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This innovative text brilliantly describes over 900 classical and
current physical diagnosis signs, tests, and maneuvers associated
with over 500 diseases in an user-friendly two part format. The
first (text body) provides descriptions of specific signs, tests,
and maneuvers. The second part offers an alphabetical list of
diseases whose signature signs, tests, or maneuvers are elucidated
in the textual body. This lightweight reference book is bound
within a 5.5x8.5 inch laminated hardback cover for durability under
daily usage and for lab and suit coat pocket portability. Medical
providers, nursing personnel, medical administrators, paramedical
responders, entitlement program and insurance adjudicators,
licensing, certification and accrediting workers, as well as
attorneys managing medically related matters will find this text an
invaluable tool. Researched and authored by three authorities with
80 collective years experience in clinical medicine, medical
administration, academia, entitlement programs, medical
transcription and tort law, this text represents the standard
against which similar texts will be measured.
Hilariously funny and in many cases unbelievably believable. From a kid with a chemical laboratory in his bedroom where Peter would operate on frogs, to the hilarious experiences of a hospital Houseman, and the first few years of general practice. Also included are stories of a patient set alight in her bed, being trapped in the toilet with a patient and a colleague being defibrillated! It’s a story of childhood dreams to medical practice tribulations! Peter Desmarais graduated M.B, Ch.B at the University of Pretoria South Africa in 1971. He relates the funny side of his experiences at medical school, his internship at Addington hospital Durban and the first few years of his life as a general practitioner.
Evolution and Constitution for the first time brings together case
law and law based on norms. It offers the reader a survey and a new
explanation of evolutionary emergence of social contracts and
constitutions in the European history, and -after all - should help
to build a bridge between 'two cultures', science and humanities.
Comprehensive, practical and extensively illustrated, this book accumulates years of practical knowledge when dealing with injured birds of prey. Written by a practicing veterinarian it is a concise, helpful, day-to-day guide which outlines everything from handling and the intake examination, through to practical procedures and the treatment of a comprehensive range of conditions and injuries. Also covering advice on housing, rehabilitation and eventual release, and fully updated throughout, this new edition incorporates new images as well as new and expanded information on electrocution, pesticides, feeding puppets and species habitats. With plenty of new 'raptor tips' and questions, Raptor Medicine, Surgery, and Rehabilitation, 3rd Edition, includes handy hints, clinical pearls and retains its emphasis on practical procedures throughout. Forming a complete and approachable guide to raptor veterinary care, this book also features numerous rapid reference charts and appendices.
The mobility of medical school faculty has never before been the topic of a book or comprehensive article. In this seminal study, Dolores L. Burke explores medical faculty recruitment and termination policies and procedures. Her findings are based on personal interviews with 300 faculty members and mail responses from 49 others. She provides detailed information on constraining factors in the medical academic marketplace, the impact of public accountability on medical school faculty, and the essential character of medical schools as research institutions and providers of important services to the larger community. Burke concludes that recruitment policies must be formulated more strategically, that administrative structures need to be revised, and that the clinical base of medical research needs to be supported and maintained. Burke begins her study with an historical overview of medical education and the labor market for medical school faculty. She then considers the factors that shape the professional lives of medical faculty, including the choice of an academic career, the selection of a medical specialization, and the decision to change institutions. Useful appendixes discuss her research methodology in detail, and the numerous excerpts from interviews exemplify current concerns and opinions of medical school faculty. University administrators, policymakers, and those interested in medical education will find this volume an insightful contribution to a previously neglected area.
Mathematics in Medicine and the Life Sciences grew from lectures given by the authors at New York University, the University of Utah, and Michigan State University. The material is written for students who have had but one term of calculus, but it contains material that can be used in modeling courses in applied mathematics at all levels through early graduate courses. Numerous exercises are given as well, and solutions to selected exercises are included. Numerous illustrations depict physiological processes, population biology phenomena, models of them, and the results of computer simulations. Mathematical models and methods are becoming increasingly important in medicine and the life sciences. This book provides an introduction to a wide diversity of problems ranging from population phenomena to demographics, genetics, epidemics and dispersal; in physiological processes, including the circulation, gas exchange in the lungs, control of cell volume, the renal counter-current multiplier mechanism, and muscle mechanics; to mechanisms of neural control. Each chapter is graded in difficulty, so a reading of the first parts of each provides an elementary introduction to the processes and their models. Materials that deal with the same topics but in greater depth are included later. Finally, exercises and some solutions are given to test the reader on important parts of the material in teh text, or to lead the reader to the discovery of interesting extensions of that material.
