For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 4, Medicine, covers medical emergencies and includes new material on the use and interpretation of capnography, the role of CPAP in respiratory diseases, comprehensive coverage of cardiology, more information about stroke therapy and similar treatments, current toxicological practices, more material on drug-induced psychosis and similar problems, and a new chapter on non-traumatic musculoskeletal disorders.

Appropriate for Paramedic courses and courses in EKG Interpretation The value of over 30 years of combined EMS educational experience enables Brenda M. Beasley and Michael West to bring a unique and insightful approach to the topic of 12-lead EKGs and their interpretation. The authors have presented a complex yet vitally important subject in a comprehensive, straightforward, and easy-to-understand format. UNDERSTANDING 12-LEAD EKGS, 3/e serves a wide audience of health-care providers, including prehospital providers, nurses, physician assistants, respiratory therapists, and anyone requiring a thorough understanding of electrocardiography. I believe that this book fills a void in the subject matter of EKG interpretation. It demonstrates the ability to educate medical personnel who are new to the subject matter while providing a review to those who are more experienced. Using a reader-friendly writing style, the authors create a text that begins with the basics of EKG interpretation and then introduces a building-block approach to a more detailed discussion of this topic. Many illustrations, tables, and graphs are used to help highlight the important issues of each topic. Also, the reader will find the review questions at the end of each chapter useful in helping to solidify knowledge of salient issues.

This issue of Physician Assistant Clinics, guest edited by Heather P. Adams, MPAS, PA-C and Aleece R. Fosnight, PA-C, is devoted to Women's Health. Articles in this issue include: Female Athlete Triad; Sexual Health Counseling for the Gynecologic Provider; Overcoming Barriers to LARCS; PCOS; Benign Breast Disease; Menopause; Female Hypoactive Sexual Desire Disorder (HSDD); HIV and Pregnancy: Medication management, delivery options, and postpartum complications; Adolescent GYN and HPV: Oral, anal, and cervical; Challenging Vaginitis; Infertility and Non-invasive Prenatal Testing; Pregnancy Centering: A Novel Approach to Prenatal Care; The Role of Pelvic Floor Physical Therapy for the Female Patient; and Diagnosis and Management of Recurrent Miscarriages.

ADHD Complex: Practicing Mental Health in Primary Care, written by Dr. Harlan Gephart, provides a comprehensive review of key subjects of importance for primary care and family practitioners to help them better assess, diagnose, treat, and manage patient populations with ADHD. Dr. Gephart, Emeritus Clinical Professor of Pediatrics at University of Washington, has used his many years of experience and practice with this patient population to put together this helpful guide. Rating scales, questionnaires, and behavior checklists Identifying, screening, diagnosing, and treating learning problems in children and adolescents General principles of multi-modality treatments ADHD with coexistent psychiatric and behavioral disorders Resources for clinicians, parents, and patients

In recent decades, American medicine has become increasingly politicized and politics has become increasingly medicalized. Behaviors previously seen as virtuous or wicked, wise or unwise are now dealt with as healthy or sick--unwanted behaviors to be controlled as if they were health issues. The modern penchant for transforming human problems into diseases and judicial sanctions into treatments, replacing the rule of law with the rule of medical discretion, leads to the creation of a type of government social critic Thomas Szasz calls pharmacracy.

Medicalizing troublesome behaviors and social problems is tempting to voters and politicians alike: it panders to the people by promising to satisfy their needs for dependence on medical authority and offers easy self-aggrandizement to politicians as the dispensers of more and better health care. Thus, the people gain a convenient scapegoat, enabling them to avoid personal responsibility for their behavior. The government gains a rationale for endless and politically expedient wars against social problems defined as public health emergencies. The health care system gains prestige, funding, and bureaucratic power that only an alliance with the political system can provide.

However, Szasz warns, the creeping substitution of pharmacracy for democracy--private medical concerns increasingly perceived as requiring a political response--inexorably erodes personal freedom and dignity. "Pharmacracy: Medicine and Politics in America" is a clear and convincing presentation of this hidden danger, all too often ignored in our health care debates and avoided in our political contests.

