This practical manual reviews salient topics in Adolescent Medicine. The volume is practitioner-centered, focusing on the symptoms that bring a teenager to the clinician. Every chapter begins with a very brief clinical vignette, highlighting the patient's chief complaint or primary issue of concern.The handbook is divided into five primary sections: (1) Well Adolescent Care to include chapters such as the Annual Physical and Immunizations in Adolescence; (2) Common Problems of Adolescence such as Acne and Low Back Pain; (3) Reproductive Health Care issues such as Menstrual Disorders and Teen Pregnancy/Options Counseling; (4) Urgent Care matters including Acute Chest Pain and Scrotal Pathology: Pain and Masses; and finally, (5) Special Considerations to include chapters such as Cyberbullying and Sexting and Tobacco Use and Cessation Counseling.Chapters follow a uniform format with vignette as described above, followed by multiple choice questions designed to test the readers knowledge. Salient features related to the chapter topic follow, including relevant clinical "pearls" such as history, physical exam, laboratory and diagnostic studies and treatment strategies. For each chapter, issues that are unique to managing illness in adolescents are highlighted to distinguish them from adults and younger children. When applicable, a broad differential diagnosis is provided to help guide the reader. Easy to read tables are included to highlight and clearly summarize key aspects of the topic and the chapters end with answers to the Board-Style questions presented at the start.

This is the first book to clearly and fully demonstrate the process of using theory to guide nursing research and professional practice. It describes a step-by-step format for evaluating nursing theory's applicability to research, a format that links theory (both middle-range and grand theory) to research on a wide range of clinical populations and care delivery systems. The book describes how theory analysis models are used to examine various nursing phenomena as they relate to nursing research and professional practice, and provides key examples of how this is accomplished.

The book takes the reader through the process of using a theory to guide research from inception of a research question to evaluation of future research. International experts in theory-related nursing research describe twelve theories that have previously been applied to research and practice and six theories that can be applied to future research and practice. Using a consistent analytic framework, each chapter applies a specific theory (from either nursing, psychology, sociology, or management) to a particular clinical population or care delivery issue. These encompass clinical, administrative, and educational nursing settings. The consistent format facilitates ease of comparison across different theories. Generous use of figures and tables further demonstrates the complex relationships between and among concepts embedded in the theories.

Key Features: Demonstrates a systematic format for evaluating middle-range and grand nursing theory's applicability to research Links theory to clinical practice at patient population and care delivery levels Provides a useful template for students of nursing disciplinary knowledge development Presents the scholarship of international researchers of theory-related nursing Includes theories from nursing, psychology, sociology, and management

Clinically-orientated and focused squarely on the core curriculum, Medicine for Finals and Beyond delivers what medical students need to know in a manner that encourages learning and recall. The consistent, easy-to-navigate structure makes locating information simple and is tailored for exam success. Highly illustrated throughout, notes based information is supplemented by 'At A Glance textboxes', 'Emergency Presentations' and 'Must Know Checklists' for quick reference, while online question and answer material allows for self-testing during that inevitable last-minute revision. Key features: * Comprehensive - everything you need to know to pass your medical finals in a single volume * Accessible - systems-based chapters all follow a common structure * Convenient - summarises the ideal approach to the patient, including history and examination, clinical presentations, differential diagnosis and investigations * Focused - covers all the common conditions that medical students need to know for future practice * Relevant - designed with input from lecturers and students This brand-new revision aid for medical students will be a convenient companion throughout clinical studies and an ideal aide-memoire for those approaching their final examinations.