"My struggles with mental illness were in some ways like a child crying out for attention; more than that they were a cry for help from the mind I felt trapped in. There was a darkness in me that many times swallowed me whole." This is how Keamogetswe Bopalamo introduces her account of her troubled early life. It is an intensely personal account, and yet it speaks to a reality much broader than itself. In the exciting whirl of South Africa’s post-apartheid society, there is this darker side: the confusions, the fears, the rebellions, the degradations and emotional pain. How does a young black girl cope when her parents are taken away as political detainees, or when she is repeatedly expelled from schools and hostels, or when she ends up in a mental institution after trying once again to end her own life? What I Wore offers startling answers.
As noted in Volume 1, the Yearbook series alternates between a biennial volume tracing recent theological discussions on topics in bioethics and a biennial volume tracing recent regional discussions in bioethics. Volume 2 provides for the first time a comprehensive single-volume summary of recent international and regional developments on specific topics in bioethics. To give uniformity to the discussions all authors were asked to report on the following topics: new reproductive technologies, abortion, maternal-fetal conflicts, case of severely disabled newborns, consent of treatment and experimentation, confidentiality, equitable access to health care, ethical concerns raised by cost-containment measures, decisions to withhold or withdraw life-sustaining treatment, active euthanasia, the definition of death, organ donation and transplantation. The internationally respected contributors report on the following 16 areas: the United States, Canada, Latin America, the United Kingdom and Ireland, France, the Netherlands, Germany/Austria/Switzerland, Eastern Europe, Spain/Portugal/Italy/Scandinavia, India, Southeast Asia, China, Japan, Australia/New Zealand, Council of Europe/EEC. The commentators draw on three sets of resources: Statutes, legislative proposals, and regulatory changes that directly influence, or have implications for, areas of bioethical concern; Case law and court judgments that shape, either decisively or suggestively, recent legal interpretations of particular issues of areas in bioethics; Formal statements of governmentally appointed commissions, advisory bodies, and representative professional groups, as well as less formal statements and recommendations of other organisations. In addition to providing timely summaries of recent developments, the volume offers rich and useful bibliographical references to a wide array of documents, many of which would be difficult for readers to learn about, given the lack of centralized international collection of such documents. The Yearbook should be widely consulted by all bioethicists, public policy analysts, lawyers and theologians.
Tuberculosis has been entwined with humanity for millennia. Once
romanticized as a malady of poets, today tuberculosis is seen as a
disease of poverty that walks the trails of injustice and inequity we
blazed for it.
CSA Revision Notes for the MRCGP is the ideal book to help you to revise and prepare for the CSA part of the MRCGP exam. The latest edition features new material on: Constipation in adults Cough Dupuytren's contracture Eating disorders Frailty assessment Gender dysphoria Gout Inguinal hernia Prediabetes Starting HRT Varicose veins Visual loss A standardised format is used throughout to help you to improve your: data gathering - a broad range of appropriate questions to ask the patient are provided and red flags are highlighted where appropriate interpersonal skills - each clinical problem is described using terms that you can use in your explanations to patients clinical management - tells you which examinations to consider, which investigations to order, and how to manage each clinical problem based on the latest guidelines and current best practice consultations - to help you practise, every clinical case features a realistic role play scenario.
When confronted by the concerns of human sexual function or dys function, American medicine finds itself well impaled on the horns of a dilemma. Currently it is acceptable medical practice to treat sexual dysfunctions, disorders, or dissatisfactions that arise from psy chogenic etiologies, endocrine imbalances, neurologic defects or are side effects of necessary medication regimes. In addition, implanta tion of penile prostheses in cases of organic impotence is an increas ingly popular surgical procedure. These clinical approaches to sexual inadequacies, accepted by medicine since 1970, represent one horn of the dilemma. The opposite horn pictures the medical profession firmly backed into a corner by cultural influences. For example, when hospital admissions occur, a significant portion of the routine medical history is the section on system review. A few questions are asked about the cardio-respiratory, the genito-urinary, and the gastro-intestinal sys tems. But in a preponderance of hospitals no questions are permitted or, if raised, answers are not recorded about human sexual functioning. Physicians tend to forget that they are victims of cultural imposition first and of professional training a distant second."
