This book explores the pathophysiology, clinical assessment and management of the obese patient in the context of serious chronic disease, as well as the political and environmental aspects, including prevention. The book's approach of arriving at an exploration of these issues through the vehicle of assessing the controversies is unique and interesting, attempting to debunk the myths and explore the genuine science whilst demonstrating areas where healthy debate is rife.

Long-term oxygen therapy (LTOT) usually represents the final step in the management of severe chronic respiratory diseases: a large proportion of patients suffering from these conditions is involved and the corresponding impact for the Health Institutions and the Society is dramatically increasing. Although LTOT is well known and widely used since long ago in most modern countries, it still represents a challenging topic due to the huge amount of variables which can affect both its efficacy and effectiveness. Unfortunately, patients, doctors, care-givers, together with health institutions and political decision makers frequently have different visions on LTOT, thus highly contributing to obtain uneven results and changing outcomes. The focus of this volume is on new insights and novel perspectives of LTOT. Starting from consolidated experiences, it's aim is also to emphasize the strategic value of developing technologies and innovative organizational models uniquely to find out even more opportunities and advantages for the management of chronic respiratory patients needing long-term oxygen treatment.

The Most Comprehensive, State-of-the-Art Book on Using Gene and Cell Therapy in Clinical Medicine Gene and Cell Therapy: Therapeutic Mechanisms and Strategies, Fourth Edition presents extensive background and basic information, state-of-the-art technologies, important achievements, and lingering challenges in the fields of gene and cell therapies. The fourth edition of this bestseller continues to provide the most comprehensive coverage of these fields in one volume. Some chapters have expanded introductions, making the book even more suitable for classroom use. This edition also offers more material on the contributors' research efforts as well as current technologies, disease targets, and clinical applications. Divided into four sections, the book covers: Delivery systems and therapeutic strategies Other therapeutic strategies, including technologies that knock down gene expression Gene expression, regulation, and detection Gene and cell therapies, disease targets, clinical trials, and regulatory issues Accessible to a broad audience, including students, scientists, physicians, and lay people, this book provides readers with up-to-date, interdisciplinary knowledge and tools to tackle the evolving areas of gene therapy, cell therapy, and tissue engineering. From introductory information to state-of-the-art technologies and concepts, the book helps readers understand vector design and construction, delivery systems, therapeutic strategies, gene expression and detection, disease targets, clinical applications and trials, cell-based therapies, novel imaging systems, gene regulation, and regulatory affairs.

A dramatic and worldwide increase is occurring in the prevalence of overweight and obesity in women of childbearing age. Obese women carry a significant excess risk of a variety of serious complications during pregnancy, and in addition, maternal obesity predisposes to obesity in the offspring. This book provides a timely update on the latest knowledge on maternal obesity and pregnancy. A very wide range of issues are covered, including macrosomia and associated shoulder dystocia; the risk of miscarriage, malformations, and complications of pregnancy; the impact of hyperglycemia; clinical management; consequences for anesthesia and ultrasound; impacts on breastfeeding, fertility, and childhood obesity; and pregnancy following gastric surgery. All of the authors are recognized experts in their fields, and the book has been designed to meet the practical needs of obstetricians, gynecologists, internists, and general practitioners.

This 1983 book reports the proceedings of the eleventh European symposium on clinical pharmacy which was held in Brussels in October 1982. The theme of the symposium was the concept of the therapeutic team and the relative contributions and responsibilities of pharmacists, nurses and physicians to the planning and implementation of drug treatment regimens. The first section of the volume provides an introduction to the concept of the therapeutic team and reflects the views several medical professionals. The later sections cover the practice of the therapeutic team in parenteral nutrition, oncology, dermatology, epilepsy, internal medicine, nuclear medicine and drug selection. Not only did this book review achievements and experiences in clinical pharmacy, but it also looked towards the future of clinical pharmacy development in Europe. It will still be of significant interest to clinical pharmacy specialists today.

The aim of this book is to provide clear and concise information about the safe prescribing of insulin both subcutaneously and intravenously. It provides information on the different types of insulin, the delivery devices, side effects of insulin and, most importantly, on rational dose adjustment.

Obesity During Pregnancy in Clinical Practice highlights the medical evidence on obesity in the postpartum and interconception period, arming clinicians with the knowledge necessary to communicate with their patients on the effect of these changes on diabetes, cardio vascular disease and certain cancers. Obesity During Pregnancy in Clinical Practice provides concise and understandable summaries of the evidence-based, theory-driven lifestyle interventions that have been shown to be effective for weight loss and modifying the risk of developing diabetes and obesity.

