Throughout the UK, and elsewhere, medical schools are focusing more on objective structured clinical examinations (OSCEs) and veering away from old style medical and surgical finals. OSCEs for Medical and Surgical Finals takes a systematic approach to preparing for these new exams, giving you crucial insights into how to score well. Written by junior doctors who recently sat the exams, this book will show you how to predict and prepare for the stations you will face. As it leads you through the cases and the examiners' mark sheets, it teaches you how to pick up every point, with extra tips on how to impress and where to go to add to your practice and experience. For overseas doctors, this book also provides essential preparation for the clinical component of the PLAB exam. Key features: * Handy, pocket-sized book * Exam focused, with key tips on how to prepare and excel on exam day * Chapters on practical skills, communication, chronic disease management, discharge planning, psychiatric histories, focused history and management, and examination * Packed with real OSCE scenarios and model mark sheets OSCEs for Medical and Surgical Finals is an essential book for all medical students and PLAB candidates.

In this issue of Anesthesiology Clinics, guest editors Drs. Alison J. Brainard and Lyndsay M. Hoy oversee the topic of Total Well-being. Articles in this issue highlight perspectives from across multiple subsets of anesthesiology, including nutrition, arts and humanities, coaching, and the inequalities of medicine. The editors' goal is that readers will come away inspired, informed, and excited to create an approach for total well-being that can be tailored to their workplace and lives. Contains 19 practice-oriented topics including women in anesthesiology; parenting/lactation in anesthesia; intensivists and wellness, post-pandemic; early-career physician burnout; integrating antiracism into MedEd with health humanities program; and more. Provides in-depth clinical reviews on total well-being, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Following the super-success of their MRCP Part 2 volume, the authors adapt their special teaching skills to the needs of MRCP Part 1 and similar exams in internal medicine. The book consists of 360 'Best of 5' multiple choice questions (1,800 clinical decision) reflecting the latest exam format. It covers all areas of clinical medicine needed by exam candidates and includes psychiatry and applied basic science. The answers contain full didactic explanations to ensure the reader understands each condition or topic, and features lists, tables and tutorials to guide candidates in their revision and exam technique. The book has proved invaluable to young doctors studying for higher exams in internal medicine and to medical tutors preparing post graduate examinations.

A thought-provoking look at women's health in developing nations! This book shows how war, military regimes, industrialization, urbanization, and social upheaval have all affected the choices Southeast Asian women make about their health and health care. When you read these first-person accounts from Thailand, Cambodia, Vietnam, and Burma, you'll be drawn into the lives of women dealing with drastic changes in their societies. The meticulous case studies in this book examine how social, cultural, and economic forces contribute to the way women make personal health care decisions. Women's Health in Mainland Southeast Asia offers a thought-provoking look into the lives of women in this developing part of the world. Topics addressed in Women's Health in Mainland Southeast Asia include: a proposed new approach to women's health, where treatment is determined by society, culture, and gender rather than by biology alone the relationship between menstruation and other aspects of life for Burmese women the politics of abortion in Thailand the difficulties of seeking care for reproductive tract infections in Vietnam the influence of local culture on the treatment of reproductive health problems in northeast Thailand occupational health hazards faced by women working in the electronics industry in northern Thailand the links between migration, sex work, and HIV/AIDS among female garment factory workers in Cambodia

Interaction between professionals/students in various disciplines leads to greater respect, cooperation, and practical knowledge for all Interprofessional Collaboration in Occupational Therapy, written by experienced occupational therapists, examines successful programs and models of practice involving collaboration between OT clinicians and allied health professionals. This vital information can help you deliver services to the elderly, the underserved, and the chronically ill that are more effective than traditional primary care models.This book will show you how to apply the concepts of interprofessional collaboration to: increase professional competence and public accountability improve the cost-effectiveness of the way your resources are used gain better evidence-based decision-making skills make more effective referrals avoid duplication of services to clients make better use of faculty time and classroom space by teaching subjects common to various health professions--anatomy, physiology, kinesiology, and other basic sciences

