An estimated 21 million people are diagnosed each year with a major depressive disorder in the USA, Western Europe and Japan. The economic cost of depression and its impact on sufferers and those around them is enormous. There are numerous therapy choices available, which can be daunting for the clinician trying to achieve the best treatment regimen. "Managing Depression in Clinical Practice" provides a concise overview of the clinical manifestation, diagnosis and management of this debilitating condition. The book gives practical coverage of depression in special populations, the management of treatment non-response and long-term treatment. "Managing Depression in Clinical Practice" is intended as an accessible text for family practitioners and psychiatrists in training and in practice. It will also be of interest to specialist nurses and allied health professionals working in the field.

This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Anthony J. Viera and Devdutta Sangvai, is devoted to Population Health. Articles in this issue include: What is Population Health?; Measuring Health; Prevention as a Population Health Strategy; Value-Based Care; The Business Case for Population Health Management; Primary Care Transformation; Patient Engagement; Quality Improvement Principles and Practice; Lean Management; Population Health and AMCs: High cost meets high efficiency; Models of Population Health Management; Tools for Population Health Management; Clinically Integrated Networks; Assessing and Addressing Social Determinants of Health; and Population Health Policies.

This book provides a practical guide on the art and science of compassionate care in an era of healthcare crisis due to the COVID-19 pandemic that is inflicting long-lasting financial and psychosocial trauma on an unprecedented scale. A new approach to compassionate care is presented based on the overarching concepts of empathy, person and family centeredness, therapeutic relationship, kindness, gratitude, spirituality, communication skills, shared decision making, positive psychology, adversity-activated development, self-care, compassion fatigue, spirituality which are more than ever critical in successfully managing the pandemic adversity in front of us. This book draws on clinical experience, educational activities and evidence-based knowledge from academic physicians (primary, secondary and tertiary care), nurses, psychologists, health economists, healthcare managers, health policymakers, medical professionals students and patients. It provides skills and knowledge that can be implemented in daily clinical practice based on all levels of healthcare on a whole-person approach. An array of clinical cases, patient journeys, published evidence and practical experience is combined to deliver in a practical way unique guidance and advice. The target audience is all healthcare professionals, health policymakers, healthcare managers and patient associations. This approach of Compassionate Care is of great importance and can save lives and money in these unprecedented times of global healthcare care system challenges.

There are many changes in the skin, hair, and nails during and after pregnancy. Patients are certainly aware that those changes are occurring, but few physicians and even fewer patients know how to predict the course of those changes. Pigmentary changes occur, but are they permanent? Can they be prevented or reversed? Hair may become thicker during pregnancy, only to fall out in the postpartum period. When will hair stop falling out? Will it grow back? What hormonal changes are occurring to produce these effects on the skin, hair, and nails? Will those hormonal changes affect other organs? Some cutaneous manifestations of pregnancy are common and recognized by most physicians. Abdominal striae, for example, are easily identified, but physicians have many questions about them. Why do they develop? Can they be prevented or treated? Other cutaneous manifestations of pregnancy are less common and recognized by few. For example, pruritic urticarial papules and plaques of pregnancy is a debilitating condition that is treatable once diagnosed. Even more important than the treatment, the knowledge imparted to a worried mother that her child will be fine and that the condition is se- limited is priceless; but the condition must first be recognized by the patient's physician. All of these questions and conditions are addressed in this extraordinary book. Pigm- tary disorders are addressed in detail in Chap. 2.

This book provides an easy to use, practical, yet comprehensive resource for family practitioners to use in the daily struggle against infectious diseases. It discusses vaccines and preventive measures as well as information on how to reduce the incidence of antimicrobial-resistant organisms by judiciously prescribing antibiotics and informing patients about the appropriate use of these agents. This up-to-date overview is a one stop source for evidence-based guidelines.

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.

When faced with a challenging dermatologic problem, physicians are often required to perform a time-consuming search through large dermatologic texts in order to find information that will assist in the necessary differential diagnosis. This comprehensive and concise handbook is designed to simplify this process dramatically, permitting rapid identification of the correct diagnosis. Hundreds of dermatologic diagnoses, morphologic features, drug-induced disorders, extracutaneous manifestations, histologic findings, and random other findings are listed in alphabetical order and in a homogeneous, reader-friendly structure. The differential diagnoses are shown under each main diagnosis, sorted according to similarity with that diagnosis. Since the first edition, approaching 50 new diagnoses have been added, and many new images included. This easily portable book will be of great value for dermatologists and all who deal with dermatologic diseases.

