicine who has been in practice for more than 20 years and by Ann F. Schrooten - the parent of a child born with a chronic complex condition who has more than 15 years of experience interacting with pediatric subspecialists and other healthcare professionals who cared for her son. The editors have written commentaries to the stories to provide an independent perspective on the events and messages conveyed and to encourage reflection, inquiry, and discussion. In addition to being a valuable resource for pediatricians, pediatric subspecialists, nurses and other healthcare professionals, the book will also appeal to families of children living with complex medical conditions because it shares physician encounters and behaviors many have experienced in the care of their own children. By giving a voice to both parents and physicians, the goal is to create a bridge to better understanding that can improve communication, minimize conflicts, and foster trust and compassion among physicians, patients, and families.

Despite its direct effect on a patient's health, the literature on treatment adherence does not yet include a summary of proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence Across Multiple Behaviors: A Clinician's Guide differs significantly from many treatment adherence books on the market by focusing on clinicians and the practical tactics they need to improve patient adherence. The book is orgnaized by behavior and special issues as opposed to other texts, which look at treatment adherence as a theoretical concept. Each chapter provides a summary of existing literature regarding the impact of patient non-adherence, including costs, clinical outcomes and health-related quality of life, as well as a review of patient factors related to treatment adherence across behaviors, diseases, and special populations. A discussion of methods for improving treatment adherence takes a look at both proven methods and new technological advances in the field. Each chapter includes a table listing 3-5 key bullets that a clinician could use to address treatment adherence. Actual questions and scoring algorithms for widely used measures of treatment adherence make this book a useful guide for practicing clinicans.

* Offers a concise, comprehensive overview of the diagnosis, treatment and management of common and rarer movement disorders * Written by two key international movement disorder experts * Clinically focused and accessible * Provides a practical guide to the assessment of movement disorders where diagnosis relies on examination and observation rather than radiology and serological assessments Movement disorders attack the part of the brain that controls our movements, they are a complex group of disorders, spanning all aspects of neurological illnesses. Such disorders are widespread, often destroying the independence of those affected. Movement Disorders in Clinical Practice provides a concise, practical overview of the diagnosis, treatment and management of patients with these debilitating conditions, including a brief evaluation of ongoing clinical trials. Edited by two key international movement disorder experts, chapters cover: * Parkinson's disease * Parkinsonian syndromes * Dystonia * Tremor * Restless legs syndrome * An overview of other movement disorders

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

This practical book is ideal for readers who want to rapidly determine the appropriate imaging for pediatric patients. The text provides a concise and accessible summary of the literature on how and when to use imaging studies. Chapters address the essentials, such as cost-effectiveness, and are written in collaboration by renowned specialists in the fields of pediatrics and pediatric radiology. Topics cover common clinical scenarios in neuroimaging and musculoskeletal, chest, and abdominal imaging. Each imaging recommendation is presented along with the supporting data and the strength of the evidence.

Offering a concise yet comprehensive review of current practices in surgery and patient safety, Handbook of Perioperative and Procedural Patient Safety is an up-to date, practical resource for practicing surgeons, anesthesiologists, surgical nurses, hospital administrators, and surgical office staff. Edited by Drs. Juan A. Sanchez and Robert S. D. Higgins and authored by expert contributors from Johns Hopkins, it provides an expansive look at the scope of the problem, causes of error, minimizing errors, surgical suite and surgical team design, patient experience, and other related topics. Presents the knowledge and experience of a multidisciplinary team from Johns Hopkins University, which created the Comprehensive Unit-based Safety Program (CUSP), an approach for improving safety culture and engaging frontline clinicians to identify and mitigate defects in care delivery. Discusses the scope and prevalence of perioperative harm, causes of error in healthcare, and perioperative never events. Covers safe practices, cognitive workload and fatigue, and the effects of noise in the OR. Includes several team-based chapters such as the dynamics of surgical teams, safer perioperative team communication, and the culture of safety. Consolidates today's available information and guidance into a single, convenient resource.

