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This book demonstrates how hospitals can be transformed into dynamic, patient-centered, and cost-effective organizations. It describes systems for providing safe, high-quality medical services and outlines the importance of data for health outcomes. In this regard, the book underscores the importance of decision-making and delegation, as well as the effective use of administrative staff, new technologies, and evidence-based medicine to benefit patients and boost efficiency. At the same time, it emphasizes the importance of applying metrics to improve cost-effectiveness.Although primarily intended as a hands-on book for clinical leaders, it also considers hospitals from a broader societal perspective, making it of interest to leaders at all organizational levels in hospitals and to policymakers alike.

This book describes bedside pain management interventions for basic clinical situations commonly encountered during the inpatient care. It aims to provide clinicians with real-world practical information, including patient selection, required equipment, and procedure guidance, that will optimize patient management. Each chapter addresses a particular procedure or a set of procedures, with specialties selected according to the subject matter.  Physicians of any specialty practicing in hospital settings, residents, fellows in training, medical students, physician assistants, nurse practitioners, nurses, psychology, chiropractors, physical therapy and integrative medicine specialists will find this text to be comprehensive and practical.

Each of us will be both a patient and caregiver at some point in our lives. We all want a healthcare system that supports everyone. In this book, Dr. Doug Slakey guides caregivers, patients, and healthcare organizations to obtain the best clinical outcomes with respect and compassion.Despite remarkable medical advances, knowledge, and training, patient care remains fragmented, frustrating, and expensive, especially from the patient's perspective. Solutions for caregivers, especially those on the frontlines, remain elusive. This book helps to demystify the complex reality of our healthcare system. It provides the tools necessary to empower people and teams to provide the most effective, safe, and reliable care. Dr. Slakey's ten core principles for complex system process management will:Guide the creation of processes that ensure patient-centric care and outcomes are the ultimate measures of success. Empower people and teams by implementing processes that optimize human performance. Show how highly reliable processes effectively align resources with individual patient needs. Create value by increasing efficiency and effectiveness and reducing error and waste. Increase patient and staff satisfaction. We need compassionate healthcare systems that work well for all. This book can help us have them.

In this issue of Clinics in Geriatric Medicine, guest editors Drs. Manuel Eskildsen and Carl Henry Burton bring their considerable expertise to the topic of LGBTQIA+ Health in Aging Adults. Top experts in the field discuss topics regarding mental and physical care for aging LGBTQIA+ adults, including end-of-life care, long-term care, and sexual health.Contains 13 relevant, practice-oriented topics including affirming care for LGBTQ[RM1] + patients; gender-affirming care for older transgender and gender diverse older adults; mental health for LGBTQ+ older adults; federal and state policy affecting LGBTQ+ older adults; and more.Provides in-depth clinical reviews on LGBTQIA+ health in aging adults, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this eye-opening exploration, the authors bring together years of research, on-the-ground insights, and a vision for the future of rural health. Through engaging narratives, data-driven analysis, and thought-provoking case studies, this book sheds light on the critical issues that affect the well-being of millions living outside urban centers. Rural Health - Investment, Research and Implications is an essential read for healthcare professionals, policymakers, researchers, and anyone passionate about the well-being of rural communities. It offers a roadmap to a brighter, healthier future for those often left in the shadows, highlighting the immense potential of rural America and the transformative power of investment and research in shaping a more equitable healthcare landscape. Join the conversation, be part of the solution, and uncover the untapped potential of rural health. This book is a call to action for a healthier, more inclusive future for all.

Discover cutting-edge research and novel approaches in nursing education and practice in this comprehensive collection. This book offers an overview of the latest advancements in nursing. All authors received global acclaim for the relevance of their research for clinical interventions and the discovery of the transformative potential of the integration of new technology in clinical practice. This book explores the challenges and opportunities faced by healthcare professionals in today's complex global healthcare environment. The authors clearly emphasize the role of education in shaping nursing practice for developing the next generation of nursing providers since the quality of clinical competences has a powerful impact on therapeutic progression and recovery from illness. This book presents a comprehensive overview of clinical research and education that aims to help healthcare providers give their patients the best treatments for different metabolic and psychiatric diseases. Whether you are a patient, student, or experienced professional seeking to expand your knowledge, this volume is a valuable resource. It provides a state-of-the-art review of different aspects of nursing research and education and is recommended for everyone who is focused on the care of patients, their families, and their communities.