With the rapid increase in the world's population, and the improvements in health and longevity, the demographic profile is altering and resulting in changes in the patterns of nutritional problems. There is a global epidemic of diet-related non-communicable diseases and, until now, industrialised countries have largely borne the brunt of it. In the last thirty years, however, there have been large increases in the mortality rates from diet-related chronic diseases, both in Eastern Europe and in rapidly developing countries in transition. Diet, Nutrition and Chronic Disease: Lessons from Contrasting Worlds is the sixth of a series of annual public health forums organised by the London School of Hygiene & Tropical Medicine. It summarises the current state of the art of our understanding of the problem of non-communicable diseases and their primary prevention, and aims to:
* Increase international awareness of the global burden of non-communicable diseases and in particular to highlight the trends in developing countries.
* Evaluate the impact of changes in diet, nutrition and lifestyle that predispose to chronic non-communicable diseases in modern societies.
* Share knowledge of the growing problems of non-communicable diseases and experiences related to its prevention between health professionals of developing and developed countries.
* Identify and prioritise major research issues and suggest strategies to deal with the global epidemic of chronic non-communicable diseases.
This book is an invaluable volume for public health professionals and nutritionists, health and nutrition policy makers and researchers, national governments and international agencies concernedwith population health and nutrition.

The function and life span of endothelial cells have a large impact upon the quality and expectancy of an individual's life. During low perfusion, the adaptation of different cells to hypoxia precipitate the aggressive progression of diseases. Although the clinical studies have convincingly shown that endothelial dysfunction occurs whenever the biological functions or bioavailability of nitric oxide are impaired, in all these scenarios, the role of endothelial cell-destructive process cross-talk is yet poorly understood. This book focuses on the contribution of molecular mechanisms to endothelial dysfunction in related metabolic disorders.

Working With Families in Medical Settings provides mental-health professionals with the tools they need to figure out what patients and families want and how, within the constraints imposed by 21st-century healthcare setting, to best give them the care they need. Psychiatrists and other clinicians who work in medical settings know that working with a patient with a chronic illness usually entails work with that patient's family as well as with other medical professionals. Some families need education; others have specific difficulties or dysfunctions that require skilled assessment and intervention. It is up to the clinician to find productive ways to work with common themes in family life: expressed emotion, levels of resilience, life-cycle issues, and adaptation to illness, among others. Enter Working With Families in Medical Settings, which shines a spotlight on the major issues professional caregivers face and shows them how to structure an effective intervention in all kinds of settings. Psychiatrists, particularly those in psychosomatic medicine, and other clinicians who work with the medically ill will find Working With Families in Medical Settings to be an essential resource and guide to productive relationships with patients and their families.

Working With Families in Medical Settings provides mental-health professionals with the tools they need to figure out what patients and families want and how, within the constraints imposed by 21st-century healthcare setting, to best give them the care they need. Psychiatrists and other clinicians who work in medical settings know that working with a patient with a chronic illness usually entails work with that patient s family as well as with other medical professionals. Some families need education; others have specific difficulties or dysfunctions that require skilled assessment and intervention. It is up to the clinician to find productive ways to work with common themes in family life: expressed emotion, levels of resilience, life-cycle issues, and adaptation to illness, among others. Enter "Working With Families in Medical Settings," which shines a spotlight on the major issues professional caregivers face and shows them how to structure an effective intervention in all kinds of settings. Psychiatrists, particularly those in psychosomatic medicine, and other clinicians who work with the medically ill will find "Working With Families in Medical Settings" to be an essential resource and guide to productive relationships with patients and their families.

This book, based on published studies, takes a unique perspective on the 30-year collapse of pharmaceutical industry productivity in the search for small molecule "magic bullet" interventions. The relentless escalation of inflation-adjusted cost per approved medicine in the United States - from $200 million in 1950 to $1.2 billion in 2010 - has driven industry giants to, at best, slavish imitation in drug design, and at worst, abandonment of research and embracing of widespread fraud in consumer marketing.The book adapts formalism across a number of disciplines to the strategy for design of mutilevel interventions, focusing first on molecular, cellular, and larger scale examples, and then extending the argument to the simplifications provided by the dominant role of social and cultural structures and processes in individual and population patterns of health and illness.In place of "magic bullets", we must now apply "magic strategies" that act across both the scale and level of organization. This book provides an introductory roadmap to the new tools that will be needed for the design of such strategies.

