Microalbuminuria, the abnormal urinary excretion of albumin, is recognized as an important independent marker of both renal and cardiovascular disease, particularly in diabetes mellitus. This volume is the only comprehensive and up-to-date review of the relevance of microalbuminuria to health and disease. It covers the pathophysiology and epidemiology of microalbuminuria and the methodology of laboratory assessment, and discusses the nonspecific nature of microalbuminuria in less well-recognized clinical situations. This is the first book to deal in detail with the treatment of microalbuminuria in both diabetic and nondiabetic subjects. This volume will be an essential source of reference and a guide to clinical practice for diabetologists, endocrinologists, cardiologists, renal physicians, and clinical biochemists.

Human factors relates to the interaction of humans and technical systems. Human factors engineering analyzes tasks, considering the components in relation to a number of factors focusing particularly on human interactions and the interface between people working within systems. This book will help instructors teach the topic of human factors.

This book provides the reader with a comprehensive study of the cervical spine in children and young adults. Written by Dr. Leonard Swischuk, a distinguished leader in the field of pediatric radiology, the book presents normal anatomy and embryology, especially as it is relevant to trauma, normal variations and congenital anomalies. The second part of the book deals with trauma, focusing on a systematic accounting of the various injuries encountered and each explained in terms of the mechanism of the injury. Emphasis is placed on plain films since this is the most important study for the cervical spine. CT and MRI will be used to amplify findings. An indispensable resource for anyone dealing with the cervical spine.

Das Buch spannt einen weiten Bogen A1/4ber die Transplantationsmedizin und gibt einen Aoeberblick A1/4ber Immunologie, Chirurgie, Vorbereitung und Nachsorge sowie die Randbereiche der Transplantationschirurgie. Es dient Chirurgen, Internisten, Allgemeinmedizinern als auch Medizinstudenten als Nachschlagewerk fA1/4r die thorakale und abdominelle Organtransplantation und soll Grundlagen der Transplantationschirurgie bzw. -medizin vermitteln. Ausserdem informiert es den Leser A1/4ber rechtliche, ethische und organisatorische Aspekte der Transplantationsmedizin und nicht zuletzt A1/4ber die "Physiologie des Hirntodes und die Spenderkonditionierung" sowie A1/4ber den Themenkomplex "Organkonservierung, Transport und Allokation."

Ease the pressure of the GP Vocational Training Scheme Stage 2 exams, and ensure your progress to Stage 3, with this complete preparation guide Featuring all question types from the exam, including SBAs, EMQs and Professional Dilemmas, and covering a range of medical and surgical specialties, this invaluable guide not only tests appropriate application of clinical knowledge, but encourages doctors to think logically and ethically - vital in recognising appropriate behaviour in professional dilemmas. The opening section provides handy advice on how to prepare for the exam and explains what the question setters are looking for - the key to success in Stage 2. Based on the contributors own experience of typical problems and dilemmas, and including thorough explanations for each answer, this book is not just an exam crammer, but a valuable learning tool.

This fourth edition of Peter Gotzsche's 'Rational Diagnosis and Treatment' argues that clinical decision-making should be built from first principles. By asking relevant questions, such as 'how reliable are various sorts of data?', 'how has the disease classification evolved over time, and is it logical?', fewer mistakes will be made by the practising physician and trainee.

This beautifully written book integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice. It stresses that, whenever possible, clinical decisions must be based on the best evidence from clinical research; but also highlights the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient.

Such an intellectually challenging book is ideal for medical students, practitioners and doctors who require theoretical and practical clinical skills to help ensure that they apply theory to their practice, to achieve the best possible outcomes.

How does the diagnostic process narrow down options, and what are the pitfalls in diagnostic reasoning?

How do randomness, the spontaneous course of the disease, the placebo effect, luck and clinical trials come together?

What is the nature of reasoning?

What is the true value of the published literature?

How do commercial interests distort our perceptions about drugs?

Should people get screened for cancer and other diseases?

New edition contains:

Updated sections on placebo and meta-analysis

Sections on different research designs, focusing on advantages and limitations

Notes on increased medicalisation and the effectsof cancer screening on healthy people

Updated section on alternative medicine

Greater focus on insufficient reporting of harms of interventions

Additional text on academic freedom.

