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Books > Medicine > Clinical & internal medicine > General
Translational Research and Clinical Practice offers a clear and
comprehensive introduction to evidence-based medicine. The use of
medical literature has always been an integral tool for patient
care, yet recently the modern processes of question formulation,
literature search, and study evaluation have changed with the
advent of the internet and technology. The physician must be able
to find empirical evidence from the appropriate study using a
searchable question and then determine its impact on patient care.
The book provides the general framework for such medical decision
making; it covers all kinds of cases and strategies, including
questions of diagnosis, therapy, prognosis, differential diagnosis,
clinical presentation, and causality.
Step 2 Clinical Knowledge is one of the hardest exams you'll take
in your medical training, and it's very important to do well
Preparation is the key that separates successful candidates from
the rest.
USMLE Step 2 Clinical Skills Triage is the indispensable preparation book for the Step 2 Clinical Skills exam, presenting 40 high-yield patient-encounter cases that simulate the examination experience. Cases are organized for straightforward learning: a sample dialogue that mimics actual doctor-patient communication is followed by guidelines on performing the physical exam, ending the case, writing the patient note, and outlining the differential diagnosis. Comprehensive yet succinct, the cases address almost all possible exam scenarios, including telephone cases and "difficult patient" encounters. Each case contains detailed and relevant information on presenting complaints and conditions, with pertinent points highlighted and boxed for easy review. Written by the author of the popular USMLE Step 3 Triage, this book is optimal for either individual or group study and for any student interested in reviewing how to practice applying medical knowledge and patient-centered skills.
From probe design to applications in clinical settings, this book provides a diverse set of instructive examples, guided by experts in the field who offer easy-to-follow experimentals. The book first offers an introduction to the basic principles of fluorescence and then describes applications of fluorogenic probes in real-time PCR, which currently is the gold standard for quantitative DNA and RNA analysis. Coverage extends the potential of realtime as well as advocates simplifications of the probe technologies. It also presents a new simplified molecular beacon design, EasyBeacons, and demonstrates the utility in DNA methylation profiling.
The Indian subcontinent is a vast land mass inhabited by over one billion people. Its rich and varied history is reflected by its numerous racial and ethnic groups and its distinct religious, cultural and social characteristics. Like many developing countries in Asia, it is passing through both demographic and epidemiological transitions whereby, at least in some parts, the diseases of severe poverty are being replaced by those of Westemisation; obesity, diabetes, and heart disease, for example. Indeed, as we move into the new millennium India has become a land of opposites; on the one hand there is still extensive poverty yet, on the other hand, some of the most remarkable developments in commerce and technology in Asia are taking place, notably in the fields of information technology and biotechnology. India has always fascinated human geneticists and a considerable amount of work has been done towards tracing the origins of its different ethnic groups. In the current excitement generated by the human genome project and the molecular and genetic approach to the study of human disease, there is little doubt that this field will develop and flourish in India in the future. Although so far there are limited data about genetic diseases in India, enough is known already to suggest that this will be an extremely fruitful area of research.
Few clinical disciplines have been transformed so dramatically by advancements in science and technology as gastrointestinal surgery. To begin with, modern ph- macology has virtually eliminated some kinds of surgery altogether. If one were to take a peek at a typical operating room schedule in a busy hospital of the 1960s, gastrectomies of one kind or another would have constituted a large block of the major surgeries. The advent of effective H2-histamine receptor antagonists and, more ] + recently, the H, K -ATPase (proton pump) inhibitors led to a precipitous decline in those procedures such that they are rarely performed today. Exciting new approaches to treating inflammatory bowel diseases and their complications-such as fistulas- with anticytokine therapy may one day have a similarly profound effect on surgery for this condition as well. Beyond pharmaceutics, advances in imaging techniques have greatly facilitated the identification and characterization of pathology in the gastrointestinal tract in a way that would have been unimaginable only a few years ago. Just to visualize the pancreas in some way was a horrendous task until abdominal ultrasound, magnetic resonance imaging, or computer tomography made it simple. The fact that the gut is a hollow organ that can be accessed through the mouth, anus, or even through the wall of the abdomen has been fully exploited with fiberoptic endoscopes that can bend around corners with ease and permit surgery to be conducted through them.
