A systematic approach to the role that the family can and should play in improving health care management. The concept of working with families toward this end is viewed as a major step forward in clarifying the role of the physician and nurse in family medicine. Includes numerous case histories.

Although considerable progress has been made in the understanding and treatment of a range of medical disorders, it had recently been pointed out that 85 percent of the population will be stricken by chronic disorders which may be accompanied by many years of suffering.
This volume deals with issues of both cure and risk in chronic illnesses which are among the group of disorders associated with the leading causes of death in the United States at this time -- Alzheimer's disease, AIDS, and cancer. A consideration of the role of brain and behavior in relation to the cure and prevention of these disorders is the central focus of the various chapters in this book. Several chapters discuss the neuropsychological aspects of chronic illnesses including the underlying pathophysiology of changes in the brain which may be associated with both behavioral and physical signs and symptoms in these disorders. Considerable evidence suggests that a range of psychosocial or behavioral factors, such as stressful life events and depression, are associated with increased morbidity or mortality. Complex neurobiological pathways involving the brain, neurotransmitter, and neuroendocrine systems have been implicated. Other chapters consider some of the links among brain, behavior and chronic illnesses, as well as psychological factors such as coping and depression in relation to chronic disorders.
The three leading risk factors known to be associated with both chronic illnesses and death -- diet, tobacco, and alcohol -- are all related to behavioral choices. Sexual behavior can be added to the list in terms of HIV infection and acquired immunodeficiency disease (AIDS). Several chapters deal specifically with a consideration of sexual behavior and HIV infection which clearly highlight the need for scientific knowledge in human sexuality if effective long term preventive measures are to be developed while waiting for a vaccine or cure.
The search for cures must continue to have the highest priority in the scientific and clinical struggle against disease. Nonetheless, the value of psychosocial interventions on the quality of life and mental states of seriously ill persons should not be underestimated.

Issues of leisure and dying are not often discussed in depth by those in recreation or thanatology. However, Recreation, Leisure, and Chronic Illness bridges the gap between leisure and thanatology. Professionals know that when illness, disability, stress, or poverty threaten the quantity and quality of a person's life, leisure takes on great meaning. Readers will find in this truly unique book how leisure can be a positive counterforce to the physical and mental diminishments that erode health and work.Contributors to Recreation, Leisure and Chronic Illness explore the philosophy of leisure and how freedom, enjoyment, self-determination, and breaking the set patterns of daily life are central to true leisure, for persons in all walks of life. These authors illustrate the need for leisure in a wide variety of settings and in the face of multiple threats to both the quantity and the quality of life. Readers will find chapters filled with expert theories on how to help clients with limiting conditions realize the fulfillment of their leisure desires, the problem of groups left at the margins of the current health care policy who are also poorly served by the leisure professions, and the inevitable funding dilemma. Specific chapters focus on: improving leisure lifestyles as a crucial first step in rehabilitation the role and importance of recreation in lives of persons with AIDS benefits of recreation programs in senior centers and care centers community-based recreation programs that emphasize preserving existing coping patterns and maintaining daily functioning the ability of recreation to sustain hope for psychiatric patients relationships between leisure education and death education how creative activities--music, dance, art, and creative writing--are used to promote physical mental healthWhile the chapters in Recreation, Leisure and Chronic Illness range from policy issues to specific recreation programs, as a whole they show the healing power of leisure. Professionals and students in both recreation and thanatology fields will find this volume an enlightening approach to promoting healing in those suffering from life-threatening conditions--medical, social, economic, or environmental.

Purpose of In vivo Models of Inflammation is to provide the biomedical researcher in both the pharmaceutical industry and academia with a description of the state of the art animal model systems used to emulate diseases with components of inflammation. The aim of this second edition is to act as a complement to the first by describing and updating the standard models that are most utilized for specific disease areas. In addition, this 2nd edition includes new models exploring emerging areas of inflammation research.

