Provides composite case studies of emotional abuse victims, who with the help of intervention, therapy, and advocacy are moved from states of despair upward to the path of recovery and survivorhood. Intervention, therapy, and advocate are all perspectives used to capture the range of innovative methods for treating emotional abuse survivors. Family and community resources are utilized with an emphasis on the reconnection process integral to moving from victim, to survivor of emotional abuse.

Der Arzneiverordnungs-Report ist seit 1985 eine gemeinsame Publikation von Autoren aus Pharmakologie, Klinik, Praxis, Gesundheitsoekonomie und Krankenversicherung. Basis sind die Verordnungsdaten von Arzneimitteln fur ambulante Patienten der gesetzlichen Krankenversicherung (GKV). Datenbasis des Jahres 2020 sind ca. 820 Mio. Verordnungen von 150.363 Vertragsarzten und 62.876 Vertragszahnarzten fur 73,4 Mio. GKV-Versicherte. Die allgemeine Verordnungs- und Marktentwicklung wird in 6 Kapiteln behandelt, in denen u.a. neue Arzneimittel des Jahres 2020, die Kosten-Nutzen-Analyse von onkologischen Arzneimitteln, Marktsteuerungsmechanismen und Preise von Biologika bzw. Biosimilars sowie die Klassifizierung von Arzneistoffgruppen diskutiert werden. Die Nettokosten fur Arzneimittel in der GKV sind 2020 weiter um 5 % auf rund 46 Mrd. gestiegen, vor allem durch neue, hochpreisige Patentarzneimittel. Hauptkostentreiber waren Onkologika (9,5 Mrd., + 12,4 %) und Antidiabetika (2,8 Mrd., + 16,8 %). Ein wesentlicher Grund fur die Kostenprobleme ist der seit Jahren beobachtete Anstieg der Jahrestherapiekosten neu eingefuhrter Arzneimittel. Dieser Trend zu hochpreisigen Patentarzneimitteln ist durch das Arzneimittelmarktneuordnungsgesetz (AMNOG) sogar 10 Jahre nach seiner Einfuhrung nicht genugend abgeschwacht worden, auch wenn mit der Vereinbarung von Erstattungsbetragen 2020 insgesamt 3,7 Mrd. an Einsparungen erzielt werden konnten.

Examines how evidence-based medicine can be applied in general practice, and how its benefits can be realized in the form of effective treatments. It argues for rational rationing, using clinical effectiveness to exclude ineffective measures.

This authoritative reference surveys mind-body healing concepts and psychosomatic medicine in diverse countries and regions of the world. It provides practical insights on the Western division between medical and mental healing and useful information concerning recent efforts to bridge that enduring divide, particularly in the use of ancient and indigenous healing knowledge in psychosomatic practice. Coverage compares and contrasts current applications of psychosomatic medicine and/or consultation-liaison psychiatry as conducted in such representative countries as France, Britain, China, India, Argentina, Canada, and the United States. And the book predicts how this synthesis of traditions and advances will progress as it: Traces the history and development of psychosomatic medicine. Reviews contributions of traditional healing methods to psychosomatic medicine. Analyzes national styles of psychosomatic medicine as practiced in specific countries. Compares the status of psychosomatic medicine / consultation-liaison psychiatry in various countries. Considers the future of psychosomatic medicine as the field, and the world, evolves. Global Psychosomatic Medicine and Consultation-Liaison Psychiatry expands the knowledge base for psychiatrists, primary care physicians, psychiatric and primary care residents, medical students, behavioral medicine specialists, and others who are interested global and regional perspective on providing biopsychosocial care. It is also relevant for advanced students in health psychology and behavioral medicine, and for professionals in related health fields.

In recent years the study of illness as experienced by patients has emerged as an approach to understanding sickness. Descriptions of the everyday situations of people with particular diseases, provide a commentary upon the nature of symptoms and upon the relation of the body to society. This approach stresses the biographical and cultural contexts in which illness arises and is borne by individuals and those who care for them. It emphasises the need to understand illness in terms of the patients own interpretation, of its onset, the course of its progress and the potential of the treatment for the condition.
Worlds of Illness examines people's experience of illness and their understanding of what it means to be healthy. The contributors are the first to offer this biographic and cultural approach in one volume, redefining the perspective further and drawing attention to its potential for questioning theoretical assumptions about health and illness.

The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. This book provides the essential information needed to tackle OSCE stations competently and with confidence. Over 150 topics are covered at the perfect level of detail for candidates preparing for final exams. Using bulleted checklists and a succinct writing style, the authors cover the most important points to remember about the key conditions that students are likely to encounter during OSCEs, all in a brief 2 to 4 pages per condition.

