Gynaecology in Primary Care comes at a time of great change in health service delivery. General practice is facing the challenges of developing Clinical Commissioning Groups, providing an ever greater range of primary care services and implementing NICE guidelines, whilst CCGs through their members will be under a legal duty to innovate. From a provider perspective, the book equips general practitioners with up-to-date knowledge of common gynaecological conditions, suggestions of best practice with regard to management and investigations to be undertaken within primary care, and guidelines for onward referral, where this is appropriate and necessary. From a commissioning perspective it provides an invaluable resource to CCGs, to inform their future pathways for gynaecology care. This highly practical book delivers the main aim of the RCP report - to ensure best care for female patients in the setting of their choice and where possible to develop streamlined one-stop services in primary care so that women do not have to take time off from their work and family commitments. It is ideal for general practitioners needing to be inspired and informed, and is also highly recommended for other healthcare professionals and medical students with an interest in women's health. 'Optimal patient care requires many connected features to synchronise effectively. This book describes how this could be achieved by focusing attention on well-crafted, evidencebased clinical pathways. This book advances our thinking on how we connect clinical, system and patient level perspectives on optimal care management.' Denis Gizzi, in his Foreword 'Written by a highly regarded, experienced and practicing GP, who has taken on the role as Clinical Director on behalf of the CCG for this programme area, this book is a valuable asset for both practicing GPs and developing CCGs to ensure that gynaecology services effectively commission, maximise the health of the population, improve the experience of the patient, and improve value for money.' Kath Wynne-Jones, in her Foreword 'An excellent guide to the management of gynaecological problems in primary care for not only clinicians in training, but for more experienced clinicians who look for straightforward and easily accessible advice to support their clinical management decisions. Look no further than this textbook. Dr Sharma's textbook will be a boon to developing organisations in delivering world-class services.' Dr Ian Wilkinson, in his Foreword

The burden of chronic obstructive pulmonary disease (COPD) is enormous and is increasing, but early, accurate diagnosis in a primary care setting can have a crucial impact on managing the condition. New NICE guidelines and the GMS Contract with incentives give GPs and practice nurses the opportunity to diagnose COPD patients and manage them in a structured fashion. This book brings together clear and concise information for GPs and primary healthcare teams on how this can be achieved accurately and effectively. This book sets out a very practical approach to caring for one group who can demonstrably benefit from access to the very best that primary care can offer: patients living with COPD. This book is for busy primary care physicians and nurses committed to improving diagnosis, enabling self-management, ensuring rapid treatment, and providing truly patient-centred care. Written by an experienced, practising general practitioner, it provides a timely contribution to the high-quality primary care services needed now and in the future.A " - from the Foreword by Gail Richards Anita Sharma is to be congratulated on producing a clear, concise and practical book on COPD which will educate, give confidence to, and encourage primary care physicians to manage this important disease effectively and at an early stage.A" - from the Foreword by Joyce Barclay

'Peripheral vascular disease is common and has a significant adverse effect on the quality of life. A general practice with a list size of 6000 patients will have approximately 30 symptomatic patients with peripheral vascular disease' - Anita Sharma Peripheral vascular disease is a commonly neglected condition and therefore often presents in an advanced stage or in a life-threatening manner. General practitioners can play a vital role by making early diagnoses, prompt referrals, and in coordinating vascular risk factor management in primary care. This book is a concise and practical guide to recognising, managing and reducing the cardiovascular risk factors in patients with peripheral vascular disease (PVD). Completely up-to-date, it offers clear direction for all primary care professionals. 'A pleasure for any busy professional to read and an excellent source and reference book for all primary care professionals. Students, nurses and registrars will be surprised with the descriptions of various pathologies simply explained, which they will seldom have noticed while working on hospital wards.' Dr Michael Taylor, in his Foreword 'A welcome source of knowledge and information, particularly for those working in the primary care setting with the aim of improving their standards of care.' - Dr Deepak Bhatnagar, in his Foreword 'Anita Sharma is an experienced, practising GP whose book on PVD offers new insights for primary care professionals and is a generous contribution to the work of primary care practitioners everywhere.' - Gail Richards, in her Foreword

The 1980s economic boom in East Asia drew the world's attention towards Taiwan. The Four East Asian Tigers - South Korea Singapore, Hong Kong and Taiwan - hardly appeared as developing areas as they achieved phenomenal success in their growth-oriented strategies and effectively advanced the standard of living of their people. Taiwan's outstanding economic performance was noticed and appreciated by both the government and non-government circles in India. East Asia today is undoubtedly the most dynamic region of the world in terms of economic growth and development. India's 'Look East Policy', formed in the mid-1990s, has widened the arena for a multidimensional relationship with the greater East Asian region. India-Taiwan economic relations have been growing and the setting up of economic and cultural centres has promoted people-to-people contacts. Cultural and educational ties between the two nations are also increasing. This book is inspired by a conference titled 'Taiwan Today' organized by the Department of East Asian Studies, University of Delhi. The Department of East Asian Studies is one of the few academic centres where all the entities in the East Asian region are studied and researched. This book will be very useful for those interested or engaged in research on East Asia.

'The Quality and Outcomes Framework (QOF) is a system to financially reward general practices for providing quality care to their patients. It is a fundamental part of the GMS contract, introduced in April 2004. QOF is estimated to have saved up to 10,000 lives a year since its introduction - ' - From the Preface Filled with practical guidance and tips, this book explains everything you need to do in order to score 'maximum' on all the clinical indicators in the QOF. Using tables and lists, it details areas such as setting up a disease register, ensuring that you have an accepted definition of the condition, arranging a practice meeting to discuss registers and motivating team members to use and think about templates as well as cross-checking hospital letters and discharges summaries, conducting a repeat prescription search, actively screening at-risk patients and ensuring an efficient call and recall system. These are the basic rules which apply to any and every clinical indicator. Offering guidance on and insight into the origins of different targets, possible shortfalls, and ways to implement change and improve scores, this easy-to-read book is vital for all general practitioners, GP Commissioners, QOF assessors, and PCT QOF teams. Practice nurses, who are often relied upon to maintain QOF standards, will find the information essential. GP Registrars, medical students, Pharmacists, Health Care Assistants and Practice Managers will also find much of interest.

Pollutants are increasing day by day in the environment due to human interference. Thus, it has become necessary to find solutions to clean up these hazardous pollutants to improve human, animal, and plant health. Microbial Biotechnology in Environmental Monitoring and Cleanup is a critical scholarly resource that examines the toxic hazardous substances and their impact on the environment. Featuring coverage on a broad range of topics such as pollution of microorganisms, phytoremediation, and bioremediation, this book is geared towards academics, professionals, graduate students, and practitioners interested in emerging techniques for environmental decontamination.