It provides detailed descriptions of the methodologies and uses of the most significant models. This includes current information regarding agents that demonstrate efficacy, those that do not and those that can be used as standard controls. The focus remains on those models that serve as pre-clinical correlates to human disease as well as those that represent components of the inflammatory response.

New approaches to the development of future models in selected therapeutic areas have been highlighted. The focus on novel technologies that are vital for innovative in vivo research has also been expanded to include chapters on the use of transgenic and gene transfer technologies, nanotechnology, and stem cells.

The book provides the scientist with an up-to-date reference manual for selecting the best animal model for their specific question. Chapters describing current regulations in the United States, United Kingdom, and Japan are also included.

The seventh "Oxford Conference" on Modeling and Control of Ventilation was held in the beautiful setting of Northem Ontario at the Grandview Inn in Hunstville. This meet- ing was called the Canadian Conference on Modeling and Control ofVentilation (CCMCV) to follow on LCMCV held in London, England, three years ago. The beautiful view over Fairy Lake greeted everyone in the moming and provided an ideal setting for many discus- sions about respiratory physiology and modeling. The Oxford Conferences began in 1971 when Dr. Richard Hercynski (a mathematical modeler with an interest in respiratory physiology) and Dr. Dan Cunningham (a respiratory physiologist with an interest in modeling) decided to organize a meeting "Modelling of a Biological Control System: Tbe Regulation of Breathing" in Oxford, England, in 1978. The meeting was a success, and it spawned aseries of meetings that have continued to today. A second conference was organized at Lake Arrowbead, Califomia, in 1982. After tbis, con- ferences were repeated at tbree-year intervals. My first Oxford Conference was at tbe abbey in Solignac, France, in 1985. Next, we met in tbe cabins overlooking Grand Lake, Colorado, in 1988. In 1991, we traveled to the training institute at the base ofMt. Fuji (or at least they tell us Mt. Fuji was out there--we never saw it because of a typhoon rolling through). Our last meeting was at Royal Holloway College (University of London) where we got to dine in a castle among artwork that required guards and an electronic security system.

A state-of-the-art review of the many cognitive, affective, and behavioral dysfunctions associated with movement disorders. These dysfunctions include depression, dementia, psychosis, sleep disorders arising from Parkinson's and Huntington's disease, Tourette's syndrome, as well as multiple system atrophy, progressive supranuclear palsy, corticobasal degeneration, and many other related disorders. The authors describe these behavioral syndromes and their neurophysiological and neuropathological substratum, as well as their diagnostic criteria and therapeutic guidelines. The cognitive and affective dysfunctions are spelled out in detail.

Clinicians at all levels must consider a myriad of tests in the diagnostic process, requiring an up-to-date understanding of changing technology and the demands of time- and cost-efficiency. Ferri's Best Test, 5th Edition, is a unique, easy-to-use guide that simplifies complex information and helps you choose the best test to supplement your clinical diagnostic skills. It includes both lab and imaging tests for concise, convenient access to all diagnostic test options for more than 200 common diseases and disorders. . Practical, concise, spiral-bound, and pocket-sized-designed from cover to cover for quick, on-the-go reference. . Three convenient sections provide quick access to key information on clinical laboratory testing, diagnostic imaging, and diagnostic algorithms. . New and updated content on cardiac computed tomography angiography, computed tomography perfusion imaging, COVID-19, and much more. . Coverage of 23 new laboratory tests and 14 new diseases and disorders. . Essential information on indications, advantages, disadvantages, approximate costs, normal ranges, typical abnormalities, likeliest causes, and more. . Experienced author Dr. Fred Ferri uses a unique, easy-to-follow format to simplify complex information and help you choose the best test for every patient. . New appendices on electrocardiography and respiratory testing and function. . Comparison tables and illustrations help improve your test selection. . Enhanced eBook version included with purchase. Your enhanced eBook includes an image collection with access on a variety of devices.