Inhaled therapies form the cornerstone for treatment of patients with asthma and COPD. Evolving technology has resulted in availability of a wide range of devices for delivery of inhaled drugs. The four different delivery systems -- pressurized metered-dose inhalers, slow mist inhalers, dry powder inhalers, and nebulizers -- are unique in design and require distinct inhalational instructions for correct use. This book provides current information about inhalation devices, including their advantages and disadvantages, with guidance for optimal techniques of use. The book emphasizes appropriate selection of inhalation devices based on patient and health care professional factors as well as device attributes that allow selection of the right medication in the right inhalation device at the right time for the right patient. Key Features: • Addresses the objective of precision medicine – the right medication in the right inhaler device at the right time. • Inputs by international thought leaders who have published widely on inhaled medications and/or inhaled delivery systems for clinicians, trainees and respiratory therapists. • Discusses the development of audio-based systems and smart inhalers for patient monitoring.

The Bibliotheca Teubneriana, established in 1849, has evolved into the world's most venerable and extensive series of editions of Greek and Latin literature, ranging from classical to Neo-Latin texts. Some 4-5 new editions are published every year. A team of renowned scholars in the field of Classical Philology acts as advisory board: Gian Biagio Conte (Scuola Normale Superiore di Pisa) Marcus Deufert (Universitat Leipzig) James Diggle (University of Cambridge) Donald J. Mastronarde (University of California, Berkeley) Franco Montanari (Universita di Genova) Heinz-Gunther Nesselrath (Georg-August-Universitat Goettingen) Dirk Obbink (University of Oxford) Oliver Primavesi (Ludwig-Maximilians Universitat Munchen) Michael D. Reeve (University of Cambridge) Richard J. Tarrant (Harvard University) Formerly out-of-print editions are offered as print-on-demand reprints. Furthermore, all new books in the Bibliotheca Teubneriana series are published as eBooks. The older volumes of the series are being successively digitized and made available as eBooks. If you are interested in ordering an out-of-print edition, which hasn't been yet made available as print-on-demand reprint, please contact us: [email protected] All editions of Latin texts published in the Bibliotheca Teubneriana are collected in the online database BTL Online.

Simple Medicine chronicles the change in primary care medicine over the past 50 years. Despite all the new medical technology, studies, medications, specialization, and computers, medical care is fractured. The physician-to-physician relationships have decayed. The federal government and insurance companies are dictating what they think is appropriate medical care. Too many patients are over medicated and not receiving the standard of care that is warranted in 2021. In Simple Medicine, the most common medical conditions, complaints, screening, medications, and medical testing are described in layman terms and very easy to understand, helping patients take control of their own health care and challenge their doctor to do the right thing.

Mastery of quality health care and patient safety begins as soon as we open the hospital doors for the first time and start acquiring practical experience. The acquisition of such experience includes much more than the development of sensorimotor skills and basic knowledge of the sciences. It relies on effective reasoning, decision making, and communication shared by all health professionals, including physicians, nurses, dentists, pharmacists, physiotherapists, and administrators. A Primer on Clinical Experience in Medicine: Reasoning, Decision Making, and Communication in Health Sciences is about these essential skills. It describes how physicians and health professionals reason, make decisions, and practice medicine. Covering the basic considerations related to clinical and caregiver reasoning, it lays out a roadmap to help those new to health care as well as seasoned veterans overcome the complexities of working for the well-being of those who trust us with their physical, mental, and spiritual health. The book provides a step-by-step breakdown of the reasoning process for clinical work and clinical care. It examines both general and medical ways of thinking, reasoning, argumentation, fact finding, and using evidence. Outlining the fundamentals of decision making, it integrates coverage of clinical reasoning, risk assessment, diagnosis, treatment, and prognosis in evidence-based medicine. It also: Describes how to evaluate the success (effectiveness and cure) and failure (error and harm) of clinical and community actions Considers communication with patients and outlines strategies, successes, failures, and possible remedies-including offices, bedside, intervention, and care settings Examines strategies, successes, failures, and possible remedies for communication with peers-including interpersonal communication, morning reports, rounds, and research gatherings The book describes vehicles, opportunities, and environments for enhanced professional communication, including patient interviews, clinical case reports, and morning reports. It includes numerous examples that demonstrate the importance of sound reasoning, decision making, and communication and also considers future implications for research, management, planning, and evaluation.

