A user-friendly, pocket-sized reference for all physicians faced with endocrine care and challenges in hospitalized patients, this handbook covers the most common issues leading to an inpatient endocrine consult, providing differential diagnoses, a reasonable and practical approach to investigating and managing the condition, and advice for follow-up. Conditions discussed include thyrotoxicosis and thyroid storm, calcium disorders, osteoporosis, Cushing's syndrome, pheochromocytoma and paraganglioma, primary hyperaldosteronism, hypoglycemia in diabetic and non-diabetic patients, and endocrine issues during pregnancy, among others. Suggestions for further reading are included, providing more context for well-established clinical approaches. Written by experts with years of experience providing endocrinology consultations in a hospital setting, Handbook of Inpatient Endocrinology is a valuable, high-yield resource for endocrine residents and fellows, but it will be equally useful for any busy hospitalist or primary care physician when endocrinology consults are not available.

Computers have become an integral part of medical imaging systems and are used for everything from data acquisition and image generation to image display and analysis. As the scope and complexity of imaging technology steadily increase, more advanced techniques are required to solve the emerging challenges. Biomedical Image Analysis demonstrates the benefits reaped from the application of digital image processing, computer vision, and pattern analysis techniques to biomedical images, such as adding objective strength and improving diagnostic confidence through quantitative analysis. The book focuses on post-acquisition challenges such as image enhancement, detection of edges and objects, analysis of shape, quantification of texture and sharpness, and pattern analysis, rather than on the imaging equipment and imaging techniques. Each chapter addresses several problems associated with imaging or image analysis, outlining the typical processes, then detailing more sophisticated methods directed to the specific problems of interest. Biomedical Image Analysis is useful for senior undergraduate and graduate biomedical engineering students, practicing engineers, and computer scientists working in diverse areas such as telecommunications, biomedical applications, and hospital information systems.

This book, comprising the Instructional Course Lectures delivered at the 17th ESSKA Congress in Barcelona in 2016, provides an excellent update on current scientific and clinical knowledge in the field of Orthopaedics and Sports Traumatology. A variety of interesting and controversial topics relating to the shoulder, elbow, hip, knee, and foot are addressed, all of which are very relevant to the daily practice of orthopaedic surgeons. The coverage includes a number of open questions, such as: How should complications be handled during rotator cuff surgery? What errors may occur during anterior cruciate ligament surgery? How much attention must be paid to meniscal root tears? Do we now understand the pathology of osteoarthritis sufficiently well and do we always identify the most successful treatment for our patients? All of the contributions are written by well-known experts from across the world. The presentations will enable the reader to gain a better understanding of pathologies and may permit more individualized treatment of patients. The book will be of interest to clinicians and researchers alike.

Through their scientific research and clinical practice, husband and wife team Gene D. Cohen and Wendy L. Miller uncovered new clues about how the aging mind can build resilience and continue growth, even during times of grave illness, thus setting aside the traditional paradigm of aging as a time of decline. Cohen, considered one of the founding fathers of geriatric psychiatry, describes what happens to the brain as it ages and the potential that is often overlooked. Miller, an expressive arts therapist and educator, highlights stories of creative growth in the midst of illness and loss encountered through her clinical practice. Together, Cohen and Miller show that with the right tools, the uncharted territory of aging and illness can, in fact, be navigated. In this book, the reader finds the real story of not only Cohen's belief in potential, but also how he and his family creatively used it in facing his own serous health challenges. With Miller's insights and expressive psychological writing, Sky Above Clouds tells the inside story of how attitude, community, creativity, and love shape a life, with or without health, even to our dying. Cohen and Miller draw deeply on their own lessons learned as they struggle through aging, illness, and loss within their own family and eventually Cohen's own untimely death. What happens when the expert on aging begins to age? And what happens when the therapist who helps others cope with illness and loss is forced to confront her own responses to these experiences? The result is a richly informative and emotional journey of growth.

A compassionate, life-changing guide to coping with pain, using psychological and practical strategies Chronic pain affects huge numbers of people - the WHO estimates that 37-41% of people across developed and developing countries suffer, and the figure rises in countries like the UK where the population is ageing. From arthritis to migraine, back pain to diabetes, chronic pain is a huge problem for individuals, their families and carers, health providers and employers. David Walton, a clinical and cognitive psychologist who experiences chronic pain himself, guides readers through an understanding of the nature of pain; how the body and mind react to it; how to minimise pain; and how to choose the right therapies, medication and relief strategies. Modern research is presented in an engaging and positive way, alongside self-assessment questionnaires, case studies and practical do's and don'ts. Through an understanding of pain mechanisms and relief strategies, readers will be enabled to manage their symptoms better and regain some control over their daily lives.

