Key Features: The only textbook of rural healthcare practice for the UK Reflects the increasing profile of rural healthcare as a dedicated sub-specialty with its own growing body of literature and dedicated university courses Addresses the key challenges of ensuring effective and sustainable healthcare for those in rural, remote and coastal communities, often exacerbated by the COVID-19 pandemic Includes key themes - geographical equity, the trade-offs between access to services and quality of care, hidden rural social exclusion, the role of generalists and the importance of focusing on patient experience Focuses on the UK experience, but with applicability for those facing similar healthcare challenges internationally

This new, and heavily revised, edition of Psychopharmacology, provides a comprehensive scientific study of the effects of drugs on the mind and behaviour. With the growing prevalence of psychiatric and behavioral disorders and the rapid advances in the development of new drug therapies, this textbook offers an essential understanding of the necessary details of drug action. The book presents its coverage in the context of the behavioral disorders they are designed to treat, rather than by traditional drug classifications, to strengthen understanding of the underlying physiology and neurochemistry, as well as the approaches to treatment. Each disorder from the major diagnostic categories is discussed from a historical context along with diagnostic criteria and descriptions of typical cases. In addition, what we presently know about the underlying pathology of each disorder is carefully described. Providing a solid foundation in psychology, neuroanatomy and physiology, the book also offers a critical examination of drug claims, as well as coverage of evidence-based alternatives to traditional drug therapies. Throughout, this text discusses how drug effectiveness is measured in both human and animal studies. Topics new to this edition include: a stronger emphasis on the environmental impacts on drug effectiveness; more on the mechanisms of adverse reactions to drugs and information on managing drug side effects; the risks and benefits of using "mood stabilizing drugs" to address behavior in youth with ADHD or ASD; and discussion of the research-to-practice gap in pharmacological care for children and adolescents. Accompanied by a robust companion website of instructor materials, this textbook is ideal for undergraduate and pre-professional students on courses in Psychopharmacology, Clinical Psychopharmacology, Drugs and Behavior. It is a valuable contribution to highlight the symbiotic relationship between psychopharmacology and the neural and behavioral sciences.

Now more than ever, there is a need for early childhood professionals to comprehensively integrate trauma-sensitive practices into their work with children and families. This essential resource offers instructional strategies teachers can use daily to support their students dealing with trauma in early learning environments. Readers will learn to create opportunities for children to use their natural language—play—to reduce their stress, to cope with adversity, to build resilience, and even to heal from trauma. Nicholson and Kurtz provide vignettes, case study examples, textboxes, photographs, and descriptions of adapted therapeutic strategies ready for implementation in the classroom. Practical and comprehensive, this book is ideal for both prospective and veteran early childhood educators seeking to understand trauma-informed practices when working with young children (birth–8) in a range of environments.

'Principles and Practicalities of ENT' ensures that doctors of all levels are well equipped to approach common clinical scenarios encountered in ENT with confidence. Each section covers how to prepare for patients, includes key points in the history and examination, and how best to investigate and manage a wide variety of common ENT presentations and conditions. The material is structured to provide an easy reference including red flag and primary care sections to enable readers to know what to look out for when considering referrals. Inaddition to being a revision tool for medical students, doctors pursuing MRCS (ENT) examinations and higher surgical training in ENT, this book also serves as a useful aid for primary care physicians in their everyday diagnostics and referral practices.

