Informed consent is the legal instrument that purports to protect an individual's autonomy and defends against medical arbitrariness. Informed Consent and Health highlights that possession of complete information about all relevant aspects of a proposed treatment is integral to the ability of a patient to make an informed choice. With patient choice at both legislative and judicial levels rising to greater levels of prominence, this timely book examines how the tensions between the rights of patients to make choices and the duties of doctors to provide health care are managed. This illuminating book investigates our evolving understanding of informed consent from a range of comparative and international perspectives, demonstrating the diversity of its interpretations around the world. Chapters offer a nuanced analysis of the problems that impede the understanding and implementation of the concept of informed consent and explore the contemporary challenges that continue to hinder both the patient and the medical community. Containing an in-depth discussion on this fundamental right, this thought-provoking book will be of value to academics and practitioners alike. Providing fascinating insight into new solutions and interpretations, this book will also prove a key resource for clinicians and health care workers. Contributors include: B. Buchner, S.C. Chima, I. Freckelton, R. Fretwell Wilson, N. Glover-Thomas, M. Hartlev, Y. Joly, V.G. Mammadov, G. Marrocco, Y.V. Pavlova, M. Pinkesz, S.I. Pospelova, V.L. Raposo, Y.D. Sergeyev, T. Vansweevelt, M.H. Zawati

The American Society of Addiction Medicine Handbook of Addiction Medicine, Second Edition is a practical, evidence-based guide to caring for individuals with substance use disorder. Produced by the largest medical society dedicated to the improvement of addiction care, this new edition adopts non-stigmatizing language related to addiction and includes new material on LGBTQ care, vaping, and harm reduction. The second edition also carefully presents a compassionate, patient-centered approach to care. To learn more about the American Society of Addiction Medicine, and its commitment to providing the best resources for addiction clinicians, please visit http://www.asam.org.

Discusses the clinical application of functional foods for the management of a wide range of chronic diseases Covers chronic diseases including Obesity, Arthritis, Cardiovascular Diseases, and Endocrinal and Hormonal Diseases, among others. Explores beneficial effects of nutraceuticals in chronic diseases *pending Vol 2 features

From an award-winning endocrinology pioneer and metabolism expert comes a revolutionary, sustainable and scientific approach to help you lose weight, regain energy, clear your mind, and prevent disease.

Like our fingerprints, each of us has a unique metabolism. Your metabolism will change as you move through life, shaping your mental and physical capabilities. However, one in four of us will experience trouble with our metabolism. Dr. Noel Maclaren, an award-winning endocrinologist and Sunita Singh Maclaren, a medical anthropology expert, share their revolutionary new approach to mastering your metabolism that combines medical and behavioral insights in order to help balance your weight, boost your energy and improve your cognitive abilities.

Imagine the metabolism as a beguiling jigsaw. We all fit into one of four ‘metabolic personality’ types, based on our bodies' levels of sensitivity to insulin. Maximize Your Metabolism offers a comprehensive self-assessment quiz to uncover yours. Drawing on pioneering data from a person’s genetic legacies, appetite signals and mental resilience, this book will enable you to create a unique plan specific to your needs, and will help you achieve robust brain and body health, including:

• Enhancing your cognitive abilities by limiting grains and fruits as the brain’s ability to absorb glucose declines from your late 40’s onwards
• Optimizing your weight by identifying the simple vs. complex carbohydrates that work for your metabolic type
• Overcoming insulin-related persistent fatigue and increasing your muscle’s energy efficiency through resistance and aerobic exercise
• Protecting yourself from disease-causing internal inflammation by opting for prebiotics found in artichokes, leeks and onions and avoiding certain “health” foods

Dr. Noel Maclaren and Sunita Singh Maclaren have helped thousands of patients in their clinic for over fifteen years, by reversing these metabolic imbalances. Filled with specific time-tested guidance and over 30 healthy and delicious recipes, Maximize Your Metabolism is perfect for anyone who wants to be a champion of their own health, gain an overall sense of wellbeing in as little as six months, and to sustain it for a lifetime.