The Annual Update compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

This cutting-edge monograph on advanced clinical anatomy and pathoanatomy of the shoulder, written by the world's leading authors, reflects recent significant advances in understanding of anatomy and pathology. It is beautifully illustrated with exquisite photographs of anatomical specimens, and images from arthroscopy, histology, and radiology complete the picture. The accompanying text brings out the clinical, biomechanical, and functional relevance and focuses on aspects important to the high-performance athlete. In addition, the book closely assesses how each component of the normal anatomy responds to trauma, disease, and degeneration. The finer points of the pathoanatomy are demonstrated with clinical cases, histology, radiology, arthroscopy, and open surgery. The text details how the pathoanatomy affects the patient presentation, clinical examination, and imaging. It is also explained how the pathology affects the natural history and the outcome of physical therapy and influences recommendations for surgical treatments. This book will be of immense value both to trainees and to specialists who manage disorders of the shoulder, including orthopedic surgeons, sports physicians, and physiotherapists. It will also be of great interest to anatomists and pathologists.

In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.

A lifeline for anxiety sufferers, this expertly crafted workbook has been revised and updated to be even more user-friendly. Readers discover a new sense of freedom as they work through this comprehensive program grounded in cognitive-behavioral therapy (CBT). Step by step, the book provides skills for changing anxiety-provoking ways of thinking and for confronting feared situations safely and gradually. Updated with over a decade's worth of research advances, the second edition includes more detailed instructions for customizing the program, extra support for staying motivated, vivid stories that run throughout the book, new separate chapters on relaxation and mindfulness, and downloadable audio recordings. The large-size format makes it easy to fill in the worksheets; readers can download and print additional copies as needed.

This book is a comprehensive compendium of current knowledge on inherited and autoimmune blistering diseases that relates advances in our understanding of the pathogenetic mechanisms to management of the individual diseases. The aim is to provide a detailed reference for dermatologists who care for patients with these conditions and a useful "one-stop information shop" for specialists outside of dermatology. The book opens by describing the structure and biology of the epidermis and basement membrane zone and discussing the genes and proteins that are targets for mutations and autoantibodies. The role of the various diagnostic tests is explained, and clinical manifestations of the specific diseases are presented with the aid of many high-quality illustrations. The forms of treatment appropriate in specific conditions are then described in depth, with coverage of dressings, drugs, surgical procedures, gene therapy, and other novel approaches. Helpful algorithms are included both for testing and monitoring and for treatment.

Home/community-based care addresses an issue which is becoming increasingly urgent in South Africa. Millions of people are affected by chronic diseases such as HIV and Aids, cancer and tuberculosis. With rising costs, lack of space and facilities in hospitals, providing care and support for these patients and their families in their own homes is a necessity.

This practical book, written especially for pre-hospital staff, provides all the information needed to deal with children in life threatening situations before arriving at hospital. Complementing the best-selling Advanced Paediatric Life Support, this new edition reflects recent developments in practice, and covers the indispensable knowledge required for paediatric emergency care in the pre-hospital setting. Fully updated, this manual includes new information to aid both civilian and military personnel, as well as material on all stages of pre-hospital care; from recognition and practical procedures to the important issues of paediatric practice in the field. * Quick-to-follow algorithms of at-the-scene procedures * Based upon the protocols that ensure a smooth transfer from pre-hospital to hospital care * Internationally recognised course training resource Offering an authoritative guide to the care of the seriously ill or injured child, Pre-Hospital Paediatric Life Support is an essential tool for ambulance staff, general practitioners and community healthcare workers.

Anesthesia Emergencies contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.

Therapists and counsellors are under increasing pressure to provide effective treatment in a time-limited, demonstrably effective form. Time-Limited Psychotherapy (TLP) has developed in response, and is designed to give clients an intense form of therapy over 12 sessions. This title:
* uses vivid clinical descriptions of treatments and up-to-date research findings
* describes what the treatments entail
* discusses their outcome
* deals with teaching and learning of TLP regarding the changing conditions in public needs and in public services.
Time-Limited Psychotherapy in Practice will appeal to psychotherapists, counsellors, researchers and academics in the mental health field.