Fully revised for this third edition, the Oxford Handbook of Occupational Health is a concise, practice-based guide to the area. Bringing together the latest legislation and guidance with current practice in the field, this is an authoritative reference to assessing and managing health risks in the workplace. Consisting of twelve sections covering the full breadth of practice, this Handbook covers workplace hazards and diseases, occupational health emergencies, and practical procedures. This third edition also contains new information on ethics, work health and disability, infection control, respiratory disorders, and fitness for work, with updated diagrams, figures and chemical structures to aid reader understanding. Providing a thorough, easy-to-use guide to the whole of occupational health, this Handbook is the essential resource for all occupational physicians, occupational health nurses, and all those dealing with workplace health and fitness, giving you the information you need at your fingertips.

A collection of 15 papers from The American Ceramic Society s 38th International Conference on Advanced Ceramics and Composites, held in Daytona Beach, Florida, January 26-31, 2014. This issue includes papers presented in Symposium 5 - Next Generation Bioceramics and Biocomposites and Symposium 9 - Porous Ceramics: Novel Developments and Applications.

Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice's patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government's incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.

Provides the GP trainee and trainer with a practical guide to making the best use of the vocational training programme.
This new edition has been completely revised to reflect the most recent changes to GP training and assessment. It sets out a practical framework within which trainees and trainers can work to ensure that trainees are as prepared as possible, not only for their MRCGP or Summative Assessments, but also for their whole careers in general practice.

Personalized and precision medicine (PPM)—the targeting of therapies according to an individual’s genetic, environmental, or lifestyle characteristics—is becoming an increasingly important approach in health care treatment and prevention. The advancement of PPM is a challenge in traditional clinical, reimbursement, and regulatory landscapes because it is costly to develop and introduces a wide range of scientific, clinical, ethical, and socioeconomic issues. PPM raises a multitude of economic issues, including how information on accurate diagnosis and treatment success will be disseminated and who will bear the cost; changes to physician training to incorporate genetics, probability and statistics, and economic considerations; questions about whether the benefits of PPM will be confined to developed countries or will diffuse to emerging economies with less developed health care systems; the effects of patient heterogeneity on cost-effectiveness analysis; and opportunities for PPM’s growth beyond treatment of acute illness, such as prevention and reversal of chronic conditions. This volume explores the intersection of the scientific, clinical, and economic factors affecting the development of PPM, including its effects on the drug pipeline, on reimbursement of PPM diagnostics and treatments, and on funding of the requisite underlying research; and it examines recent empirical applications of PPM.

This issue of Primary Care: Clinics in Office Practice, guest edited by Dr. Diane M. Harper, is devoted to Women's Health. Articles in this issue include: Social Constructs of How Women View and Obtain Their Healthcare; Becoming Reproductive; Family Planning and Contraception; Termination of Pregnancy; Female Athlete Triad; Menopause; Bone Health in Women; Cancers in Women; Cancer Survivor Health Needs for Women; Women's Health and the Military; Transgendered Women: Female to Male and Male to Female; Plastic Surgery for Women; Integrative Health for Women; Geriatric Medicine and Palliative Care for Women; and Medication Assisted Treatment (MAT) Considerations for Women with Opiate Addiction Disorders.

This issue of Physician Assistant Clinics, devoted to Geriatrics, is guest edited by Steven D. Johnson, PA-C. Articles in this issue include: Falls and the Older Adult: Prevention and evaluation; Cognitive Decline and Dementia; Shared Medical Appointments for Older Adults; Advanced Care Planning and Physician Orders for Life-Sustaining Treatment Program (POLST); Palliative Care; Home Care; Successful Aging; Functional Assessment and Pain Management; and more! CME is also available for subscribers to the series.

