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Books > Medicine > Nursing & ancillary services > Specific disorders & therapies

Mastering Blocking and Stuttering - A Cognitive Approach to Achieving Fluency (Hardcover, New): Bob G. Bodenhamer Mastering Blocking and Stuttering - A Cognitive Approach to Achieving Fluency (Hardcover, New)
Bob G. Bodenhamer; Edited by Peter Young
R967 Discovery Miles 9 670 Ships in 10 - 15 working days

Most people who block and stammer do not do so every time they speak Indeed, most people who stammer are consistently fluent in certain contexts. When by themselves, speaking to a pet or speaking to a person with whom they are comfortable they speak fluently. This behaviour has been a puzzle for people who stammer and for speech pathologists who think stammering is a purely physical problem for many years. Now the puzzle has finally been solved by this outstanding new book which details a completely new approach to treating this debilitating condition. Bob Bodenhamer explains that blocking results from the thinking (cognition) of the stammerer as he or she associates speaking with a lot of fear and anxiety about stammering. Most blocking is no more than a panic attack expressed in the muscles that control breathing and speaking. This book both explains the structure of blocking and provides the tools for gaining more fluency. Bob G Bodenhamer's related paperback title I Have a Voice: How to stop stuttering, 16.99.

Lie There and Lose Weight - How I Lost 100 Pounds By Doing Next to Nothing (Hardcover): John J. Ordover Lie There and Lose Weight - How I Lost 100 Pounds By Doing Next to Nothing (Hardcover)
John J. Ordover
R689 Discovery Miles 6 890 Ships in 10 - 15 working days
How Music Helps in Music Therapy and Everyday Life (Hardcover, New Ed): Gary Ansdell How Music Helps in Music Therapy and Everyday Life (Hardcover, New Ed)
Gary Ansdell
R4,513 Discovery Miles 45 130 Ships in 10 - 15 working days

Why is music so important to most of us? How does music help us both in our everyday lives, and in the more specialist context of music therapy? This book suggests a new way of approaching these topical questions, drawing from Ansdell's long experience as a music therapist, and from the latest thinking on music in everyday life. Vibrant and moving examples from music therapy situations are twinned with the stories of 'ordinary' people who describe how music helps them within their everyday lives. Together this complementary material leads Ansdell to present a new interdisciplinary framework showing how musical experiences can help all of us build and negotiate identities, make intimate non-verbal relationships, belong together in community, and find moments of transcendence and meaning. How Music Helps is not just a book about music therapy. It has the more ambitious aim to promote (from a music therapist's perspective) a better understanding of 'music and change' in our personal and social life. Ansdell's theoretical synthesis links the tradition of Nordoff-Robbins music therapy and its recent developments in Community Music Therapy to contemporary music sociology and music studies. This book will be relevant to practitioners, academics, and researchers looking for a broad-based theoretical perspective to guide further study and policy in music, well-being, and health.

Nursing and Addictions, An Issue of Nursing Clinics, Volume 48-3 (Hardcover): Al Rundio Nursing and Addictions, An Issue of Nursing Clinics, Volume 48-3 (Hardcover)
Al Rundio
R1,682 Discovery Miles 16 820 Ships in 10 - 15 working days

This issue of Nursing Clinics of North America is Guest Edited by Al Rundio, RN, at Drexel University and will focus on Addictions. Article topics will include Office-Based Opioid Treatment, Addictions and Pregnancy, Peer Assistance, Relapse Prevention for Addictions, Adolescents and Addiction, Use of Photo Voice in Addictions, Health Promotion and Prevention Strategies, Maintaining Sobriety and Recovery, and SBIRT (Screening Brief Interventio and Treatment.)