This book contributes to an overall understanding of the nature and the impact of sexual boundary violations. By exploring an extreme human experience, childhood sexual abuse, the present study allows an insight into a hidden, silenced, and destructive aspect of human relations. It is the first of its kind to make comprehensible both the general path from violation to sickness, and the particular logic of assault embodiment. Due to its theoretical and methodological framework, the present study provides evidence that the embodiment of sexual violation experience is informed by situated logic and rationality. These, however, do not correspond to scientific logic and rationality. The universe of socio-culturally constituted meaning and that of scientifically constructed knowledge are shown to be incompatible. Subjectively informed violation embodiment is likely to be misinterpreted and consequently maltreated within the objectively grounded framework of current biomedical praxis. Consequently, victims of silenced sexual violence are revictimized by medicine.

For decades, health care providers have worked as though there were a monolithic wall dividing the ailments of the mind from those of the body. Theorists on either side developed separate languages and philosophies to explain symptoms. This distinction has left many clinicians unable to treat successfully patients whose symptoms - such as headaches, conversion paralysis, and seizures - arise from the place where mind and body meet. In this book, the authors describe a powerful narrative therapy, one that relies on the wisdom and everyday language of patients' real-life stories instead of the expert knowledge and professional language of the clinician. This approach can be used across all categories of somatic symptoms, from factitious ones to medical illnesses such as asthma or migraine headaches. The authors show how somatic symptoms are often related to unspeakable dilemmas, as in the case of a child who, after discovering a parent's marital infidelity, is afraid to disclose the secret and begins having blackout spells for which a neurologist can find no physiological basis. These dilemmas can be understood only if a clinician creates the kind of relationship in which privately held stories of fear, shame, and threat can be told safely. Detailed case studies and numerous brief examples vividly illustrate techniques for helping patients escape the dilemmas that bind their bodies by finding new language and stories that can free them. In an innovative section, the authors rethink the current ideas and practices of psychopharmacology. Rather than "treating" a brain disease, a clinician uses medications to recalibrate brain systems that register alarm, thereby opening new possibilitiesfor therapeutic change through speaking, listening, reflecting, and relating. This book offers all clinicians - psychiatrists, social workers, psychologists, nurses, physicians, and family therapists - a way to use language to help patients resolve bodily symptoms. It avoids the stigmatization that patients and families so often experience - and the frustration clinicians feel - when struggling to find answers for mind-body problems.

Precision Medicine, Volume 190 in the Progress in Molecular Biology and Translational Science series, highlights new advances in the field, with this new volume presenting interesting chapters on a variety of topics, including Evolution of Biomarkers and Strategies for Integrating the Precision Philosophy to Guide Monitoring of Individualized Autoimmunity Conditions and to Implement the Philosophy into Clinical Practice, Precision Medicine in Epilepsy, The use of ASOs for personized medicine, Adult medicine, EGFR, NF-KB signal and regulatory noncoding RNAs in cancer, Precision medicine with multi-omics strategies, deep phenotyping, and predictive analysis, The Paradox of Personalized Medicine, and more.

The surge in COVID-19 cases leading to hospitalizations around the world quickly depleted hospital resources and reserves, forcing physicians to make extremely difficult life-or-death decisions on ventilator allocation between patients. Leaders in academia and industry have developed numerous ventilator support systems using both consumer- and industry-grade hardware to sustain life and to provide intermediate respiratory relief for hospitalized patients. This book is the first of its kind to discuss the respiratory pathophysiology underlying COVID-19, explain ventilator mechanics, provide and evaluate a repository of innovative ventilator support devices conceived amid the pandemic, and explain both hardware and software components necessary to develop an inexpensive ventilator support device. This book serves both as a historical record of the collaborative and innovative response to the anticipated ventilator shortage during the COVID-19 pandemic and as a guide for physicians, engineers, and DIY'ers interested in developing inexpensive transitory ventilator support devices.

