Make your patients'final days as comfortable as possible There are few situations more challenging and emotionally taxing to a medical professional than the care of the terminally ill. Much has been learned in recent years about symptom control that can profoundly improve the quality of life in a patient's final days.Evidence Based Symptom Control in Palliative Care: Systemic Reviews and Validated Clinical Practice Guidelines for 15 Common Problems in Patients with Life Limiting Disease provides you with symptom control approaches that will help meet patients'last wishes, improve the quality of life for patients and their families, and lessen their physical and emotional pain. Palliative care--often based on anecdotal experience--has until now been inconsistent and much of the time less than optimally effective. Evidence Based Symptom Control in Palliative Care is the result of comprehensive literature reviews and clinical validation resulting in recommendations and suggestions for therapies that will improve the lives of patients who are in pain and discomfort. Evidence Based Symptom Control in Palliative Care presents seven sections--Algorithm, Literature Review, Evidence Tables, Drug Therapy Tables, Evaluation Instruments, Unanswered Questions, and References--on each of these problems: anorexia and cachexia anxiety bleeding problems constipation delirium depression diarrhea dyspnea (shortness of breath) fatigue and weakness mouth problems nausea and vomiting nutrition and hydrationEvidence Based Symptom Control in Palliative Care is a vital guide for physicians, nurses, pharmacists, social workers, and other clinicians caring for patients with advanced irreversible diseases. This volume supplies the data you'll require to offer patients relevant care and meet their needs.

"Clinical Governance: A Guide to Implementation for Healthcare Professionals "provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact.

"Clinical Governance" provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.

This book provides an overview of multiple facets of ageing and its evolving dynamics in various Indian states. It elaborates on key dimensions like health, dependence and disability, as well as living arrangements for the elderly. Drawing on information from National Sample Surveys to offer readers a broader and richer understanding of the evolving demographic reality in India, the book addresses a range of detailed policies and programmes for the elderly in India. Given its scope, the book is essential reading for students and researchers in the fields of sociology, demography, economics and development studies. It also offers a valuable reference guide for anyone engaged in planning and policy formulation for social security, welfare of the aged or mainstreaming ageing concerns.

Did you know that plants and plant products can be used to improve people's cognitive, physical, psychological, and social functioning? Well, they can, and Horticulture as Therapy is the book to show you how If you are already familiar with the healing potential of horticultural therapy, or even practice horticultural therapy, this book will help you enrich your knowledge and skills and revitalize your practice. You will learn how horticultural therapy can be used with different populations in a variety of settings, what resources are available, effective treatment strategies, and the concepts behind horticultural treatment.The first comprehensive text on the practice of horticulture as therapy, this one-of-a-kind book will enable the profession to educate future horticultural therapists with fundamental knowledge and skills as they embark on careers as practitioners, researchers, and educators. You come to understand the relationship between people and plants more deeply as you learn about: vocational, social, and therapeutic programs in horticulture special populations including children, older adults, those who exhibit criminal behavior, and those with developmental disabilities, physical disabilities, mental health disorders, or traumatic brain injury use of horticultural therapy in botanical gardening and community settings adaptive gardening techniques applied research documentation and assessment in horticultural practiceHorticulture as Therapy establishes, integrates, and communicates a foundation of knowledge for horticultural therapists, other therapists, horticulturists, students, research scientists, gardeners, and others interested in this special and unique kind of therapy. By reading Horticulture as Therapy, you will see how you can make a difference in the health and well-being of so many people, today and tomorrow.