Do you find yourself always fighting with your nearest and dearest, distancing yourself through silence, or blaming others for the failure of your relationship?

For so many women anger is a destructive force which perpetuates all the harmful dynamics of our most intimate relationships. In this inspirational book, renowned psychotherapist Harriet Lerner shows how all women, regardless of age, background or experience, can turn anger into a constructive force.

Focusing largely on the family, 'The Dance of Anger' provides the reader with the insights and practical skills to stop behaving in the old predictable ways and to begin to use anger to establish a more positive approach to significant relationships.

Providing a complete but succinct overview of the information cardiologists and cardiology trainees need to have at their fingertips, Practical Cardiovascular Medicine, Second Edition is an everyday primary guide to the specialty. Provides cardiologists with a thorough and up-to-date review of cardiology, from pathophysiology to practical, evidence-based management Ably synthesizes pathophysiology fundamentals and evidence-based approaches to prepare a physician for a subspecialty career in cardiology Clinical chapters cover coronary artery disease, heart failure, arrhythmias, valvular disorders, pericardial disorders, congenital heart disease, and peripheral arterial disease Practical chapters address ECG, coronary angiography, catheterization techniques, echocardiography, hemodynamics, and electrophysiological testing Includes over 730 figures, key notes boxes, references for further study, and coverage of clinical trials Review questions help clarify topics and can be used for Board preparation - over 650 questions in all The Second Edition has been comprehensively updated with the newest data and with both the American and European guidelines. More specifically, 20 clinical chapters have been rewritten and extensively revised. Procedural chapters have been enhanced with additional concepts and illustrations, particularly the hemodynamic and catheterization chapters. Clinical questions have been revamped, new questions have been added, including a new, 259-question section at the end of the book. Practical Cardiovascular Medicine, Second Edition is an ideal reference for the resident, fellow, cardiologist, and any professional treating patients with cardiovascular disease.

Built on a decade of experience with novel molecular diagnostics, this practice-oriented guide shows how to cope with validation issues during all stages of biomarker development, from the first clinical studies to the eventual commercialization of a new diagnostic test.

This second edition of the popular guide to critical appraisal is a fully updated revision of the previous edition. Written in the same easily accessible style, The Pocket Guide to Critical Appraisal now provides annotated checklists of the most common research designs. Consistent with recent developments in evidence-based medicine, these checklists distinguish between the risk of bias in the conduct of published studies and the value of the findings for healthcare delivery. Five new chapters have been added and the original chapters have been rewritten, making the new edition a complete and concise guide for the evaluation of research quality. In addition to the checklists, the book also: describes how to quickly identify the information needed for the critical appraisal provides simple explanations of statistical significance and the interpretation of confidence intervals reviews the major sources of bias and their impact on research findings explains how to summarise the risk of bias outlines the concept of certainty of evidence and how to calculate it identifies the challenges in assessing the value of research findings The Pocket Guide to Critical Appraisal is an essential guide for all health professions and students who read research papers and use their findings.

Clinical judgement and decision making are terms that are frequently used in nursing. But what do they mean and how can they be effectively applied in practice? In straightforward language, this book helps you to develop the necessary skills to make and apply sound clinical decisions. It breaks down the factors involved in decision making and shows you how to use evidence, critical enquiry and reflection to do so with confidence. Key features: - Each chapter is mapped to the 2018 NMC Standards - Thought-provoking case studies and scenarios illustrate decision making in practice - Activities enable you to practise your skills and build confidence in your ability to make effective decisions

Fascinated by X-rays and medical imaging technology? Drawn to work that helps others? PRINCIPLES OF RADIOGRAPHIC IMAGING: AN ART AND A SCIENCE, 6th Edition reveals the inner workings of radiography careers, including radiologist assistants, radiologic technologists, ultrasound techs, CT and MRI techs, and other imaging roles in health care. Some books dump too much on you too fast, but this one moves at your pace, delivering the math and physics behind radiology before advancing to complex subjects. And it's designed around actual job skills like creating the beam, running scans and tests, and analyzing images--so you can pass accreditation exams and work in emergency rooms and hospitals. Reader-friendly yet packed with information, this text offers all you need to know about digital radiography systems, digital exposure factors, instrumentation and so much more!

