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Books > Medicine > Clinical & internal medicine > General
In the modern practice of medicine, new challenges complicate the ethical care of patients. Today's times require a contemporary take on the concept of medical ethics. The idea for this textbook was born out of a need for a teaching resource that merges medical ethics theory with the practical needs of modern clinical medicine. In Evidence-Based Medical Ethics: Cases for Practice-Based Learning, the authors address what has been missing in existing text books and ethics courses to date - clear-cut ethical and legal guidelines that provide a method for the reader to learn how to systematically manage dilemmas seen in the everyday practice of medicine. The reader is guided through several "typical" patient scenarios and prompted by various questions that should be entertained by the treating health care provider. Then, relevant evidence-based medicine, legal precedent, and the ethical theory that applies to the situation are revealed. Often, finding the "best" ethical solution for each problem is automatic, as the solution often becomes self-evident during information-gathering. This general method is reinforced throughout the text with multiple different cases, using a practice-based approach by building on the reader's developing skills. Additionally, we have sought to emphasize a culturally competent manner in resolving these dilemmas, respectfully addressing issues of age, gender, and culture whenever possible. The main goal of Evidence-Based Medical Ethics: Cases for Practice-Bases Learning is to assist the reader in adapting a patient-centered and evidence-based approach to dilemmas faced in their future practice of medicine.
Individuals responses to their chronic illness or disability (CID) vary widely. Some are positive and productive, some negative and self-defeating, and some have elements of both. "Coping with Chronic Illness and Disability" synthesizes the growing literature on these coping styles and strategies by analyzing how individuals with CID face challenges, find and use their strengths, and alter their environment to fit their life-changing realities. The book s first section provides readers with the major theories and conceptual perspectives on coping, with special emphasis on social aspects and models of coping with different types of CID. In Part Two, an array of specific medical conditions is covered. Each chapter supplies a clinical description, current empirical findings on coping, effective medical, physical, and psychological interventions, employment issues, and social concerns. This book includes: Up-to-date information on coping with high-profile conditions, such as cancer, heart disease, diabetes, arthritis, spinal cord injuries, and traumatic brain injury, in-depth coverage of HIV/AIDS, chronic pain, and severe mental illness, coverage of therapeutic modalities adopted for treatment of people with CID, review of the current state of coping theory and research, appendix of instruments frequently used in assessment of coping. The editors skillful balance between theoretical and practical material will help rehabilitation specialists (particularly psychologists, counselors, social workers, and health-care providers) develop new insights into promoting successful coping, and discern new means of changing its less effective forms. Students in the helping professions, as well as individuals experiencing CID, may also find this multifaceted book useful for understanding some of the psychosocial dynamics of living with CID."
Metabolome analysis is now recognized as a crucial component of functional genomic and systems biology investigations. Innovative approaches to the study of metabolic regulation in microbial, plant and animal systems are increasingly facilitating the emergence of systems approaches in biology. This book highlights analytical and bioinformatics strategies now available for investigating metabolic networks in microbial, plant and animal systems. The contributing authors are world leaders in this field and they present an unambiguous case for pursuing metabolome analysis as a means to attain a systems level understanding of complex biological systems.
A practical, clinically-oriented handbook of iron overload disorders giving a compact guide to normal iron metabolism, iron-related pathobiology, and the diagnosis and management of heritable and acquired iron overload disorders. Many of these disorders were discovered and characterized only in the last decade, and are unmentioned or inadequately described in most texts. Written by clinicians for clinicians, this handbook summarizes information on diverse iron overload conditions, including their history, signs, symptoms, and physical examination findings, genetics, genotype-phenotype correlations, pathophysiology, differential diagnosis and treatment. Most physicians, regardless of specialty, encounter patients with systemic or organ-specific iron overload conditions. This book contains essential information for practising adult and pediatric medical specialists in the fields of hematology, gastroenterology, hepatology, rheumatology, endocrinology, diabetology, neurology, oncology, dermatology, and internal medicine. Pathologists, pharmacologists, geneticists, genetic counselors, and epidemiologists will also find substantial, up-to-date sections in this handbook that are pertinent to their respective fields of interest.
"This is a book of byzantine proportions: a treasure trove for anyone with even the slightest initial interest in biomedical ethics. Indeed this book demonstrates that biomedical ethics is a microcosm of culture broadly conceived. "Principles of Health Care Ethics" is unique. There is no other source-book that provides such diversity within the field. Here you can explore Eastern as well as Western approaches; examine the value of scientific studies in ethics, or of bizarre thought experiments. You can read about specific issues arising in clinical care, or gaze into a future when drugs might be widely used not only to treat disease but also to enhance health and abilities. There are twenty chapters on political and social issues and almost as many on the ethics of medical research and new technologies. The first edition of "Principles of Health Care Ethics" was a
constant companion for me, although one that was rather too
frequently 'borrowed'. This second edition is even more exciting. A
book of reference; and also a book to explore." The topics discussed in this book are relevant to everyone working in, or associated with, medicine and health care, whether student, practitioner, teacher of researcher, but its appeal will also extend to those in the fields of philosophy, medical law, sociology and theology, and the general reader concerned about the many moral problems that arise in medical practice.