Essential Papers on Addiction (Hardcover, New): Daniel L. Yalisove Essential Papers on Addiction (Hardcover, New)
Daniel L. Yalisove
R3,222 Discovery Miles 32 220 Ships in 18 - 22 working days

The most important writings on the psychoanalytic understandings and treatments of drug and vice addiction Drug abuse, alcoholism, compulsive gambling, and other destructive addictions plague our society. Theories of addiction locate its cause variously-in factors related to the substance, the addict's personality, or to the addict's environment. Arguments about effective treatment programs are fierce. Essential Papers on Addiction presents the most important writing and the various sides of the debate on the psychoanalytic understanding and treatment of addiction. Daniel Yalisove outlines the history of the treatment of addiction and introduces important psychoanalytic concepts used in understanding addicts. The book includes case studies which illustrate the course of addiction and presents the work of the most influential theorists in the field. Divided into eight sections focusing on historical work on addiction, psychoanalytic theories of addiction, transference and countertransference issues in treating addiction, psychoanalytic treatment for the addictions, psychoanalytic therapy and disease concepts, and psychiatric illness and addiction, this definitive volume includes contributions by the most experienced and renowned experts on the subject. Contributors include S. Freud, E. Glover, S. Rado, R. P. Knight, L. Wurmser, N. E. Zinberg, H. Krystal, D. Jacobs, R. Fine, J. Gustafson, C. L. Brown, M. L. Selzer, V. Davidson, J. Imhof, R. Hirsch, R. E. Terenzi, M. E. Chafetz, A. Silber, R. J. Rosenthal, E. M. Pattison, M. B. Sobell, L. C. Sobell, J. E. Zweben, E. Simmel, B. Brickman, E. J. Khantzian, R. D. Weiss, S. M. Mirin, A. T. McLellan, and H. J. Richards.

Anorexia, Volume 92 (Hardcover, New): Gerald Litwack Anorexia, Volume 92 (Hardcover, New)
Gerald Litwack
R4,510 Discovery Miles 45 100 Ships in 10 - 15 working days

First published in 1943, "Vitamins and Hormones" is the longest-running serial published by Academic Press. The Editorial Board now reflects expertise in the field of hormone action, vitamin action, X-ray crystal structure, physiology and enzyme mechanisms.

Under the capable and qualified editorial leadership of Dr. Gerald Litwack, "Vitamins and Hormones" continues to publish cutting-edge reviews of interest to endocrinologists, biochemists, nutritionists, pharmacologists, cell biologists and molecular biologists. Others interested in the structure and function of biologically active molecules like hormones and vitamins will, as always, turn to this series for comprehensive reviews by leading contributors to this and related disciplines.

This volume focuses on anorexia.

Key features:

* Contributions from leading authorities * Informs and updates on all the latest developments in the field

Obesity, Volume 91 (Hardcover, New): Gerald Litwack Obesity, Volume 91 (Hardcover, New)
Gerald Litwack
R4,518 Discovery Miles 45 180 Ships in 10 - 15 working days

First published in 1943, "Vitamins and Hormones" is the longest-running serial published by Academic Press. The Editorial Board now reflects expertise in the field of hormone action, vitamin action, X-ray crystal structure, physiology and enzyme mechanisms.

Under the capable and qualified editorial leadership of Dr. Gerald Litwack, "Vitamins and Hormones" continues to publish cutting-edge reviews of interest to endocrinologists, biochemists, nutritionists, pharmacologists, cell biologists and molecular biologists. Others interested in the structure and function of biologically active molecules like hormones and vitamins will, as always, turn to this series for comprehensive reviews by leading contributors to this and related disciplines.

This volume focuses on obesity.

Key features:

* Contributions from leading authorities * Informs and updates on all the latest developments in the field

What's Wrong with Addiction. (Hardcover, New of "The Anc): Helen Keane What's Wrong with Addiction. (Hardcover, New of "The Anc)
Helen Keane
R2,871 Discovery Miles 28 710 Ships in 18 - 22 working days

"Keane's work is thoughtful and thought provoking and incorporates elements of medical history and philosophy."--"Psychiatric Services"

"A theoretically engaging exploration of the arbitrariness of the field of addiction studies."
--Robert Granfield, co-author of "Coming Clean"

We assume that there is something wrong with addiction. But how exactly is it bad to be an addict? What's Wrong with Addiction? explores the ways in which our views of addiction categorize certain ways of being as unnatural, diseased, and self-destructive, often working to reinforce existing social hierarchies. Under the rubric of addiction, pleasure and desire are demonized, while the addict is viewed as damaged and in need of physical and moral rectificaiton.