There is an urgent need to better understand the causes and consequences of obesity, and to learn what works to prevent or reduce obesity. This volume accurately and conveniently summarizes the findings and insights of obesity-related research from the full range of social sciences including anthropology, economics, government, psychology, and sociology. It is an excellent resource for researchers in these areas, both bringing them up to date on the relevant research in their own discipline and allowing them to quickly and easily understand the cutting-edge research being produced in other disciplines. The Oxford Handbook of the Social Science of Obesity is a critical reference for obesity researchers and is also valuable for public health officials, policymakers, nutritionists, and medical practitioners. The first section of the book explains how each social science discipline models human behavior (in particular, diet and physical activity), and summarizes the major research literatures on obesity in that discipline. The second section provides important practical information for researchers, including a guide to publicly available social science data on obesity and an overview of the challenges to causal inference in obesity research. The third part of the book synthesizes social science research on specific causes and correlates of obesity, such as food advertising, food prices, and peers. The fourth section summarizes social science research on the consequences of obesity, such as lower wages, job absenteeism, and discrimination. The fifth and final section reviews the social science literature on obesity treatment and prevention, such as food taxes, school-based interventions, and medical treatments such as anti-obesity drugs and bariatric surgery.

Regulating Obesity?: Government, Society, and Questions of Health explores the effectiveness of legal interventions aimed at promoting healthier lifestyles. In it, W.A. Bogart suggests that the government's emphasis on encouraging weight loss and preventing excess gain have largely failed to resolve obesity and have instead fueled prejudice against fat people. He suggests that a major challenge lies in shifting norms away from stigmatization of the obese and towards more nutritious and healthy lifestyle habits in addition to the acceptance of bodies in all shapes and sizes. Part of this challenge lies in the complex effects of law and its relationship with norms, including the unintended consequences of regulation. Regulating Obesity? begins by arguing for the protection of the overweight and obese from discrimination through human rights laws. It then examines three other areas of interventions-marketing, fiscal policy, and physical activity-and how these interventions operate within the context of "health equity." Professor Bogart evaluates the effectiveness of legal regulation in addressing obesity and concludes that a healthier population is more important than a thinner population. Regulating Obesity? is the first book to engage in the comprehensive evaluation of this role for law and the implications of society's fascination with regulating consumption.

Starting out in practice can be difficult and confusing. This guide for newly qualified occupational therapists provides an authoritative overview of what to expect in your role and work settings, and is full of practical guidance on how to make a good start to a successful practice. With chapters by experienced practitioners in the field, it offers insights into work in paediatrics, mental health, learning disability and the acute hospital setting. Vital information is also included on difficult aspects of practice such as legislation and data protection. It signposts sources for support and resources for furthering techniques in individual areas of work. Most importantly, the book offers tips for managing a busy workload, while building the positive relationships and resilience needed for a successful career in the occupational therapy.

Clear, step-by-step guidelines show how to perform Physical Therapy procedures! Joint Mobilization/Manipulation: Extremity and Spinal Techniques, 3rd Edition is your go-to resource for evidence-based Interventions treating conditions of the spine and extremities. New full-color photos and illustrations show detail with added realism, and 192 online videos demonstrate the major techniques described in the book. Written by rehabilitation and movement sciences educator Susan Edmond, this text provides current, complete information ranging from the principles of examination and evaluation to making effective manual therapy interventions. Illustrated descriptions of joint mobilizations make procedures easy to understand and then perform. Unique focus on spine and extremities provides an all-in-one resource for essential information. Contraindications, precautions, and indications are included for each joint mobilization to reinforce clinical decision-making. Clearly labeled photos show the direction of force for each therapy technique. Evidence-based information at the beginning of each chapter provides the latest research and rationales for specific procedures. Cervical Spine chapter includes mobilization techniques such as Paris cervical gliding, Grade V (thrust), and muscle energy. Guidelines to the examination of joint play of the spine include current, evidence-based research. Coverage of osteokinematic and arthrokinematic motion, and degrees of freedom, provides perspective on the body planes. 23 NEW videos demonstrate each step of manual therapy techniques. NEW full-color photos and illustrations show techniques with a higher degree of clarity and realism. NEW mobilization and manipulation techniques include step-by-step videos for each. UPDATED research makes this book the most current, evidence-based text available on manual therapy of the spine and extremities.