This book offers an overview of the complex interplay between hormonal activation and individual and environmental influences on health and disease in women. The book provides useful information and background material important for treating problems related to the reproductive cycle, eating disorders, drug treatment of women, and clinical and treatment issues in coronary artery disease and breast cancer. This is a medically-oriented book written firstly for the practicing physician in primary care, psychiatry, internal medicine and gynecology/obstetrics. This book takes a much broader view than others on the market by combining consideration of both psychological and physical disorders affecting women and by discussing treatment issues.

Die radiologische Diagnostik nimmt in der Erkennung, Stadieneinteilung, Therapieplanung und -kontrolle sowie der Nachsorge von Tumorerkrankungen eine zentrale Stellung ein und muss, in Abhangigkeit von der jeweiligen Erkrankung, speziellen Anforderungen gerecht werden. In den von behandelnden Klinikern und onkologisch erfahrenen Radiologen gemeinsam verfassten Kapiteln dieses zweibandigen Werkes werden eingehend sowohl die klinischen Grundlagen und Therapieverfahren als auch die radiologische Diagnostik zur Erkennung des Tumors, Therapieplanung und Nachsorge detailliert dargestellt. Der erste Band behandelt die soliden Tumoren oberhalb des Zwerchfells, bosartige Neubildungen des Binde- und Stutzgewebes sowie des lymphatischen Systems, der zweite Band die Tumoren des Abdomens und des Beckens."

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 innovative book provides a unique perspective on the biomedical and societal implications of personalized medicine and how it will help mitigate the healthcare crisis and rein in ever-growing expenditure. It introduces the reader to underlying concepts at the heart of personalized medicine - pharmacogenomics, targeted therapies and individualized diagnosis and treatment - and shows how, with the advent of genomic technologies, clinicians will have the capability to predict and diagnose disease more efficiently. Advocating a patient-centred approach at the heart of care, this introduction to personalized medicine, the science behind it, its economic effects, its effects upon patients and its overall implications for society will be invaluable to clinicians, to healthcare providers and to patients.

Here are 101* of the best ideas to make the most effective use of your time on the ward. Over 250 contributors, including students, doctors, nurses, pharmacists, and therapists from 18 countries, help make you the finest doctor you can be

Pocket-sized for 'dipping into' during a spare moment or a couple of hours on the ward, this short guide is ideal for medical students on rotation or junior doctors who wish to boost learning and motivation.

*There are actually 100 ideas. Now it's your turn to develop tip 101 Submit your ideas to www.101things.org

As the profound contribution of mental illness to disability, morbidity, and mortality has gained acceptance, mental health has grown into a global priority. One in five experience mental illness in their lifetime, and those who suffer are coming forward in unprecedented numbers. As more people seek care for themselves and others, providers are increasingly unable to meet the demand through existing systems and mental health care approaches. In Managing Uncertainty in Mental Health Care, Drs. Patricia Rockman and Jose Silveira critically examine core assumptions informing the primary approaches currently used to assess mental illness in clinical settings, with an emphasis on clinician certainty. They illustrate how current diagnostic frameworks obscure clinician uncertainty while encouraging overconfidence and go on to consider potential strategies for lessening the impact of inevitable errors. Ultimately, this book makes a case for acknowledging the fallibility of clinical judgment, independent of competence and experience, and the need to modify approaches to mental health care so that they align with the irreducible uncertainty of the domain. By exploring emerging transdiagnostic approaches to mental health care in terms of their alignment with irreducible uncertainty, Rockman and Silveira make space for error and offer clinicians a novel way to advance the fundamental aim of mental health care: to reduce the harm and suffering of all.

The definitive reference to the policies and practices for treating disruptive and impulse-control disorders, edited by renowned experts The Wiley Handbook of Disruptive and Impulse-Control Disorders offers a comprehensive overview that integrates the most recent and important scholarship and research on disruptive and impulse-control disorders in children and adolescents. Each of the chapters includes a summary of the most relevant research and knowledge on the topic and identifies the implications of the findings along with important next directions for research. Designed to be practical in application, the text explores the applied real-world value of the accumulated research findings, and the authors include policy implications and recommendations. The Handbook address the nature and definition of the disorders, the risk factors associated with the development and maintenance of this cluster of disorders, assessment processes, as well as the evidence-based treatment and prevention practices. The volume incorporates information from the ICD-11, a newly revised classification system, along with the recently published DSM-5. This important resource: Contains a definitive survey that integrates the most recent and important research and scholarship on disruptive and impulse-control disorders in children and adolescents Emphasizes the applied real-world value of the accumulated research findings Explores the policy implications and recommendations to encourage evidence-based practice Examines the nature and definition, risk factors, assessment, and evidence-based practice; risk factors are subdivided into child, family, peer group and broader context Considers changes, advances and controversies associated with new and revised diagnostic categories Written for clinicians and professionals in the field, The Wiley Handbook of Disruptive and Impulse-Control Disorders offers an up-to-date review of the most authoritative scholarship and research on disruptive and impulse-control disorders in children and adolescents as well as offering recommendations for practice.