Key features: • Expanded first chapter on levels of echocardiography. • New sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinics. • Incorporation of new international guidelines, grading criteria and normal data. • Guide to how cardiac CT and magnetic resonance can compliment echocardiography. • Reformatted text and extra diagrams and tables to improve understanding.

Good and effective treatment in radiotherapy requires careful consideration of the complex variables involved as well as critical assessment of the techniques. This new edition of an established classic takes into account advances in imaging and treatment delivery and reflects the current state of the art in the practice of radiotherapy, emphasizing the underlying principles of treatment that can be applied for conventional, conformal, and novel treatments.

In this book, originally published in Britain in 1971, and reissued here with a new preface, Eleanor Hamilton provides an enlightened and practical guide to the problems of sex and love for the increasing number of young men and women who wanted to enjoy a full and rich relationship before marriage, still frowned upon at the time. Following in the footsteps of pioneers like Eustace Chesser and Alfred Kinsey, Dr Hamilton presents facts and ideas in a warm, open-minded and sympathetic way. Simply and clearly, she explains the art and techniques of lovemaking (coital and non-coital), sexual development in childhood and adolescence, birth control, personal and emotional problems, how to handle accidental pregnancy and how to understand sexual difficulties and so-called deviations. This book is a re-issue originally published in 1969. The language used and views portrayed are a reflection of its era and no offence is meant by the Publishers to any reader by this re-publication.

Complete with exercises, reflections, and specially selected tasks, this workbook is written for those suffering from heartbreak (and their therapists) to support them in navigating and managing the pain of breakups. The authors help them learn from their experiences, grow stronger from their suffering, and create healthy and fulfilling relationships. Kathryn Rheem and Clare Rosoman bring their experiences as relationship therapists and devotees of attachment science to offer informed support and encouragement to the broken hearted by providing practical strategies to help readers make sense of and grow from their experiences. Mirroring the therapy process, the book is structured so that readers actively participate in their own healing process with activities that guide their journey session by session. Chapters address attachment strategies, facing fear, riding waves of anger, processing grief and loss, forgiveness, and trusting yourself again. This book will help the reader create a future in which they can know and accept themselves as the perfectly imperfect human they are and create secure bonds with the special people in their life. This workbook is for people who have experienced the loss of a close relationship and are struggling to heal and move forward in their lives, as well as therapists assisting clients in their recovery from relationship loss.

This book provides clinical tips on management of catastrophic emergencies that are regularly faced by critical care and acute care cardiologists in resource-limited settings. Based on the current guidelines, it explores the evaluation of the patient, followed by its treatment methodology. It highlights the beneficial effects of the use of cardiac drugs during an emergency. There is also a special section on preoperative evaluation and postoperative management of cardiac patients of different subsets. Medicolegal/documentation points have also been discussed where relevant. It is useful as a ready reference for physicians, anaesthetists and cardiologists. Key features: • Reinforces certain teachings and recalls certain overlooked clinical points to address emergency situations in a busy, resource limited setting. • Explains lucidly what the acute cardiac care / Anesthesia registrar or cardiology fellows ought to do in the Intensive care and Post operative wards. • Emphasizes the importance of wit, clinical acumen and observation.

Approaches skin disorders morphologically. Emphasises on key diagnostic clinical points. Includes different presentations of common skin conditions. Emphasises on common clinical conditions presenting in a routine OPD. Includes good quality clinical photographs.