Cardiopulmonary Physical Therapy: Management and Case Studies, Second Edition is a unique and succinct textbook for the classroom that blends clinical notes on assessment and management together with case-based instructional approaches to cardiopulmonary care for acute and ambulatory care patients. This one-of-a-kind text describes current approaches that cover traditional physical therapist management strategies and includes evidence-based chapters on early mobilisation and exercise training on a wide range of cardiopulmonary patient groups. The updated Second Edition presents twenty-four cases that were designed to complement each chapter topic and represent the most common pulmonary, cardiac, and neurological conditions that are typically managed in cardiopulmonary care. These cases have been carefully selected and developed over several years to illustrate a spectrum of clinical issues essential for the preparation of the entry-level therapist. The very interactive nature of the case history approach is engaging and provides the opportunity to work through many of the steps of the clinical decision-making process. Cardiopulmonary Physical Therapy: Management and Case Studies, Second Edition also includes answer guides for the questions posed in the assessment and management chapters, as well as for the twenty-four cases. New in the Second Edition: Twenty-four carefully selected evidence-based cases designed to go "hand-in-hand" with chapter topics An international perspective that is relevant to physical therapy practice in several countriesDetailed chapter on non-invasive ventilation and mechanical ventilationSeveral chapters describe early mobilisation and exercise training for a range of cardiopulmonary patient groups including those admitted to an intensive care unitFaculty will benefit from the "Talk Me Through" PowerPoint slides, which provide a great opportunity for independent learning and complement classroom teaching The two-fold evidence and case-based learning approach used by Dr. W. Darlene Reid, Frank Chung, and Dr. Kylie Hill allows for a more engaging experience. The inclusion of interactive materials will allow students to learn and develop skills to prepare themselves for their professional transition while clinicians can use the text as a reference tool.

Improvisation plays a key role in the toolbox of the music therapist. Tony Wigram's practical and comprehensive guide and online content will prove indispensable to students, teachers, therapists and musicians as a book of musical techniques and therapeutic methods. Beginning with an overview of developing, teaching and analysing the skills of improvisation, Wigram describes techniques ranging from warming up to mirroring, rhythmic grounding, containing and holding. With specific sections on piano improvisation, chordal and 2-, 3- and 4- note improvisation are covered, in addition to advanced skills such as frameworking and transitions. Wigram also includes techniques for thematic improvisation, group improvisation and outlines methods for analysing and reporting improvisational processes. Notated examples allow readers to try out techniques and progress as they read, with audio examples on the accompanying online content adding another dimension to the structure and guidance provided for all levels of music student and therapist.

Childhood obesity and its co-morbidities -- including type 2 diabetes, hypertension, dyslipidemia, sleep apnea, and fatty liver disease -- have seen striking increases in recent years. Despite a wealth of investigation, there is considerable controversy regarding the etiology of childhood obesity and the optimal approaches for prevention and treatment. Pediatric Obesity: Etiology, Pathogenesis, and Treatment addresses the controversy with a range of features that make it a unique resource for those who care for obese children and their families. Written from a perspective that is international in scope, the distinguished authors re-assess the roles of genetic and environmental factors in the pathogenesis of childhood obesity and critically review new studies of the effects of lifestyle, pharmacologic, and surgical interventions. The evidence-based approach of Pediatric Obesity: Etiology, Pathogenesis, and Treatment provides a comprehensive and invaluable guide for all healthcare providers concerned with the evaluation and care of children with nutritional and metabolic disease and with the societal implications of the obesity epidemic.

With the advent of the worldwide obesity epidemic, a concurrent rise has occurred in the prevalence of type 2 diabetes mellitus and metabolic syndrome. Type 2 diabetes mellitus is affecting younger individuals-the disease is no longer exclusive to adulthood. Diabetic micro- and macrovascular complications are also occurring at an earlier age, leading to increasing demands and costs on the healthcare system. In addition, the morbidity, disability and premature death caused by diabetic complications create a huge burden to families, employers and society at large. Thankfully, there has been a tremendous growth in new therapeutic classes of medications to help manage type 2 diabetes mellitus. These agents target many of the pathophysiologic defects of the disease with fewer side effects than the older agents. Newer insulin formulations have more predictable kinetics so patients can achieve better glycemic control with less risk of hypoglycemia and weight gain. Insulin delivery devices have also improved to include higher quality insulin pens, finer and shorter pen needles, and more technologically advanced insulin pumps. As part of the Oxford American Endocrinology Library series, this handbook reviews the epidemiology and pathophysiology of obesity and type 2 diabetes mellitus. The content covers micro- and macrovascular diabetic complications, the array of glucose regulating therapies, treatment algorithms targeting the pathophysiologic defects of type 2 diabetes mellitus as well as strategies for macrovascular risk reduction via therapeutic lifestyle change (diet, exercise, smoking cessation), pharmacotherapeutic treatment of dyslipidemia and hypertension, bariatric surgery and subcutaneous insulin infusion therapy, among other topics. Because of the concise yet comprehensive nature of the handbook, this volume is an excellent point-of-care reference for the clinician who regulary treats obese and diabetic patients.