Estimating the risk for suicidal behavior among patients is often a very complex challenge for psychiatrists, general practitioners, psychologists, surgeons, specialists in internal medicine, neurologists, nurses, and social workers. Disease, Pain, and Suicidal Behavior is designed to help you understand the methodological problems involved in the assessment of risk for suicidal behavior in patients with various somatic and psychiatric disorders so you can establish effective approaches to the psychosocial treatment of endangered patients. Through the book s comprehensive and insightful discussions, you will even learn specific strategies for improving the quality of life of such patients.Disease, Pain, and Suicidal Behavior discusses psychiatric disorders such as depression, schizophrenia, personality disorders, anxiety disorders, and alcohol and drug abuse as risk factors for suicidal behavior. From its helpful and clearly written pages, you will also learn about the role of social factors in suicidal behavior and the relationship between suicidal behavior and biological factors. Perhaps most important of all, you will learn which groups of patients and which disorders are associated with the highest risk of suicide through the book s critical discussions of: the lifetime risk of suicide in depressed patients the stages of diseases like multiple sclerosis and the strains placed on the patient young male schizophrenics and their vulnerability to self-destructive acts mortality in patients with spinal cord injuries forced reduction in daily activities for patients with heart and lung conditions and resulting emotional instability the high risk of suicide immediately after a cancer diagnosis is given identifying risk factors for a second attempt at suicide questions to ask those at risk for suicidal behaviorRecognizing which of your patients run the risk of committing suicide can be an overwhelming task because of the multiplicity of factors involved. Disease, Pain, and Suicidal Behavior, because it examines critically the existing literature and studies on suicide and suicide risk, can help you evaluate and prevent suicidal behavior in a timely manner. You will turn the last of its pages with a much improved understanding of which illnesses and sufferings present an increased risk of suicidal behavior.

Estimating the risk for suicidal behavior among patients is often a very complex challenge for psychiatrists, general practitioners, psychologists, surgeons, specialists in internal medicine, neurologists, nurses, and social workers. Disease, Pain, and Suicidal Behavior is designed to help you understand the methodological problems involved in the assessment of risk for suicidal behavior in patients with various somatic and psychiatric disorders so you can establish effective approaches to the psychosocial treatment of endangered patients. Through the book s comprehensive and insightful discussions, you will even learn specific strategies for improving the quality of life of such patients.Disease, Pain, and Suicidal Behavior discusses psychiatric disorders such as depression, schizophrenia, personality disorders, anxiety disorders, and alcohol and drug abuse as risk factors for suicidal behavior. From its helpful and clearly written pages, you will also learn about the role of social factors in suicidal behavior and the relationship between suicidal behavior and biological factors. Perhaps most important of all, you will learn which groups of patients and which disorders are associated with the highest risk of suicide through the book s critical discussions of: the lifetime risk of suicide in depressed patients the stages of diseases like multiple sclerosis and the strains placed on the patient young male schizophrenics and their vulnerability to self-destructive acts mortality in patients with spinal cord injuries forced reduction in daily activities for patients with heart and lung conditions and resulting emotional instability the high risk of suicide immediately after a cancer diagnosis is given identifying risk factors for a second attempt at suicide questions to ask those at risk for suicidal behaviorRecognizing which of your patients run the risk of committing suicide can be an overwhelming task because of the multiplicity of factors involved. Disease, Pain, and Suicidal Behavior, because it examines critically the existing literature and studies on suicide and suicide risk, can help you evaluate and prevent suicidal behavior in a timely manner. You will turn the last of its pages with a much improved understanding of which illnesses and sufferings present an increased risk of suicidal behavior.

Mass Spectrometry for the Clinical Laboratory is an accessible guide to mass spectrometry and the development, validation, and implementation of the most common assays seen in clinical labs. It provides readers with practical examples for assay development, and experimental design for validation to meet CLIA requirements, appropriate interference testing, measuring, validation of ion suppression/matrix effects, and quality control. These tools offer guidance on what type of instrumentation is optimal for each assay, what options are available, and the pros and cons of each. Readers will find a full set of tools that are either directly related to the assay they want to adopt or for an analogous assay they could use as an example. Written by expert users of the most common assays found in a clinical laboratory (clinical chemists, toxicologists, and clinical pathologists practicing mass spectrometry), the book lays out how experts in the field have chosen their mass spectrometers, purchased, installed, validated, and brought them on line for routine testing. The early chapters of the book covers what the practitioners have learned from years of experience, the challenges they have faced, and their recommendations on how to build and validate assays to avoid problems. These chapters also include recommendations for maintaining continuity of quality in testing. The later parts of the book focuses on specific types of assays (therapeutic drugs, Vitamin D, hormones, etc.). Each chapter in this section has been written by an expert practitioner of an assay that is currently running in his or her clinical lab.