Keane examines the ambiguities in medical science's quest to construct addiction in chemical and biological terms, revealing the strains in the oppositions between disease and health, and addiction and normality. She demonstrates how these strains have become more insistent as the net of addiction has spread wider, moving beyond chemical substances to other problems of consumption and conduct such as compulsive eating and sex addiction. The book also critically examines the ideals of health, freedom, and happiness found in popular self-help literature, suggesting that it is the practices of self-surveillance and self-interrogation promoted in recovery guides which actually produce the inner self as an object of concern.

Purinergic Approaches in Experimental Therapeutics (Hardcover, New): KA Jacobson Purinergic Approaches in Experimental Therapeutics (Hardcover, New)
KA Jacobson
R8,700 Discovery Miles 87 000 Ships in 18 - 22 working days

Edited by Kenneth A. Jacobson and Michael F. Jarvis
The roles of extracellular purines and pyrimidines in cellular homeostasis and disease etiology have come to be understood gradually over the past 40 years. However, due to the recent cloning and expression of receptors for ATP and adenosine, novel compounds have been developed with unique therapeutic potential for the treatment of thrombosis, stroke, epilepsy, chronic pain, immunological disorders, and cancer. As a result, the study of adenosine- and ATP-mediated responses in cellular regulation is entering a phase of opportunity and development unmatched since the days of serotonin receptor research in the 1970s.
The only definitive book on the topic, Purinergic Approaches in Experimental Therapeutics covers all of the major therapeutic applications of purinergic receptors and reflects the very latest developments in this new area of therapeutic research. Twenty-eight chapters, authored by an international group of contributors who are the leading authorities in the field, provide details on molecular pharmacology; medicinal chemistry; and therapeutic implications, including cardiology, metabolism, immunology, neurology, and cancer.
Among the topics covered:
* Purinergic Neurotransmission and Neuromodulation: A Historical Perspective
* Adenosine Receptor Subtypes: New Insights from Cloning and Functional Studies
* Modulators of Adenosine Uptake, Release, and Inactivation
* Cardiac Electrophysiology of Adenosine: Antiarrhythmic and Proarrhythmic Actions
* Purinergic Modulation of Gastrointestinal Function
* The Role of Adenosine in Asthma
* ATP in Brain Function
* ATP in the Treatment of Cancer

For researchers in pharmacology, physiology, molecular biology, and medicinal chemistry, Purinergic Approaches in Experimental Therapeutics heralds an exciting new era in the understanding of purinergic neurotransmission and the development of novel therapeutic modalities.

101 Tips for Recovering from Addictions - Practical Suggestions for Creating a New Life (Hardcover): Richard A. Singer 101 Tips for Recovering from Addictions - Practical Suggestions for Creating a New Life (Hardcover)
Richard A. Singer; Foreword by Michael Donahue
R489 R454 Discovery Miles 4 540 Save R35 (7%) Ships in 18 - 22 working days
Fatigue, An Issue of Sleep Medicine Clinics, Volume 8-2 (Hardcover): Max Hirshkowitz, Amir Sharafkhaneh Fatigue, An Issue of Sleep Medicine Clinics, Volume 8-2 (Hardcover)
Max Hirshkowitz, Amir Sharafkhaneh
R1,660 Discovery Miles 16 600 Ships in 10 - 15 working days

This issue of Sleep Medicine Clinics, Guest Edited by Max Hirshkowitz, PhD, D ABSM, will focus on Fatigue, with article topics including: Fatigue, Sleepiness, and Safety; Assessment, and Methodology; Fatigue and Neurological Disorders; Cardiopulmonary Disorders and Fatigue; Cancer and Fatigue; Psychiatric Disorders and Fatigue; Organ Transplantation and Fatigue; Fatigue in Other Medical Disorders; Sleep Disorders and Fatigue; The Pharmacology of Fatigue and Sleepiness; and Fatigue Management Strategies.