Access to health care is the ability to receive health services for the prevention, detection, and treatment of disorders that affect health. For health care to be accessible, it must be affordable and able to protect and improve health. There are myriad reasons that may make access to health services difficult or even impossible. These include economic problems, conflicts, climate change, internal and external migrations, beliefs, and so on. This book examines many of these barriers to health care and proposes solutions for overcoming them.

Dieses Buch beschreibt den aktuell diskutierten und vereinzelt erprobten Ansatz der Gesundheitskioske. Gesundheitskioske stellen ein innovatives Angebot im Gesundheitsbereich dar, da sie den Zugang zu Versorgung, Prävention und Gesundheitsförderung insbesondere für solche Communities erhöhen, die sich mit Zugangsbarrieren konfrontiert sehen. Zugangsbarrieren können in der Kenntnis des Gesundheitssystems, Sprachkompetenz, den fehlenden gesundheitsbezogenen Angebote in der unmittelbaren Wohnumgebung liegen. In diesem Essential wird die Vielfalt der aktuellen Ansätze aus einer gesundheitsökonomischen, sozialräumlichen und pflegerischen Perspektive vor dem Hintergrund eigener Erfahrung im Aufbau und der Implementierung von Kiosken beschrieben. Denn zur Umsetzung eines Gesundheitskiosks ist immer eine spezifische Lösung am jeweiligen Ort zu entwickeln.

This book comprehensively reviews LM revascularization, one of themost technically challenging and prognostically relevant topics forcardiologists. LM carries blood to 70-80% of the normal heart, anddiseases affecting this coronary segment are a common cardiac condition.Beginning in the sixties, management was exclusively within thedomain of cardiac surgeons, and recent dramatic changes in percutaneoustechniques have led to huge improvements but have alsobrought significant surgical challenges. In the book, top cardiac surgeonsdescribe current and future operative techniques, while leadinginterventional cardiologists discuss new bifurcation techniques. This bookalso investigates the recently released European Society of CardiologyGuidelines in detail.Featuring the latest scientific studies with long-term follow up, anddetailed descriptions of the techniques used, this book provides comprehensiveguidance for any clinician, and is a valuable resource forcardiologists, interventional cardiologists, cardiac surgeons andinternists.This is an open access book.

What is the missing link in today's medical care delivery?Medical school training has historically relied on the biological sciences, and their application, for diagnosis and treatment, with technology an adjunct to care. Although many major medical schools now incorporate "doctoring" into their curriculum, traditional medical training lacked an emphasis on the psycho-social aspects of the doctor-patient relationship.As medicine hurtles forward in the age of technology and corporate healthcare, the chasm between medicine and human connection continues to grow. Doctors are led away from the bedside into a computerized world. This distancing threatens the essence of compassionate care.In a mesmerizing exploration of the solution, Jay H. Kleiman, M.D., recounts the profound career moments that define the doctor-patient partnership, illuminating the path toward preventing physician burnout. Art of the Heart is a masterpiece that uses patient stories to showcase an accomplished career and remind us that high-touch care remains an irreplaceable cornerstone for a therapeutic relationship and healing.Step into the world of medicine's beating heart and rediscover the spiritual connection that elevates doctors into healers called to serve.