The Fifth World Congress of the International Society for Diseases of the Esophagus was held in the historic city of Kyoto, Japan, from August 5 through 8, 1992. Approximately 40 countries throughout the world participated and roughly 500 presentations were made. Excellent authors were selected and they were requested to send in their manuscripts for publication of this book. It is our ardent hope that this book will prove to be beneficial to the doctor interested in the esophagus and that it will provide the reader with first-hand information from leading scientists and clinicians in this field. The incidence of esophageal diseases vary greatly from country to country and in recent years, worldwide interest in these diseases has resulted in various international studies. The International Society for Diseases of the Esophagus was inaugurated by Professor Komei Nakayama in 1979 and since that time it has actively contributed to the exchange of information regarding these diseases and has made endeavors in bringing about advancement in the struggle against diseases of the esophagus in every way possible.

This volume discusses current research on glial-neuronal interactions in several neuroendocrine systems. Glial-neuronal bidirectional transmission represents one of the fastest-growing areas of investigation in neuroscience today. Unraveling the interactions and signaling synergy between glial cells and neurons is critical to advancing our understanding of brain function. Consequently, this book summarizes the latest findings on the roles of astrocytes, microglia and tanycytes in the control of synaptic transmission, synaptic plasticity, blood-brain signaling, neuroinflammation and immune signaling. In addition, leading experts in the field discuss how reproductive function, the stress response and energy homeostasis are regulated by glial-neuronal communication. Given its scope, the book is essential reading for undergraduate and graduate students in the neurosciences, as well as postdoctoral fellows and established researchers who are looking for a comprehensive overview of glial-neuronal crosstalk in neuroendocrine systems. This is the eleventh volume in the International Neuroendocrine Federation (INF) Masterclass in Neuroendocrinology series (Volumes 1-7 published by Wiley), which aims to illustrate the highest standards and highlight the latest technologies in basic and clinical research, and aspires to provide inspiration for further exploration into the exciting field of neuroendocrinology.

Tiefgehende Analyse von Sarkopenie in der Gerontologie. Die Erkrankung ist noch immer wenig erforscht, hat jedoch weitreichende Auswirkungen in dem Fachgebiet. Von Sarkopenie sind altere Manner und Frauen betroffen. Im klinischen Kontext spielt die Krankheit, die erst 2016 formal in die Internationale Klassifikation von Krankheiten aufgenommen wurde, weiterhin eine ungeordnete Rolle. Die gesundheitlichen und finanziellen Folgen koennen fur eine Gesellschaft immens sein, wenn keine einheitlichen und effektiven Verfahren umgesetzt werden, um die Erkrankung zu erkennen und zu behandeln. In der uberarbeiteten und erweiterten 2. Auflage von Sarcopenia erhalten Geriatern und weitere Experten aus dem Gesundheitssektor einen UEberblick uber diese kaum erforschte und wenig erkannte Erkrankung. Die Herausgeber sind namhafte Experten und betrachten die Epidemiologie und Diagnose der Sarkopenie, Behandlungsoptionen und moegliche Praventionsstrategien. Die acht neuen Kapitel bauen auf dem vorhandenen Wissensstand auf und liefern neue Erkenntnisse, u. a. zu Biomarkern bei Sakropenie und den Auswirkungen auf das Gesundheitswesen. Diese wichtige Publikation - definiert Sarkopenie und erlautert die klinische Relevanz. - prasentiert die jungsten wissenschaftlichen Erkenntnisse. - beleuchtet Behandlungsoptionen. - erlautert Praventionsstrategien. - zeigt die Bedeutung von Sarkopenie im Gesundheitswesen. - enthalt acht neue Kapitel, u. a. zu dem klinischen Management der Erkrankung, zu Biomarkern und zu den finanziellen Folgen. Die 2. Auflage von Sarcopenia ist ein bahnbrechendes und wichtiges neues Referenzwerk fur Kliniker und weitere Experten in der Geriatrie, Altenpflege und Altenheimen und der Fachrichtungen Ernahrung, Onkologie, Endokrinologie, Chirurgie, Sportmedizin sowie einer Vielzahl von Fachgebieten.