Originally published in 1998 Sexual Behaviour and HIV/AIDS in Europe is detailed study comparing the major population surveys on sexual behaviour and HIV/AIDS carried out in Europe at the time of publication. Leading European researchers explore the differences and similarities between European countries in patterns of sexual behaviour and responses to the HIV/AIDS epidemic. As well as providing an empirical and methodological base for future research, the comparative analyses lead researchers, policy makers, health-educators and the media to new insights and a deeper understanding of issues that are of central concern in many countries. The chapters include discussion of data on sexual initiation, homosexual and bisexual behaviour, sexual practices, sexual partners, risk behaviour, STDs, preventive practices, the normative context, knowledge of HIV/AIDS, and attitudes towards people with HIV/AIDS. The book results from a major European Concerted Action, funded by the European Union Biomedical and Health Research programme (BIOMED), and coordinated by the Centre d'Etudes Sociologiques of the Facultes Universitaires Saint-Louis, Brussels, Belgium. It follows Sexual Interactions and HIV Risk, published in 1997.

In this well-documented book, Alain Enthoven develops the ideas of consumer choice and managed competition of alternative health care financing and delivery systems, as well as describing ways to improve quality and reduce the cost of health care. He demonstrates how these ideas could be applied in the American employment-based health insurance model, how similar ideas have been introduced in the British National Health Service; how these ideas have been applied in the Netherlands; and the need for integrated comprehensive care systems. This unique anthology traces the development of two important and related themes. Firstly, the 'output' of the health services industry has been produced by disaggregated physicians, nurses and other health professionals, hospitals, drugs and device companies that somehow combine to serve the patient. Progress in quality and the economy requires the services of these components to be integrated into coherent systems in which the incentives of all providers are aligned with the needs and wants of patients for quality affordable care. Secondly, the book argues that the framework that can provide such incentives, is an appropriately designed form of market competition among systems of care seeking to serve value-conscious patients. Public officials, scholars and policy analysts from developing countries will find here a set of ideas for how to improve incentives for greater value for money. Students of health economics, policy and organization, as well as journalists and public officials interested in the use of public policy to improve efficiency in health care systems, will also find much to interest them in this book.

• Interweaves a trauma-informed perspective throughout the text. • Equips clinicians with practical skills and helps them build their confidence with facilitating individual, dyadic sessions, and parent sessions. • Includes summary tables, worksheets, helpful tips, and eye-catching illustrations for both practical and academic use. • This book will be the first to apply Dr. Leslie Greenberg’s internationally-renowned clinical theory, research, and teaching of EFT to a new population: youth and their caregivers • Includes an impressive array of acclaimed contributors, including Dr Leslie S. Greenberg (a developer of EFT). • Moves from theory to practice, demonstrating how the approach can be used with specific client populations, such as anxiety, depression, and borderline personality disorder. • EFT institutes around the world and the Family Psychology Centre would be able to utilize this book as a training resource. In addition, the International Society for Emotion Focused Therapy (isEFT) would be able to list this book as a resource for further reading. • Contributing authors include psychologists, psychiatrists, and psychotherapists, offering an interdisciplinary perspective with useful applications for primary care as well as more complex mental health difficulties.

Key Features: • Discusses the clinical and applied aspects of forensic medicine through illustrative case scenarios and reports. • Addresses the needs of clinicians and forensic medicine specialists in writing medico-legal reports for specific cases. • Provides evidence-based solutions to medicolegal and ethical dilemma faced during routine practice.

An unflinching examination of the moral and professional dilemmas faced by physicians who took part in the Manhattan Project. After his father died, James L. Nolan, Jr., took possession of a box of private family materials. To his surprise, the small secret archive contained a treasure trove of information about his grandfather's role as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented ob-gyn radiologist, he cared for the scientists on the project, organized safety and evacuation plans for the Trinity test at Alamogordo, escorted the "Little Boy" bomb from Los Alamos to the Pacific Islands, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki. Participation on the project challenged Dr. Nolan's instincts as a healer. He and his medical colleagues were often conflicted, torn between their duty and desire to win the war and their oaths to protect life. Atomic Doctors follows these physicians as they sought to maximize the health and safety of those exposed to nuclear radiation, all the while serving leaders determined to minimize delays and maintain secrecy. Called upon both to guard against the harmful effects of radiation and to downplay its hazards, doctors struggled with the ethics of ending the deadliest of all wars using the most lethal of all weapons. Their work became a very human drama of ideals, co-optation, and complicity. A vital and vivid account of a largely unknown chapter in atomic history, Atomic Doctors is a profound meditation on the moral dilemmas that ordinary people face in extraordinary times.

