This is a guide for psychiatry residents, medical students, and trainees in clinical psychology, social work and nursing. Druss examines the challenges and rewards of establishing a work alliance with patients and demonstrates how therapy can provide a safe means for them to handle their experiences. Chapter topics include: creating a working alliance, initial sessions, conversation reactions, body image, the spiritual life of patients, the goals of patients and therapists, and patients who return to therapy.

The "information explosion" in recent decades has made it impossible for practicing physicians (even specialists) to keep up with all the information potentially at their disposal. As a result, it is not surprising that empirical studies have shown that physicians do not always make optimal decisions. Thus, medical expert systems are now available to support - not replace - physicians and healthcare providers in their goal of providing the best possible healthcare to every patient. Knowledge Engineering in Health Informatics is a guide to the creation of such systems. Presenting the core material for courses such as Medical Knowledge Engineering and Expert System Development, it allows non-experts to make diagnostic decisions with the precision and accuracy of medical experts thanks to the help of the computer.

This unique reference provides a pragmatic approach to the development of successful commercial immunodiagnostic products based on enzyme immunoassay technology. Presenting both basic and applied principles, Enzyme Immunoassays gathers information on all aspects of this process, from the initial conceptualization to the introduction of the product to the market. Skillfully organized into two parts, this comprehensive resource begins by discussing basic concepts, such as the classification, structure and function of antibodies and the properties and characteristics of the most widely used enzymes in immunoassays. The second section examines the industrial product development process, including a detailed outline of various protocols and points to be considered for designing a successful product. Described in this section are the various formats available for product development, reagent formatting and assay development, data processing, standardization, scale up, and commercial manufacture of the product. Also included are the various regulatory requirements, the importance of good laboratory and manufacturing (GLP and GMP) practices, and international requirements such as the ISO 9000 certification process. Finally, information is presented for the benefit of entrepreneurs who would like to venture into this exciting field with their own company. With over 75 illustrations and 40 tables, Enzyme Immunoassays is an incomparable reference for scientists, technologists, and analytical chemists working in the field of immunodiagnostics at all levels, as well as for upper-level undergraduate and graduate students in life sciences fields in order to understand the basic concepts and principlesinvolved in developing rapid assay techniques.

There are certain phenomena, such as hypnosis, hysteria, multiple personality disorder, recovered memory syndrome, claims of satanic ritual abuse, alien abduction syndrome, and culture-specific disorders that, although common, are difficult to explain completely. The purpose of this volume is to apply a model of social relations to these phenomena in order to provide a different explanation for them. Wenegrat argues that they are socially-constructed illness roles or purposive behavior patterns into which patients fall while receiving either unintentional or intentional cues during interactions with caretakers and authority figures. The application of the social-relations model raises some important, yet previously overlooked, questions about these phenomena, illustrates some important aspects of human nature and consciousness, places illness behaviors in their larger, cultural context, and shows the way to a new and different view of mental life.

GERD: A New Understanding of Pathology, Pathophysiology, and Treatment transforms the assessment of gastroesophageal reflux disease (GERD) from its present state, which is largely dependent on clinical definition and management, to a more objective scientific basis that depends on pathologic assessment. Sequential chapters in this single-author book describe the fetal development of the esophagus, the normal adult state, and the way exposure to gastric juice causes epithelial and lower esophageal sphincter damage at a cellular level. It allows recognition of the pathologic manifestations of lower esophageal sphincter damage and develops new histopathologic criteria for quantitating such damage. This understanding provides new pathologic criteria for definition and diagnosis of GERD from its earliest cellular stage. Algorithms based on measurement of sphincter damage can identify, even before the onset of clinical GERD, persons who will never develop GERD during life, those who develop GERD but remain with mild and easily controlled disease, and those who will progress to severe GERD with failure to control symptoms, Barrett esophagus and adenocarcinoma. Aggressive early intervention in the last group with the objective of preventing disease progression to its end points of uncontrolled symptoms and adenocarcinoma becomes feasible.

Endocrine Biomarkers: Clinical Aspects and Laboratory Determination covers all the pre-analytical variables that can affect test results, both in the clinic and laboratory. Biomarkers of endocrine and bone diseases are discussed from both clinical and laboratory perspectives, and the authors elaborate on the teamwork-based app+roach between the clinician and the laboratory professional in the diagnosis and management of endocrine and bone disorders. Discussions include test utilization, laboratory measurement methods, harmonization and standardization, interpretation of results, and reference intervals. Each chapter ends with a discussion of one or two relevant cases with shared opinions from both a clinician and a clinical chemist. Each chapter also includes a summary box outlining key points and common pitfalls in the use of specific disease biomarkers and tests.