The diagnosis and treatment of common dermatologic problems is a critical area of skill and knowledge for primary care physicians. According to the US Department of 1 Health and Human Services, patients present to their physicians a skin rash as their chief concern for nearly 12 million office visits each year. In 73% of these office visits, patients see their internist, family physician, or pediatrician. In this respect, astonishingly, primary care clinicians see far more skin disease in their offices than dermatologists. Dermatology Skills for Primary Care: An Illustrated Guide advances the targeted skill and knowledge base of primary care physicians, as well as the collaboration between dermatologists and primary care physicians, by its wise choice of organization, scope, and approach. Dermatology Skills for Primary Care: An Illustrated Guide by Drs. Trozak, Tennenhouse, and Russell is an important addition to the dermatology literature because it has been written collaboratively by a skilled dermatologist and two excellent academic family physicians. As such, the book superbly targets the depth and scope of needs of primary care practitioners in the field of dermatology.
Authored by leading international researchers, this monograph introduces and reviews developed tomograhic methods for discovering 2D and 3D structures of the ionosphere, and discusses the experimental implementation of these methods. The detailed derivations and explanations make this book an excellent starting point for non-specialists.
RevMED 300 SBAs in Clinical Specialties is a book of 300 single best answer questions covering a range of topics in paediatrics, obstetrics and gynaecology and psychiatry. These topics are the focus of 4th or 5th Year examinations in most medical school curriculums and have usually been separated from topics in general medicine and surgery.Question books are an exceptionally useful resource for medical students preparing for their clinical exams. RevMED 300 SBAs in Clinical Specialties is written by students who have recently sat clinical examinations at medical school and is designed to be student-friendly with detailed explanations and flow charts summarising the most up-to-date guidelines. The questions have been edited by teaching fellows and registrars to ensure the topics covered provide students with a functional understanding of important concepts with the hope of aiding their future careers.
Oxidative stress and inflammation are among the most important factors of disease. Chronic infections, obesity, alcohol and tobacco usage, radiation, environmental pollutants, and high-calorie diets have been recognized as major risk factors for a variety of chronic diseases from cancer to metabolic diseases. All these risk factors are linked to chronic diseases through inflammation. While short-term, acute inflammation generated by the immune system serves a therapeutic role, chronic low-level inflammation that may persist "silently" for decades is responsible for chronic diseases. Inflammation, Lifestyle, and Chronic Diseases: The Silent Link describes the role of dysregulated inflammation in persistent and recurring diseases. It investigates links to lifestyle and presents research on how the suppression of proinflammatory pathways may provide opportunities for both prevention and treatment of chronic diseases. The book covers neurodegenerative diseases, pulmonary diseases, asthma, rheumatic and arthritic diseases, skin disease, heart disease, chronic wounds, infectious disease, neuropsychiatric disorders such as depression, gastrointestinal diseases, insulin resistance, and cancer, many of which are also diseases of old age. For each chronic disease, contributors review the clinical and scientific literature and examine current and potential therapies, including conventional pharmacotherapies as well as natural products. Noting that the long-term use of steroids and nonsteroidal anti-inflammatory drugs (NSAIDs) can cause adverse side effects, many of the chapters address the role of dietary agents such as fruits, vegetables, legumes, pulses, nuts, and spices as ideal anti-inflammatory agents that can be consumed regularly. The book also suggests directions for further research. Clinical and science researchers, students, and health professionals interested in the link between inflammation, lifestyle, and chronic diseases will find this an informative resource.
This practical, engaging book provides concise, real life-tested guidance to healthcare teams concerned with widely reported and incentivized hospital quality and safety metrics, offering both a conceptual approach and specific advice and frameworks for reviewing quality and safety numerator events, from the perspective and experience of clinicians and administrators working within the Ochsner Health System. The text opens with the rationale for closely managing widely (including publicly) reported hospital patient quality and safety measures. Attention is given to the financial implications of quality performance, with respect to both penalties and payment incentives used by payer organizations. It then reviews the major public ratings and their relevant methodologies, including CMS, AHRQ and NSHN. In addition, it addresses ratings by proprietary organizations that have a large member clientele, such as Vizient, USNews, Leapfrog, Healthgrades, CareChex and others. Each metric - for example, the AHRQ Patient Safety Indicators (PSIs), and other metrics such as readmission rate, risk adjusted complications, hospital-acquired conditions and mortality - is addressed in a stand-alone chapter. For each, the importance, approach to review, opportunity for optimization, and engagement of healthcare staff are reviewed and discussed. Overall, this book forefronts the benefits of a collaborative approach within a health system. The concurrent review process, multidisciplinary collaboration among quality improvement, clinical documentation, coding and medical staff personnel are all emphasized. Also described in detail is the approach to and specific opportunities for medical staff education and engagement. Additional key topics include Engagement of the Medical Staff and House Staff (i.e., residents and other trainees), Futile Care, Surgical Quality Improvement (NSQIP), Nursing Provider Partnership, and Translation of Data Review to Successful Performance Improvement. Specialty chapters on pediatric, neurologic and transplant quality metrics are also included.