Sample Sizes for Clinical Trials, Second Edition is a practical book that assists researchers in their estimation of the sample size for clinical trials. Throughout the book there are detailed worked examples to illustrate both how to do the calculations and how to present them to colleagues or in protocols. The book also highlights some of the pitfalls in calculations as well as the key steps that lead to the final sample size calculation. Features: Comprehensive coverage of sample size calculations, including Normal, binary, ordinal, and survival outcome data Covers superiority, equivalence, non-inferiority, bioequivalence and precision objectives for both parallel group and crossover designs Highlights how trial objectives impact the study design with respect to both the derivation of sample formulae and the size of the study Motivated with examples of real-life clinical trials showing how the calculations can be applied New edition is extended with all chapters revised, some substantially, and four completely new chapters on multiplicity, cluster trials, pilot studies, and single arm trials The book is primarily aimed at researchers and practitioners of clinical trials and biostatistics, and could be used to teach a course on sample size calculations. The importance of a sample size calculation when designing a clinical trial is highlighted in the book. It enables readers to quickly find an appropriate sample size formula, with an associated worked example, complemented by tables to assist in the calculations.

This book explores ways in which common metaphors can play a detrimental role in everyday life; how they can grow in outsized importance to dominate their respective terrains and push out alternative perspectives; and how forms of resistance might act to contain their dominance. The volume begins by unpacking the dynamics of metaphors, their power and influence and the ways in which they are bolstered by other rhetorical devices. Adams draws on four case studies to illustrate their destructive impact when they eclipse other points of view—the metaphor of mental illness; the metaphor of free-flowing markets; the metaphor of the mind as a mirror and the metaphor of men as naturally superior. Taken together, these examples prompt further reflection on the beneficiaries of these "monster metaphors" and how they promote such metaphors to serve their own interests but also on ways forward for challenging their dominance, strategies for preventing their rise and ways of creating space for alternatives. This book will be of interest to scholars interested in the study of metaphor, across such fields as linguistics, rhetoric and media studies.

This ground-breaking textbook engages readers in conversation about responding to the effects of diversity within formal criminal justice systems in Westernized nation-states. Moving past a binary concept of diversity that involves only race and gender, this book elaborates upon a wide variety of other forms of diversity, including sexuality, disability, mental health, gendered identity, refugees, the young and the ageing, and culturally and linguistically diverse (CALD) peoples, with an awareness of how intersecting identities make some people more vulnerable than others. With reported statistics providing only a snapshot of the incongruent experiences of diverse minorities in contact with criminal justice systems, there is a clear need for nuanced training and accessible information regarding diversity in criminal justice. The book examines diversity in terms of both criminal justice agents and justice-involved individuals such as people in prison, those convicted of crimes, the victimized, and the community. This volume brings together a group of international scholars to articulate on each of the identified populations, examining the effect of culture and diversity on criminal justice outcomes and outlining how those diverse perspectives can improve criminal justice service delivery overall. Incorporating case studies, reflections, and activity questions, this book is a valuable resource for courses in criminology, criminal justice, corrections, and law enforcement, and is ideal for any program focusing on multiculturalism and diversity in criminal justice. Scholars, researchers, and professionals will also benefit from the analysis.

Key features: Evidence-based – summarises the evidence about the effect of primary health care on mortality. Structured guidance – presents a framework of 23 mechanisms responsible for this effect, including funding, staffing, the clinical method and the therapeutic relationship, that can be used by both practitioners and policymakers to develop services. International perspective – the mechanisms by which primary health care affects population mortality apply worldwide.

A comprehensive textbook providing a complete overview of the multifaceted nature of public health practice. It explores all aspects of public health from communities and wider society, child development and early relationships, inequalities in health, safeguarding, the rapidly changing nature of society and the significance of culture, equality and diversity. The book takes a life-span approach and makes direct links to the UK health and social care context and has been written for an interprofessional audience. It will be essential reading for health and social care students including nurses and midwives, allied health care professionals, social care workers, qualified health and social care practitioners and anyone who plays a role in understanding, promoting, and protecting public health. Key features: Comprehensive, wide-ranging coverage Addresses the realities of public health in a globalised world Applied to the UK four nation context but also considers the global dimension of public health practice