This book highlights all aspects of laboratory informatics, with a focus on information management and the corresponding hardware and technical processes involved. In addition to a comprehensive introduction on laboratory informatics, the book emphasizes the importance of information and resource management as opposed to simply covering the role of computers that support the information system. As a Professor of Pathology and the Director of Laboratory Information Services at the University of Texas Medical Branch at Galveston, Dr. Cowan has witnessed the shift in focus in the laboratory from the information generation to information management, and increasing resource limitations demand a higher level of management precision than can be gained from manual methods. The American Board of Pathology now requires an increasing sophistication in information management from candidates for certification. Thus, this book is intended for pathologists and residents in pathology, clinical laboratory scientists, and laboratory and information managers. Following the broad-based introduction on laboratory informatics, the book's topics include: computer basics; development and validation of the laboratory information system; computer networks; security and confidentiality on computer systems and networks; total cost of ownership; essential software; interfaces; process modeling; artificial intelligence and expert systems; bar coding in the laboratory; image analysis and computer-assisted quantitation; and telepathology.

Atlas of Human Body: Central Nervous System and Vascularization is a multidisciplinary approach to the technical coverage of anatomical structures and relationships. It contains surface and 3D dissection images, native and colored cross sectional views made in different planes, MRI comparisons, demonstrations of cranial nerve origins, distribution of blood vessels by dissection, and systematic presentation of arterial distribution from the precapillary level, using the methyl metacrylate injection and subsequent tissue digestion method. Included throughout are late prenatal (fetal) and early postnatal images to contribute to a better understanding of structure/relationship specificity of differentiation at various developmental intervals (conduits, organs, somatic, or branchial derivatives). Each chapter features clinical correlations providing a unique perspective of side-by side comparisons of dissection images, magnetic resonance imaging and computed tomography. Created after many years of professional and scientific cooperation between the authors and their parent institutions, this important resource will serve researchers, students, and doctors in their professional work.

The aim of this book is to provide a comprehensive and practical guide for developing and implementing an Objective Structured Clinical Examination (OSCE) for the medical educators/health sciences educators/tutors/faculty/clinicians/OSCE planners, who are involved in clinical teaching and assessment of students, trainees and residents. The book starts with the essential theoretical foundation before progressing to the practical implementation steps. It contains a good balance of medical education research and practical tips to provide readers an easy to digest, yet comprehensive, guide for the implementation of OSCE as an appropriate assessment tool.

The aim of this book is to provide a comprehensive and practical guide for developing and implementing an Objective Structured Clinical Examination (OSCE) for the medical educators/health sciences educators/tutors/faculty/clinicians/OSCE planners, who are involved in clinical teaching and assessment of students, trainees and residents. The book starts with the essential theoretical foundation before progressing to the practical implementation steps. It contains a good balance of medical education research and practical tips to provide readers an easy to digest, yet comprehensive, guide for the implementation of OSCE as an appropriate assessment tool.

This is a new edition of a well-established textbook covering the diagnosis and management of disease symptoms frequently encountered in practice and how to establish whether referral to a medical practitioner is necessary. The sixth edition has been thoroughly revised with updated advice and also features the current most updated products available in the market.

Coding and Documentation Compliance for the ICD and DSM provides professionals, professors, and students with a logical and practical way of understanding a difficult topic in healthcare for the clinician: coding. Established professionals will find the tools they need to comply with the ICD series, HIPAA, and integrated care models. Professors and students will appreciate having a systemized, standardized approach to teaching and learning the more complex aspects of ICD compliance. The interplay between the ICD and DSM manuals is also explicated in clear terms.

To advance the epidemiological analysis of social inequalities in health, and of the ways in which population distributions of disease, disability, and death reflect embodied expressions of social inequality, this volume draws on articles published in the "International Journal of Health Services" between 1990 and 2000. Framed by ecosocial theory, it employs ecosocial constructs of "embodiment"; "pathways of embodiment"; "cumulative interplay of exposure, susceptibility, and resistance across the lifecourse"; and "accountability and agency" to address the question; and who and what drives current and changing patterns of social inequalities in health.