Help your clients achieve victory over chronic pain and lead more fulfilling lives This insightful and informative book will help you deliver better pain management services to the people you care for. Incorporating biomedical, surgical, psychological, social, and spiritual perspectives, it provides vital, up-to-date information about how to reduce physical pain and explores techniques for improving people's ability to cope with it. Helpful tables provide easy access to information on medications for pain and managing side effects. Chronic Pain: Biomedical and Spiritual Approaches is filled with resources for the person in pain and for the health or religious professionals working to help them. It gives you very specific suggestions on how to manage chronic pain, including detailed information about medications, alternative therapies, psychological treatments, and spiritual strategies for pain management. The book is completed by two thoughtful appendixes: one examining pain medications and ways to manage their side effects and the other providing scriptural passages that can comfort those in pain. In addition to his experiences treating patients with chronic pain, the author suffers from chronic pain and disability himself. In this very personal book, he explores ways to help people coping with: low back pain fibromyalgia rheumatologic pain headaches the pain of multiple sclerosis other types of chronic unrelenting pain Chronic Pain: Biomedical and Spiritual Approaches can help people in pain and their families by showing them how to lead satisfying, joy-filled lives--whether their pain goes away or not. It is an essential reference book for everyone who works with pain sufferers as well as patients and their families

Septic shock remains a serious medical condition with high mortality. Despite many advances in intensive care medicine and antibiotic devel- ment, this has not changed appreciably in the last 20 years. Frustratingly, over the same period of time, enormous advances have been made in understa- ing the underlying pathogenic mechanisms of this condition. This has resulted in the development of several novel therapies for septic shock, which, despite excellent theoretical grounds for their efficacy, have failed in altering mort- ity attributable to sepsis. The reasons for these failures are multiple, but it is clear that further research is required aimed at increasing our understanding of the basic pat- physiological processes that occur following infection. Research into septic shock draws upon a number of different disciplines, ranging from molecular and cellular biology to physiological measurements on whole animals. Septic Shock Methods and Protocols is an attempt to draw together into one volume a number of protocols that are of use in the investigation of the mechanisms of septic shock. I have divided the book into five sections. The first deals with endotoxin, the lipopolysaccharide component of the Gram-negative cell m- brane that can mimic many of the features of septic shock. Gram-positive organisms are found increasingly as causes of septic shock, and several - pects of toxins produced from these bacteria are considered in the second s- tion.

The Sapporo International Symposium on "Recent Advances in Nitric Oxide Research" was held in Sapporo, Japan, in 1997, following the Fifth International Meeting on the Biology of Nitric Oxide in Kyoto, Japan, organized by Dr. Salvador Moncada, Dr. Noboru Toda, and Dr. Hiroshi Maeda. The field of nitric oxide research continues to expand rapidly, and our understanding of the physiological and pathophysiological roles of NO has increased greatly. The Kyoto Meeting was stimulating and informative, providing impetus for the Sapporo Symposium, which I had the great honor to organize. To communicate the information from these events, Dr. Ichiro Sakuma and I decided to publish this book. The contents of its chapters were contributed by the participants who were active at the Sapporo symposium and cover the majority of the presentations made during that symposium. Dr. Csaba Szabo of Children's Hospital Medical Center in Cincinnati (U. S. A. ) reviews the roles of peroxynitrite and poly(ADP-ribose)synthetase in shock, inflammation, and reperfusion injury, and Dr. David A. Geller and his colleagues of the University of Pittsburgh (U. S. A. ) review the regulation and function of NO in the liver. As contributions from the Hokkaido University School of Medicine (Sapporo), Dr. Hiroko Togashi and colleagues present their data on transient cerebral ischemia and NO production, Dr.

The germs of the ideas in this book became implanted in me during my experience as a resident in clinical pathology at Boston University Medical Center. At the time, I had inklings that the test results churned out by our laboratories were more than scientific facts. As a philosophically unsophisticated young physician, however, I had no language or framework to analyze what I saw as a deep philosophical problem, a problem largely unrecognized by most physicians. The test results provided by our laboratories were accurate and of great practical importance for patient care. However, most of the physicians who relied on our test results to diagnose and treat their patients either did not have the time or interest to consider the philosophical issues inherent in diagnosis, or, like me, had inadequate means to further analyze them. It was more than ten years later that I began doctoral studies in philosophy, and I was fortunate to find a faculty that was supportive ofmy efforts to address the problem. This book began as my doctoral dissertation in the Department of Philosophy at Georgetown University. I would like to acknowledge the assistance of my mentor, Robert Veatch, Ph. D. Our conversations during my Georgetown years led me in new and often fascinating directions. I would also like to acknowledge the help of Kenneth Schaffner, M. D. , Ph. D.