Many advances in vitamin D physiology and biochemistry have been made in recent years. Vitamin D metabolites and analogs have found increasing application in clinical medicine. The purpose of this text is to review what is known about vitamin D physiology and draw attention to areas of vitamin D research that have changed within the last 2-3 years. Additionally, information concerning clinical aspects of vitamin D is also presented. More than 40 scientists have generously contributed chapters to this text; I thank them for their efforts. As might be expected, not everyone has the same point of view. Finally, I would like to acknowledge the secretarial and editorial efforts of Mrs. Cheryl Collins without whom this book would not have been completed. CONTRIBUTORS ETSUKO ABE, Department of Biochemistry, School of Dentistry, Showa University, 1-5-8, Hatanodai, Shinagawa-KU, Tokyo 142, Japan DAVID J. BAYLINK, Department of Medicine, Loma Linda University, Loma Linda, CA, and Pettis Veterans Hospital, 11201 Benton Street, Loma Linda, CA, 92357, USA NORMAN H. BELL, Department of Medicine, Medical University of South Carolina and Veterans Administration Medical Center, 109 Bee Street, Charleston, SC, 29403, USA WARNER M. BURCH, Jr. , Departments of Medicine and Physiology, Duke Univer sity Medical Center, Durham, NC, 27710, USA DAVID V. COHN, ICCRH, Inc. , 1238 Wyncrest Court, Arden Hills, MN, 55112, USA ROBERT A. CORRADINO, Department of Physiology, New York State College of Veterinary Medicine, Cornell University, 720 VRT, Ithaca, NY, 14853, USA HECTOR F.

Vascular changes that occur in the human retina and choroid have frequently been studied through the use of light microscopy. This technique has marked limitations, however, in that it shows changes only in limited localized sites, often with the effects of various systemic diseases indistinguishable. Newer techniques of corrosion cast scanning electron microscopy and transmission electron microscopy provide a much clearer three-dimensional view of retinal and choroidal vasculatures, the results of which will be useful for the interpretation of ocular fundus changes seen in individual systemic diseases. Retinal and choroidal vascular changes due to aging, arteriosclerosis, spontaneous hypertension, and diabetes mellitus in the rat have been investigated and are described in this book, which will be of interest to those in the fields of ophthalmology, anatomy, and pathology. This book is a leading source of information on the use of electron microscopy in a new field of interest. .

This book presents recent outcomes of the collaborative "Tricorder" project, which brings together partners from industry, research institutes and hospitals to deliver an easy contactless alternative for electrocardiograms (ECG). Featuring contributions investigating the possible applications of laser Doppler vibrometry (LDV) signals for the remote measurement of vital parameters of the heart, the book provides insights into the vision and the history of the "Tricorder" project and the basic differences between the vibrocardiograms and electrocardiograms. It also discusses topics such as signal processing, heartbeat measurement techniques, respiration frequency and oxygen saturation determination, with a particular focus on the diagnostic value of the method presented, e.g., diagnosis of atrial fibrillation and estimation of the oxygen saturation in premature infants. Further, the authors review the advantages and drawbacks of the new method and the specific fields of application. This book will appeal to researchers and industry leaders interested in laser remote sensing for medical applications as well as medical professionals curious about new healthcare technologies.

Pocket-sized and portable, Instant Work-ups: A Clinical Guide to Medicine offers all of the critical information physicians need to know in order to evaluate and diagnose a patient. The content is uniquely presented as a patient would present his or her case: with symptoms and abnormalities, as opposed to a diagnosis. Practical and easy to use, it provides clear work-up plans for the most commonly encountered medical conditions, providing quick, focused guidance with the flexibility to adapt to each unique patient. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Pocket-sized design makes it perfect for quick reference in the clinical setting. Covers approximately 80 of the most commonly encountered medical conditions. Chapters are alphabetically organized by topic for easy reference. Topics are presented as a sign, symptom, or abnormal lab reading as a patient would present his or her case. Every topic includes a brief background discussion, a list of important related materials, and a detailed list of the next lab or radiographic tests. Describes each diagnostic test and includes algorithms for each topic to help guide diagnosis.

