Medical Devices and Regulations: Standards and Practices will shed light on the importance of regulations and standards among all stakeholders, bioengineering designers, biomaterial scientists and researchers to enable development of future medical devices. Based on the authors' practical experience, this book provides a concise, practical guide on key issues and processes in developing new medical devices to meet international regulatory requirements and standards.

This issue of the Medical Clinics of North America is devoted to Psychiatric Diagnosis and Management in Primary Care and is edited by Dr. Genevieve Pagalilauan. Articles in this issue include: Psychopharmacology; Office-based Screening of Common Psychiatric Conditions; Depression; Anxiety Disorders; Bipolar Disorder; Borderline Personality Disorder; Grief Reaction, Adjustment Disorder, Seasonal Affective Disorder; Somatiform Disorders; Addiction Disorders; Sleep disorders; Geriatric Psychiatry; Autism Spectrum Disorders in Adults; and Medical Conditions with Neuropsychiatric Manifestations.

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

For hundreds of years, psychology has looked into the dysfunctions and symptoms of the mind. It's only over the last few decades that the field has started to pay attention to what constitutes a functional and content life. Instead of using disease to understand health, positive psychology studies the components of a good life and helps people not only avoid mental health problems but develop happiness. The work done in positive psychology is now at a point where applications are being developed in positive psychotherapy and extended to those with psychiatric diagnoses in positive psychiatry. While these fields are a recent development they hold the promise of helping all of us live a fulfilled life. Medicine in general, and psychiatry in particular, suffers from a worldview that is symptom- and deficit-oriented. By adopting a positive approach, psychology, psychotherapy, and psychiatry add a more holistic, integrative, resource oriented, and preventive perspective. There is great urgency in developing resources and potentials in our patients, not only freeing them from their disorders. Psychiatrists and psychotherapists alike are incorporating these positive tools into their practices with positive clinical outcomes. Standing on the shoulders of pioneers like Nossrat Peseschkian, in positive psychotherapy, and Dilip Jeste, in positive psychiatry, this textbook is the first to bring together these innovations in one volume that will serve as an excellent resource for medical professionals looking to reap the benefits gained by the studies in these areas. Currently, the majority of texts that are available are targeting psychologists and researchers, whereas this book seeks to use positive psychology as the foundation on which the clinical applications are built. As such, this book will be of interest to psychiatrists, psychologists, social workers, and other mental health professionals. It may be used in educating a new generation of mental health professionals in these tenets that are expanding the reach of psychology, the practice of psychotherapy, and the scope of psychiatry.

This issue of Primary Care: Clinics in Office Practice features expert clinical reviews on Orthopedics which includes current information on . The Preparticipation Physical Examination, Exercise Prescription, Diagnosis and Treatment of Osteoarthritis, Evaluation and Treatment of Cervical Radiculopathy, Choosing the Right Diagnostic Imaging Modality in Musculoskeletal Diagnosis, Evaluation and Treatment of Musculoskeletal Chest Pain, Evaluation and Treatment of Rotator Cuff Pathology, Evaluation and Treatment of Sternoclavicular, Clavicular, and Acromioclavicular Injuries, Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes, Complementary and Alternative Treatments in Musculoskeletal Medicine, Evaluation and Treatment of Biking and Running Injuries, Common Injections in Musculoskeletal Medicine, and Considerations in Footwear and Orthotics.

This issue of Medical Clinics covers the current best practices surrounding the perioperative management of patients with chronic diseases. Guest edited by Jeffrey Kirsch and Ansgar Brambrink, the topics covered will include patients with pacemakers, patients with endocrine disease, immunocompromised patients, patients with heart disease, patients with renal disease, and more.

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

This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the "silver tsunami." Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

Of the three types of bladder cancer, Non-Muscle Invasive Bladder Cancer (NMIBC) is the most common form and is diagnosed in over 70% of cases. This issue of the Urologic Clinics focuses on NMIBC and includes articles on periopertive chemotherapy, office fulguration, TURBT, surveillance strategies, and radiation therapy in type-1 tumors.

This book is the first authoritative medical text that considers the unique cultural backgrounds of Hispanic populations in a straightforward yet sensitive way, all while building a framework for practical psychiatric assessment and treatment plans. As the only book to consider the unique challenges facing Hispanic mental healthcare, this book is at the forefront of a serious issue that has gone unchallenged for too long. The text is written by two expert psychiatrists with an established history of leadership in this space. Chapters carefully and meticulously establish the issues of access to care in Latinx communities before addressing the unique needs of these patients in the context of common psychiatric disorders. Each disorder includes clinical cases for a reader-friendly approach to the challenges that develop effective assessment and treatment plans. Mental Health for Hispanic Communities is a concise yet comprehensive reference invaluable to all clinicians, students, and other medical professionals seeking to work with this population effectively.