Sleep and Neurorehabilitation, An Issue of Sleep Medicine Clinics, Volume 7-4 (Hardcover): Richard J Castriotta, Mark C. Wilde Sleep and Neurorehabilitation, An Issue of Sleep Medicine Clinics, Volume 7-4 (Hardcover)
Richard J Castriotta, Mark C. Wilde
R1,718 Discovery Miles 17 180 Ships in 10 - 15 working days

This issue of Sleep Medicine Clinics, Guest Edited by Richard Castriotta, MD of the University of Texas, will focus on Sleep and Neurorehabilitation. Article topics will include TBI and Sleep, Circadian Rhythm Disorders, Insomnia, and Stroke and Sleep.

G Protein-Coupled Receptors in Energy Homeostasis and Obesity Pathogenesis, Volume 114 (Hardcover, New): Ya-Xiong Tao G Protein-Coupled Receptors in Energy Homeostasis and Obesity Pathogenesis, Volume 114 (Hardcover, New)
Ya-Xiong Tao
R3,693 Discovery Miles 36 930 Ships in 10 - 15 working days

Obesity is an epidemic with enormous health, economic and social burdens. Current drugs for obesity treatment are far from ideal in terms of efficacy and side effects. Reviews in this volume of Progress in Molecular Biology and Translational Science summarize current status in studies of a number of G protein-coupled receptors that were shown to be promising targets for obesity treatments. Some of these receptors also cause monogenic obesity in humans.
Subject matter: obesity is an epidemic and G protein-coupled receptors are promising drug targets, with significant potential as new anti-obesity drugs.

Chapters are written by leading experts.

Exercise and Fitness Training After Stroke - a handbook for evidence-based practice (Paperback): Gillian E. Mead, Frederike van... Exercise and Fitness Training After Stroke - a handbook for evidence-based practice (Paperback)
Gillian E. Mead, Frederike van Wijck; Foreword by Peter Langhorne
R1,128 Discovery Miles 11 280 Ships in 10 - 15 working days

This brand new book is the first of its kind dedicated to exercise and fitness training after stroke. It aims to provide health and exercise professionals, and other suitably qualified individuals, with the necessary information to design and evaluate exercise and fitness programmes for stroke survivors that are safe and effective. The content is based on current evidence and aligned with national clinical guidelines and service frameworks, highlighting the importance of physical activity in self-management after stroke. The book has also been written for stroke survivors and carers who may be interested in physical activity after stroke. Exercise and Fitness Training After Stroke comprehensively discusses the manifestations of stroke and how stroke is managed, the evidence for exercise and fitness training after stroke, how to design, deliver, adapt and evaluate exercise, as well as how to set up exercise services and specialist fitness training programmes for stroke survivors. Includes detailed background in stroke pathology, stroke management and how post-stroke problems may affect the ability to participate in exercise Dedicated to evidence-based exercise prescription with special considerations, cautions and therapy-based strategies for safe practice Covers issues of a professional nature, including national occupational standards, exercise referral pathways, as well as risk assessment and management related to stroke survivors Quality content from a highly qualifi ed, experienced and respected multidisciplinary team

Sleep Disorders, An Issue of Neurologic Clinics, Volume 30-4 (Hardcover): Bradley Vaughn Sleep Disorders, An Issue of Neurologic Clinics, Volume 30-4 (Hardcover)
Bradley Vaughn
R1,689 Discovery Miles 16 890 Ships in 10 - 15 working days

Sleep disorders are a widely recognized consequence of many neurological pathologies. This issue of Neurologic Clinics features the following articles: Sleep Physiology; Sleep Assessment Tools for the Neurologist; Fitting Sleep into Neurological Practice;? Insomnia; Parasomnias and look-alikes; Sleep Apnea: Obstructive and central; Restless Legs syndrome; Circadian Rhythm; Pediatric Sleep Disorders; Dementia;? Stroke; Epilepsy; CNS Immunological and Infectious; Movement Disorders; Neuromuscular; Headache; Traumatic Brain Injury; and? Psychiatry in Sleep.