Hospital-based physicians are privy to some of the most meaningful moments of people¿s lives, including life-changing diagnoses, pivotal medical procedures, complex medical decisions, and critical end-of-life decisions. Yet, hospitalists have no framework for how to incorporate the varied social factors that impact care such as race, gender identity, cultural background, immigration status, sexual orientation, primary language, housing status, and poverty into clinical decision-making. As hospital physicians, we may use interpreters for our limited English proficiency patients, or try to incorporate questions about cultural practices into our admission histories, or even ask our patients about the ways in which they feel racism has affected their care, but these practices are inconsistently applied and lack a systematic framework for ensuring that the hospital care we provide is truly equitable.In my own practice as a hospital-based physician, I can recall scoresof hospitalized patients where we tried hard to provide equitable care, but fell short. I remember the Spanish-speaking patient with multiple comorbidities who received neurosurgery and was on the road to recovery on an acute care unit, when on day three, he complained of vague abdominal discomfort and ended up dying of a perforated bowel. No interpreter was used by the team to fully delve into the details of the pain he was experiencing. I remember the young Black patient with terminal malignancy who had multiple repeated conversations with physicians recommending hospice care but refused until he saw a physician who was able to explain hospice within the context of racism that has historically defined clinical care for Black people, and was able to present hospice not as a way to hasten death but rather as a way to live the remainder of his days in comfort. I remember the elderly Pakistani female patient whose demanding son antagonized staff and clinicians alike until he was banned from visiting because of his aggressiveness with staff and whose inability to visit his mother caused her extreme distress as she felt that she had lost the unique voice that only her oldest son could provide. Imagine if the hospital physicians in these cases had a resource to help them provide care that is culturally humble, that goes beyond just speaking in the patient¿s first language but that also includes active listening and truly takes into consideration the life experiences and culture that have made this patient who they are. This is what this book will provide for hospital medicine physicians, a framework to help hospital physicians deeply incorporate social factors into the care they provide.

The fields of cyberpsychology, e-health and virtual reality have evolved during the last 20 years and this Special Issue is devoted to recent developments in the understanding and treatment of psychological and mental disorders. Researchers have studied how mental health can be delivered online decades before the COVID-19 pandemic. This knowledge suddenly became invaluable when professionals had to find alternative ways to provide psychotherapy and other services. Reprints from articles about telepsychology include results from randomized control trials and studies trying to isolate and understand factors involved in treatment processes and acceptability. It is followed by a literature review on virtual reality applications on mental health. The authors then address how the human body is experienced and how it impacts body image and pain. The Special Issue concludes with innovative work on how virtual reality could be used for depression.

This reprint addresses healthcare transformation towards personalized, participative, preventive, predictive, and precision medicine (5P Medicine) with the support of new technologies such as micro-, nano-, and bio-techniques, as well as artificial intelligence and learning systems. It focuses, therefore, on the representation and management of knowledge from different domains and their actors, using their methodologies and languages but also individual skills and experiences. The outcome is a system-oriented, architecture-centric, ontology-based, policy-driven approach allowing a formal representation and management of health ecosystems, including their integration and interoperability. Such development is accompanied by security, privacy, and ethical challenges to be resolved. The reprint describes the principles, methodologies, and standards for successfully managing the transformation of health and social care, illustrated by many practical examples and implemented use cases. The reprint is based on papers published in the context of the pHealth 2021 Conference in Genoa, Italy. However, the content goes far beyond the focus and size of the original papers.

Several factors have been identified as interfering with the success, rehabilitation, and fitness of athletes from childhood to adulthood, as well as in para-sport, and special populations, according to research. The performance and health of this population are affected by the relationships between stress, maturation, training load, and recovery. Environmental approaches aim to increase efficiency and physiological adaptations in this sense. In various situations and conditions, however, this stimulus-performance-adaptation relationship varies.As a result, we received contributions related (but not limited) to the following topics: training load monitoring; stress and physiological responses during exercise or sports; recovery process after exercise; changes after stress and/or training load; physiology of training in health and sports performance.