How to Succeed on Primary Care and Community Placements offers practical advice on how to get the most from your time on community visits, within patient consultations, and with the practice team. It highlights the unique opportunities and challenges you will face on placement, from using clinical information systems, to home visits and long term patient relationships, and how to take advantage of new ways of learning with web-based tools, mobile devices and social networking. Key features include: Learning outcomes at the start of each chapter with links to web-based learning, case examples, and tasks to undertake whilst on placement An evidence-based, practical approach to improving learning, teaching, assessment and feedback in community settings Written by a team of experienced community-based medical education specialists, it is ideal for all medical students, whether on early clinical placements or later in training, and for tutors and preceptors looking for novel ways to engage their students.

Critical care medicine is a relatively new specialty. Over the past few decades, we have seen an enormous growth in the number of inten sive care units (ICUs) worldwide. Medical students, residents, fellows, attending physicians, critical care nurses, pharmacists, respiratory ther apists, and other health-care providers (irrespective of their ultimate field of practice) will spend several months or years of their profes sional lives taking care of critically ill or severely injured patients. These clinicians must have special training, experience, and compe tence in managing complex problems in their patients. In addition, they must interpret the data obtained by many kinds of monitoring devices, and they must integrate this information with their knowl edge of the pathophysiology of disease. This handbook was written for every practitioner engaged in criti cal care medicine. We have attempted to present basic and generally accepted clinical information and some important formulas as well as laboratory values and tables that we feel will be useful to the practi tioner of critical care medicine. Chapter 1 provides an introduction to the ICU. Chapters 2 through 18 follow an outline format and are divided by organ system (i. e. , neurologic disorders, cardiovascular dis orders), as well as special topics (i. e. , environmental disorders, trauma, toxicology). In addition, many of these chapters review some useful facts and formulas systematically. Finally, Chapters 19 and 20 supply lists of pharmacologic agents and dosages commonly used in the ICU and laboratory values relevant to the ICU.

Leistungstrager wollen leistungsgerecht gefuhrt werden Personalakquisition * Wie ermittle - und begrunde - ich den Personalbedarf? * Wie wahle ich die richtigen Mitarbeiter aus? Personalfuhrung und -entwicklung * Welcher Fuhrungsstil passt zu welchem Mitarbeiter? * Wer passt zu welchen Aufgaben am besten? * Gehaltsverhandlung * Arbeitsrecht: Arbeitszeitmodelle, Gleichstellung, Korruption ... * AErzte aus dem Ausland * OEkonomie und Ethik Gesundheitsfoerderung - physisch und psychisch * Altersgerechte Arbeitsbedingungen * Konflikt-Management * Mobbing: Pravention, Kosten ... Zukunftsfahigkeit - Veranderungen gestalten * Change-Management * Prozessverbesserung * Diversity-Management - soziale Vielfalt konstruktiv nutzen Das essentielle Know-how fur alle AErzte, die Fuhrungsverantwortung tragen - oder demnachst ubernehmen werden.

First published in 1993. Routledge is an imprint of Taylor & Francis, an informa company.

Interdisziplinare Familiendiagnostik

Therapeutin und Therapeut konnen mit dem Handbuch der Familiendiagnostik den diagnostischen Prozess Schritt fur Schritt nachvollziehen. Vom ersten Telefonkontakt uber die Durchfuhrung der Gesprache bis hin zur klinischen Dokumentation, enthalt dieses Buch alle Fakten und Informationen, die Sie fur Ihre tagliche Arbeit benotigen.

Ein ausfuhrlicher Leitfaden fur die Gesprachsfuhrung unterstutzt Sie ganz praktisch. Viele Beispiele illustrieren und erlautern den theoretischen Hintergrund.