Posthuman Community Psychology is an exploration of mainstream psychology through a critical posthumanity perspective, examining psychology’s place in the world and its relationship with marginalised people, with a focus on people with disabilities. The book argues that the history of modern psychology is underpinned by reductionism and individualism, which is embedded within the contemporary psychology that we know today despite the challenges from critical and community psychologists who seek a more empowering, inclusive, and activist psychology. The posthuman community psychology ideas that emerge in this book examine and intersect with mainstream psychology, critical and community psychologies, critical posthumanities and disability studies to propose an imaginative, reflective, and relational new psychology that represents a collection of possibilities that do not remain entrenched in older ways of thinking about humans and human connections. Richards proposes that psychology has the potential to evolve and make a powerful and profound difference for marginalised people, but a genuine desire for change from psychologists is essential for this to happen. Illustrating the important considerations needed when examining the relationship between the discipline of psychology and marginalised people, this book is fascinating reading for community psychology students and academics, aspiring professional psychologists, community workers, and policy makers.

The education division is a prominent part of the public health profession. It focuses on educating individuals and communities to promote health and prevent disease. The educators are drawn from a diverse range of disciplines and defined as professionally prepared individuals who serve in a variety of roles using appropriate educational strategies and methods to facilitate the development of policies, procedures, interventions, and systems conducive to the health of individuals.This unique volume in the Global Science Education Series describes some of the challenges faced by this profession in helping the audience to understand public health and solve health issues. Key Features: Aids researchers in designing an evaluation study in CPE for health professions and related fields Presents data on how public health practice comprises of individuals working together toward promoting population health Covers continuing professional education in the US and how it can be adopted globally Discusses the Kirkpatrick's four-level evaluation model at length Demonstrates how questionnaires are preferable in evaluating CPE programs due to their cost effectiveness and being user friendly

The third edition of ENT: An Introduction and Practical Guide provides an essential introduction to the clinical examination, treatment options and surgical procedures within ENT. It encompasses the most frequently encountered conditions in the emergency setting, on the ward and in the outpatient clinic. The text has been updated to include new content on implantation surgery for hearing loss. It also includes significant changes in the indications for surgery, patient assessment, management, and surgical techniques. The subject of dizziness and vertigo have also been updated to include novel interventions. With its highly practical step-by-step approach, this book will be invaluable to all surgical trainees studying for higher postgraduate examinations in ENT, and an essential guide for otorhinolaryngologists, primary care practitioners and specialist ENT nurses in their early years of training.

The third edition of ENT: An Introduction and Practical Guide provides an essential introduction to the clinical examination, treatment options and surgical procedures within ENT. It encompasses the most frequently encountered conditions in the emergency setting, on the ward and in the outpatient clinic. The text has been updated to include new content on implantation surgery for hearing loss. It also includes significant changes in the indications for surgery, patient assessment, management, and surgical techniques. The subject of dizziness and vertigo have also been updated to include novel interventions. With its highly practical step-by-step approach, this book will be invaluable to all surgical trainees studying for higher postgraduate examinations in ENT, and an essential guide for otorhinolaryngologists, primary care practitioners and specialist ENT nurses in their early years of training.

Promotes the use of iron-containing nanoadditive in bakery and confectionary Explains the use of food additives for enrichment of butter mixtures Covers the use of artichoke powder and buckwheat bran in diabetic bakery products Describes the use of milk proteins in the technology of bakery products Proposes the use of spice compositions for sour milk products