A Fateful Meeting A year and a half ago, I was sitting at a conference listening to Ed Noffsinger speak, and suddenly had the most profound ''Aha'' moment of my professional career. Here was someone presenting a practical and tested solution to some of the most challenging problems currently plaguing the US healthcare system, problems such as poor access to primary and specialty care; the uncontainable and rising costs of healthcare; our nation's relatively poor quality outcomes; and finally, the sense of frustration, disempowerment, loneliness, and disenfranchisement that patients and their families too often experience. Dr. Noffsinger's solution seemed deceptively simple-shared medical appointments (SMAs) that afford the highest quality healthcare to be delivered in the highest quality care experience-a group setting. Experience collected over a decade and involving more than 100,000 patient visits throughout the United States, Canada, and parts of Europe has demonstrated that SMAs, when used in primary care as well as in the medical and surgical subspecialties, lead to increased access to care, enhanced quality of care, and improved patient satisfaction. For physicians, the efficiency gains and team support from their participation in SMAs translate into much needed relief and improved career satisfaction.

In comments that were unfortunately prescient, Dr. Doroghazi said in the first edition "the author feels we are currently experiencing a real estate bubble." And in anticipation of the credit crisis, he said "banks are far too lenient in their lending practices...the problem is that bankers are often not lending their own money considering that a significant percentages of mortgages are sold to Fannie Mae (FNM) and Freddie Mac (FRE), the problem is now actually everyone s." This new and expanded edition provides commonsense advice that all investors, physicians and non-physicians will find profitable in these difficult times. Learn about the power of thrift, the magnificence of compound interest, the malevolence of debt and the perniciousness of fees. See how to pay off the mortgage by age 45, fund your children 's education and retire at a reasonable age rather than continue to work because you must.

This book provides a comprehensive yet concise review of geriatric psychiatry in preparation for the board exam, or for reference during practice. Written by experts in the field, this text thoroughly reviews over 500 developmental, biological, diagnostic, and treatment questions for board certification. Unlike any other text on the market, this book takes a broader approach to the subject, making it accessible for physicians as well as other clinicians, including nurses, therapists, and social workers. Absolute Geriatric Psychiatry Review is an excellent resource for all clinicians who will care for the mental health of aging patients, including psychiatrists, neurologists, psychologists, therapists, nurses, social workers, nursing home administrators, and all others.

This book provides primary care clinicians, researchers, and educators with a guide that helps facilitate comprehensive, evidenced-based healthcare of women and gender diverse populations. Many primary care training programs in the United States lack formalized training in women's health, or if they do, the allotted time for teaching is sparse. This book addresses this learning gap with a solid framework for any program or individual interested in learning about or teaching women's health. It can serve as a quick in-the-clinic reference between patients, or be used to steer curricular efforts in medical training programs, particularly tailored to internal medicine, family medicine, gynecology, nursing, and advanced practice provider programs. Organized to cover essential topics in women's health and gender based care, this text is divided into eight sections: Foundations of Women's Health and Gender Based Medicine, Gynecologic Health and Disease, Breast Health and Disease, Common Medical Conditions, Chronic Pain Disorders, Mental Health and Trauma, Care of Selected Populations (care of female veterans and gender diverse patients), and Obstetric Medicine. Using the Maintenance of Certification (MOC) and American Board of Internal Medicine blueprints for examination development, authors provide evidence-based reviews with several challenge questions and annotated answers at the end of each chapter. The epidemiology, pathophysiology, evaluation, diagnosis, treatment, and prognosis of all disease processes are detailed in each chapter. Learning objectives, summary points, certain exam techniques, clinical pearls, diagrams, and images are added to enhance reader's engagement and understanding of the material. Written by experts in the field, Sex and Gender-Based Women's Health is designed to guide all providers, regardless of training discipline or seniority, through comprehensive outpatient women's health and gender diverse care.

Dieser UEbungsatlas fur Neuropadiater und Neurologen beinhaltet eine didaktisch aufgearbeitete Sammlung von EEG-Beispielen mit wissenschaftlichen Definitionen und knappen Fallbeschreibungen. Das breite Spektrum an Kurvenmaterial reicht vom Neugeborenen bis zum jungen Erwachsenenalter und hilft dem EEG-Lernenden, eigene Befunde zu erheben und zu bewerten.