This book examines the drivers of inbound medical tourism in Germany. In light of growing international trade of medical services, it provides a quantitative analysis of the determinants of international patients' choice of destination. It develops coherent definitions of medical tourism and medical travel, and presents multiple unique data sets to identify inbound medical travelers in Germany. Further, it introduces an empirical modeling framework for investigating and quantifying the drivers and effects of a patient's choice of destination at the national, hospital and individual level. A particular focus of the analysis lies on cultural proximity and personal networks as key channels to convey trust in a destination's service. In addition, real consideration sets of international patients are presented. The findings presented are embedded in a global context and will help inform future empirical investigations and modeling.

This volume takes a fresh look at the problems of designing effective and humane service care delivery systems for the seriously mentally ill. The author addresses a number of major themes, including the differing definitions of mental illness and the differing treatment technologies that have logically developed from them, the varying theories regarding the structure and design of the service delivery system, and the policy dilemmas that lead to inconsistent and inequitable treatment. Demonstrating that there are wide areas of agreement among the disputing professionals. Chandler offers guidelines for finding these zones of agreement and achieving a consensus for realistically improving the system of care. The focus throughout is on the development of practical problem-solving strategies for professionals, advocates, patients, and their families. A particularly valuable feature is the inclusion of an in- depth case study that demonstrates the application of effective conflict resolution techniques in the mental health setting.

Following an introductory overview of the persistent problems of people with mental illnesses, Chandler analyzes the recurring themes and issues that have surrounded the mental health field since its earliest conception. She goes on to examine such issues as the failure of the deinstitutionalization policies for the seriously and persistently mentally ill and the changing roles and responsibilities of state and local governments, families, mental health providers, and welfare agencies. The remaining chapters explore the nature of advocacy in the mental health field. Chandler describes the framework and belief structures of prominent advocacy organizations, discusses the advocacy wars among the organizations and agencies whose goal it is to help the mentally ill, and delineates a negotiation strategy for meeting the needs of the mentally ill. Topics such as the rise of the National Alliance for the Mentally Ill, the growth of patient rights groups, and strategies for altering the definitions of mental illness receive extended treatment. In the final chapter, Chandler outlines the knowledge necessary to understand the complex issues surrounding the mentally ill and the skills necessary to work successfully in this field.

For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 2, Paramedicine Fundamentals, covers basic paramedic-level knowledge in pathophysiology, human life-span development, and pharmacology. It also covers key advanced-level skills in intravenous access and medication administration as well as airway management and ventilation.

For courses in Paramedic Emergency Medical Services. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 1, Introduction to Paramedicine, provides paramedic students with the principles of advanced prehospital care and EMS operations, including an overview of the various aspects of paramedic practice as well as an introduction to workforce safety and wellness, EMS research, the EMS role in public health, legal and ethical considerations, and EMS system communications and documentation.

This book presents an extensive study on the effectiveness of recent regulations on pharmaceutical prices in India, exploring the weaknesses in the design and implementation of pharmaceutical price controls and investigating what can be done to fix the broken system. In addition, it examines the extent to which essential medicines are actually made affordable by price controls. The book argues that companies make the pharmaceutical price control regime largely ineffective by coordinating to increase pre-regulation prices; by diversifying horizontally away from the regulated markets and increasing prices in the unregulated markets; by manipulating trade margins; and by refusing to comply with the regulation because the penalties remains negligible. The book draws on extensive empirical research involving India's 2013 Drug Price Control Order and widely-used medicines such as paracetamol and metformin to illustrate how firms have weakened regulation. It argues that the regulatory regime can be strengthened by using systematic analysis of product- and region-level data in the Indian pharmaceutical industry, and by screening for the strategies that firms currently employ to circumvent regulation. In closing, it discusses recent efforts to strengthen the implementation of price controls in India and expanding the scope of price controls to medical devices.