Every year, droughts, floods, and fires impact hundreds of millions of people and cause massive economic losses. Climate change is making these catastrophes more dangerous. Now. Not in the future: NOW. This book describes how and why climate change is already fomenting dire consequences, and will certainly make climate disasters worse in the near future. Chris C. Funk combines the latest science with compelling stories, providing a timely, accessible, and beautifully-written synopsis of this critical topic. The book describes our unique and fragile Earth system, and the negative impacts humans are having on our support systems. It then examines recent disasters, including heat waves, extreme precipitation, hurricanes, fires, El Ninos and La Ninas, and their human consequences. By clearly describing the dangerous impacts that are already occurring, Funk provides a clarion call for social change, yet also conveys the beauty and wonder of our planet, and hope for our collective future.

Alex Dowsett’s pulsating autobiography lifts the lid on a decade of life in the world’s greatest pelotons and tells how he succeeded despite being the world’s only top sportsperson with haemophilia A. For over a decade Alex Dowsett had been one of Britain’s best cyclists. He has ridden Grand Tours and Classics for elite teams including Sky and Movistar and broke the iconic World Hour Record – the ultimate time trial challenge. With humour, insight and brutal honesty, Alex tells of the challenges he has faced in his struggle to reach the top and his years as a pro-cyclist. Alex has achieved all this despite being the only top sportsperson in the world with haemophilia A. He describes how the condition – in which falls can be fatal – blighted his young sporting life, and his determination to succeed in cycling. Amazingly, he went on to excel in a sport in which cuts, grazes and bruises are a given. Every professional cyclist requires courage, but Alex takes fearlessness to another level. With an allstar cycling cast, including Bradley Wiggins, Chris Froome, Lance Armstrong and Mark Cavendish, this pulsating book lifts the lid on life in the peloton at the world’s top level. Open and frank in his views, Alex recalls his highs – including his coming of age time trial victory, a famous Giro d’Italia stage victory riding solo for 18 kilometres and famously breaking the World Hour record in 2015 – as well as his frustrations at the injustices he faced in the sport. Alex announced his forthcoming retirement at the end of the 2022 season and this memoir perfectly chronicles a career in which he was driven equally by love and rage. His compelling personal story combines with his take on being part of the golden age of British cycling and his sometimes outspoken views to produce an inspirational story of sporting endeavour.

UPDATED AND EXPANDED FOR 2022 and beyond. This clinical pocket reference provides key information that a nurse will require on placement and in practice, selected by experienced teachers/practitioners, clearly written and presented, drawn from a wide range of different sources, packaged in an easily accessible portable format suitable for pocket or mobile devices. Nursing students, assessors, practice educators and preceptees will find that this resource enables the move into real life practice, supporting safe, confident, patient centred nursing. The fourth edition has now been thoroughly updated and extended. New material includes new Mental Capacity Act overview and guidelines, updated infection control (including donning and doffing PPE) and End of Life care sections, and latest Resuscitation Guidelines. This edition is built around the new pre-registration nursing education standards released by the NMC (Nursing & Midwifery Council) in early 2019, allowing it to support all nursing practitioners throughout their years of practice. The authors, all experienced teacher/practitioners have looked at latest teaching trends and national objectives, including the new NMC standards, to provide coverage of the widening range of competencies a nurse needs to display in today's healthcare environment. This resource provides rapid access to key information that a nurse will need to provide effective holistic care of the adult patient. For the student on clinical placement it provides a valuable aide memoire for recently learnt key information. For the newly qualified nurse it assists review, reflection, and revalidation.