Regain Be Gone is the only resource readers need to help them keep weight regain at bay after bariatric surgery. With 20 years of training in the field of bariatrics, trusted dietitian Sameera Khan shares strategies toward a balanced, stress-free weight-loss journey so that readers can feel confident, powerful, and successful. Weight regain is a manageable setback that can be reversed with a little effort and guidance. The longer one ignores it, the harder it is to regain lost ground, so act now. Regain Be Gone is the only resource people need to help them keep weight regain at bay after bariatric surgery.

Effectively earn a high score on the new 2020 NBRC credentialing examination with Respiratory Care Exam Review, 5th Edition. This new edition contains everything you need to review and prepare for the Therapist Multiple-Choice Examination and the advanced Clinical Simulations Exam that closely aligns with the NBRC's new testing format. It includes over 800 questions (both multiple choice and open ended) within the text and online. Also on the accompanying Evolve website is both the Therapist Multiple-Choice Exam and twenty clinical simulations to provide additional practice and familiarize you with the computerized exam format. 2020 NBRC Detailed Content Outline and examination matrix are reflected in the updated text so you know exactly what to expect on the exams. Comprehensive, yet concise approach utilizes a simple, straightforward outline format that is easy to follow. Pre-tests of several multiple-choice questions are formatted like those found on the NBRC TMC and begin each chapter. Open-ended post-chapter study questions help reinforce information. Practice exam mirroring the new TMC is included at the back of the book with the answer key and rationales on Evolve. Clinical Simulations on Evolve reflect the new quantity of simulations (20) and the newly revised length of these sims on the actual 2020 Clinical Simulation Exam (CSE). Practice Exams on Evolve are available in both study (untimed) and exam (timed) modes to provide an additional opportunity to practice and experience the actual NBRC testing environment in a computerized format. NEW! Thoroughly updated content incorporates the new 2020 NBRC Exam Content Outline. NEW! Extensively updated questions have been added throughout the text and online resources. NEW! Chapter-specific revisions include updates in the following areas: oxygen delivery devices endotracheal tube maintenance (cuff pressure, minimal leak, and occlusive volume techniques) bronchscopy (bronchoscopy) CPR procedures hyperinflation devices new drugs pulmonary rehabilitation FeNO

When all you need is a basic understanding of the human nervous system, look to Cram Session in Functional Neuroanatomy: A Handbook for Students & Clinicians. This handbook gives you basic information in a readily accessible format, as well as more detailed concepts that will allow you to better understand not only how the human nervous system works, but how injuries and disease affect experience and behavior, including cognitive and intellectual functions. Cram Session in Functional Neuroanatomy: A Handbook for Students & Clinicians by Dr. Michael F. Nolan is a concise and illustrated quick reference that highlights important anatomical and physiological principles of the nervous system. These key points will enhance understanding of the nervous system and how specific populations of nerve cells and neural systems influence human experience and behavior. WHAT IS IN YOUR CRAM SESSION: * Concise and focused explanations of topics specifically related to neuroanatomy * Topic self-assessment questions formatted as short answer exercises, ideal for exam review and preparation * List of laboratory structures -- an excellent tool to aid faculty with additional methods of learning * More than 75 photographs and illustrations Instructors in educational settings can visit www.efacultylounge.com for additional material to be used for teaching in the classroom. Cram Session in Functional Neuroanatomy: A Handbook for Students & Clinicians is a perfect text for physical therapy students and other medical and health professionals in neurology and neurosurgery.

One of the best kept secrets in the treatment of mood and anxiety disorders is the proven efficacy of a program of exercise, which has many benefits on mood, but has yet to be widely adopted as a therapeutic technique. This therapist guide provides guidance for care providers who want to apply exercise-based interventions to the treatment of mood and anxiety disorders.
The interventions described can be applied in a variety of settings ranging from primary care to specialty care in the context of psychological, psychiatric, nursing, or social work settings. Treatment is organized around a weekly prescribed activity program, with an emphasis on teaching patients strategies for staying motivated and organized in order to ensure adherence to the program. In addition to the actual exercise prescription, treatment is directed toward helping individuals get the most out of exercise by programming post-exercise cognitive processing and exercise-friendly activities.
Introductory chapters of this guide describe the intervention and how to initiate it with patients, while later chapters focus specifically on using exercise to combat depression, including bipolar disorder, as well as stress, worry, and panic. This manual provides an integrated approach to establish exercise programs targeting mood and anxiety disorders and also provides useful cognitive and behavioral interventions designed to support these programs.