Biology of Sleep, An Issue of Sleep Medicine Clinics, Volume 7-3 (Hardcover): Teofilo L. Lee-Chiong Jr Biology of Sleep, An Issue of Sleep Medicine Clinics, Volume 7-3 (Hardcover)
Teofilo L. Lee-Chiong Jr
R1,676 Discovery Miles 16 760 Ships in 10 - 15 working days

This issue of Sleep Medicine Clinics, Guest Edited by Teofilo Lee-Chiong MD, will focus on Biology of Sleep, with article topics including: Neurology of Sleep; Normal Sleep and Circadian Rhythms: Neurobiologic Mechanisms Underlying Sleep and Wakefulness; Physiology of Sleep Disordered Breathing; Evaluation of the Patient Who Has Sleep Complaints: A Case-Based Method Using the Sleep Process Matrix; Sleep States, Memory Processing, and Dreams; Neurobiologic Mechanisms in Chronic Insomnia; Sleep Behavior and Sleep Regulation from Infancy through Adolescence: Normative Aspects; Biological Timekeeping; Neurologic Basis of Sleep Breathing Disorders; Genetics of Sleep Timing, Duration, and Homeostasis in Humans; Sleep in Normal Aging; Modulation of Endocrine Function by Sleep-Wake Homeostasis and Circadian Rhythmicity; Cardiac Activity and Sympathovagal Balance During Sleep; Sleep and Cytokines; Neuropharmacology of Sleep and Wakefulness; Staging Sleep; Respiratory Physiology During Sleep; and Cyclic Alternating Pattern (CAP), Sleep Disordered Breathing, and Automatic Analysis

Nutrition in the Prevention and Treatment of Disease (Hardcover, 3rd edition): Ann M Coulston, Carol J. Boushey, Mario Ferruzzi Nutrition in the Prevention and Treatment of Disease (Hardcover, 3rd edition)
Ann M Coulston, Carol J. Boushey, Mario Ferruzzi
R2,030 Discovery Miles 20 300 Ships in 10 - 15 working days

Nutrition in the Prevention and Treatment of Disease has been proving itself in the classroom for nearly 10 years and is praised as being accessible, applicable and a valuable textbook. It focuses specifically on the relationship between disease and nutrition, an area of ever increasing interest and concern as health care costs and availability continue to be an issue worldwide. Now reaching beyond just the individual healthcare concern, the potential for nutritional interventions to improve health status is also of heightened interest to public health professionals who are faced with an aging, obese, at-risk-of-diabetes population who may or may not have access to insurance. This textbook is the foundation of understanding how nutrition can be used to improve health status.

New to this edition:

100% overall new material. 26 new authors or co-authors and all chapters have been completed updated

4 completely new chapters: "

Surgery for Severe Obesity

Snacking and Energy Balance in Humans

Phytochemicals in the Prevention and Treatment of Obesity and Its Related Cancers

Bioavailability and Metabolism of Bioactive Compounds from Foods "

New section on "Dietary Bioactive Compounds for Health" explores bioactive components present in edible plants of particular interest for the prevention of disease

New to the obesity section is a chapter on the management of patients who have undergone surgical treatment for obesity
Selected for inclusion in Doody's Core Titles 2013, an essential collection development tool for health sciences librariesIntegration of food issues with nutrition provides a unique perspective to disease prevention/controlMaterial in the book is up-to-date with current researchIndividual sections of the book can be used for mini-courses or in-depth studyDiversity of material makes this text useful for nutritional scientists and also for upper division nutrition course work