This timely and important work looks at the collaborative health care model for the delivery of mental health care in a primary care setting. This has become the ideal model for the treatment of comorbid medical and psychiatric or psychological disorders. There is also an increased awareness that pharmacological intervention, the most frequently delivered intervention for psychological disorders, is often of limited effectiveness without concurrent specific psychological intervention. The book includes more than two dozen case studies, co-written by clinical psychologists and primary care physicians. It is essential reading for any psychology practitioner in a clinical setting, as well as for health care administrators.

About this book— In recent years, a number of different spectroscopic techniques have been applied to the study of a wide range of biomedical topics. Biomedical investigations in fields as diverse as eye lens research, the study of cardiovascular and inflammatory diseases, and the study of oxidative stress in disease can now be carried out by spectroscopic means. The nine chapters in Biomedical Applications of Spectroscopy present an authoritative overview of the current status of the field, with each chapter written by acknowledged experts. A wide range of techniques is considered, including optical microspectroscopy, Raman spectroscopy, FTIR spectroscopy, NMR and EPR spectroscopy and mass spectrometry. This highly topical volume will stimulate interest in this expanding field, and point the way towards future directions in research. The major objectives of this established series are to integrate theory and practice and to bring together different branches of both academic and industrial research through the presentation of critical review articles in fundamental and applied spectroscopy. The policy of the editors is to commission authoritative reviews by acknowledged leaders in the various fields of spectroscopy. Thus each volume presents a carefully composed picture of the ‘state of the art’ for a particular area. For each volume the subject matter is presented in a manner which is Comprehensible to the non-expert, for whom the series will continue to provide a valuable introduction, and a timely overview of topics in spectroscopy which are of current interest and importance. At the same time the involved expert will find much to engage his or her attention. The series is of interest to research scientists and technologists, to teachers and both graduate and undergraduate students.

Offering a unified resource for both clinicians and pharmacists, A Medication Guide to Internal Medicine Tests and Procedures provides concise, focused answers to common medication questions before, during, and after internal medicine tests and procedures. Co-authored by experienced physicians and clinical pharmacists, this unique, time-saving reference brings together essential information for healthcare providers and students in a convenient, highly templated, pocket-sized book. Addresses the many medication questions surrounding 54 of the most commonly used tests and procedures. Ensures proper peri-procedural management by addressing what medications need to be administered or held ahead of a specific test. Provides foundational guidance on the diagnostic process, anticoagulation and glycemic management in the periprocedural period, and anesthesia, followed by highly templated chapters arranged alphabetically by procedure name. Includes brief descriptions of tests, how they are performed, and common findings. Helps readers avoid interference with tests and unnecessary adverse effects, optimizing patient outcomes. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Chronic Fatigue Syndrome (CFS) is now a recognized major and international medical concern. Neglected for many years because of its puzzling wide range of symptoms and inability to be "slotted" into any single mainstream medical discipline, CFS has gained government, academic, and public attention. In this innovative book, Dr. Jay Goldstein provides a medical narrative of an "evolving theory" of how the symptoms of CFS may develop through dysfunction of numerous physiological pathways. He describes the biologic basis of these assumptions, and, based on an analysis of basic medical principles, leads the reader to logical conclusions. In addition, Dr. Goldstein reveals a wealth of clinical experience by describing successes and failures of various therapies and discusses the reasons for the outcomes. Dr. Goldstein's private practice is devoted to patients who fit the profile of a CFS sufferer. As a result, his extensive clinical experience has given him a unique hands-on perspective not readily available to most researchers.Chronic Fatigue Syndromes: The Limbic Hypothesis carefully reviews the extant research literature in each chapter. Although Dr. Goldstein cautions that this model should be viewed only as a PROMISING FOUNDATION for future research, no less than six peer reviewers, all leading researchers and clinicians in the CFS field, have endorsed the direction of Dr. Goldstein's bold proposition. The breadth and scope of this book is perhaps best summarized by Paul Cheney, MD, PhD, a national leader in the field:"Despite its long history, the medical establishment with its great advances in biotechnology has been largely unable to crack the basic pathophysiology of the chronic fatigue syndrome. . . . Dr. Goldstein's new book takes us to a place few people know well, and describes a plausible mechanism of injury to the deep brain which could explain every symptom seen in [patients with] chronic fatigue syndrome. . . . It is the unifying power of his hypothesis, together with emerging scientific support for this view, that makes this book an important one to read for both the patient with CFS, as well as the practitioner and medical scientist who attempt to understand it."