This text uses a case-based approach to share knowledge and techniques on how to operationalize much of the theoretical underpinnings of hospital quality and safety. Written and edited by leaders in healthcare, education, and engineering, these 22 chapters provide insights as to where the field of improvement and safety science is with regards to the views and aspirations of healthcare advocates and patients. Each chapter also includes vignettes to further solidify the theoretical underpinnings and drive home learning. End of chapter commentary by the editors highlight important concepts and connections between various chapters in the text. Patient Safety and Quality Improvement in Healthcare: A Case-Based Approach presents a novel approach towards hospital safety and quality with the goal to help healthcare providers reach zero harm within their organizations.

This book is a guide to the research, findings, and discussions of US and international experts on climate change and respiratory health. Since the publication of the first edition, climate change has been increasingly acknowledged as being directly related to the prevalence and incidence of respiratory morbidity. Evidence is increasing that climate change does drive respiratory disease onset and exacerbation as a result of increased ambient and indoor air pollution, desertification, heat stress, wildfires, and the geographic and temporal spread of pollens, molds and infectious agents. This second edition is fully updated to include the latest research by international experts on topics such as heat waves causing critical care-related diseases, climate-driven air pollution increases, and high-level ozone and ozone exposure linked to idiopathic pulmonary fibrosis, lung cancer, and acute lower respiratory infection. Seven new chapters have also been added on extreme weather and agricultural safety in California; desert dust effects on lung health; climate policy and the EPA; California's integrated approach to air quality and climate change; integrating climate change, the environment, and sustainability themes into professional health science courses; and the role of the physician as climate advocate. This is an ideal guide for all pulmonologists and health professionals treating patients with pulmonary disease.

Adolescents have unique nutritional needs when compared to young children and adults. As youth go through physical, cognitive, and behavioral development, nutrition needs are dynamic and changing. If these needs go undetected and remain unaddressed, the results can derail physical and social maturation and include life-long effects on health. This comprehensive text offers a multidisciplinary perspective on aspects of adolescent nutrition. Using clinical cases, it covers relevant topics related to adolescent health including normal development, chronic health conditions, and complex biopsychosocial dynamics, among others. The first section of the text contains an overview of adolescent nutrition that is further broken down into more specific topics such as developmental nutrition needs, needs of active youth and athletes and media influences on body image. The next section focuses on health disparities such as culturally appropriate care, health equity, international considerations and food insecurity. The following section specifically addresses eating disorders ranging from anorexia and bulimia to binge eating. Finally, the last section covers additional health considerations such as polycystic ovarian syndrome, teen pregnancy, substance use and gender non-conforming youth. Written by experts in the field, this book is a helpful resource for primary care medical providers, registered dietitians/nutritionists (RDN), adolescent medicine specialists, as well as advanced practice nurses, physician assistants, psychologists, licensed social workers, and certified athletic trainers.

This book focuses on the interface between the patient and the healthcare system as the entryway to high-quality care and improved outcomes. Unlike other texts, this book puts the patient back in the center of care while integrating the various practices and challenges. Written by interdisciplinary experts, the book begins by evaluating the entire quality landscape before giving voice to all parties involved, including physicians, nurses, administrators, patients, and families. The text then focuses on how to develop a structure that meets needs of all of these groups, effectively addressing common threats to positive outcomes and patient satisfaction. The text tackles the most common challenges clinicians face in a hospital setting, including infection prevention, medication error and stewardship that may jeopardize recovery, complex care, and employee-patient engagement. The Patient and Healthcare System: Perspectives on High-Quality Care is an excellent resource for physicians across broad specialties, nurses, hospital administrators, social workers, patient caregivers and all healthcare professionals concerned with infection prevention, quality and safety of care delivery, and patient satisfaction.

Skin lesions are often the first sign for an endocrine disease. Their description is thus of relevance for early diagnosis and treatment of endocrine disease for specialists in endocrinology as well as in dermatology.