Transgender people face alarmingly high rates of verbal harassment and physical violence, including at home and at school. Transgender youths face significant mental health issues as a consequence, including depression and suicidality, anxiety, body image distortion, substance abuse, and post-traumatic stress disorder. Part 3 of this first-of-its-kind 3-part series helps show how pediatric primary care providers (PPCPs) are uniquely situated to screen, identify, and care for transgender and gender-diverse youths. As children and adolescents become increasingly aware of gender diversity, PPCPs should be attentive to physical and emotional cues that point to gender-related distress. Early identification of distress in transgender patients, supported exploration of identity, and affirmation helps foster healthy growth and development in a particularly vulnerable population. It also leads to positive long-term health outcomes, including decreased morbidity and mortality.

This issue of Primary Care: Clinics in Office Practice focuses on practice management models for achieving health outcomes in chronic disease management and serves as a key to help the primary care practitioners work with local systems of care, integrate behavioral medicine in primary care, and collaborate with university-based research.

Prepare for success in today's fast-paced, collaborative healthcare environment! Offering expert perspectives from a variety of primary care and nurse practitioners, Primary Care: A Collaborative Practice, 5th Edition helps you diagnose, treat, and manage hundreds of adult disorders. Care recommendations indicate when to consult with physicians or specialists, and when to refer patients to an emergency facility. This edition includes six new chapters, a fresh new design, the latest evidence-based guidelines, and a new emphasis on clinical reasoning. Combining academic and clinical expertise, an author team led by Terry Mahan Buttaro shows NPs how to provide effective, truly interdisciplinary health care. UNIQUE! A collaborative perspective promotes seamless continuity of care, with chapters written by NPs, physicians, PAs, and other primary care providers. Comprehensive, evidence-based content covers every major disorder of adults seen in the outpatient office setting, reflects today's best practices, and includes the knowledge you need for the NP/DNP level of practice. A consistent format in each chapter is used to describe disorders, facilitating easier learning and quick clinical reference. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and making care management decisions. Complementary and alternative therapies are addressed where supported by solid research evidence. Referral icons highlight situations calling for specialist referral or emergency referral. NEW chapters cover topics including transitional care, risk management, LGBTQ patient care, bullous pemphigoid, pulmonary embolism, and dysphagia. NEW! An emphasis on clinical reasoning helps you develop skills in diagnosis and treatment, with coverage moving away from pathophysiology and toward diagnostic reasoning and disease management - including pharmacologic management. NEW focus on interdisciplinary care underscores the importance of interprofessional education and practice, and includes Interdisciplinary Management features. UPDATED chapters reflect the latest literature and evidence-based treatment guidelines, including new content on the Affordable Care Act as well as new coverage of patient satisfaction metrics, quality metrics, value-based purchasing, pharmacogenetics/genomics, and teen pregnancy and abnormal pregnancy. NEW quick-reference features make it easier to locate important information, through colorful section tabs, bulleted summaries, additional algorithms, a more logical table of contents, an Index to Standardized Treatment Guidelines, and a Reference to Common Laboratory Values.

In The Surprising Lives of Small-Town Doctors, physicians put down their stethoscopes and pick up their pens to share some of the most frightening and pivotal moments of their careers. From making igloo house calls to bandaging animal bites to performing surgeries they may have only read about in textbooks, these young doctors speak of the many rewards of practising medicine in small communities. They also detail the fears, failures, and challenges of providing health care in the farthest reaches of our country--where the need for doctors is the greatest. Collectively, these stories capture the spirit, innovation, and resilience of these rural doctors and the communities they serve.

This issue covers important topics to any primary care physician such as: Immunology for the primary care physician, Routine pediatric immunization, special cases in pediatrics, Routine adult immunization, special cases in adult vaccination, Foreign born individuals, Travel medicine, Immunoglobulins, Pandemic illness/flu, Future vaccine development, clinical trials, immunization and cancer prevention/treatment, Ethics of vaccination refusal, Vaccine administration: Rules and regulations, and Keeping current with vaccine recommendations