Modern medicine is one of humankind's greatest achievements.Yet today, frequent medical errors and irreproducibility in biomedical research suggest that tremendous challenges beset it. Understanding these challenges and trying to remedy them have driven considerable and thoughtful critical analyses, but the apparent intransigence of these problems suggests a different perspective is needed. Now more than ever, when we see options and opportunities for healthcare expanding while resources are diminishing, it is extremely important that healthcare professionals practice medicine wisely. In Medical Reasoning, neurologist Erwin B. Montgomery, Jr. offers a new and vital perspective. He begins with the idea that the need for certainty in medical decision-making has been the primary driving force in medical reasoning. Doctors must routinely confront countless manifestations of symptoms, diseases, or behaviors in their patients. Therefore, either there are as many different "diseases" as there are patients or some economical set of principles and facts can be combined to explain each patient's disease. The response to this epistemic conundrum has driven medicine throughout history: the challenge is to discover principles and facts and then to develop means to apply them to each unique patient in a manner that provides certainty. This book studies the nature of medical decision making systematically and rigorously in both an analytic and historical context, addressing medicine's unique need for certainty in the face of the enormous variety of diseases and in the manifestations of the same disease in different patients. The book also examines how the social, legal, and economic circumstances in which medical decision-making occurs greatly influence the nature of medical reasoning. Medical Reasoning is essential for those at the intersection of healthcare and philosophy.

The Changing Era of Diseases not only explores how to end humanity's suffering from illness, but also attempts to explain the challenging problems that may arise from the control of future disease. It provides a novel perspective on how to understand the changing patterns of disease, disease development, and defense from an evolutionary point-of-view in an effort to ally the life sciences and historical approaches. Topics cover the origin of disease, its pandemic infectious manifestation, chronic and late chronic diseases, strategies of the human body to fight diseases, methods of ending diseases, and future medical systems are featured. The book is a valuable source for researchers interested in systematic approaches to disease and students who are interested in understanding the evolution of diseases and how we have succeeded in fighting them.

EMQs are a popular method of assessing how broad a knowledge of medicine an undergraduate has acquired. They can, however, be difficult to prepare for, and the best way to build understanding and confidence is with practice. Presenting 100 key EMQs covering the core areas of medicine and surgery, care had been taken by the authors to structure the questions and answers so that they reflect accurately the themes uncountered during study and, specifically, in final exams. Each subject covered is accompanied by a revision section which summarises key points and cross references them to other questions for revision purposes. Questions related to pharmacology, an area which many students find particularly challenging, are threaded throughout the book where relevant, mirroring the integrated teaching methods common to most medical schools. The second edition of EMQs in Clinical Medicine has been thoroughly revised and updated to reflect medical developments, while retaining the clear and comprehensive approach and popular revision boxes of its predecessor. The authors' first-hand experience of EMQ-based examinations, and awareness of the importance of reliable and accurate revision guides to medical students, ensure EMQs in Clinical Medicine remains and invaluable resource for all medical students undertaking the clinical part of their training, and an ideal companion during finals preparation.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing 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

Scientific, evidence-based medicine is increasingly seen as fundamental to providing effective healthcare, but narrative-based medicine sheds light on social and interpersonal aspects of the practitioner-patient interaction which can also greatly affect healthcare outcomes. The philosophies underlying these two approaches seem to contrast, yet those who can integrate both into their practice are among the most successful medical professionals. Integrating Narrative Medicine and Evidence-based Medicine provides answers to the key question of how medical practitioners can best put both approaches into practice. It anticipates a future where evidence-based practice will be expected of all medical professionals, but contends that the integration of a narrative-based approach will also be crucial, presenting a unique perspective on structuring the patient-professional encounter for optimum results. It develops a cultural analysis and socio-cultural theory of the science of healing, and describes an efficient method by which medical practitioners can find and use medical research at the point of care with current technology and skills. This addresses the need for translational science - moving research into practice - identified by the National Institutes of Health. This book will be essential reading for educators of medical students and postgraduate trainees, behavioral scientists, psychologists, social scientists working in medical settings, and health managers and administrators. Medical students and postgraduate trainees will also find it useful in their learning.