ADHD Complex: Practicing Mental Health in Primary Care, written by Dr. Harlan Gephart, provides a comprehensive review of key subjects of importance for primary care and family practitioners to help them better assess, diagnose, treat, and manage patient populations with ADHD. Dr. Gephart, Emeritus Clinical Professor of Pediatrics at University of Washington, has used his many years of experience and practice with this patient population to put together this helpful guide. Rating scales, questionnaires, and behavior checklists Identifying, screening, diagnosing, and treating learning problems in children and adolescents General principles of multi-modality treatments ADHD with coexistent psychiatric and behavioral disorders Resources for clinicians, parents, and patients

This issue of Physician Assistant Clinics, guest edited by Heather P. Adams, MPAS, PA-C and Aleece R. Fosnight, PA-C, is devoted to Women's Health. Articles in this issue include: Female Athlete Triad; Sexual Health Counseling for the Gynecologic Provider; Overcoming Barriers to LARCS; PCOS; Benign Breast Disease; Menopause; Female Hypoactive Sexual Desire Disorder (HSDD); HIV and Pregnancy: Medication management, delivery options, and postpartum complications; Adolescent GYN and HPV: Oral, anal, and cervical; Challenging Vaginitis; Infertility and Non-invasive Prenatal Testing; Pregnancy Centering: A Novel Approach to Prenatal Care; The Role of Pelvic Floor Physical Therapy for the Female Patient; and Diagnosis and Management of Recurrent Miscarriages.

Cystic fibrosis is a disease that affects the entire body. It tends to be thought of as primarily a pulmonary disease since pulmonary decline is the main factor in early mortality. Because of the multi-system nature of the disease, a better understanding of cystic fibrosis expands the family physician's understanding of subjects ranging from genetics to pulmonary function to nutrition to colon transport to hydration to electrolyte management. The primary care philosophy is unique in that it always considers how a narrow problem can affect an individual globally. Cystic Fibrosis care can often feel fractured to patients as they are sent to multiple specialists to deal with problems outside of the comfort level of a prior or current specialist. With a broad medical philosophy, care is more inclusive as clinicians can manage topics such as diabetes and preventive care without multiple referrals and additional appointments. Family physicians are well-positioned and well-qualified to competently meet many of the care needs of those with cystic fibrosis. This book is edited by a family medicine physician who has specialist level experience with the disease. It opens with a background on cystic fibrosis foundations and centers to familiarize the reader. The next chapter gives a basic overview of the disease. Each of the subsequent chapters provide a comprehensive look at how cystic fibrosis affects other areas of the body that the primary care physician should be familiar with. Major components of cystic fibrosis such as physiology, spirometry, inflammation, airway clearance, chronic infection, cystic fibrosis related diabetes and pancreatic insufficiency, among others, are thoroughly explained. Written by experts in the field, Cystic Fibrosis in Primary Care appeals to all family physicians as well as specialists, residents, medical students physician assistants and nurse practitioners alike.

In a world of HMOs, insurance companies, and an endless flood of forms, Hull Cook reminds us that there was a time when a visit to the doctor's office cost three dollars and doctors still made house calls. Cook recounts fifty years of service as a rural doctor in Texas and Nebraska, where a wide spectrum of dilemmas tested his resourcefulness, endurance, and sense of humor. He describes helping to deliver a baby via telephone during the Blizzard of '49, and he explains his "special delivery" of medication in the dead of winter -- an operation involving his Beechcraft Bonanza airplane and a parachute jerry-rigged from dental floss and a red handkerchief. Cook saw it all, from cow-manure poultices to snakebite to kerosene poisoning to drug addiction. His humorous account of life in the first half of the twentieth century conveys a distinct sense of the slings and arrows of doctoring on the plains.

Der Blick der deutschen Mehrheitsgesellschaft auf das Themenfeld Medizin ist weitgehend sakular. Menschen muslimischen Glaubens stellen hingegen die Begriffe "Gesundheit" und "Krankheit" sowie ihre Haltungen und Erwartungen gegenuber medizinischen Interventionen und dem gegenseitigen Verhaltnis von Arzt und Patient haufig direkt in religioese Zusammenhange. Daraus ergeben sich spezifische Bedurfnisse und Erwartungen, die glaubige muslimische Patienten sowohl von christlichen als auch von sakular eingestellten Menschen unterscheiden. Dieses essential zeigt anhand einer Reihe von Einzelinterviews Facetten der Rolle religioeser UEberzeugungen muslimischer Patienten fur den Umgang mit Krankheit, Medizin und dem Gesundheitssystem. Er wendet sich an AErzte und medizinisches Personal ebenso wie an Laien mit einem Interesse an interreligioesen und interkulturellen Fragen.