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

This fully updated and expanded third edition is a reference guide on nutrition and its clinical implications for health and disease through the life-cycle. The book endeavors to address the needs of those who would most benefit from up-to-date information on recent advances in the field of nutrition. Written by experts in the field, chapters cover a diverse range of nutritional areas that present a succinct overview of recent thinking and discoveries that have the greatest capacity to aid physicians and other healthcare professionals in improving the nutritional health of their clients. The text is divided into eight parts. Part one and two address the nutrient requirements and special nutrition-related issues for people across all stages of the lifespan-from pregnancy and infancy through the adolescent years to the older adult years. Part three summarizes the role of nutrition in the prevention and management of chronic conditions frequently seen in clinical practice, including obesity, diabetes, bone disorders, coronary heart disease, hypertension, and cancer. Part four describes different dietary patterns (the Mediterranean diet, the DASH diet, the vegetarian diet, and the ketogenic diet). Part five describes nutrition challenges specific to surgery and several different acute diseases and disorders (gastrointestinal disorders, food allergy and intolerance, diseases of the liver and pancreas, kidney disease, eating disorders, bariatric surgery, sarcopenia, and drug interactions with food). Part six looks at different aspects of the diet (coffee, tea, dietary fat, dietary sugars, energy drinks, alcohol, dietary fiber, vitamins, minerals, and the gut microbiome). Part seven examines a range of factors that influence dietary health decisions (creating nutritional behavior change, methods for assessing nutritional status, Dietary Reference Intakes, an overview of the diet and food guides, food labels, and sources of nutrients). Finally, part eight looks at dietary supplements (including the problem of dishonest marketing) and false and misleading information in the area of nutrition. The growing nutritional impact of COVID-19 is discussed throughout the book where appropriate. Nutrition Guide for Physicians and Related Healthcare Professions Third Edition serves as a comprehensive guide that is organized by age/lifespan, nutrition therapy in relation to chronic disease and COVID, diet and its role in prevention, dietary requirements and recommendations, and influencing health decisions for the patient. It is a valuable resource of practical and easy-to-access information on nutrition for physicians, nurses, pharmacists, and others in their daily practice.

Now in a revised and expanded third edition, this case-based guide emphasizes the latest investigative advances in both imaging and molecular diagnostics and new treatment approaches for a wide variety of common and complex endocrine conditions. Utilizing unique clinical case histories, each main endocrine condition and disorder is curated by a senior Section Editor with an introduction to his or her area covering both physiology and pathophysiology. This introductory chapter is followed by a number of case histories written by invited experts and designed to cover the important relevant pathophysiology, following a consistent chapter format for ease of use, including bulleted objectives, case presentations, review of the diagnosis, lessons learned, and 3-5 multiple-choice review questions. Section headings include the pituitary, thyroid (overactivity, underactivity and cancer) and parathyroid, adrenal disorders, metabolic bone disease, type 2 diabetes, lipid abnormalities, obesity, and pregnancy. Topics new to this edition include PCOS, transgender medicine and the endocrine effects of viral infections. With a focus on covering major parts of the APDEM curriculum, A Case-Based Guide to Clinical Endocrinology remains a tremendous resource for junior and veteran clinicians alike.

This issue guides the primary care physician through the prental care of their patient with topics that include: ? Preconception Care, Antepartum Care, Nutrition, Genetic Screening, First Trimester Complications, Management of Gestational Diabetes, Third Trimester Complications, Electronic Fetal Monitoring, Complications of Labor and Delivery, Operative Delivery, Postpartum Hemorrhage, and Alternative Approaches to Maternal Care

Substance use disorders occur in 10% to 20% of patients presenting to the primary care physician, and rates are increasing. Primary care physicians are therefore in an excellent position to screen, provide early intervention, or refer patients to specialty care. This issue covers several types of substance abuse-including alcohol, prescription drugs, and recreational drugs-and gives detailed information on screening for and treating these problems.

Selected as a Doody's Core Title for 2022! One of the most rewarding and helpful areas of primary care medicine is the opportunity to relieve the suffering of a patient in pain. Using a hands-on intervention can provide pain relief to the patient and professional satisfaction to the clinician. Manual Medicine offers primary care physicians, nurse practitioners, and physician assistants the practical, hands-on guidance needed to accurately diagnose and provide initial management of commonly seen musculoskeletal problems. Dr. Frank Domino, along with physical therapists Steve Messineo and Mark Powicki, walk you step by step through the approach to a clinical problem (such as back pain or knee pain) and treatment. These easy-to-use maneuvers provide initial treatment that reduces suffering. Starts with a patient's complaint (for example, low back pain), guiding you through the process of obtaining patient history, a brief functional physical exam, and diagnosing the problem. Equips you to use a set of physical maneuvers to provide immediate relief while a more detailed treatment plan can be developed - all clearly demonstrated both in print and in accompanying videos. Helps you learn ideally suited techniques (such as muscle energy techniques, myofascial release, and positional release (strain-counterstrain) that are extremely low risk and are far safer than other care options such as opioids or NSAIDs. Identifies specific dysfunctions based upon patterns of patient complains and physical exam findings, covering head and neck, upper back, upper extremities, lower back, hips, lower extremities, and non-musculoskeletal complaints with muscular etiologies. Includes patient resources and sample billing and coding notes in each treatment chapter. Enrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities! 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

Im seit 1985 jahrlich als Buch erscheinenden Arzneiverordnungs-Report werden die Rezepte fur die Patienten der gesetzlichen Krankenversicherung (GKV) mit Methoden der evidenzbasierten Medizin analysiert. Seit dieser Zeit bietet der Report eine unabhangige Informationsmoeglichkeit uber die verschiedenen Komponenten der Arzneimittelverordnung und tragt damit zur Transparenz des Arzneimittelmarkts, zur Bewertung von Arzneimitteln und zu einer sowohl zweckmassigen und sicheren evidenzbasierten als auch wirtschaftlichen Arzneitherapie bei.