The encounter between patient and physician may be characterized as the focus of medicine. As such, the patient-physician relationship, or more accurately the conduct of patients and physicians, has been the subject of considerable comment, inquiry, and debate throughout the centuries. The issues and concerns discussed, apart from those more specifically related to medical theory and therapy, range from matters of etiquette to profound questions of philosophical and moral interest. This discourse is impressive with respect both to its duration and content. Contemporary scholars and laypeople have made their contribution to these long-standing discussions. In addition, they have actively addressed those distinctively modern issues that have arisen as a result of increased medical knowledge, improved technology, and changing cultural and moral expectation. The concept of the patient-physician rela tionship that supposedly provides a framework for the conduct of patients and physicians seemingly has taken on a life of its own, inviolable, and subject to norms particular to it. The essays in this volume elucidate the nature of the patient-physician relationship, its character, and moral norms appropriate to it. The purpose of the collection is to enhance our understanding of that context, which many consider to be the focus of the entire medical enterprise. The con tributors have not engaged in apologetics, polemics, homiletics, or em piricism."
After putting down this weighty (in all senses of the word) collection, the reader, be she or he physician or social scientist, will (or at least should) feel uncomfortable about her or his taken-for-granted commonsense (therefore cultural) understanding of medicine. The editors and their collaborators show the medical leviathan, warts and all, for what it is: changing, pluralistic, problematic, powerful, provocative. What medicine proclaims itself to be - unified, scientific, biological and not social, non-judgmental - it is shown not to resemble very much. Those matters about which medicine keeps fairly silent, it turns out, come closer to being central to its clinical practice - managing errors and learning to conduct a shared moral dis course about mistakes, handling issues of competence and competition among biomedical practitioners, practicing in value-laden contexts on problems for which social science is a more relevant knowledge base than biological science, integrating folk and scientific models of illness in clinical communication, among a large number of highly pertinent ethnographic insights that illuminate medicine in the chapters that follow."
CATHOLIC PERSPECTIVES AND CONTEMPORARY MEDICAL MORALS A Catholic perspective on medical morals antedates the current world wide interest in medical and biomedical ethics by many centuries 5]. Discussions about the moral status of the fetus, abortion, contraception, and sterilization can be found in the writings of the Fathers and Doctors of the Church. Teachings on various aspects of medical morals were scattered throughout the penitential books of the early medieval church and later in more formal treatises when moral theology became recog nized as a distinct discipline. Still later, medical morality was incorpor ated into the many pastoral works on medicine. Finally, in the contemporary period, works that strictly focus on medical ethics are produced by Catholic moral theologians who have special interests in matters medical. Moreover, this long tradition of teaching has been put into practice in the medical moral directives governing the operation of hospitals under Catholic sponsorship. Catholic hospitals were monitored by Ethics Committees long before such committees were recommended by the New Jersey Court in the Karen Ann Quinlan case or by the President's Commission in 1983 ( 8, 9]). Underlying the Catholic moral tradition was the use of the casuistic method, which since the 17th and 18th centuries was employed by Catholic moralists to study and resolve concrete clinical ethical dilem mas. The history of casuistry is of renewed interest today when the case method has become so widely used in the current revival of interest in medical ethics ll]."
This book has been specifically designed to help GP trainees pass the compulsory AKT examination. Each topic has been skilfully refined to correlate directly with primary care and the RCGP curriculum, revealing how and why critical appraisal and evidence based medicine are essential for good medical practice throughout a career as an independent, knowledgeable, caring and thoughtful general practitioner. It includes invaluable preparation suggestions and an overall outline of the AKT, an introduction to statistics and qualitative methods, quantitative methods, epidemiology, common research methods and outcomes, useful tests used in epidemiological studies, research ethics, measures of mortality and economic analyses. Each chapter features unique, topic specific questions to reinforce comprehension, with an entire final chapter devoted to sample questions, comprehensively testing expertise and developing confidence. Ideal for revision and self-examination, RCGP AKT: Research, Epidemiology and Statistics gives GP trainees vital edge when preparing for the AKT. |
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