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The aim of this book is not only to help climbers and coaches gain a better understanding of medical consultations, but also to offer insights into practical treatment. As regards the medical field, the explanation of the different forces exerted on fingers during climbing allows better assessment of the causes of injuries and can help injured climbers adjust when they return to training. Despite their small size and fragility, fingers are essential in rock-climbing. The publication of this book was motivated by the numerous possible injuries and the required treatments, as well as the desire to connect medicine to this field. Combining scientific and medical research offers a new approach to training and practice. Indeed, promoting cooperation between specialists and coaches for the benefit of climbers can reduce the risk of lesions and improve training.

Practicing Patient Safety in Psychiatry covers all problematic aspects of care delivery in an easy-to-read format. Both portable and practical, this easily referenced guide book is designed for psychiatric residents and clinicals looking to improve their understanding of critical care. Featuring a wide variety of case-studiy examples and take-home points, this book is an essential introduction of patient safety for practitioners looking to deliver the highest quality of care in both inpatient and outpatient environments. Dr. Geetha Jayaram has been the Physician Advisor for the department of Psychiatry at Johns Hopkins Hospital for 21 years, and the Chair Of the International Patient Safety committee for the American Psychiatric Association. Dr. Jayaram is an outstanding clinician who has thought patient safety to residents and faculty for two dedcades. She is a pioneer in the field of psychiatric pateint safety, and has been invited to teach safety both nationally and internationally for many years.

Do you constantly worry about the "what ifs" of life? Does your anxiety over events that have yet to happen cause you physical discomfort? If you are prone to problems with anxiety and worry, you may suffer from Generalised Anxiety Disorder (GAD). Those who have been diagnosed with GAD know that it can cause chronic tension, fatigue, irritability and difficulties sleeping. What can be done to help? In recent years it has been proven that the most effective treatment for GAD is a program like the one outlined in this book, based on the principles of cognitive-behavioural therapy (CBT). Written by renowned therapists, this Workbook includes all the information you need to learn the appropriate skills to combat your anxiety and worry. For use in conjunction with supervised therapy, this book makes it easy for you to become an active participant in your treatment. Bring the workbook to your sessions while your therapist uses the corresponding Mastery of Your Anxiety and Worry, Therapist Guide to teach you techniques to help you relax and decrease your level of anxiety. This revised workbook includes user-friendly devices to aid you in overcoming your excessive worry, such as self-assessment quizzes, homework exercises, and case studies of individuals experiencing the same issues as you. It also includes interactive forms that can be photocopied or downloaded from the companion website, for you to monitor your progress throughout treatment. This one of a kind resource allows you to work alongside your therapist to personalise your treatment strategy and learn recovery skills that are useful for a lifetime.

Here, the best-selling author and renowned researcher, K. C. Nicolaou, presents around 40 natural products that all have an enormous impact on our everyday life. Printed in full color throughout with a host of pictures, this book is written in the author's very enjoyable and distinct style, such that each chapter is full of interesting and entertaining information on the facts, stories and people behind the scenes. Molecules covered span the healthy and useful, as well as the much-needed and extremely toxic, including Aspirin, urea, camphor, morphine, strychnine, penicillin, vitamin B12, Taxol, Brevetoxin and quinine.
A veritable pleasure to read.

Understanding the diagnostic methods necessary to identify bloodstream infections. In the clinical microbiology laboratory, blood is a critical diagnostic sample that, in the majority of cases is sterile (or is it?). However, when microbes gain access to and multiply in the bloodstream, it can result in life-threatening illness including sepsis. Mortality rates from bloodstream infection and sepsis range from 25% to 80%, killing millions of people annually. Blood cultures are a vital technology used in the microbiology laboratory to isolate and identify microbes and predict their response to antimicrobial therapy. The Dark Art of Blood Cultures, edited by Wm. Michael Dunne, Jr., and Carey-Ann D. Burnham, surveys the entire field of blood culture technology, providing valuable information about every phase of the process, from drawing samples to culture methods to processing positive cultures. The Dark Art of Blood Cultures is organized around several major topics.