Modelling Survival Data in Medical Research, Fourth Edition describes the analysis of survival data, illustrated using a wide range of examples from biomedical research. Written in a non-technical style, it concentrates on how the techniques are used in practice. Starting with standard methods for summarising survival data, Cox regression and parametric modelling, the book covers many more advanced techniques, including interval-censoring, frailty modelling, competing risks, analysis of multiple events, and dependent censoring. This new edition contains chapters on Bayesian survival analysis and use of the R software. Earlier chapters have been extensively revised and expanded to add new material on several topics. These include methods for assessing the predictive ability of a model, joint models for longitudinal and survival data, and modern methods for the analysis of interval-censored survival data. Features: Presents an accessible account of a wide range of statistical methods for analysing survival data Contains practical guidance on modelling survival data from the author's many years of experience in teaching and consultancy Shows how Bayesian methods can be used to analyse survival data Includes details on how R can be used to carry out all the methods described, with guidance on the interpretation of the resulting output Contains many real data examples and additional data sets that can be used for coursework All data sets used are available in electronic format from the publisher's website Modelling Survival Data in Medical Research, Fourth Edition is an invaluable resource for statisticians in the pharmaceutical industry and biomedical research centres, research scientists and clinicians who are analysing their own data, and students following undergraduate or postgraduate courses in survival analysis.

* condenses and summarises the key information presenting it in a fashion that is succinct and easy to understand. * The authors are leaders in their field and have a wealth of knowledge about the subject matter * SBA questions for each chapter, including answers

This book examines how the digital revolution has reorganized the model of healthcare during the COVID-19 pandemic and argues for a continued paradigm shift to digital healthcare. Katarzyna Kolasa sets the vision of healthcare 5.0 that relieves the burden on limited healthcare resources and creates better health outcomes by switching the focus from treatment to prediction and prevention. She advocates for a patient-centric ecosystem that empowers patients to take control of their health via new knowledge-based technologies such as next-generation sequencing (NGS), nanotechnology, artificial intelligence and digital therapeutics. Highlighting the mindset shift needed to transform healthcare and outlining in detail a futuristic vision of healthcare 5.0, this book will be of interest to academics and professionals of health policy, health economics and digital health.

There has been a global rise in the incidence of chronic illnesses, which may be partially attributed to the lengthening of the average human lifespan. Functional foods and nutraceuticals have a potential role to play in the development and maintenance of health. They can assist the body in its battle against inflammation and chronic illnesses. Molecular Mechanisms of Action of Functional Foods and Nutraceuticals for Chronic Diseases addresses the effects and mechanism of functional foods in relation to chronic diseases such as obesity, cardiovascular diseases, diabetes, cancer, etc. This volume, like the companion Applications of Functional Foods and Nutraceuticals for Chronic Diseases, inspires new thought processes and a paradigm shift in research and development. Key Features: Discusses the molecular mechanism of action, the range of toxicities exerted by these food components for functional foods for addressing chronic conditions Enhances scientists and industrial personnel knowledge of functional foods and in the management of chronic diseases Presents research on the role of functional foods/nutraceuticals in preventing and treating chronic diseases through epigenetic modulation. Explores various subjects such as epigenetics, immunological, metabolic, technological and neurodenerative aspects affected by functional foods in chronic diseases The world's leading wellness centers for chronic diseases are using functional foods and nutraceuticals in their practice and discovering their useful applications, and this second of two related books is another great reference for practitioners, scientists, and clinicians in the management of chronic diseases. Contributors hail from different geographical locations around the world and have many years of research and scholarly experience in functional foods, nutraceuticals, and biology.

Building Your Medispa Business, part of Miladyas Aesthetician Series, focuses on the planning process of owning and operating a spa business. This book emphasizes the key components an individual will need when developing their business plan, beginning with what type of spa they envision. This comprehensive book includes new cutting edge information on operating a profitable spa with topics on employee hiring, training, employee management, customer service, and overall operations. In addition to the above topics, it focuses on developing marketing plans, setting quality standards, and understanding spa operations and legal issues. This unique reference will provide aestheticians who are considering opening a spa with the information they need to make informed choices giving them the greatest chance of seeing their business last and be successful.