The Hitchhiker's Guide to Internal Medicine offers a concise yet thorough overview of both clinical and factual knowledge required of medical students as they journey through their internal medical rotations. Included in this book are all the pertinent information for third year medical students and interns on the ward who are working up patients and preparing for the Step 2 and Step 3 exams. Beyond a simple pocketbook containing the minimal knowledge expected for the boards, the Hitchhiker's Guide to Internal Medicine is also a comprehensive source of practical knowledge needed to evaluate common diagnoses. In addition to lessons on clinical anatomy and physiology, comprised here are succinct work-up and treatment plans for numerous presenting complaints. Internal medical topics covered in this book include: cardiology, nephrology, pulmonology, neurology, oncology, infectious diseases, hematology, endocrinology, gastroenterology, dermatology, and rheumatology. Dr. Atif Qasim is a veteran hitchhiker in the field of internal medicine from the University of Pennsylvania School of Medicine. Here he presents his wealth of clinical pearls in a package of necessary knowledge to keep overwhelmed medical students from getting lost as they trek the steepest part of the learning curve in medicine. Features Special sections with diagnostic algorithms on how to work up the some of the most common medical complaints . Thorough information on diagnostic tests and procedures used in each medical subspecialty.
The Electronic Medical Record (EMR) - is the essential underpinning of any significant healthcare reform and is the more comprehensive record than the Electronic Health Record (EHR). This book clarifies the Crucial Decisions that result in successful EMR adoption and avoidance of expensive EMR mistakes. It provides timely insight in leveraging ARRA/HiTech, Meaningful Use, Stark Safe Harbor, CPOE and PQRI incentives and understanding current HITSP, HL7, ASTM, ELINCS and other interoperability standards. This book provides practical guidance on: Evaluating EMR ease-of-useDetermining In-office vs. Web-based vs. Blended EMR deploymentDeciding which user-interface approach to adoptUnderstanding structured vs. unstructured charting approachesAssessing EMR developer stabilityObtaining legal advice about RFIs, RFPs and contract negotiations "The federal government has set aside significant incentives for
physicians to adopt and implement electronic medical record
systems. As providers across the country seek out various health IT
tools and capabilities, this book serves as a remarkably useful,
step-by-step guide for successfully deploying an EMR system. This
kind of information will be imperative as we bring our health
system into the 21st century." Also endorsed by: Rep. Rush Holt (D NJ), Richard Dick, Ph.D. & Radu Kramer, M.D.
Palliative Care ist eine Antwort auf grundlegende Fragen der modernen Medizin: Wie weit wollen, sollen oder mMedizin: Wie weit wollen, sollen oder mussen wir Leben erhalten, verlangern und verbessern, wenn es von unheilbarer Krankheit, Alter oder Sterben begrenzt wird? Was wird fur ein der menschlichen Wurde und Freiheit gerecht werdendes Leben und Sterben gefordert? Ist alles medizinisch Machbare zu tun, oder widerspricht dies persoenlichen und gesellschaftlichen Vorstellungen von einem guten Leben und Sterben? Und dort, wo die heutige Medizin an ihre Grenzen stoesst, wie gehen wir mit dem Leiden und Sterben um? Welche Bedurfnisse stehen in diesen Situationen im Vordergrund? Wie kann ihnen fur moeglichst alle entsprochen werden? Was ist wesentlich in der Beziehung, in Haltung und Verhalten zueinander zwischen jenen, die unheilbar krank sind, die gehen mussen, vielleicht wollen, und jenen, die sie in dieser Situation betreuen und begleiten? Das Buch "Ethik in der Palliative Care" gibt Antworten auf diese Fragen, indem es umfassend die historischen, medizinischen, ethischen und theologischen Hintergrunde von Palliative Care beschreibt und ihren Stellenwert im Schweizer Gesundheitssystem dokumentiert.
Research evidence on bully-victim problems has accumulated rapidly in recent years. From this, there is little doubt that prolonged involvement in bullying, as a perpetrator, victim, or, not uncommonly, as both a perpetrator and target of bullying, conveys risk for many aspects of development. As in many emerging areas of psychological science, diverse research efforts evolved more or less independently, producing a very large and rich body of knowledge, but making it difficult to gain a comprehensive, integrated view of the overall evidence base. Preventing and Treating Bullying and Victimization looks across the sometimes disparate perspectives from school, clinical, and developmental researchers and professionals with an eye towards describing and integrating current knowledge into a guide for evidence-based practices and further research. The authors offer new directions for understanding this complex problem and for enhancing intervention approaches. This edited book will be comprised of three sections: Theoretical Perspectives, Assessment and Intervention, and Recommendations for Policy, Practice, and Research. It will be of interest to a number of professions and disciplines including clinical, developmental, counseling, and school psychologists, social workers, school administrators and educators, and public officials involved in setting policies.