Advancing the Human Right to Health offers a prospective on the global response to one of the greatest moral, legal, and public health challenges of the 21st century - achieving the human right to health as enshrined in the Universal Declaration of Human Rights (UDHR) and other legal instruments. Featuring writings by global thought-leaders in the world of health human rights, the book brings clarity to many of the complex clinical, ethical, economic, legal, and socio-cultural questions raised by injury, disease, and deeper determinants of health, such as poverty. Much more than a primer on the right to health, this book features an examination of profound inequalities in health, which have resulted in millions of people condemned to unnecessary suffering and hastened deaths. In so doing, it provides a thoughtful account of the right to health's parameters, strategies on ways in which to achieve it, and discussion of why it is so essential in a 21st century context. Country-specific case studies provide context for analysing the right to health and assessing whether, and to what extent, this right has influenced critical decision-making that makes a difference in people's lives. Thematic chapters also look at the specific challenges involved in translating the right to health into action. Advancing the Human Right to Health highlights the urgency to build upon the progress made in securing the right to health for all, offering a timely reminder that all stakeholders must redouble their efforts to advance the human right to health.

This unique book reveals how Collaborative Innovation Networks (COINs) can be used to achieve resilience to change and external shocks. COINs, which consist of 'cyberteams' of motivated individuals, are self-organizing emergent social systems for coping with external change. The book describes how COINs enable resilience in healthcare, e.g. through teams of patients, family members, doctors and researchers to support patients with chronic diseases, or by reducing infant mortality by forming groups of mothers, social workers, doctors, and policymakers. It also examines COINs within large corporations and how they build resilience by forming, spontaneously and without intervention on the part of the management, to creatively respond to new risks and external threats. The expert contributions also discuss how COINs can benefit startups, offering new self-organizing forms of leadership in which all stakeholders collaborate to develop new products.

This data-rich work examines today's most compelling and controversial public health issues, including alcohol and drug abuse, AIDS, abortion, black and infant mortality, drug-affected babies, child abuse, teenage pregnancy, and cigarette smoking. Hammerle's theme is that individual behavioral choices often have far-reaching and costly effects. When practiced by large numbers of people, the human and fiscal costs can be monumental, taxing virtually all of our social systems as well as our financial resources. Hammerle enumerates these costs and, employing economic analytical tools, recommends public policies that will reduce the incidence of such behavior or otherwise reduce its social cost. Some recommendations are outside the mainstream, but all are well substantiated and soundly argued.

This volume will be of great interest to academics, practitioners, and policy-makers in the fields of public health, health care administration, public policy, child protection, and family planning. The work will also interest economists and sociologists in the field of social welfare, as well as lay persons who are concerned about these timely public health issues.

There is wide consensus that our current healthcare system is, to put it mildly, broken. In this time of HMOs, mismanaged care, and a failing Medicare system, patients and doctors alike are dissatisfied with the status quo. But Knope explains that there is a solution - Concierge Medicine. This new system, sweeping the nation yet still the subject of some controversy, allows consumers to contract directly with a doctor to get individualized care. It's a return to Marcus Welby-style medicine, says Knope, and it provides what he calls a critical element for the best care - time. Ample time for doctors to care for their patients, and to restore the doctor-patient relationship that has fallen into the past with our current assembly-line, fast food medicine. The first book published giving in-depth explanation of Concierge Medicine, this work also provides concrete advice on how to find, interview, and budget for a concierge doctor, using changes in tax law that allow patients to open Health Savings Accounts. Patient vignettes provide personal insights from consumers of Concierge Medicine, and further description of what is involved to use this new approach for optimal health.

Knope clearly explains the pressures that led to our current assembly-line healthcare system, allowing the reader to see also why the fact that a typical doctor's visit these days lasts just seven minutes works against any attempt to get, or for doctors to give, the best of care. Health is our most precious asset, says Knope, and like financial wealth, what he sees as health wealth also takes time, effort, and money to nurture. The three critical components of optimal health discussed are: a good relationship with a qualified doctor, regular exercise, and good nutrition. Concierge doctors customize a nutrition and exercise program unique to the needs of each individual. Yet there are detractors who argue Concierge Medicine is unfair, because it allows just those who can afford it unlimited access to a doctor. Knope confronts that question of medical ethics also. This book will doubtless stimulate not only ideas and action, but wide discussion and debate.