Chronic Fatigue Syndrome (CFS) is now a recognized major and international medical concern. Neglected for many years because of its puzzling wide range of symptoms and inability to be "slotted" into any single mainstream medical discipline, CFS has gained government, academic, and public attention. In this innovative book, Dr. Jay Goldstein provides a medical narrative of an "evolving theory" of how the symptoms of CFS may develop through dysfunction of numerous physiological pathways. He describes the biologic basis of these assumptions, and, based on an analysis of basic medical principles, leads the reader to logical conclusions. In addition, Dr. Goldstein reveals a wealth of clinical experience by describing successes and failures of various therapies and discusses the reasons for the outcomes. Dr. Goldstein s private practice is devoted to patients who fit the profile of a CFS sufferer. As a result, his extensive clinical experience has given him a unique hands-on perspective not readily available to most researchers.Chronic Fatigue Syndromes: The Limbic Hypothesis carefully reviews the extant research literature in each chapter. Although Dr. Goldstein cautions that this model should be viewed only as a PROMISING FOUNDATION for future research, no less than six peer reviewers, all leading researchers and clinicians in the CFS field, have endorsed the direction of Dr. Goldstein s bold proposition. The breadth and scope of this book is perhaps best summarized by Paul Cheney, MD, PhD, a national leader in the field: "Despite its long history, the medical establishment with its great advances in biotechnology has been largely unable to crack the basic pathophysiology of the chronic fatigue syndrome. . . . Dr. Goldstein s new book takes us to a place few people know well, and describes a plausible mechanism of injury to the deep brain which could explain every symptom seen in patients with] chronic fatigue syndrome. . . . It is the unifying power of his hypothesis, together with emerging scientific support for this view, that makes this book an important one to read for both the patient with CFS, as well as the practitioner and medical scientist who attempt to understand it."

Series Information:
Brunner/Mazel Eating Disorders Monographs

Household Chemicals and Emergency First Aid is an essential manual that covers 386 household chemicals, discusses their hazards when mixed with other chemicals, describes the symptoms of overexposure, and provides instructions for emergency first aid treatment. The book is intended to be used in the event that label instructions on household chemicals have not been followed. It describes what may possibly happen and how to handle the situation if it does occur. Poison control centers are listed by state with phone numbers and addresses.
Because household accidents involving chemicals are so prevalent, this manual is a "must have" book for all emergency medical technicians, paramedics, and other emergency first aid providers. It is also useful for anyone wanting detailed information regarding emergency situations with household chemicals.

The first edition of this successful reader brought together key readings in the area of developmental cognitive neuroscience for students. Now updated in order to keep up with this fast moving field, the volume includes new readings illustrating recent developments along with updated versions of previous contributions. These revisions ensure that the collection will remain a crucial resource for anyone teaching developmental cognitive neuroscience or cognitive development.

The "Reader" is broad-ranging, covering every aspect of developmental cognitive neuroscience. New pieces for the second edition include writing on individual development and evolution, on the structural and functional development of the brain and on object recognition and sensitive periods, whilst articles updated include those on the neurobiology of cognitive and language processing and self-organization in developmental processes.

Diseases and Diagnoses discusses why such social problems as addiction, sexually transmitted diseases, racial predisposition for illness, surgery and beauty, and electrotherapy, all of which concerned thinkers a hundred years ago, are reappearing at a staggering rate and in diverse national contexts. In the twentieth century such problems were viewed as only historical concerns. Yet in the twenty-first century, we once again find ourselves confronting their implications. In this fascinating volume, Gilman looks at historical and contemporary debates about the stigma associated with biologically transmitted diseases. He shows that there is no indisputable way to measure when a disease or therapy will reappear, or how it may be perceived at any given moment in time. Consequently, Gilman focuses on the socio-cultural and political implications that the reappearance of such diseases has had on contemporary society. His approach is to show how culture (embedded in cultural objects) both feeds and is fed by the claims of medical science-as for example, the reappearance of "race" as a cultural as well as a medical category. If the twentieth century was the "age of physics," in the latter part of the past century and certainly in the twenty-first century biological concerns are recapturing central stage. Achievements of the biological sciences are changing the public's sense of what constitutes cutting-edge science and medicine. None has captured the public imagination more effectively than the mapping of the human genome and the promise of genetic manipulation, which fuel what Gilman calls a "second age of biology." Although not without controversy, the role of genetics appears to be key. Gilman puts contemporary debates in historical context, showing how they feed social and cultural concerns as well as medical possibilities.

