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.

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.

Data interpretation questions based on clinical cases are a popular means of testing medical students both during undergraduate studies and as an element of finals examinations. Written by a small team of authors with extensive teaching experience, 100 Cases in Medical Data Interpretation provides invaluable guidance from lecturers who understand from personal experience that detailed and accurate explanations are the key to successful revision. This book presents 100 cases arranged by specialty area-radiology, clinical chemistry, haematology and cardiology-as well as a random section of miscellaneous cases. Questions accompanying each case prompt the reader to consider how the data presented might be correctly understood. A clear discussion of how the correct answer was reached, with boxed highlights and bullet lists of key points, makes this book an excellent learning aid during all stages of clinical studies, and particularly while preparing for medical finals.

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.

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.

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.

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.

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. "

The germs of the ideas in this book became implanted in me during my experience as a resident in clinical pathology at Boston University Medical Center. At the time, I had inklings that the test results churned out by our laboratories were more than scientific facts. As a philosophically unsophisticated young physician, however, I had no language or framework to analyze what I saw as a deep philosophical problem, a problem largely unrecognized by most physicians. The test results provided by our laboratories were accurate and of great practical importance for patient care. However, most of the physicians who relied on our test results to diagnose and treat their patients either did not have the time or interest to consider the philosophical issues inherent in diagnosis, or, like me, had inadequate means to further analyze them. It was more than ten years later that I began doctoral studies in philosophy, and I was fortunate to find a faculty that was supportive of my efforts to address the problem. This book began as my doctoral dissertation in the Department of Philosophy at Georgetown University. I would like to acknowledge the assistance of my mentor, Robert Veatch, Ph. D. Our conversations during my Georgetown years led me in new and often fascinating directions. I would also like to acknowledge the help of Kenneth Schaffner, M. D. , Ph. D.

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.

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.

Physician Associate placements can be daunting - you'll be working in a range of settings and supporting patients with a variety of conditions. There are new colleagues to work with, and newly learned theories to put into practice. This pocket guide is designed to make your placements much more enjoyable and less stressful. From ABCDE assessment to professionalism, it's full of practical detail, hints and tips. Written by two highly experienced Physician Associate educators with key input from students - this guidance is really produced with you in mind. Pocket-sized format - carry it with you at all times. Space to make your own notes - be it new terminology, your learning objectives, or just the names of your new colleagues! Be proactive and make the most of your placements by having this book to hand from the start.

A new, fully updated edition of the world's most famous book on liver diseases--with updating of all areas and inclusion of new specific topics, by internationally renowned specialists This brand new edition of the classic book on hepatology provides a concise, clearly presented and well-structured review across the whole spectrum of hepatobiliary diseases by some of the world's leading hepatologists and hepatobiliary specialists. Where many other hepatology textbooks provide detailed accounts of basic science and clinical management, Sherlock's Diseases of the Liver and Biliary System, 13th Edition takes a different approach. Concentrating on the clinical decisions to be taken and the relevant supporting data, it is written and edited to maintain Sheila Sherlock's unique approach, in particular the clarity and layout of the text, and the explanatory figures and tables. The book is thus concise, highly accessible, and generously illustrated with over 700 attractive color figures. There is a pithy approach to each disease based both on evidence and on the authors' experience, the hallmark of this book. Based on these elements, the 12th edition was awarded first prize in the 2012 British Medical Association Book Awards in the Internal Medicine category. Sherlock's Diseases of the Liver and Biliary System begins by introducing the anatomy and function of the liver to readers, continuing then with in-depth coverage of liver biopsy techniques and interpretation, and fibrogenesis and its assessment. There are then chapters on all aspects of liver and biliary disease including acute liver failure, cirrhosis, portal hypertension, hepatic encephalopathy, ascites, hepatitis B and C, alcohol and the liver, non-alcoholic fatty liver disease, drug related liver reactions, cholestatic, autoimmune and genetic liver diseases, benign and malignant tumours and not least liver transplantation. There are also chapters on the liver in pregnancy, in the neonate, infancy and childhood, in systemic diseases and in infections. This new edition also features four new individual chapters focusing on coagulation, non-invasive assessment of fibrosis and cirrhosis; vascular diseases of the liver and portal vein thrombosis, and nutrition in liver disease. Digital downloads of the figures from this edition are offered on a companion website. Internationally recognized and loved, world-renowned hepatology book, first published in 1955 Takes a one-of-a-kind, clinical approach maintaining Sheila Sherlock's clarity and legacy of presentation Full colour throughout with 700 illustrative figures Wide faculty of international contributors Sherlock's Diseases of the Liver and Biliary System, 13th Edition is an ideal primer in hepatology for students and trainees in hepatology and gastroenterology, and a valuable resource for all specialist gastroenterologists and hepatologists, paediatricians, pathologists, radiologists, general physicians and specialist nurses.