Seit den 1960er-Jahren beschäftigen sich weltweitKünstlerinnen wie Margaret Raspé, Gabriele Voss,Tomaso Binga, Anna Daucíková, Hackney Flashers,Mako Idemitsu, Ana Victoria Jiménez, Mary Sibandeund JinranHa kritisch mit Care-Arbeit. Sie thematisierendie körperlichen Strapazen der täglichen Arbeit, dekonstruierendie Mythen, die sich um die »Arbeit aus Liebe«ranken, führen die Bedingungen vor, die Care-Arbeiterinnen strukturell marginalisieren und machen dieMechanismen sichtbar, unter denen das Kochen, Putzenund Sorgen bis heute abgewertet wird.Der zweisprachige Katalog ist die erste umfassendeÜberblickspublikation zu Care-Arbeit in der bildendenKunst. FRIEDERIKE SIGLER ist Wissenschaftliche Mitarbeiterin am Kunstgeschichtlichen Institut der Ruhr-Universität Bochum. LINDA WALTHER ist Direktorin des Josef Albers Museum Quadrat Bottrop.

This textbook explores issues central to the provision of recovery-orientated care based on ethical principles and human rights perspectives. Written by academics and nurse practitioners, this comprehensive text draws together theory, research and practice to map the landscape of Advanced Practice in Mental Health Nursing (APMHN) in Europe. Underpinned by a rights- and relational- based approach to care, the textbook is organized around six themes: theoretical and historical perspectives; foundations for collaborative working; therapeutic engagement in different contexts; beyond the clinical dimension of the APMHN role; advancing the evidence-based practice agenda and emerging issues and challenges. Each theme consists of a number of chapters that are designed to address different aspects of APMHN. With a focus on illuminating the collaborating aspect of their role and advancing nurses' competencies, debates and guidance are provided in areas such as therapeutic alliance, assessment, care-planning, mental health promotion, family work, trauma, diversity and culture, spirituality, risk and uncertainty, and prescribing. In addition to addressing the leadership, education and advocacy role, specific chapters explore the APMHN role in linking evidence to practice, in the participatory generation of evidence and maintaining professional competence. With a focus on future challenges and opportunities the textbook concludes with discussion on issues, such as eMental Health and future challenges and possibilities facing APMHNs, including challenges in informing policy, democratizing services, working across service and disciplinary boundaries, collaboratively shaping the evidence agenda, as well sustaining their role into the future.Within the book theoretical debate is grounded in case studies and/or examples from across Europe. This textbook is especially relevant to Mental Health Nurses undertaking studies at the Advanced Practice level. It is also suited to all Mental Health Nurses studying at post-graduate level who wish to advance their practice irrespective of the country. Educators, researchers and policy-makers involved in the area of Mental Health and Advanced Nursing Practice along with people with lived experiences will find the text of relevance.

Pflanzenbasierte Ernährungsformen erfreuen sich immer größerer Beliebtheit. Das bedeutet, dass auch in der ärztlichen Praxis jede zehnte Person zumindest schon einmal mit dem Gedanken von Veganismus gespielt hat oder eine vegetarisch/vegane Lebensweise praktiziert. Dieses Kompendium rund um eine pflanzenbasierte Kost dient als strukturierter Leitfaden zur Beratung von vegan bzw. vegetarisch lebenden Personen im ärztlichen Setting. Es stellt evidenzbasierte Informationen rund um die Vorteile einer pflanzenbasierten Kost bereit. Neben der Auflistung aussagekräftiger Laborparameter zur Abschätzung der Versorgung potentiell kritischer Nährstoffe werden auch ausgewählte ernährungsassoziierte Erkrankungen beleuchtet. Eine abwechslungsreiche, vollwertige pflanzliche Kost weist großes, bislang zu selten genutztes Potential sowohl in Prävention als auch in Therapie von einigen chronischen Erkrankungen auf, wie z.B. Adipositas, Bluthochdruck und Diabetes mellitus Typ II. Das praktische Buch richtet sich an Ärzt:innen, Angehörige anderer Gesundheitsberufe sowie an interessierte Leser:innen, die ihr Wissen über vegane Ernährung vertiefen möchten.