Jede medizinische Fachrichtung benoetigt labormedizinische Diagnostik. Neben bildgebenden Verfahren ist sie die wichtigste Hilfsdisziplin im medizinischen Alltag. Die Anzahl der Daten und Befunde steigt rapide an. Ursachen hierfur sind die Automatisierung und die Einfuhrung neuer Methoden. Anhand von Fallbeispielen werden Laborbefunde interpretiert und die Aussagekraft einzelner Werte erlautert. Raschen UEberblick ermoeglicht die Gliederung der klinischen Fragestellungen je nach Fachrichtung. Eine praktische Einfuhrung fur Studenten und AErzte in Ausbildung sowie fur Personen, die im medizinisch-diagnostischen Bereich tatig sind.

This issue of Primary Care: Clinics in Office Practice, guest edited by Dr. Michael Malone, is devoted to Allergy Primer for Primary Care. Articles in this issue include: Indoor and Outdoor Allergies; Food Allergies; Insect Allergy; Drug Allergy; Allergic Dermatoses; Allergic Rhinitis; Respiratory Allergic Disorders; Eosinophilic Gastrointestinal Disorders; Mastocytosis; Allergy Testing; Allergy Immunotherapy; Anaphylaxis; and Complementary and Alternative Treatment for Allergic Conditions.

This book sheds new light on the management of patients with borderline cardiovascular risk factors in order to prevent their progression to end organ damage. The book stimulates discussion of this poorly understood condition and lays the groundwork for developing recommendations and guidelines. While the diagnostic and therapeutic approach to full-blown diabetes, hypertension, dyslipidemia and obesity is well defined, there is still a lack of clear understanding and guidelines as far as patients with borderline conditions - especially when multiple - are concerned. Moreover, end-organ damage depends on several factors, including genetic factors, making it difficult to predict its extent. As such, the gradual transition from a healthy subject to one with functional hemodynamic changes, and then one with structurally asymptomatic changes and lastly to overt disease needs further investigation. In order to address these knowledge gaps, the book covers a broad variety of topics, making it a valuable tool for identifying which asymptomatic subjects could profit from being appropriately screened and at what stage. Furthermore it offers insights into better treating these patients to prevent their progression to overt disease. The book appeals to cardiologists, primary care physicians and all those healthcare professional looking to optimize the management of these complex and often undiagnosed cases.

This book explores in detail the primary liver cancers of hepatocellular carcinoma and cholangiocarcinoma examining the pathogenesis of disease along with diagnosis and current management options together with exploration of future treatment strategies and areas of controversy. Furthermore, the book highlights management of the common secondary malignancies and touches on benign liver tumours and how to best manage these. Written in a clear and didactic style, this volume includes summaries of the key learning points and questions so that the reader can gauge their knowledge and understanding. This book is aimed to broaden the knowledge base of primary care physicians, general physicians along with specialists in hepatology, oncology and hepato-biliary surgery

Der Begriff "Fluoroquinolone-Associated Disability" (FQAD) ist spatestens seit der Verwendung durch die US Food and Drug Administration (FDA) etabliert - allerdings ist die Definition der FDA mit den dazugehoerenden Diagnosekriterien fur den behandelnden Arzt nicht alltagstauglich. Stefan Pieper unterstutzt in diesem essential AErzte und Therapeuten, FQAD einfach zu diagnostizieren und mit FQAD-Patienten besser und adaquater umzugehen. Besonderes Augenmerk legt der Autor auf die Pathogenese, Diagnostik und die (begrenzten) therapeutischen Moeglichkeiten, die aus seiner Sicht Aussicht auf Erfolg haben. Zudem schlagt er fur die FQAD Diagnosekriterien vor, die eine moeglichst sichere und dabei zeitsparende Eingrenzung des neuen Krankheitsbildes erreichen, um diese im Praxisalltag zu implementieren. Praxiserfahrungen des Autors mit inzwischen mehr als 250 FQAD-Patienten erganzen das essential.