People with intellectual disability often have health needs that go unrecognised and untreated; this may be because of difficulties in communication, diagnostic overshadowing, discrimination or indifference. There is concern that public health measures aimed at reducing the main health killers in the population will not address these issues for people with intellectual disability and may preferentially widen the inequality that already exists. This book is a comprehensive and systematic review of physical and mental health co-morbidities in people with intellectual disability. Such an evidence base is vital in shaping public health policy, healthcare commissioning and the development of more effective healthcare systems, as well as supporting better understanding and practice at an individual clinical level. This is essential reading for policy makers and commissioners of services, as well as individual practitioners across mainstream and specialist health and social care, in considering not only service developments but practice at the coalface.
This book explores ethnographic studies of diagnostic work in diverse settings. Switching attention from product ('diagnosis') to process ('diagnosing'), it reveals the importance of collaborative, socio-material, technologically augmented practices, exploring the potential of the multi-disciplinary studies presented to inform innovation.
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.
The Art and Science of Compassion, A Primer offers a succinct, all-in-one introduction to the full gamut of compassion, from the evolutional, biological, behavioural, and psychological, to the social, philosophical, and spiritual. Drawing on her diverse background as a clinician, scientist, educator, and chaplain, Dr. Wong presents a wealth of scientific evidence supporting that compassion is both innate and trainable. By interleaving personal experiences and reflections, she shares her insights on what it takes to cultivate compassion to support the art of medicine and caregiving. The training described in this book draws on both contemplative and scientific disciplines to help clinicians develop cognitive, attentional, affective, and somatic skills that are critical for the cultivation of compassion. With striking illustrations for key concepts and concise summaries for each chapter, this book provides a solid conceptual framework and practical approaches to cultivate compassion. Advance Praise for The Art and Science of Compassion, A Primer "Well-written, deeply personal and scientifically-grounded, this book provides strong physiological, psychological, and ethical reasons why cultivating compassion is essential-and provides a thoughtful roadmap for promoting compassion in healthcare and in all of life." - Ron Epstein, MD, author of Attending: Medicine, Mindfulness, and Humanity "Dr. Agnes Wong, a highly distinguished physician and exceptional researcher at the University of Toronto, has written an absolutely uplifting masterpiece about meaning, compassionate care, and the universal journey that all healers must take to sustain their inner being and nobility of purpose. This book is partly her journey to a deeper state of being that places compassionate care in its rightful place in the healing art; it is also a fabulous scientific presentation of the practice and impact of compassionate care on patients and on one's own flourishing as a physician. This is a book that touches the soul and should be read by every medical student or clinician worldwide as they reflect on what it means to really succeed in their "whole selves" as healers and human beings." - Stephen G. Post, PhD, Director, Center for Medical Humanities, Compassionate Care and Bioethics; Professor of Family, Population and Preventive Medicine, Stony Brook University "Compassion and empathy are traits that make us human, and as Dr. Wong shows, these qualities can be developed, encouraged, and cultivated. In our struggling world, we need this awareness as never before. The future of our species likely depends on it. This book is an example of how science and spirituality can come together in a brilliant synthesis." - Larry Dossey, MD, author of One Mind: How Our Individual Mind Is Part of a Greater Consciousness and Why It Matters
In 1978, Hulse, Fowler, and Honig published Cognitive Processes in
Animal Behavior, an edited volume that was a landmark in the
scientific study of animal intelligence. It liberated interest in
complex learning and cognition from the grasp of the rigid
theoretical structures of behaviorism that had prevailed during the
previous four decades, and as a result, the field of comparative
cognition was born. At long last, the study of the cognitive
capacities of animals other than humans emerged as a worthwhile
scientific enterprise. No less rigorous than purely behavioristic
investigations, studies of animal intelligence spanned such
wide-ranging topics as perception, spatial learning and memory,
timing and numerical competence, categorization and
conceptualization, problem solving, rule learning, and creativity.
This book provides a detailed overview of the function of the nervous system in fever and its role in antipyresis. The volume opens with an introductory account of fever, its physiology and adaptive role, and explains the mechanisms of thermoregulation. Sufficient information about bacterial pyrogens, 'endogenous' pyrogenic cytokines, body temperature regulation and survival value of fever and its ubiquity is given to enable readers to follow the central nervous system's involvement. The book should enable graduate students and researchers in neuroscience and other disciplines to understand the impact of their studies in the overall processes of fever. It will also be of benefit to pharmacologists studying anti-pyretics and the central nervous system function of these drugs. Academic clinicians will find this a more comprehensive overview of fever than other available texts. Finally, the author challenges some well-established dogmas in this area and sets an agenda for future research.
"Mastering the Medical Long Case 2e" is designed to assist medical students preparing for the clinical component of their examinations and for participating in their clinical rotations. Case discussions in the latter section of the book provide useful guidance to medical students involved in PBL and CBL modules. The Long Case is also a focus of the Physician's exam - candidates at the FRACP are given two cases and must perform well to secure an overall pass. The book aims to enable trainees to develop a necessary structured approach to the Long Case. |
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