Die Bibliotheca Teubneriana, gegrundet 1849, ist die weltweit alteste, traditionsreichste und umfangreichste Editionsreihe griechischer und lateinischer Literatur von der Antike bis zur Neuzeit. Pro Jahr erscheinen 4-5 neue Editionen. Samtliche Ausgaben werden durch eine lateinische oder englische Praefatio erganzt. Die wissenschaftliche Betreuung der Reihe obliegt einem Team anerkannter Philologen: Gian Biagio Conte (Scuola Normale Superiore di Pisa) Marcus Deufert (Universitat Leipzig) James Diggle (University of Cambridge) Donald J. Mastronarde (University of California, Berkeley) Franco Montanari (Universita di Genova) Heinz-Gunther Nesselrath (Georg-August-Universitat Goettingen) Oliver Primavesi (Ludwig-Maximilians Universitat Munchen) Michael D. Reeve (University of Cambridge) Richard J. Tarrant (Harvard University) Vergriffene Titel werden als Print-on-Demand-Nachdrucke wieder verfugbar gemacht. Zudem werden alle Neuerscheinungen der Bibliotheca Teubneriana parallel zur gedruckten Ausgabe auch als eBook angeboten. Die alteren Bande werden sukzessive ebenfalls als eBook bereitgestellt. Falls Sie einen vergriffenen Titel bestellen moechten, der noch nicht als Print-on-Demand angeboten wird, schreiben Sie uns an: [email protected] Samtliche in der Bibliotheca Teubneriana erschienenen Editionen lateinischer Texte sind in der Datenbank BTL Online elektronisch verfugbar.

With over 430 patient instruction fact sheets and an additional 123 patient instruction sheets online, the new edition of Griffith's Instructions for Patients by Stephen W. Moore, MD, helps patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor. Consistently formatted and organized by topic for easy use, it provides descriptions of each illness, including frequent signs and symptoms, possible causes, risks, preventive measures, expected outcomes, possible complications, and treatments. Newly added topics include Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; In?uenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent. Printable instruction sheets in English and Spanish, 23 separate patient information guides to various types of diets (from "Adult Regular Healthy Diet" to "Weight-Reduction Diet") are downloadable at expertconsult.com. Quickly find what you need with consistently formatted guides - organized by topic for easy use! Help your patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor thanks to over 430 patient education guides (and an additional 123 guides online!) reflecting the latest therapeutic information. Ensure the best patient encounters and outcomes with downloadable, customizable English and Spanish patient education guides on expertconsult.com. Educate your patients about timely topics such as Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; In?uenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent. Improve patient compliance, speed recovery and increase understanding with this fully updated edition.

According to the late American preacher Samuel McChord Crothers, "The trouble with facts is that there are so many of them." Nowhere is this saying more apposite than in medicine.

Core Clinical Medicine is an intentionally short book aimed at the clinical student in his or her first clinical year. It is designed to be an accessible text that is easy to read from cover to cover, which gives the incoming student a non-specialized overview of the basics of general clinical medicine. The book covers the main pathological processes that can be at work, then considers the clinical disease that these processes bring to the different systems of the body.