This book highlights the nano-antioxidants and their potential therapeutic applications. The chapters start with basic information on free radicals and antioxidants, through natural antioxidants, mechanisms of their action, ending with the use of nano-antioxidants particularly its potential therapeutic applications. Nano-antioxidant therapy has a promising future that has to be explored. It is a bridge topic to connect the already existing literature with potential therapeutic highlights. This book is designated for students and researchers interested in Biochemistry, Chemistry, Physics, Food Science and nutrition, Pharmaceutical Science and Medicine. It would also be interesting to global audiences from human and animal nutrition to food preservation and packaging.

Alcohol, Drugs, Genes and the Clinical Laboratory provides an overview and quick reference to genetic relationships and clinical laboratory information related to the serious public health issue of alcohol and drug abuse. Written in a clear and concise manner, this book discusses the necessary information for health and safety professionals working in public health to learn about complex issues quickly to better help their patients, employees, and others affected by alcohol and drug abuse. Alcohol, Drugs, Genes and the Clinical Laboratory covers the important aspects of drugs and alcohol abuse including genetic aspects along with laboratory methods for analysis of alcohol and abused drugs with emphasis on false positive test results. The book is helpful to healthcare professionals, such as pathologists who oversee alcohol and drug testing, emergency room physicians, family practice physicians who are first healthcare professionals who identify patients susceptible to drug and alcohol abuse, and psychiatrists involved with drug and alcohol rehabilitation programs. It will also be useful to safety professionals who have to assess individuals for workplace responsibilities, ranging from police and recruitment to occupational safety and occupational medicine and public health officials.

Metabolomics and Microbiomics: Personalized Medicine from the Fetus to the Adult encompasses the most recent advances on the usage of metabolomics and microbiome research to improve disease diagnosis and healthcare. Medicine is changing from epidemiologic, descriptive, reductionist, and reactive approaches to individualized, predictive, and holistic ones by applying microbiomics to understand the functionality of the human body. The book discusses topics such as systems biology approaches, omics technologies, perinatal programming, and personalized medicine. It also discusses the ethical implications of microbiomics research and new pathways of research, such as renal regenerative medicine, gender medicine in perinatology, and animals and the science of healing. The book is a valuable resource for medical professionals and researchers in metabolomics, nutrition, microbiology, and personalized-predictive medicine. The book also will appeal to non-specialized professionals who may take advantage of its captivating and simple language.

Clinical Research Computing: A Practitioner's Handbook deals with the nuts-and-bolts of providing informatics and computing support for clinical research. The subjects that the practitioner must be aware of are not only technological and scientific, but also organizational and managerial. Therefore, the author offers case studies based on real life experiences in order to prepare the readers for the challenges they may face during their experiences either supporting clinical research or supporting electronic record systems. Clinical research computing is the application of computational methods to the broad field of clinical research. With the advent of modern digital computing, and the powerful data collection, storage, and analysis that is possible with it, it becomes more relevant to understand the technical details in order to fully seize its opportunities.

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

"Diagnostic Techniques in Genetics" offers a comprehensive coverage of the theory and practice of the molecular biology techniques used within medical genetics. The first part of the book focuses on DNA/RNA applications and includes many of the latest developments in the field combined with routine procedures of genetic diagnoses, for example cling and sequencing DNA. The DNA applications prese4nted are then each applied to a specific kind of genetic diagnosis and the text concludes with a chapter devoted to population genetics.

The book provides a broad overview of the fundamental theory and applications used in the diagnosis of numerous genetic diseases. Each chapter has been written by leading professionals in the field and is intended to show how molecular biology( DNA or RNA technology) may be applied to a large set of genetic diagnoses. Comprehensive coverage of DNA applications and genetic diagnoses includes a chapter on population genetics essential reading for students taking courses in medical genetics, medicine and molecular biology

The textbook "Fundamentals of Ionizing Radition Dosimetry" bundled with the workbook containing solutions to the exercises is the perfect pair for anyone seriously interested in radiation dosimetry.

This book is dedicated to those who died of malignant hyperthermia and to their families. It contains cases studies that would be helpful for anesthesiologists, surgeons, physiologists, molecular biologists, biophysicists, biochemists, pathologists, students, and post doctoral fellows.