Written by outstanding authorities from all over the world, this comprehensive new textbook devoted to pediatric and neonatal ventilation puts the focus on the effective delivery of respiratory support to children, infants, and newborns. In the early chapters, developmental issues concerning the respiratory system are considered, physiological and mechanical principles are introduced, and airway management and conventional and alternative ventilation techniques are discussed. Thereafter, the rational use of mechanical ventilation in various pediatric and neonatal pathologies is explained, with the emphasis on a practical step- by-step approach. Respiratory monitoring and safety issues in ventilated patients are considered in detail, and many other topics of interest to the bedside clinician are covered, including the ethics of withdrawal of respiratory support and educational issues. Throughout, the text is complemented by numerous illustrations and key information is clearly summarized in tables and lists, providing the reader with clear "take home messages."

Take control of chronic or recurring pain yourself to achieve life-changing results. New science has revealed the effectiveness of trigger-point massage to target pain - from migraines to back pain to repetitive strain injury. Pain felt in one part of the body can often be traced to knots of muscle and connective tissue elsewhere. By locating and manipulating these "trigger points", you can dramatically relieve pain and prevent its return. With detailed illustrations, learn to identify and locate trigger points accurately, and follow reliable expert advice on how to massage your trigger points for maximum benefit. Experience immediate and long-term relief with regular self-treatment. With this book, leading Harley Street therapist Amanda Oswald brings trigger-point therapy to you in a uniquely accessible package.

The companion workbook for Radiographic Analysis, 3rd Edition, provides you with ample opportunities to practice and apply information from the text. With study questions, additional suboptimal images for analysis, and an answer key to guide you through the problems, you'll have all the tools you need to hone your imaging and evaluation skills. Positioning and technique exercises prepare you for success in radiography practice. Suboptimal images with questions ensure you know and understand what features need to be visible in an image and how to adjust when the images are incorrect or poor. Extra images offer additional practice with identifying poor quality images and recognizing how they are produced. Study questions reinforce text material and prepare you for certification. NEW! More suboptimal images for analysis and correction help you hone your evaluation skills. NEW! Expansion of pediatric, obesity, and trauma sections provide pertinent information needed for clinical success.

It is estimated that one in ten U.S. adults suffers from chronic insomnia. If left untreated, chronic insomnia reduces quality of life and increases risk for psychiatric and medical disease, especially depression and anxiety.
The Overcoming Insomnia treatment program uses evidence-based cognitive-behavioral therapy (CBT) methods to correct poor sleep habits. CBT has been proven in multiple studies to improve sleep by reducing time spent in bed before sleep onset, reducing time spent awake after first sleep onset, and increasing the quality and efficiency of sleep. Developed by Jack D. Edinger and Colleen E. Carney, this second edition has been thoroughly updated according to the DSM-5, which now conceptualizes insomnia as a sleep-wake disorder, rather than a sleep disorder only. The DSM-5 has also eliminated the differentiation between primary and secondary insomnias, so this program provides an expanded discussion of daytime related issues as well as delivery issues specific to those with comorbid mental and medical problems. Patients are first given information about healthy sleep and the reasons for improving sleep habits, then a behavioral program is developed to address that patient's specific sleep problems. Use of a sleep diary, assessment forms, and other homework (all provided in the corresponding patient Workbook) allows client and therapist to work together to develop an effective sleep regimen tailored specifically for each client, and several sessions are dedicated to increasing compliance and problem-solving.

In this revised and updated 20th anniversary edition of his groundbreaking book, Dr. Kenneth Adams, a leading expert on covert incest, sex addiction, and childhood trauma, offers tools for identifying and healing from covert incestuous relationships that affect adult relationships and lives. He explains how 'feeling close' with a parent is not always the source of comfort the phrase suggests, especially when that child is cheated out of a childhood by being a parent's surrogate partner. Dr. Adams includes a new Q&A section that directly addresses issues including:
How can this be incestuous when there is no physical sexual contact?
Why is sexual addiction so common with covert incest survivors?
Why is it so hard for covert incest survivors to commit to romantic relationships?
If my partner is a covert incest survivor, how can I help?
Can I pass covert incest on to my children?

Through new findings and expanded discussions on 'engulfment, ' 'excessive guilt, ' 'loyalty, ' and 'narcissism, ' and others, Silently Seduced offers a framework to understand covert incest and its effect on sexuality, intimacy, and relationships to facilitate the process of recovery."