Each chapter includes reflective exercises to allow students to reflect on what they have read, review their learning and consolidate their understanding. Relevant for all health and social care students on foundation degrees, certificates/diplomas, to level 4, 5 and 6 undergraduate honours degrees and postgraduate courses. Also relevant for social work professionals, public health professionals and nursing staff. Includes new chapters on: mental health and well-being; person-centred interventions; work-based learning and professional practice; commissioning health and social care; children’s and young people’s mental health; ageing in the 21st century; health promotion in practice; engaging with vulnerable groups; and the individual integrated project.

Ground-breaking, evidence-based book asks how many lives were lost because of Chinas negligence about lab-leaked SARS-CoV-2. In a disturbing reconstruction of events by two of the most reputable scientists in the world, a new book reveals for the first time how Chinese authorities and elite Wuhan scientists knew about SARS-CoV-2s menacing biological features from the start but remain silent to this day. In The Origin of the Virus (Clinical Press) Dr Steven Quay and Prof Angus Dalgleish, working with Italian reporter Paolo Barnard, show how China engaged in lies, omissions and obfuscations to cover up the laboratory origin of the virus. Had they immediately alerted the international community and policymakers of the extremely pathogenic molecular machinery present in SARS-CoV-2's genome, very large numbers of lives may have been spared, argue Quay, Dalgleish and Barnard. The authors provide a shocking account of the extreme experiments that led to the outbreak of the worst pandemic since the 1918 Spanish influenza. They broaden the censure to explain why some American and British scientists thwarted a proper investigation of the origin of COVID-19. Despite its impeccable scientific grounding the book is both a readable and gripping account that, for the first time, allows the public to partake in what lies at the heart of the many scandals surrounding the birth of the most deadly virus in modern times.

This is the ultimate guide to liferaft survival for all boaters and its purpose is to ensure the survival of skipper and crew in the event of their boat sinking. In this essential safety book, expert authors, Frances and Michael Howorth, cover how to be mentally and physically prepared for a sailor’s ultimate nightmare. It includes invaluable advice on the essentials to pack into the emergency grab bag for a short or long cruise, hot or cold climate, coastal or offshore trip. Packed full of checklists and clear diagrams, there are lessons learned from disasters, flowcharts to prioritise abandon ship procedure, sections on first aid and emergency treatment. Featuring some essential content from the authors’ previous title The Grab Bag Book but completely revised and updated, the new Liferaft Survival Guide is what you need right now to stay safe at sea and covers up to date information on the way satellites and beacons work, world monitoring of distress signals and advances in medical practice. Preparation and planning are key for safe enjoyable sailing. Every boater needs to plan and prepare, and every boater should read this book. This unique survival at sea handbook helps you ensure your crew’s survival in a liferaft. Buy it, build your own grab bag and be sure to be prepared!

This book discusses the significance of social geography, a multi-dimensional concept encompassing social health, social security and social ethos. It presents the socio-spatial dynamics of the population in India through an understanding of the various issues related to migration, urbanisation, unemployment, poverty and public health. With a thorough analysis of various social indicators relating to health, education, income and employment, the volume presents a detailed picture of the social geography of India. It discusses in detail, The origin, nature and scope of social geography, its relations with other social sciences and applications The nature and importance of social well-being along with welfare geography and the role of welfare state in ensuring social well-being The population of India and its attributes The status and spatial patterns of various social indicators relating to health, education and income and employment The composite indices which aggregate several social indicators such as the Human Development Index, Multidimensionally Poverty Index, Global Hunger Index, Gross National Happiness, Sustainable Developmental Goals Index and Freedom Index in the context of India. This comprehensive book will be useful for students, researchers and teachers of social geography, human geography, population geography, demography and sociology. The book can also be used by students preparing for exams like civil services, UPSC, PSC and other competitive exams.

Key Features Provides practical therapeutic advice including deprescribing decisions for all medication types. Presents statistics in more clinically meaningful ways - i.e. number needed to treat and no p-values, to aid the process of shared decision-making for clinicians and professionals. Includes 200 revised questions and answers throughout the text in the 'best of five' format suitable for the SCE and similar higher-training exams.