Dr Frankel's study of the rapid transformation of traditional medical care among the Huli of New Guinea by Western treatments strikingly combines the methods of social anthropology and epidemiology. Until the 1950s the Huli used only their own form of therapy, including symptomatic treatments, specialist surgery and major ritual intended to enlist the support of spirits. Since then, superficially at least, there has been a rejection of many traditional measures and a corresponding enthusiasm for Western treatments underpinned by Christianity. The Huli Response to Illness analyses the rich network of traditional belief relating to the classification and causation of illness, patterns of disease, historical experience, and the organisation of society. The methodological approach presented is notable not only for the study of medical pluralism, but also for examining the conditions which may influence responses to programmes of health improvement. The study as a whole integrates material conventionally divided between anthropological and medical texts and powerfully demonstrates the limitations of this traditional separation.

Challenging the idea that the corporate 'war' against childhood obesity is normal, necessary, or harmless, this book exposes healthy lifestyles education as a form of mis-education that shapes how students learn about health, corporations, and consumption. Drawing on ethnographic research and studies from across the globe, this book explores how corporations fund, devise, and implement various programmes in schools as 'part of the solution' to childhood obesity. Including perspectives from children, teachers, school leaders, and both public and private external providers on how children's health and 'healthy consumption' is understood and experienced, this book is divided into eight accessible chapters which include: Schooling the childhood obesity 'crisis'; The corporate 'gift' of healthy lifestyles; 'Coming together' to solve obesity; Learning about health, fatness, and 'good' choices; and Shaping the (un)healthy child-consumer Schools, Corporations, and the War on Childhood Obesity is the perfect resource for postgraduate students and academics working in the public health or education field, or those taking courses on the sociology of education, health and physical education, curriculum, pedagogy, ethnography, or critical theory, who are looking to gain an insight into the current situation surrounding obesity and health in corporations and schools.

The only available resource to provide cutting-edge, in-depth coverage of the links between obesity and anesthesia in surgery, the reader-friendly Handbook of Perioperative Anesthesia: Complications and Challenges of the Obese Patient guides the practicing anesthesiologist through each stage of surgery for the obese patient. This clinically relevant text thoroughly illustrates the unique challenges and complications the anesthesiologist faces when supervising and administering drug delivery during surgery. Practical and hands-on, this source also advises the anesthesiologist on how to avoid potential risks and ensure speedy patient recovery post-operation. Easily referenced, this handbook clearly addresses treatment and management of the obese patient in the three chronological stages of surgery: Preoperative - includes information on systemic patient evaluation and surgery preparation, emphasizing related areas of concern in the obese patient (cardiac, pulmonary, endocrine, and others) to help the anesthesiologist foresee how a patient will fare during surgery Intraoperative - provides a thorough discussion of the latest in procedural technique, drug and fluid administration, patient monitoring, and airway management Postoperative - steps the anesthesiologist can take following surgery to optimize patient results In addition, this handbook explores special situations that anesthesiologists may encounter during surgery, including the needs of pregnant and pediatric patients, as well as patients with needs outside of the hospital setting.

Acupressure is an ancient healing art which uses the fingers to press key points on the surface of the skin and stimulate the body's natural self-curative abilities. Safe and easy to learn, with no drug-induced side effects, Acupressure gives you the potential to improve your health and increase your vitality. It includes: Simple techniques to relieve problems such as headaches, arthritis, colds, fatigue, insomnia, backache and depression; Pressure point maps and exercises to relieve pain and restore function; A 5-minute acupressure routine to maintain health and relieve stress; A way to complement conventional medical care and take a vital role in becoming well and staying well

Hurt No More

No one who works at a computer or drives a car will be surprised to learn that neck pain is on the rise. About 70 million people in the United States have had neck pain, and the incidence is increasing. Like back pain, neck pain can become a constant plague that is both mysterious and difficult to treat.

Here at last is help. In What to Do for a Pain in the Neck, one of today's leading experts on neck pain provides a broad range of treatments and preventive measures so that you do not have to learn how to live with pain -- you can banish it.

Combining his own extensive experience with the best scientific information available, Dr. Jerome Schofferman presents strategies ranging from such simple tips as rearranging your desk, workstation, and computer height to daily exercise routines to aggressive treatments requiring professional care. Among the areas he explores in depth are

• Potential causes of neck pain
• Neck-related headaches
• Whiplash (including the effects of litigation on the rate of recovery)
• What to expect from a chiropractor or physical therapist
• Over-the-counter and prescription pain medications
• Acupuncture, meditation, magnet healing, massage, and other complementary therapies
• First aid for intermittent flare-ups