Lavishly illustrated, this book describes the clinical and histological features of skin lesions observed in endocrine diseases. All features are reader-friendly structured and written in the language of dermatologists in order to enable a simple association between the features observed and the endocrine etiology.

Management skills and a sound knowledge of the NHS are mandatory for consultant and general practice careers. Management Essentials for Doctors is an invaluable resource for trainee doctors, hospital consultants and general practitioners, as well as a compendium of 'hot topics' for all doctors preparing for medical interviews. Written by doctors, for doctors, the 60 topics provide: * Clear descriptions of NHS structures, functions, policy and procedures * Detailed coverage of core management skills * An in-depth review of professional, governance, safety and quality issues Written in an easy-to-read style, with alphabetically listed themes for quick reference, Management Essentials for Doctors is not only an indispensable guide for busy clinicians, educational leads and medical managers but also a practical resource for interview preparation and career development.

Human trafficking is an increasingly large issue in medicine, particularly for the adolescent population. The pubertal and neurologic development of early- and mid-adolescence may serves as a foothold for trauma bonds and human trafficking. To date, there are few case studies of human trafficking in the medical literature. More often, these cases are missed, and human trafficking patients are unlikely to disclose their victimization to their physicians for multiple reasons. As a result, physicians fail to ask key questions and fail to notice important red flags for human trafficking. Research shows that this is primarily due to a lack of medical training and awareness and a resultant denial on the part of many physicians that victims of human trafficking present to their clinics or specialties. This book provides clinicians with a case-based guide to scenarios they may encounter in their practice that involve human trafficking. These cases include those involving sex trafficking and labor trafficking; male and female and transgender victims; victims from a range of racial, ethnic, geographic and socioeconomic backgrounds; as well as presentations of adolescent and young adult victims to fields such as adolescent medicine, general pediatrics, neonatology, rheumatology, transplant medicine, and obstetrics-gynecology, in addition to the stereotypical presentations to emergency departments. Each case is followed by a discussion that highlights key aspects of human trafficking in adolescent and young adult patients. These discussions also reference the growing body of research on human trafficking, orient the reader to medico-legal aspects of reporting human trafficking in the adolescent and young adult populations, and feature useful questions, exercises, and resources to promote discussion among those medical professionals who interact with adolescent medicine and young adult patients. Written by physicians, legal advocates and lawyers, Medical Perspectives on Human Trafficking in Adolescents is the definitive guide for all clinicians who care for adolescent patients. It is also a useful resource for mental health professionals and social workers.

This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.

Handheld Computers in Medicine is an essential volume of information needed for all physicians, especially those in the primary care specialties. It is in the tradition of Mark Ebell's recent successful Springer book and CD-ROM, Evidence-Based Diagnosis: Handbook of Clinical Prediction Rules. (This enables the clinician to make an automatic calculation of risk assessment based on the patient's presenting symptoms, which are fed into the program. By working with the CD-ROM, a risk calculation can be made in seconds, all within the time period of a standard office visit.) Ebell is a renowned family physician and educator who has devoted his career to assessing and processing clinical information, which is to be used in making an accurate diagnosis and prescribing the correct therapeutics in the shortest time period. If this is to be done correctly, the physician must be able to implement a variety of electronic information bases effectively, and during the time period of a standard office visit. Nothing accomplishes this goal as efficiently as handheld PCs and Palm Pilots. This allows the physician to engage the patient, take a case history, perform a physical examination, access patient records, complete the diagnosis and prescribe the necessary therapeutics and process the bill coding, all without leaving the patient's side. Depending on the physician's degree of 'tech-savvy' skills, this can be an exhausting and intimidating process. It can be especially complicated to convert an entire office practice, then conform to a particular healthcare organization's plan of operation. Ebell's book and CD-ROM set operates as a concise guide to enable any physician and healthcare professional to implement the use of handheld computers into their practice. It is important to note that the spirit of this publication's goal is to eliminate error and thus raise the level of quality in all aspects of patient care.