Strategies for successfully updating and improving health care organizations of all kinds Health care is always evolving and improving. However, the rapid speed of medical advancement can make the adoption of new technologies and practices a challenging process - particularly in large organizations and complex networks. Any projected impact upon quality and outcomes of care must be carefully evaluated so that changes may be implemented in the most efficacious and efficient manner possible. Improving Patient Care equips professionals and policymakers with the knowledge required to successfully optimize health care practice. By integrating scientific evidence and practical experience, the text presents a cohesive and proven model for practice change and innovation, complete with analysis of innovation, target group and setting; selection and application of strategies; and evaluation of process, outcomes and costs. This new third edition also includes: Newly written chapters on clinical performance feedback, patient engagement, patient safety, evaluation designs, and methods for process evaluation Increased emphasis on the role of contextual influences in implementation and improvement New research examples from across the world and updated scientific literature throughout Designed to help promote safer and more efficient, patient-centered care and better outcomes, Improving Patient Care is an essential resource for healthcare providers, quality assessors, and students of health services research, health management, and health policy.

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.

Fifty years since it was first published and now fully revised, Macleod's remains the textbook of choice for medical students, junior doctors, nurses and allied health practitioners who understand that excellence in clinical examination is integral to good practice. The fifteenth edition will teach you how to take a history and carry out proficient clinical examination, in order to elicit the key clinical symptoms and signs of disease. It covers general principles, relevant history, examination and investigations for all the major body systems - and how to effectively apply these skills to specific clinical situations and prepare for assessment. Macleod's Clinical Examination is enhanced with 32 supplementary videos demonstrating key clinical examination routines described in the book, many new and revised for this edition in line with latest guidance and best practice. Primarily focused on the practical skills required by medical students and early career stage clinicians Explains the physical basis of clinical signs to aid understanding Introduces the formulation of a differential diagnosis Provides logical initial investigations for each body system Comes with access to the complete, fully searchable and downloadable eBook Enhanced sections on adapting skills to particular situations, including the challenges of remote consultation and infection control Updated text and images, to ensure the content is relevant to a diverse readership and patient population Latest clinical decision-making models to aid the learner's diagnostic reasoning 8 brand new videos produced especially for this edition covering: Obstetric examination Gynaecological examination Assessment of fluid balance Examination of the hand and wrist Examination of the foot and ankle Examination of the neck Examination of the foot in diabetes and peripheral vascular disease The timed up and go test

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.

This groundbreaking book unleashes a brilliant new plan for permanently curing heartburn by relieving the root cause of the problem: low stomach acid. The fact is that heartburn is caused by too little stomach acid -- not too much, as many doctors profess. As explained in this book, the current practice of reducing stomach acid may be a temporary fix, but this fix comes at a cost to our long-term health that is being ignored by the pharmaceutical companies, the FDA, and the thousands of physicians that prescribe anti-acid drugs like Prilosec, Tagamet, Zantac, Pepcid, and others.

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.

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Deborah R. Simkin and L. Eugene Arnold bring their considerable expertise to the topic of complimentary and integrative medicine. Top experts in the field cover key topics such as ADHD, Sleep Disorders, Anxiety, Psychosis, and more. Contains 13 practice-oriented topics including anxiety, substance abuse, PTSD, obesity, eating disorders, and more.  Provides in-depth clinical reviews on complementary and integrative medicine, offering actionable insights for clinical practice.  Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews. 

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.

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.

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.

Should editing the human genome be allowed? What are the ethical implications of social restrictions during a pandemic? Is it ethical to use animals in clinical research? Is prioritizing COVID-19 treatment increasing deaths from other causes? Bioethics is a dynamic field of inquiry that draws on interdisciplinary expertise and methodology to address normative issues in healthcare, medicine, biomedical research, biotechnology, public health, and the environment. This Is Bioethics is an ideal introductory textbook for students new to the field, exploring the fundamental questions, concepts, and issues within this rapidly evolving area of study. Assuming no prior knowledge of the subject, this accessible volume helps students consider both traditional and cutting-edge questions, develop informed and defensible answers, and evaluate the strengths and weaknesses of a diverse range of ethical positions in medicine. The authors avoid complex technical terms and jargon in favor of an easy-to-follow, informal writing style with engaging chapters designed to stimulate student interest and encourage class discussion. The book also features a deep dive into the realm of global public health ethics, including the response to the COVID-19 pandemic. It considers topics like triage decision-making, the proportionality of society's response to COVID-19, whether doctors have a professional obligation to treat COVID-19 patients, and whether vaccines for this virus should be mandatory. A timely addition to the acclaimed This Is Philosophy series, This Is Bioethics is the ideal primary textbook for undergraduate bioethics and practical ethics courses, and is a must-have reference for students in philosophy, biology, biochemistry, and 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.