A collection of powerful new techniques for oligonucleotide synthesis and for the use of modified oligonucleotides in biotechnology. Among the protocol highlights are a novel two-step process that yields a high purity, less costly, DNA, the synthesis of phosphorothioates using new sulfur transfer agents, the synthesis of LNA, peptide conjugation methods to improve cellular delivery and cell-specific targeting, and triple helix formation. The applications include using molecular beacons to monitor the PCR amplification process, nuclease footprinting to study the sequence-selective binding of small molecules of DNA, nucleic acid libraries, and the use of small interference RNA (siRNA) as an inhibitor of gene expression.

For over half a century Davidson's Principles and Practice of Medicine has informed and educated students, doctors and other health professionals all over the world, providing a comprehensive account of the practice of medicine. Davidson's Essentials of Medicine provides the core content of the main textbook in a condensed format which will be invaluable whenever you are on the move - whether commuting, travelling between training sites, or on electives. This book provides a distillation of the core information required for clinical studies in medicine. While retaining the acclaimed readability of the main textbook it presents the key information in a format more appropriate for practical clinical work. The scope of the contents was carefully selected by a team of junior doctors, emphasising only the topics that will be essential for clinical studies. The text draws directly on the depth and breadth of experience of the Davidson's authors and its International Advisory Board. Updated to include key changes and new illustrations included in Davidson's Principles and Practice of Medicine. New chapters on Acute Medicine and Ophthalmology

The Rhetoric of Medicine explores problems that confront medical professionals today by first examining similar problems that confronted physicians in ancient Greece. This framework provides illuminating entry points into challenges faced by the practice of medicine, enabling readers to understand more clearly their shape and operation in the modern context-as well as possible solutions to these problems. Topics covered include: larger cultural ideas about the body; tension between professional values and working for money; effective collaboration and competition with alternative healthcare providers; restrictions on political involvement that seem part of a physician's identity; maintaining a space for professional autonomy and judgment; mentoring that is effective but not exclusive; and physicians' recognition of themselves as patients as well as professionals. The Rhetoric of Medicine represents a unique collaboration between a classicist and a neurosurgeon, reflecting both their scholarly work and extensive experience as administrators. Together, these two experts combine their personal experience as professionals with careful analysis of what it means to be a medical professional, both in ancient Greece and today. The Rhetoric of Medicine is a call to interrogate the narratives and ideas that shape medical care and to revise and replace those that do not serve patient health. Advance Praise for The Rhetoric of Medicine "It is an incredibly rich story with lessons around money, competition and autonomy for doctors and for the patients they serve." - Sanjay Gupta, MD, Staff Neurosurgeon, The Emory Clinic, Atlanta, GA, Chief Medical Correspondent, CNN

Interpreting the fluid requirements of a patient and working out what to do next can seem like a daunting task for the non-specialist, yet it is a skill that any doctor, nurse or paramedic needs to be fully appraised of and comfortable with. Making Sense of Fluids and Electrolytes has been written specifically with this in mind, and will help the student and more experienced practitioner working across a variety of healthcare settings to understand why fluid imbalance in a patient may occur, to assess quickly a patient's fluid needs through a thorough clinical assessment and to develop an effective management plan. Reflecting the latest guidelines, this practical, easy-to-read and easy-to remember guide will be an invaluable tool to aid speedy and appropriate management in emergency situations, on the ward and in the clinic.

First published in 1987. Routledge is an imprint of Taylor & Francis, an informa company.

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.

Health Information Exchange (HIE): Navigating and Managing a Network of Health Information Systems allows health professionals to appropriately access, and securely share, patients' vital medical information electronically, thus improving the speed, quality, safety, and cost of patient care. The book presents foundational knowledge on HIE, covering the broad areas of technology, governance, and policy, providing a concise, yet in-depth, look at HIE that can be used as a teaching tool for universities, healthcare organizations with a training component, certification institutions, and as a tool for self-study for independent learners who want to know more about HIE when studying for certification exams. In addition, it not only provides coverage of the technical, policy, and organizational aspects of HIE, but also touches on HIE as a growing profession. In Part One, the book defines HIE, describing it as an emerging profession within HIT/Informatics. In Part Two, the book provides key information on the policy and governance of HIE, including stakeholder engagement, strategic planning, sustainability, etc. Part Three focuses on the technology behind HIE, defining and describing master person indexes, information infrastructure, interfacing, and messaging, etc. In Part Four, the authors discuss the value of HIE, and how to create and measure it. Finally, in Part Five, the book provides perspectives on the future of HIE, including emerging trends, unresolved challenges, etc.