The seventh edition of this BMA award-winning pocket guide provides essential information for doctors based on the comprehensive Kumar & Clark's Clinical Medicine - the highly respected, gold-standard textbook on the treatment and management of medical conditions. Essentials is intended as an easy-to-access revision reference that provides important information for doctors on the ward, including normal values, medical emergencies, useful websites, abbreviations and a dictionary of terms. This best-selling book has been fully updated and is accessible, coherent and concise, making it an essential companion for medical students, doctors and health professionals in the UK and around the world. Small and compact - can be taken anywhere Clearly laid out, logical and easy to follow Emergency guide for quick reference Illustrations and tables to enhance understanding New section on COVID-19 New chapter on Elderly Medicine and Frailty Winner of the Internal Medicine category at the 2018 BMA Medical Book Awards 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. New co-editor Euan Sandilands New chapter on Elderly Medicine and Frailty
Now for the first time, a new diagnosis and treatment guide with even more focus on the most commonly encountered disorders than ever before. All major internal medicine diseases and disorders are covered in this new succinct evidence-based guide to treatment and diagnosis in internal medicine. Organized by body system, and focused on critical core topics, the Mayo Clinic Internal Medicine Concise Textbook is replete with summary tables, algorithms, and summary points. Easy-access to tables of current medications, indications and side-effects saves time and improves treatment outcomes. In addition, special sections provide expert guidance on preparation for the USMLE Step 2 Clinical Knowledge and Clinical Skills examinations.
The field of medical education and training has undergone dramatic
changes within the past few years, and continues to evolve.
Modernising Medical Careers, changes in the statutory role of the
Postgraduate Medical Education and Training Board, and the Good
Doctors, Safer Patients report from Liam Donaldson, Chief Medical
Officer, are just some of the factors affecting the way doctors are
now learning. In this book, Yvonne Carter and Neil Jackson,
experienced medical educators of both undergraduates and
postgraduates who have demonstrated a long standing commitment to
multi-professional education and training, bring together a
prestigious team of contributors with a wide variety of experience
across diverse academic, service and lay backgrounds, to provide a
comprehensive, up to date review of medical education and training.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The acclaimed user-friendly introduction to biostatistics and epidemiology in clinical medicine Basic & Clinical Biostatistics, Fifth Edition has been updated throughout to deliver a comprehensive, timely introduction to biostatistics and epidemiology as applied to medicine, clinical practice, and research. The book features "Presenting Problems" (case studies) drawn from studies published in the medical literature, end-of-chapter exercises, and a reorganization of content to reflect the way investigators ask research questions. To facilitate learning chapters contain a set of key concepts to orient the reader to the important ideas discussed in the chapter. An icon will be displayed above key points in the chapter where the concept is discussed. Features: *Key components include a chapter on survey research and expanded discussion of logistic regression, the Cox model, and other multivariate statistical methods*Extensive examples illustrate statistical methods and design issues *Updated examples and software references *Expanded coverage of data visualization, including content on visual perception and discussion of tools such as Tableau, Qlik and MS Power BI*New chapter consolidates all sections on Sampling into one*New material on registries (cancer, etc.) *Updated content, examples, and data sets throughout.
This groundbreaking volume is the first to analyze how and to what extent bioethics considerations influence today's judges. Previous books have attended to the law that governs bioethics problems, but this is the first to examine when and how bioethical issues impact judicial reasoning and decision-making. The volume examines the cutting-edge of the relationship of bioethics to law, and explores how law receives, assesses, and uses bioethics.
In Vivo Models of Inflammation (Volume 1 and Volume 2) provides the biomedical researcher in both the pharmaceutical industry and academia with a description of the state of the art animal model systems used to emulate diseases with components of inflammation. This second edition acts as a complement to the first edition by describing and updating the standard models that are most utilized for specific disease areas. In addition, new models are included exploring emerging areas of inflammation research. The format is designed with the laboratory in mind: Both volumes provide detailed descriptions of the methodologies and uses of the most significant models. This includes current information regarding agents that demonstrate efficacy, those that do not and those that can be used as standard controls. The focus remains on those models that serve as pre-clinical correlates to human disease as well as those that represent components of the inflammatory response. Pioneering ideas and provocative comments about future directions are meant to challenge the status quo and stimulate new thinking. Therefore, new approaches to the development of future models in selected therapeutic areas have been highlighted. The focus on novel technologies that are vital for innovative in vivo research has been expanded to include chapters on the use of transgenic and gene transfer technologies, nanotechnology, and stem cells. This up-to-date reference manual helps to select the best animal model for a specific question. At the same time, this set of books continues to acknowledge the solemn responsibility in vivo research carries with it and extends the coverage of animal respect and welfare when used in experimental settings. Chapters describing current regulations in the United States, United Kingdom, and Japan address these concerns. Thus, the ultimate aim of this set of books is to provide current best practices for obtaining the maximum informat
The new edition of this best-selling title from the popular 100 cases series explores common scenarios that will be encountered by the medical student and junior doctor when working in the community setting, and which are likely to feature in qualifying examinations. The book covers a comprehensive range of presentations from tiredness to tremor. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur in general practice at all levels.