Engage: Designed for the needs of the Entry 3/Level 1 learner with a full colour, spread-based approach, and topics broken into clear, bite-sized chunks to retain learners' attention. Lively activities, mini case studies and clear checklists and summaries help learners engage with - and remember - content. Achieve: Covering 11 units at Level 1 - enough for a Diploma, and 2 Units at Entry Level 3 - enough for an Award, so learners can be confident they have the content they need to achieve their qualification. Edexcel's own Assignment tips, written by BTEC experts, help learners to achieve their potential in assessments. Activities mapped to the assessment criteria in each unit, provide support and clear direction for learners, helping them to work towards the criteria. Progress: Prepares learners for employment with a focus on employability skills and definitions of key terms. Helps learners progress to BTEC Level 2 First by building their confidence with the style of BTEC qualifications.

"One of America's most courageous young journalists" and the author of the #1 New York Times bestselling memoir Brain on Fire investigates the shocking mystery behind the dramatic experiment that revolutionized modern medicine (NPR). Doctors have struggled for centuries to define insanity--how do you diagnose it, how do you treat it, how do you even know what it is? In search of an answer, in the 1970s a Stanford psychologist named David Rosenhan and seven other people--sane, healthy, well-adjusted members of society--went undercover into asylums around America to test the legitimacy of psychiatry's labels. Forced to remain inside until they'd "proven" themselves sane, all eight emerged with alarming diagnoses and even more troubling stories of their treatment. Rosenhan's watershed study broke open the field of psychiatry, closing down institutions and changing mental health diagnosis forever. But, as Cahalan's explosive new research shows in this real-life detective story, very little in this saga is exactly as it seems. What really happened behind those closed asylum doors?

This provocative appraisal unpacks commonly held beliefs about healthcare management and replaces them with practical strategies and realistic policy goals. Using Henry Mintzberg's "Myths of Healthcare" as a springboard, it reveals management practices that undermine care delivery, explores their cultural and corporate origins, and details how they may be reversed through changes in management strategy, organization, scale, and style. Tackling conventional wisdom about decision-making, cost-effectiveness, service quality, and equity, contributors fine-tune concepts of mission and vision by promoting collaboration, engagement, and common sense. The book's multidisciplinary panel of experts analyzes the most popular healthcare management "myths," among them: * The healthcare system is failing. * The healthcare system can be fixed through social engineering. * Healthcare institutions can be fixed by bringing in the heroic leader. * The healthcare system can be fixed by treating it more as a business. * Healthcare is rightly left to the private sector, for the sake of efficiency. The Myths of Health Care speaks to a large, diverse audience: scholars of all levels interested in the research in health policy and management, graduate and under-graduate students attending courses in leadership and management of public sector organization, and practitioners in the field of health care.

This book examines the causes and consequences of suicide from the perspective of economics. The approach here differs from those in medical, psychiatric, epidemiological, and sociological studies of suicide and is thus novel in a way that highlights the importance of economic and institutional settings in the problem of suicide. The authors argue that suicide imposes a tremendous economic cost on contemporary society in a variety of ways, requiring the government to develop an effective prevention strategy. An empirical analysis using data from Japan and other developed countries shows that natural disasters and economic crises increase suicide rates, while liberal government policies favorable to the poor can decrease them. Further, the types of effective prevention strategies in the context of railway/subway suicides, celebrity suicides, public awareness campaigns, and education using data primarily from Japan are revealed. This book ultimately contributes to an understanding of suicides and the development of evidence-based policy proposals. The Japanese version of this book won the 56th Nikkei Prize for Economics Books (Nikkei Keizai Tosho Bunka Award) in 2013. Yasuyuki Sawada is Chief Economist of the Asian Development Bank and Professor of Economics at The University of Tokyo. Michiko Ueda is Associate Professor in the Faculty of Political Science and Economics at Waseda University. Tetsuya Matsubayashi is Associate Professor of Osaka School of International Public Policy (OSIPP) at Osaka University.