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This book has been written to provide general practitioners with an
easy to read, easy to consult guide, to aid in the management of
the large majority of practice emer gencies. Each presenting
problem is approached logically with telephone assessment and
advice followed by the assessment and management necessary when the
patient is seen. The emphasis is on practical primary care with
discussion of differential diagnosis only taken as far as is needed
for deciding the best immediate course of action. Words are kept to
a minimum though tables are liberally used to summarise useful
information. For each situation the final management advice is
highlighted by being presented within a heavily lined box. Our
guiding principles for emergency care, which this book naturally
reflects, are: (1) Visit first - argue or educate later. (2) If in
doubt - see the patient. To use this book for ready reference by
the telephone, in the car, or at the bedside: (i) If the patient is
a child, look at the contents list at the beginning of chapter 4
and then turn to the relevant pages. (ii) If the patient is an
adult, first decide the system involved then look at the contents
list at the beginning of the appropriate chapter before turning to
the relevant pages."
The original Beecham Manual for General Practice was produced by Dr
Selwyn Carson, of Christchurch, New Zealand, whose objective was a
set of instructions for patient care for his practice team. Beecham
Research Laboratories published and distributed it. Dr Ed Gawthorn
of Melbourne, Australia, edited an Australian version again
published and distributed by Beecham Research Laboratories. We were
invited to adapt the New Zealand and Australian editions for
British readers -but we decided that we should produce an entirely
new Manual. This was done and it was published and distributed to
general practitioners by Beecham Research Laboratories. This latest
edition has been revised and updated. The Manual is a ready
reference on planned care of certain age groups and situations;
specific procedures and emergencies; and clinical care in general
practice of important conditions. We have intentionally adopted a
concise didactic style that should be helpful for trainers,
trainees and members of the practice team. We thank Beecham
Research Laboratories, and especially Ed Stanford and Bill Burns,
for their support and help over many years. John Fry (Editor) June
1982 viii Section A PLANNED CARE Family Planning A1 Discuss with
the individual patient the advantages and disadvantages of all the
methods. Keep in mind individual needs, wishes and religious
beliefs. In Great Britain * 2.5 million women are registered with
their G.P.'s for contraception. -100 per G.P. * 95% of G.P.'s
provide contraceptive services.
This is a comprehensive textbook for advanced undergraduates and beginning graduate students in physics or astrophysics, developing both the formalism and the physical ideas of special and general relativity in a logical and coherent way. The book is in two parts. Part one focuses on the special theory and begins with the study of relativistic kinematics from three points of view: the physical (the classic gedanken experiments), the algebraic (the Lorentz transformations), and the graphic (the Minkowski diagrams). Part one concludes with chapters on relativistic dynamics and electrodynamics. Part two begins with a chapter introducing differential geometry to set the mathematical background for general relativity. The physical basis for the theory is begun in the chapter on uniform accelerations. Subsequent chapters cover rotation, the electromagnetic field, and material media. A second chapter on differential geometry provides the background for Einstein's gravitational-field equation and Schwarzschild's solution. The physical significance of this solution is examined together with the challenges to the theory that have been successfully met inside the solar system. Other applications follow in the final chapters on astronomy and cosmology: These include black holes, quasars, and gravity waves as well as the relativistic features of an expanding universe ¿ including a section on the inflationary model.
JOHN JOHN FRY FRY All All examinations examinations create create
problems problems and and stresses stresses in in examinees.
examinees. The The examination examination for for the the
Membership Membership of of the the Royal Royal College College of
of General General Practitioners Practitioners is is no no
exception. exception. Although Although the the examiners examiners
state state that that their their objectives objectives are are to
to pass pass candidates candidates wherever wherever and and
whenever whenever possible, possible, nevertheless nevertheless the
the failure failure rate rate remains remains con sistently
sistently at at 30% 30% plus plus of of those those taking taking
the the examination. examination. The The reasons reasons for for
failure failure fall fall into into a a number number of of groups.
groups. The The candidate candidate may, may, through through
over-confidence, over-confidence, not not have have prepared
prepared for for the the examination. examination. He He may may
have have assumed assumed that that it it is is not not necessary
necessary to to read, read, learn learn and and digest digest data,
data, facts facts and and experience experience on on general
general practice. practice. How How wrong wrong that that is, is,
he he will will discover discover when when he he sits sits the the
exam. exam."
Although we have no good definition of 'health', all people have
their own ideas of whether they are healthy or not. Based on
personal experience and knowledge each person comes to accept that
within themselves there is a normal range of feelings and
performance, departure from which could be considered abnormal or
unhealthy. Despite the many amazing technological advances made
over recent decades it cannot be said that access to advanced
medical care is the main determining factor in the healthiness or
otherwise of a society. Even in these modern times most diseases
and health problems are non-curable in the strict sense, and the
scope for effective prevention of disease is more limited than some
enthusiasts suggest. Individuals must appreciate the limitations of
modern medical care and, while seeking to use the care available to
best possible effect, accept that the responsibility for trying to
prevent major disease rests in their own hands. In this book we
have tried to present a balanced and realistic picture of the many
factors that must be taken into account if optimum disease
prevention and health maintenance are to be achieved. The health of
your family is your responsibility. An understanding of what can go
wrong, how it can be prevented or how it can best be coped with can
only be helpful to you.
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