Der interdisziplinare Ansatz gewahrleistet, dass systemische, psychoanalytische wie auch strukturelle Theorien zur Anwendung kommen. Von den Grundlagen uber Therapieverfahren bis hin zu speziellen Situationen werden alle Aspekte der Familiendiagnostik in ihrer praktischen Anwendung dargestellt.

Die 3. Auflage wurde komplett uberarbeitet und prasentiert sich in einem neuen, modernen Layout. "

Excel on your rotation, impress on the wards, and score your highest on the Neurology shelf exam! First Aid for the Neurology Clerkship covers all the key principles and clinically relevant information that neurology clerks are expected to learn. The content organization is mirrored directly after standard clerkship objectives and the Neurology shelf exam blueprint. This high-yield resource focuses on clinical scenarios, with details explaining how to understand the disease process and differentiate it from other disorders. The pharmacology content emphasizes medications specifically targeting neurologic diagnoses, as well as recreational drugs. First Aid for the Neurology Clerkship features: The latest clinical research and perspectives Images, diagrams, and charts Tips on how to succeed on rotations and on the shelf exam Mnemonics, ward tips, and integrated mini-cases Summary boxes highlighting high-yield information needed for exam success

Cardiac resynchronization therapy is a new therapy for advanced heart failure patients. This therapy has been shown to improve quality of life, exercise capacity, NYHA classification, and even reverse the detrimental "reverse remodeling" that occurs in advanced heart failure - in patients already receiving optimal pharmacological therapy.

The typical patient has NYHA III/IV HF symptoms, a QRS > 120 ms, LVEDD > 55 mm, without any indication required for pacing. The therapy is available in an ICD device, too. CRT has been shown to be effective in patients with both ischemic and non-ischemic cardiomyopathy.

The implant procedure is part of a learning curve. Many physicians who already perform electrophysiology procedures, or PPM, or ICD implants are the ideal implanter - but are surprised at the challenges this implant presents. This book will help "flatten" the learning curve for new physician implanting, and will provide a "guide' for those who have already started implanting.

The success rate is about 90o after 10 years of application, we have found that there are still patients who do not get access to this great therapy because of the complexity of the patient's anatomy, or physician skills.

The book is written by three authors with a great deal of experience culminating in over 3000 cases between them.

This book is intended for cardiologists who currently implant either or both pacemakers and cardioverter defibrillators with cardiac resynchronization therapy (also called bi-ventricular pacing), or plan to implant in the future. This book will be extremely useful for the new cardiologist in training who is learning to implant devices.

Clinical Chemistry: Principles, Techniques, and Correlations, Ninth Edition is the most student-friendly clinical chemistry text available today.

The Ninth Edition keeps students at the forefront of what continues to be one of the most rapidly advancing areas of laboratory medicine with clear explanations that balance analytic principles, techniques, and correlation of results with coverage of disease states.

The book not only demonstrates the how of clinical testing, but also the what, why, and when of testing correlations to help students develop the knowledge and interpretive and analytic skills they'll need in their future careers.

How did early modern people imagine their bodies? What impact did the new disease syphilis and recurrent outbreaks of plague have on these mental landscapes? Why was the glutted belly such a potent symbol of pathology? Ranging from the Reformation through the English Civil War, Fictions of Disease in Early Modern England is a unique study of a fascinating cultural imaginary of 'disease' and its political consequences. Healy's original approach illuminates the period's disease-impregnated literature, including works by Shakespeare, Milton, Dekker, Heywood and others.

The closest you can get to the Family Medicine clerkship shelf exam without actually taking it Family Medicine: PreTest Self-Assessment & Review, Fourth Edition is the perfect way to assess your knowledge of Family Medicine for the USMLE Step 2 CK and clerkship shelf exam. You'll find approximately 500 USMLE-style questions and answers that target the clerkship's core competencies, along with detailed explanations of both correct and incorrect answers. All questions have been reviewed by students who recently passed the boards and completed their clerkship to ensure they match the style and difficulty level of the exam - so you know you are studying the most relevant, high-yield material possible. *Approximately 500 USMLE-style questions - just like you will see on the exam*Detailed explanations for right and wrong answers, that zero-in on must-know information*Targets what you really need to know for exam success*Thoroughly reviewed by students who aced their clerkship