Coding and Documentation Compliance for the ICD and DSM provides professionals, professors, and students with a logical and practical way of understanding a difficult topic in healthcare for the clinician: coding. Established professionals will find the tools they need to comply with the ICD series, HIPAA, and integrated care models. Professors and students will appreciate having a systemized, standardized approach to teaching and learning the more complex aspects of ICD compliance. The interplay between the ICD and DSM manuals is also explicated in clear terms.

Dr. Kaye and Dr. Dhor have assembled top experts to write about facility planning and management in Part I of their two issues devoted to Infection Prevention and Control in Healthcare. Articles in this issue are devoted to: Building a Successful Infection Control Program: Key Components, Processes and Economics; Hand Hygiene Sterilization; High Level Disinfection and Environmental Cleaning; Environement of Care; Infection Control in Alternative Healthcare Settings (Long Term Care and Ambulatory); Antibiotic Stewardship; Outbreak Investigations Water Safety in Healthcare/Legionella in the Healthcare Setting; Construction and Renovation; Bloodborne and Body Fluid Exposures - prevention and management of Occupational Health Issues; and Informatics and Statistics in Infection Control. Part II is devoted to clinical management of infections.

Dr. Sharon Norling, a medical doctor authority, tells the untold medical truths. "Your Doctor is Wron"g is a survival guide if you have been dismissed, misdiagnosed, or your symptoms have just been treated like the tip of the iceberg with pharmaceutical drugs. Dr. Norling's book may be seen as controversial because some people will not like what she has to say. They will find it hard to believe until they see all of the facts as Dr. Norling presents them. Her thought provoking evidence challenges our traditional thinking about 'right and wrong' choices in maintaining a healthy lifestyle. Everyone will benefit from "Your Doctor is Wrong."
"Your Doctor is Wrong" is filled with patients' stories, life saving information, and is documented with medical journal citations. It is also tainted with humor. If you are still suffering after years of medical care and pharmaceutical drugs, "Your Doctor is Wrong" will help you to get your life on the healthy track. Read "Your Doctor is Wrong" if your symptoms of fatigue, insomnia, anxiety, depression, allergies, joint pain, lack of motivation, headaches, hormonal imbalances and intestinal issues are just not going away. When you read "Your Doctor is Wrong" you will find the facts. Your will find the answers. You will find the hope.

Genetic Diagnosis of Endocrine Disorders, Second Edition provides users with a comprehensive reference that is organized by endocrine grouping (i.e., thyroid, pancreas, parathyroid, pituitary, adrenal, and reproductive and bone), discussing the genetic and molecular basis for the diagnosis of various disorders. The book emphasizes the practical nature of diagnosing a disease, including which tests should be done for the diagnosis of diabetes mellitus in adults and children, which genes should be evaluated for subjects with congenital hypothyroidism, which genetic tests should be ordered in obese patients or for those with parathyroid carcinoma, and the rationale behind testing for multiple endocrine neoplasias.

This book presents an authoritative overview of the emerging field of person-centered psychiatry. This perspective, articulating science and humanism, arose within the World Psychiatric Association and aims to shift the focus of psychiatry from organ and disease to the whole person within their individual context. It is part of a broader person-centered perspective in medicine that is being advanced by the International College of Person-Centered Medicine through the annual Geneva Conferences held since 2008 in collaboration with the World Medical Association, the World Health Organization, the International Council of Nurses, the International Federation of Social Workers, and the International Alliance of Patients' Organizations, among 30 other international health institutions. In this book, experts in the field cover all aspects of person-centered psychiatry, the conceptual keystones of which include ethical commitment; a holistic approach; a relationship focus; cultural sensitivity; individualized care; establishment of common ground among clinicians, patients, and families for joint diagnostic understanding and shared clinical decision-making; people-centered organization of services; and person-centered health education and research.

Originally published in 1951, this title looks at the study of the hand in relation to psychological diagnosis. This was at the time a new branch of psychology and the author is keen to point out it must not be viewed as perfect or indeed complete. Practical experience and a deeper understanding of psycho-motor phenomena had altered some of the author's theoretical views since the earlier titles. This book builds on and extends her previous research, including new research studies particularly on children who were at the time termed 'mentally defective'. It was designed to contribute some new diagnostic possibilities to psychology and psychiatry. Today we can enjoy it as part of psychology's history.