Medical students lack role models in rural primary care, contributing to the shortage of family care physicians in rural areas. This book addresses that need by profiling graduates from the Physician Shortage Area Program (PSAP) of Jefferson Medical College, Thomas Jefferson University, who now practice rural family medicine. The text challenges pre-med undergraduates, medical students, and family physicians to consider rural family practice and is an excellent resource for pre-med and medical school advisors. In-depth profiles reveal the everyday reality of the physician shortage through poignant stories and candid dialogue. They cover the social and professional issues that rural family physicians face, highlighting topics such as the meaning of rural family practice, the roles of medical schools and hospitals, health care policy, rural obstetrics, and telemedicine. The concluding chapter summarizes the professional and personal lessons learned and outlines the future of rural family practice.

A comprehensive review of how the beverages we drink affect our health and nutrition. The authors discuss the health effects of a wide range of popular beverages, including alcohol, wine, fruit and vegetable juices, coffee and tea, chocolate, milk and milk products, weight management beverages, and soft drinks. Among the topics of current interest considered are the beneficial effects of wine, the harmful interactions of citrus juices with prescription drugs, tomato juice as an anticancer agent, the benefits of herbal teas, probiotic organisms in dairy and fermented dairy products, the value of sports beverages, the risks associated with the consumption of soft drinks, and the quality and content of bottled water.

This forward-looking resource shines needed light on-and offers realistic solutions for eliminating-health disparities affecting one of the most vulnerable populations: children. Its multilevel framework identifies sources of pediatric health inequities in developmental, societal, familial, financial, and service delivery contexts and sets out innovations for breaking down and addressing longstanding concerns. Plentiful opportunities are described for reducing gaps and promoting equity at various service platforms, from locally-based improvements to systemwide tech upgrades, that can be used as models for revamping larger health policy. And the authors' long-term perspective emphasizes screening, wellness care, early intervention, and prevention strategies to support young patients in the transitions between childhood, adolescence, and young adulthood. Included in this compact idea book: Disparities in child health: a review Quality of care in pediatrics and health disparities: the increasing role of quality improvement science Community health worker interventions Technology-based interventions to address pediatric health disparities Place-based strategies in promoting health equity Future directions for a solutions-based approach With its clear delineation of issues and priorities, and its workable recommendations for addressing them, Disparities in Child Health is a ready source of ideas and advocacy for practitioners and researchers in pediatrics, maternal and child health, and general practice/family medicine.

Like its predecessors, this edition of FUNDAMENTALS OF FAMILY MEDICINE will present the medical student and practitioner with common clinical problems of family practice, placing special emphasis on those problems most common in the office setting. Topics such as pregnancy, labor and delivery, common problems of the elderly, headache, hypertension, urinary tract infections, osteoarthritis, HIV, anxiety disorders and athletic injuries are thoroughly reviewed and updated and include new information on drugs, as well as new case studies. The third edition will also include new discussion questions, new information on problems of the infant and child and tables describing the Folstein Minimental Status Exam and assessment of the elderly. New chapters include: The Family Physician's Role in Responding to Biological and Chemical Terrorism and Information Mastery: Evidence-Based Medicine. A unique, continuing feature of the third edition will be The Index Family paradigm, a three-generation extended family with selected illnesses. A genogram will introduce this family model and specific family members will form the basis of case presentations for discussions that follow each chapter. Useful material on clinical prevention consultations and referrals will also be updated and featured. This book -- clinical, portable and easy-to-use -- is a "must have" for all students in Family Medicine.

This text is designed to enhance patient care by providing the primary care practitioner with contemporary up-to-date information on the wide variety of topics they will confront in their practice. With the rapid and wide-spread technological advances of recent years, no single aspect of medicine has become as daunting as informatics. Physicians are now confronted with a broad and enormous range and volume of information. Accessing, managing and implementing this information is a serious task.This text has a practical, reader-friendly approach that provides access to key issues. It will provide the primary care physician with the fundamentals of informatics, including electronic medical record (EMR), electronic scheduling, billing and using scientific databases.As information continues to make the rapid leap from paper to bytes, this book is essential for staying current. It shows how to most effectively implement the changes to the advantage of both the physician and patient.