An essential handbook for clinicians planning to involve the parents of trauma-impacted children in the treatment process In Trauma-Informed Parenting Program: TIPs for Clinicians to Train Parents of Children Impacted by Trauma & Adversity, distinguished behavioral healthcare practitioner, Dr. Carryl P. Navalta, delivers a practical and hands-on guide for clinicians to assist clients, and their families with emotion regulation in the face of trauma. In the book, readers will discover how to assess, conceptualize, and treat children suffering from the effects of exposure to various forms of trauma and adversity and to provide their clients' parents with the tools neccessary to facilitate further healing in the home and beyond. TIPs also Provides: A thorough introduction to trauma that describes the historical roots and prevalence of trauma as well as the impact of adverse childhood experiences on child development and emotion regulation A comrehensive exploration of case conceptualization and the creation of clinical formulations that identify, define, and integrate the primary problems facing the client A fulsome discussion of treatment planning, including goal development, objective construction, intervention creation, and diagnosis determination An indespensible resource for clinicians dealing with trauma-impacted children, Trauma-Informed Parenting Program will earn a plce in the libraries of mental health counselors, social works, psychologists, psychiatrists, and all the practitioners who seek to make the parents of their clients an integral and usefual part of the treatment process.

Wilson Disease: Pathogenesis, Molecular Mechanisms, Diagnosis, Treatment and Monitoring translates both clinical and experimental findings into a comprehensive approach for anyone involved in research and patient care. While the clinical variability of Wilson Disease poses a challenge from a diagnostic approach, the book uses the translational impact of new research findings to relate to new treatment concepts. Comprehensive chapters include common knowledge, guideline consensus statements, and discussions of clinical evidence. This is a must-have reference for researchers and clinicians in translational research.

This book contains three sections, all packed with vital prevention and self-help information based on medical facts and simple daily tips, and includes a matching DVD. UTIs are dreadfully common, miserable, frightening, depressing, socially devastating recurrent female illnesses. Both bacterial and nonbacterial causes abound. The author discusses bacterial urinary infections, inflammations, IC, cystitis, hygiene, diet, menopause, children, teens, sex, lifestyle, frequency, pain incontinence, and a lot more.

Focusing on the essential information you need to know for the most commonly encountered problems in outpatient internal medicine, this practical volume in the Washington Manual® series provides concise, high-yield content that reflects today’s advances in patient evaluation and management. In one convenient, portable resource, you’ll find complete coverage of everything from hypertension and diabetes to sleep disorders, nutrition, and care of the cancer patient—all at your fingertips for quick review and reference. Edited by Drs. Maureen D. Lyons, Peter J. McDonnell, and Jennifer M. Schmidt, The Washington Manual® of Outpatient Internal Medicine, 3rd Edition, is an excellent companion to the Washington Manual® of Medical Therapeutics, which thoroughly covers inpatient care.   Covers common ambulatory/outpatient problems encountered in each medical subspecialty, all in the famous fast-access Washington Manual® outline format that includes easy-to-follow guidelines, diagrams, and algorithms. Thoroughly revised from cover to cover, including new content on telehealth, the trauma-informed approach, immunization reaction and allergy, functional assessment and safe prescribing for pain, breast masses, sexually transmitted infections, and more. Includes a new, full-color insert of dermatologic images to illustrate skin diagnoses and rashes. Addresses all areas of medicine and core subspecialties, including neurology and toxicology. Provides need-to-know diagnostic and therapeutic guidance from the outstanding house staff and faculty at Washington University School of Medicine in St. Louis. The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by Wolters Kluwer Health under license from Washington University.   Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

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.

Widely recognized as one of the most important signaling mechanisms in development and disease, Wnt signaling pathways are networks of proteins that play significant roles in embryogenesis or cancer development. Wnt Signaling in Development and Disease addresses the fundamentals of Wnt signaling and delves into molecular pathway mechanisms, its role in embryogenesis, adult tissue homeostasis, and chronic disease. This comprehensive resource details current knowledge of Wnt signaling while looking ahead to future progress.

This book is the latest volume in the series presenting clinicians and medical students with the latest advances in medicine, with emphasis on endocrine and cardiovascular disorders. Presented as a collection of articles, the first chapters provide an overview of the field and discussion on medical teaching. The following sections cover the diagnosis and management of numerous conditions in everyday clinical practice. Separate chapters explore advances in other sub-specialties such as kidney disease, sepsis and asthma, and several complete sections are dedicated to Covid and associated disorders. Enhanced by clinical photographs and figures, this valuable text serves as a ready reckoner for different approaches to clinical case management. The previous volume (9789389587111) published in 2020.