This book provides a current view of the research and commercial landscape of diagnostics devices, particularly those that utilize microscale technologies, intended for both patient and laboratory use. Common diagnostic devices that are based on microfluidic principles include glucose sensors for diabetic patients and over-the-counter pregnancy tests. Other diagnostic devices are being developed to quickly test a patient for bacterial and viral infections, and other diseases. The chapters, written by experts from around the world, discuss how to fabricate, apply, and market microfluidic diagnostic chips - for lab and at-home use. Most importantly, the book also contains a discussion of topics relevant to the private sector, including patient-focused, market-oriented development of diagnostics devices. Chapter 9 of this book is freely available as a downloadable Open Access PDF under a CC-BY 3.0 license. https://s3-us-west-2.amazonaws.com/tandfbis/rt-files/docs/Open+Access+Chapters/9781498772938_oachapter9.pdf

"Kroll-Smith and Floyd have, with both clarity and sensitivity, provided considerable insight into an important arena of contemporary experience."
--"American Journal of Sociology"

"Elegantly written. . . . the book is built around the narratives of multiple chemical sensitivity (MCS) sufferers themselves. . . . Due to its relevant subject matter, its interdisciplinary approach, its readability, and its interesting theoretical arguments, "Bodies in Protest" should be appealing to a wide audience."
--"Organization and Environment"

"This engagingly written and thought-provoking book provides one of the first sustained sociological analyses of a baffling, controversial, and spectacular medical condition."
--"Social Forces"

Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the "New York Times," This question--are certain diseases real?--lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma--literally deathlike air--came into popular use, only to be later dismissed as medically unsound by Louis Pasteur.

While controversy has long swirled in the United States around such illnesses as chronic fatigue syndrome and Epstein-Barr virus, no disorder has been more aggressively contested than environmental illness, a disease whose symptoms are distinguished by an extreme, debilitating reaction to a seemingly ordinary environment. The environmentally ill range from those who have adverse reactionsto strong perfumes or colognes to others who are so sensitive to chemicals of any kind that they must retreat entirely from the modern world.

"Bodies in Protest" does not seek to answer the question of whether or not chemical sensitivity is physiological or psychological, rather, it reveals how ordinary people borrow the expert language of medicine to construct lay accounts of their misery. The environmentally ill are not only explaining their bodies to themselves, however, they are also influencing public policies and laws to accommodate the existence of these mysterious illnesses. They have created literally a new body that professional medicine refuses to acknowledge and one that is becoming a popular model for rethinking conventional boundaries between the safe and the dangerous.

Having interviewed dozens of the environmentally ill, the authors here recount how these people come to acknowledge and define their disease, and themselves, in a suddenly unlivable world that often stigmatizes them as psychologically unstable. "Bodies in Protest" is the dramatic story of human bodies that no longer behave in a manner modern medicine can predict and control.

Get Ahead Medicine: OSCEs and Data Interpretation, the latest addition to the essential Get ahead revision series, provides practical and invaluable revision for all medical students preparing for these challenging examinations. A volume in the bestselling and highly praised Get ahead series Detailed scenarios covering the entire medical syllabus ensure thorough preparation for these examinations Each scenario contains a full mark scheme and accompanying detailed explanations allowing for a full understanding of revision needs Also includes abnormal findings, ensuring candidates are fully prepared beyond standard revision Written by a knowledgable author team with extensive experience in the examination, Get ahead Medicine: OSCEs and Data Interpretation, along with its companion volume on surgery and associated specialties, is the essential revision guide for not only passing but succeeding to exceptional standards within undergraduate clinical examinations.

This text clearly presents a multitude of variables that potentially affect the results of neuropsychological tests. THe chapter authors, all noted experts in their respective fields, begin with a general discussion of neuropsychological constructs known to impact performance on neuropsychological tests, including demographics, personality, and sociocultural factors. They then present an empirical approach to assessment. They focus on the disorders under discussion (not solely the tests that might be used in diagnosis) and reflect the contributions the field has made to detecting differences in disorders that have neurological underpinnings.

The disorders reviewed include dementia, HIV-related syndromes, adult seizure disorders, toxic exposure, mild to severe brain injury, and chronic fatigue syndrome.

History taking and examination skills are vitally important in everyday practice. They are examined at all levels of the undergraduate curriculum and are constantly monitored at a postgraduate level. To become proficient in history taking, key questions should be asked to quickly understand the exact nature of the illness. This invaluable guide specifies the questions required for a focused history and details the key components of the ideal examination, resulting in the development of clinical skills that are timely, comprehensive, relevant and succinct. Clearly laid out and easy-to-read, The Practical Pocket Guide to History Taking and Clinical Examination is highly recommended for medical students and junior doctors wanting a practical, quick reference to aid confidence and develop excellent clinical consultation skills. It is also ideal as an aide-memoire for exam preparation.