How do electrical activity and calcium signals in neurons influence the secretion of peptide hormones? This volume presents the current state of knowledge regarding the electrical, calcium signaling and synaptic properties of neuroendocrine systems from both vertebrate and invertebrate systems. The contributions span in vivo and in vitro studies that address: state-dependent plasticity, relevance of firing patterns, membrane properties, calcium flux (including dynamic imaging and homeostasis), and molecular mechanisms of exocytosis, including from non-neuronal secretory cells. The chapters focus not only on research results but also on how experiments are conducted using state-of-the-art techniques, and how the resulting data are interpreted. While there are many books on the secretory properties of neurons, this is the first to focus on the distinctive secretory properties of neuroendocrine neurons. Accordingly, it offers an important text for undergraduate and graduate neuroscience students, and will also appeal to established scientists and postdoctoral fellows. This is the eighth volume in the Masterclass in Neuroendocrinology series* - now a co-publication between Springer Nature and the INF (International Neuroendocrine Federation). *Volumes 1-7 published by Wiley

A comprehensive examination of all critical aspects of Disaster Victim Identification (DVI) As the frequency of both natural and man-made mass fatality disasters increases worldwide, the establishment of clear standards and best practices within the field of Disaster Victim identification (DVI) is of vital importance. Whereas most countries assign jurisdiction to law enforcement agencies following Interpol guidelines, DVI is the responsibility of the medical examiner and coroner in the United States. Disaster Victim Identification in the 21st Century is the first book of its kind to directly address the needs of DVI practitioners in the United States, covering the full spectrum of DVI from traditional methods such as fingerprints, odontology, and anthropology to advanced DNA identification technology. Approaching DVI from three perspectives--academic, government, and private industry--this comprehensive volume examines the history and current state of the discipline, the ongoing formation of national standards, the various methods of human identification, and the key challenges and future of DVI. In-depth chapters are written by leaders in the field with personal experience in human identification and mass fatality events. Provides practitioners with practical guidance on planning and taking part in DVI based on current national standards and best practices Discusses continued improvement in both traditional and emerging DVI methods Includes non-region-specific case studies and recommendations that can be easily adapted for international use Examines ethical and legal considerations in DVI, including suggestions for standardizing the victim identification process Describes the critical role of the Victim Information Center (VIC) in providing the comparative information required to go beyond presumptive identifications Part of the American Association for Forensic Sciences (AAFS) series, Disaster Victim Identification in the 21st Century: A US Perspective is an indispensable resource for forensic scientists, disaster planners, policymakers, medical examiners and coroners, law enforcement and emergency personnel, and upper-level undergraduate and graduate students in forensic sciences and emergency management.

The unique and award-winning Unofficial Guides series is a collaboration between senior students, junior doctors and specialty experts. This combination of contributors understands what is essential to excel on your course, in exams and in practice - as well as the importance of presenting information in a clear, fun and engaging way. Packed with hints and tips from those in the know, when you are in a hurry and need a study companion you can trust, reach for an Unofficial Guide. This guide has everything you need in one place - including common questions, model answers, how to present your answers to examiners, and numerous practical tips for success - all written by doctors and students who have recently completed the exam process. Ideal for OSCE candidates wanting to blitz their exams, this book will also make a useful day-to-day reference guide for professionals. Over 100 common scenarios - including medical history taking, clinical examination, practical skills and communication skills Covers specialities including orthopaedics, paediatrics, psychiatry, radiology, prescribing, O&G, ophthalmology, ENT Over 300 full colour clinical photos to bring the text to life, including images of patients with disease features Clearly outlines how to relay the assessment of a patient to an examiner or to other doctors on a ward round Model answers to key OSCE questions Written and reviewed by doctors and senior medical students - essential guidance from those in the know New data interpretation chapter New dedicated ophthalmology chapter