I Danmark kan man købe en række lægemidler, der ikke er receptpligtige – denne type medicin kaldes for håndkøbslægemidler.Lommekompendium i Håndkøbsmedicin indeholder korte beskrivelser af samtlige humane håndkøbslægemidler, der findes på de danske apoteker.Lægemiddelbeskrivelserne inkluderer orientering om det aktive lægemiddelstof, den farmakologiske virkning, dispenseringsform, dosering og forsigtighedsregler.For overskuelighedens skyld er beskrivelserne inddelt i seks hovedgrupper: smerte, forkølelse, allergi, mave, rygestop og diverse.

"Comprehensive up-to-date guide to clinical and diagnostic virology. Individual chapters cover viruses from A-Z, which are then grouped under syndromes. Liberal use of tables and algorithms enable quick access to key information. An ideal introduction for interested trainees and a practical reference for more experienced hospital clinicians and GPs"--

Global immunization rates were stagnating prior to the COVID-19 pandemic, and declined further in 2020 and 2021, with substantial variation. Across countries, the level of protection afforded by immunization varies, with many countries reporting gaps in coverage of Human Papilloma Virus (HPV) and seasonal influenza, and many population subgroups, especially children, being left behind. In this Special Issue, we explore the latest evidence on various types of immunization across the life course at global, regional, national, and subnational levels. Exploring various dimensions of inequality-such as economic status, subnational geographic regions, sex, maternal education-and other categories, this issue includes contributions characterizing the situation of inequality, the drivers of inequality, and finally, actions and initiatives that hold promise for enhancing equity of immunization across countries.

Lower extremity skin disorders are often overlooked by clinicians. Ailments such as eczema, psoriasis and tinea at times prove difficult to distinguish clinically, and misdiagnosis can lead to inappropriate therapy. Many practitioners are mystified when confronted with an abnormal appearing nail. Delay in recognizing skin cancer may adversely impact morbidity and mortality. This full-color atlas is a concise guide for medical professionals who deal with the lower extremities and will aid in both diagnosis and treatment. Topics featured in the Atlas include nail pathology, fungal and bacterial infections, xerotic and hyperkeratotic disorders, autoimmune diseases and vasculopathies, benign and malignant lesions, systemic diseases, and ulcerations. Each chapter contains vibrant photographic representative examples. Concluding chapters present a review of biopsy techniques as well as an overview of current dermatological therapies.  The Atlas of Lower Extremity Skin Disease is a unique resource for podiatrists, dermatologists, and primary care physicians as well as nurse practitioners and physician assistants.

My intention in writing this book is to help you to enjoy a healthier and less toxic life, and you will be motivated to act on my observations and make the adjustments for a permanent lifestyle change.At the very least, you will have some important additional information to better understand why you might not be as healthy as you would like when you end up eventually ignoring or only minimally following some of the most important guidelines in this book.The following observations are all based on my years working for and studying Dr.Hal Huggins who was the world leading authority in biological dentistry and body chemistry rebalancing.I must also point out that as I don't know anything about you, the reader, I am not making recommendations, these are just my observations from personal experience.The title is referring to my own personal circumstances, I'm not promoting or promising anything, just explaing who I am, when I was diagnosed with the horrendous disease, MS, and how I kicked it's butt out of the temple I call me, Stefan

In this issue of Pediatric Clinics of North America, guest editors Drs. Paul Lipkin and Joshua Ewen, both of the Kennedy Krieger Institute and Johns Hopkins School of Medicine, bring their considerable expertise to the topic of Autism Spectrum Disorder. While pediatricians now have adopted screening and early identification of autism spectrum disorder into their practices, limited training has been provided around longer-term care throughout their childhood. This issue focuses on the newest information on the fundamental neuroscience and genetics of autism and the care needs of children with autism during middle childhood and adolescence.Contains 14 relevant, practice-oriented topics on the autism constellation and neurodiversity (including autism in adults); diagnosis of autism and its differential; psychopharmacology management of autism; autism in the schools and at home; evidence-based interventions in autism; mortality and autism: suicide and elopement; and more.Provides in-depth clinical reviews on autism spectrum disorder, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.