The application of molecular biologic methods, recognition of neurogenic inflammatory processes, and utilization of genetic knockout animals are just some of the advances in toxicology of the upper airways in recent years. Toxicology of the Nose and Upper Airways presents a culmination of knowledge gained as a result of both human and experimental animal studies over the past decade. With contributions from internationally recognized leaders in the fields of experimental toxicology, respiratory medicine, otolaryngology, allergy, and sensory science, this volume: Examines the effect of selected pollutants on the upper airways of both humans and experimental animals-emphasizing mechanistic issues in the process Discusses epidemiologic findings from populations exposed occupationally or environmentally, comparing and contrasting alternative risk assessment approaches Features clear chapter organization with sections on structure and function, dosimetry and toxicokinetics, functional and pathologic responses and their measurement, responses to specific agents, risk assessment, and special topics This volume is an essential reference for pharmacologists and toxicologists concerned with the nose and upper airway, as well as clinicians, risk assessors, and sensory scientists.

The porphyrins, chlorophylls, bilins and related tetrapyrroles are vital for all living organisms. Natural and synthetic tetrapyrroles are used extensively in foods, cosmetics, biotechnology, pharmaceuticals, diagnostics and medicine. Methods for their separation and characterization therefore, have a very wide area of applications. Yet, there is a dearth of books dedicated to HPLC and HPLC/MS of tetrapyrroles. Lim addresses this problem admirably by providing practical HPLC and HPLC/MS protocols coupled with in-depth chromatographic and mass spectrometric reference data. These are invaluable in the analysis, identification and characterization of porphyrins, chlorophylls, bilins and other related compounds found in biological and clinical materials. HPLC method development and optimization for coupling to mass spectrometry are also described in rich detail. Sample preparation, and suggestions for avoiding procedural artifacts during extraction of clinical and biological samples are discussed. Clinical biochemists involved in biochemical diagnosis of human porphyrias will find this monograph assuredly helpful, as would analysts, biochemists and chemists involved in the separation, isolation and characterization of natural and synthetic tetrapyrroles. Undoubtedly, Lim has contributed a master-piece containing sufficient background material for beginners and up-to-date references for all researchers in the field.

Why the "Second Edition" is the must-have guide for all pulmonologists and particle research scientists:
STAY INFORMED - nine brand new chapters cover recent developments and research, with several chapters focusing solely on the fast-developing area of man-made and naturally occurring nano-sized particles
GAIN FULL UNDERSTANDING OF ALL ASSOCIATED DISCIPLINES - including topics and concerns in pulmonology and respiratory medicine, toxicology, and environmental research
KNOW WHAT TO EXPECT as a disease progresses, from a distinguished team of over 40 experts who detail all stages of particle-lung interactions, from inhalation of particles to clearance from the organism
LEARN MORE ABOUT FREQUENTLY NEGLECTED TOPICS - such as the beneficial developments and uses of inhaled man-made particles and reduced side-effects of alternate therapies

Now in its sixth edition, this guide sets out international and standard practice and is an invaluable reference for medical and scientific editors and authors. Scholarly journals often quote this booklet as a guide in their instructions to authors. An invaluable reference for editors and authors Includes fully updated sections on metrication and SI units, symbols and nomenclature, layout of references and proof correction

This unique book presents a wealth of information on common presentations and illnesses, presented as medical case studies. It is useful for exam preparation, as a quick reference guide for working doctors, and as an interesting read for all those interested in medicine. 250 Clinical Cases covers a wide variety of conditions, providing in-depth insights into the most relevant topics, classified by system. Cases are accompanied by common viva voce examination questions as well as more advanced level questions that will help the reader develop a deeper understanding. Now in its sixth edition, the book has been fully updated to reflect current evidence and relevance for working doctors. It will help everyone, from medical students to consultants, to find the hidden clinical gems and historical background they need to achieve true clinical excellence. 250 clinical cases in print - provides a comprehensive overview of all relevant topics Conversational and accessible style - suitable for medical students Based on the latest evidence - provides an ideal quick reference guide 'Ward round' type question and answer section - ideal for exam preparation Cases alphabetised by system for easy navigation Easily portable size - fits into any medical bag An enhanced eBook version is included with purchase. The eBook allows you to access all the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud Self-assessment by system Interesting medical emergency presentations Procedures for the core medical curriculum Topics updated for clinical relevance Multiple choice questions replaced with open answer questions