As a follow up and review book to Dr. Robert Taylor's highly successful FAMILY MEDICINE: PRINCIPALS AND PRACTICE, TAYLOR'S FAMILY MEDICINE REVIEW will become an indespensible study guide for family practice residents preparing for certification exams, practioners preparing for recertification and medical students during their family practice clerkship. Complete with over 1,200 questions drawn directly from and keyed to FAMILY MEDICINE, this question and answer book will provide an extensive review all the issues confronted by family practitioners in clinical practice.

A PRIMER OF BIOMECHANICS is the first volume of its kind to present the principles of biomechanics with a highly clinical orientation. Dr. Lucas and his colleagues (specialists in biomechanics) have assembled a practical guide utilizing case presentations to make this very technical and complicated material palatable to the orthopaedic resident and practitioner. This "user-friendly" text is further enhanced by well integrated chapters covering all the basic materials and the latest information of this rapidly evolving field from the perspective of its useful application. Each case presentation is followed by a detailed, but easily understandable explanation of the biomechanical principles involved and includes protocols for treatment. This volume is a must-have for orthopaedic residents and practitioners.

The Yearbook compiles the most recent, widespread developments of experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in their field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediattrics, intensive care and emergency medicine. (With approximately 90 contributions.)

Sepsis is a syndrome or sometimes it is a clinical condition evoked by uncontrolled endotoxin-reactions. These pathophysiological alterations can disturb the organism's homeostasis leading ultimately to a condition of severe organ dysfunction which in itself means a bad prognosis for patient survival. In the last decades researchers and clinicians have been involved in process directed to a better understanding of the basic mechanisms of sepsis and MODS. The best goal will be the achievement of preventive measures and optimization of management in patients suffering severe infections and critical conditions. This objective represents a true challenge at the dawn of the XXI century.

This volume on scientific advances in critical care testing com piles a number of clinical and laboratory studies related to criti cally ill patients that involve new technology, therapy options, application or interpretation of new tests, patient management and cost benefits. There were a total of 340 applicants for this first International Federation of Clinical Chemistry-AVL Award, and from these, National Winners were selected in 26 member countries of the IFCC. This publication presents the full papers of the ten finalists among the National Winners selected for the international final held in London in July 1996. These ten were chosen by the Inter national Awards Committee of the IFCC. In addition, the editors have decided also to include their choice of the best abstracts from the National Winners, thus giving a broad overview of cur rent research being conducted in the field of critical care medi cine among IFCC members. In keeping with the title of this volume, all major fields of in tensive care medicine are represented, including inflammation, infection, stress, hypoxia, ischaemia, cardiology, haemodynamics, blood gases, electrolytes, trace -elements, nephrology, gastroenter ology and haematology. In addition, there is also a chapter on new technology in critical care testing and on miscellaneous top ics."

Das 4. Heidelberger Symposium uber "Hamostase in der Anasthesiologie" hat es sich zum Ziel gesetzt, fachubergreifend die noch ungelosten Fragen in der Hamostaseologie offenzulegen und auf der Basis einer kritischen Wertung der bekannten Studien klare Handlungsanweisungen fur den praktisch tatigen Arzt zu geben. Die angesprochenen Themen sind haufig in der Klinik auftretende Probleme wie die perioperative Einstellung von Hamophilen, die Betreuung von Patienten mit Massivtransfusion, Protein Z-Mangel, Lungenembolie, Katheterthrombose und Probleme der Gerinnungsanalyse und die Sicherheit von Praparaten mit Gerinnungsfaktoren. Das vorliegende Buch hat es sich zum Ziel gesetzt, den Leser uber die neuen Entwicklungen zu informieren und Anleitungen zum praktischen klinischen Handeln zu geben.

Der wirtschaftliche Druck auf Arzte nimmt standig zu. Fehlentscheidungen in der Arztpraxis kosten nicht nur Gewinn, sondern gefahrden die Selbstandigkeit.

Dieses Praxis-Buch hilft Ihnen

- die Erfolgsfaktoren Ihrer Arztpraxis zu steuern
- wirtschaftliches Handeln konkret anzuwenden
- fit in Fachausdrucken zu werden
- Gesprachskompetenz bei Steuerberatern, Anwalten, Banken und Behorden zu erlangen
- Ihren Erfolg zu planen

Steigern Sie Ihren Praxis-Erfolg in wenigen Schritten Konzentrieren Sie sich auf die wirklich wichtigen Massnahmen. Senken Sie Kosten und Steuern Mit zahlreichen Checklisten."