Home Portable Monitoring for Obstructive Sleep Apnea, An Issue of Sleep Medicine Clinics, Volume 6-3 (Hardcover): Michael R.... Home Portable Monitoring for Obstructive Sleep Apnea, An Issue of Sleep Medicine Clinics, Volume 6-3 (Hardcover)
Michael R. Littner
R1,666 Discovery Miles 16 660 Ships in 10 - 15 working days

Portable Sleep monitoring is a very important method of diagnosis and follow-up for sleep-disordered breathing.? This state-of-the-art issue reviews the most recent information on classification, technical specifications and types of portable monitors, use and limitations of portable monitoring with integration into positive airway pressure treatment. use of portable monitors in children and in patients with oral appliances.? Use of portable monitoring for SDB treatment with upper airway surgery is also discussed.? Current published standards incliding CMS requirements for portable monitoring are reviewed.? Outcome measures, illustrative cases, and a comparison with polysomnogram are included.? Finally, future directions are discussed.

Sleep Hormones, Volume 89 (Hardcover, New): Gerald Litwack Sleep Hormones, Volume 89 (Hardcover, New)
Gerald Litwack
R4,392 Discovery Miles 43 920 Ships in 10 - 15 working days

First published in 1943, "Vitamins and Hormones" is the longest-running serial published by Academic Press. The Editorial Board now reflects expertise in the field of hormone action, vitamin action, X-ray crystal structure, physiology and enzyme mechanisms.

Under the capable and qualified editorial leadership of Dr. Gerald Litwack, "Vitamins and Hormones" continues to publish cutting-edge reviews of interest to endocrinologists, biochemists, nutritionists, pharmacologists, cell biologists and molecular biologists. Others interested in the structure and function of biologically active molecules like hormones and vitamins will, as always, turn to this series for comprehensive reviews by leading contributors to this and related disciplines.

This volume focuses on sleep hormones.

Key features:

* Contributions from leading authorities * Informs and updates on all the latest developments in the field

Sleep-related Epilepsy and Electroencephalography, An Issue of Sleep Medicine Clinics, Volume 7-1 (Hardcover): Madelieine... Sleep-related Epilepsy and Electroencephalography, An Issue of Sleep Medicine Clinics, Volume 7-1 (Hardcover)
Madelieine Grigg-Damberger, Nancy R. Foldvary-Schaefer
R1,675 Discovery Miles 16 750 Ships in 10 - 15 working days

This issue on Sleep Electroencephalography (EEG) gives an overview of Electrophysiological readings in sleep with such articles as "The Nuts and Bolts of EEG? and "How the Sleep/Wake EEG Changes Across the Lifespan.? Identifying abnormal EEG activity and patterns in the Electroencephalographic readings is also discussed.? The issue then further focuses in on Seizures and the EEG; specifically, how EEG can be used to diagnosis and identify seizure disorders and differentiate seizures from other paroxysmal nocturnal events, and to diagnose other primary sleep disorders in people with epilepsy.

Tobacco Control, An Issue of Nursing Clinics, Volume 47-1 (Hardcover): Nancy L. York Tobacco Control, An Issue of Nursing Clinics, Volume 47-1 (Hardcover)
Nancy L. York
R1,662 Discovery Miles 16 620 Ships in 10 - 15 working days

This issue of Nursing Clinics includes the following topics: Nursing interventions for smoking cessation; tobacco cessation clinics; Cessation strategies for pregnant and postpartum mothers; Evidence-based cessation strategies and policies for college-age smokers; Evidence-based cessation strategies for rural communities; Gender differences and tobacco cessation; Optimizing tobacco cessation outcomes; Community based participatory research and cessation interventions; Use of quit-lines for cessation; Advocacy and smoke-free laws; Hookah use in adolescents and adults; Chewing tobacco; and E-cigarettes.