Praise for "Bruce Jansson's thoughtful and innovative book will appeal to
students in social work, nursing, and public health as well as
those working in the health field of practice. The case examples
are extraordinary, and Jansson provides the ideas, context, and
theoretical base for readers to acquire the skills of advocacy in
healthcare. This is by far the best advocacy book I have
seen." ""Improving Healthcare Through Advocacy" is a terrific
description of opportunities for advocacy intervention and provides
the skill sets necessary for effective advocacy. A needed
book." ""Improving Healthcare Through Advocacy" is an invaluable
resource for practitioners working in the healthcare field as well
as for students. It very thoroughly covers healthcare advocacy
issues, contains real-world case examples, and provides a clear,
step-by-step framework for practicing advocacy." An important resource for all who strive for the best in healthcare treatment for their patients, themselves, and the nation Bestselling author and award-winning researcher Bruce S. Jansson uses an intervention framework to illustrate how everyone in the healthcare system can advocate effectively, not just for better healthcare delivery to individual clients but for the necessary policy change that will deliver long- term solutions to our nation's healthcare crisis as well. "Improving Healthcare Through Advocacy" provides professionals with: Tools to move from traditional services to case advocacy and policy advocacy tasks Over 100 case studies from the perspective of patients, healthcare providers, and others who relate the experiences they have encountered in the healthcare system and share the wisdom they have learned Practical tips on how to provide effective advocacy and bring about positive and long-term change in this complex environment
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.
Etwa 30 % aller Menschen, die eine Arztpraxis aufsuchen, leiden an seelisch bedingten Erkrankungen. Fur Arzte ist es daher notwendig diese Patienten angemessen zu erkennen, mit ihnen umgehen, sie behandeln oder an Fachvertreter uberweisen zu konnen. Die Grundlagen der psychosomatischen Medizin zu beherrschen ist somit fur Studierende, Arzte aller Fachdisziplinen wie auch fur psychologische Psychotherapeuten unumganglich. Im Klussmann" werden die wichtigsten Krankheitsbilder aller klinischen Fachgebiete aus psychosomatischer Sicht behandelt. Dabei erleichtern Einleitungen und Definitionen den Einstieg in die Materie, zahlreiche Fallbeispiele sorgen fur Anschaulichkeit und stellen den Bezug zur Praxis her. Umfangreiche Hinweise zu weiterfuhrender Literatur, ein Glossar und ein Verzeichnis psychotherapeutisch/psychosomatischer Einrichtungen erhohen den Wert dieses Lehrbuchs als Nachschlagewerk."
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.
A growing number of adolescents do not have a supportive and trusting relationship with an adult in a birth, foster, adoptive, or chosen family. Through a variety of circumstances, they are literally or functionally 'alone'. Yet like all adolescents they need routine and sometimes specialized health care. This book is a collection of essays, case studies, and guidelines that describe the demography, philosophical, medical, legal, and developmental framework in which these youth and health care staff confront medical decision making. The authors address questions of consent, confidentiality, access to care, and the right to refuse or demand care. Throughout the emphasis is on the real-world experience of adolescents as they struggle to overcome the challenges of being alone. Professionals who work with these adolescents cannot replace their absent or disinterested families but can fulfill the critical role of trusted adult advisor.
A growing number of adolescents do not have a supportive and trusting relationship with an adult in a birth, foster, adoptive, or chosen family. Yet like all adolescents they need routine and sometimes specialized health care. This book is a collection of essays, case studies, and guidelines that describe the demographic, philosophical, medical, legal, and developmental framework in which these youth and health care staff confront medical decision making. The authors address questions of consent, confidentiality, access to care, and the right to refuse or demand care, emphasizing the real-world experience of adolescents as they struggle to overcome the challenges of being alone.
Clinical CT: Techniques and Practice aims to give radiographers working in CT on a regular basis an extended knowledge of CT protocols and how they should be adapted to optimise image quality. It uses relevant clinical examples to demonstrate the advantages of the suggested techniques, which may not yet be in use in all hospitals. It covers all but the most rare of pathologies and will therefore also serve as a useful single reference for the busy radiographer. |
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