Disability Informatics and Web Accessibility for Motor Limitations (Hardcover, New): Georgios Kouroupetroglou Disability Informatics and Web Accessibility for Motor Limitations (Hardcover, New)
Georgios Kouroupetroglou
R5,097 Discovery Miles 50 970 Ships in 18 - 22 working days

As technology becomes an increasingly vital aspect of modern social interaction, the field of disability informatics and web accessibility has made significant progress in consolidating theoretical approaches and exploring new application domains for those with motor and cognitive disabilities. Disability Informatics and Web Accessibility for Motor Limitations explores the principles, methods, and advanced technological solutions in the use of assistive technologies to enable users with motor limitations. This book is essential for academia, industry, and various professionals in fields such as web application designers, rehabilitation scientists, ergonomists, and teachers in inclusive and special education. This publication is integrated with its pair book Assistive Technologies and Computer Access for Motor Disabilities.

Addiction, An Issue of Psychiatric Clinics, Volume 35-2 (Hardcover): Itai Danovitch, John J Mariani Addiction, An Issue of Psychiatric Clinics, Volume 35-2 (Hardcover)
Itai Danovitch, John J Mariani
R1,991 Discovery Miles 19 910 Ships in 10 - 15 working days

This completely new and updated issue takes a focused look at addiction psychiatry in three sections: Diagnostics, Therapeutics, and New Directions. Dr. Danovitch, from Cedars-Sinai and Dr. Mariani from Columbia hone in on the most rapidly advancing and relevant areas of addiction for practitioners today, from defining addiction (implications of DSM-V), to genetics and neurobiology, to specific treatment options for a variety of patient populations: for pregnant women, adolescents, and patients suffering from chronic pain, for example.? A variety of addiction types are discussed (ie, opioid, stimulant, and cannabis).? The issue closes with discussions of emerging trends, systems of care, investigational therapeutics and the role of the criminal justice system.

Obesity, An Issue of Medical Clinics, Volume 95-5 (Hardcover): Eddy Karnieli, Derek Leroith Obesity, An Issue of Medical Clinics, Volume 95-5 (Hardcover)
Eddy Karnieli, Derek Leroith
R1,413 Discovery Miles 14 130 Ships in 10 - 15 working days

Obesity has become a worldwide epidemic that is also driving the marked increase in Type 2 diabetes across the globe.? While it is easily recognizable clinically, and readily measurable in the United States, a feature that is not well recognized is the central adiposity that may be the only or primary feature in South East Asian communities.? Thus it is imperative for clinicians to be brought up do date in order for preventative or therapeutic modalities are introduced early in the disease process.
This issue of Medical Clinics of North America covers numerous clinical aspects of obesity including metabolic syndrome, insulin resistance, the link with cardiovascular disease, dyslipidemia, and hypertension.? Several treatment modalities are covered including diet, exercise, cognitive and behavioral approaches, medications, and surgery.

STOP, THAT and One Hundred Other Sleep Scales (Hardcover, 2012): Azmeh Shahid, Kate Wilkinson, Shai Marcu, Colin M. Shapiro STOP, THAT and One Hundred Other Sleep Scales (Hardcover, 2012)
Azmeh Shahid, Kate Wilkinson, Shai Marcu, Colin M. Shapiro
R4,114 Discovery Miles 41 140 Ships in 18 - 22 working days

There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem. In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former). Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient's progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover trial or a straightforward clinical practice audit, those who are interested in research will find that their own clinics become a source of great discovery. Scales provide standardized measures that allow colleagues across cities and countries to coordinate their practices. They enable the replication of previous studies and facilitate the organization and dissemination of new research in a way that is accessible and rapid. As the emphasis placed on evidence-based care grows, a clinician's ability to assess his or her own practice and its relation to the wider medical community becomes invaluable. Scales make this kind of standardization possible, just as they enable the research efforts that help to formulate those standards. The majority of Rating Scales in Sleep and Sleep Disorders: 100 Scales for Clinical Practice is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument's content. Groundbreaking and the first of its kind to conceptualize and organize the essential scales used in sleep medicine, Rating Scales in Sleep and Sleep Disorders: 100 Scales for Clinical Practice is an invaluable resource for all clinicians and researchers interested in sleep disorders."

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