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This book provides an overview of sleep and sleep disorders for practicing clinicians. Sleep disorders represent a major portion of the chief complaints seen by pulmonologists and other clinicians. Patients with sleep-related conditions often present with non-specific complaints that require a broad and detailed knowledge of the wide range of sleep disorders and their consequences.This concise, evidence-based review of sleep medicine offers a guide to pulmonologists, primary care physicians, and all clinicians involved in caring for patients with sleep disorders. Providing a focused, scientific basis for the effects of sleep on human physiology, especially cardiac and respiratory physiology, chapters also outline a differential diagnosis for common sleep complaints and an evidence-based approach to diagnosis and management. This includes a review of the current standards of practice and of emerging technology and unresolved issues awaiting further research. In all, this book provides a clear diagnostic and management program for all the different sleep disorders and includes key points and summaries. This new edition expands the scope of the previous to include additional sleep disorders and the most affected populations. Six new chapters are added on health disparities in sleep medicine, models of care for patients with sleep disorders/care coordination, sleep disordered breathing in pediatric populations, sleep in hospitalized patients, sleep in pregnancy, and sleep in older patients.Essentials of Sleep Medicine is an invaluable resource for physicians, clinical psychologists, respiratory care practitioners, polysomnographic technologists, graduate students, clinical researchers, and other health professionals seeking an in-depth review of sleep medicine.
This open access book offers a comprehensive review of hepatocellular carcinoma (HCC) with a particular focus on the pathobiology and clinical aspects of the disease, including diagnosis and treatment. HCC is becoming one of the most common causes of cancer-related death worldwide. It is the fifth most common malignancy in men and the ninth in women, with an estimated 500,000 to 1 million new cases annually around the world. Independent of its cause, cirrhosis is considered a major clinical and histopathological risk factor for HCC development. Five percent of all cirrhotic patients develop HCC every year. Diagnostic tools for HCC include blood tests, high-quality imaging studies and liver biopsy. The treatment of HCC depends on the size and location of the HCC and includes surgical resection, liver transplantation, endovascular approaches, percutaneous ablation, and medical treatments. The book is organized into four parts ¿ overview, diagnosis, management strategies, and recommendations ¿ and aims to provide surgeons and clinicians with a valuable resource for complete and up-to-date research on the clinical aspects and management of HCC.
Benign prostate syndrome (BPS) affects more than half of all men over the age of 50. It is often suppressed for a long time, especially because the corresponding examinations are shied away from. Therapy is varied, and many treatment options have been added in recent years that can help improve symptoms. These options advertise themselves primarily as avoiding the dreaded side effects of surgery: Incontinence, impotence and loss of ejaculation.This book provides an overview of all currently available treatment options for BPH and targeted diagnostics. Under the leadership of the renowned editors, many experts have compiled their knowledge in this practical book. Differential diagnostics with imaging and urodynamics are explained, and the many ways of therapy from watchful waiting to drug therapy to surgery are discussed and the advantages and disadvantages pointed out. A separate chapter is devoted to prevention. In addition, myths that still prevail in many placesas "expert opinion" are discussed. A practical book for every urologist!
In this issue of Dermatologic Clinics, guest editor Dr. Brett Coldiron brings his considerable expertise to the topic of Starting and Maintaining a Successful Dermatology Practice. Top experts in the field discuss key topics such as going solo in a small town; basic legal considerations; economics of a dermatology practice; private equity: the good, the bad, and the ugly; retirement planning; and more. Contains 17 relevant, practice-oriented topics including asset protection; the road from private practice to academics; political activism and the dermatologist; being a successful businesswoman in dermatology; building a successful solo general and cosmetic dermatology practice; group negotiations when entering a group practice; and more. Provides in-depth clinical reviews on starting and maintaining a successful dermatology practice, 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.
A readable and practical guide to how the law applies to people with dementia, from diagnosis to end-of-life. This book will appeal to clinicians and practitioners that work with patients with dementia, including psychiatrists, primary care physicians, nurses, social workers and advocates.
The third edition of this successful book has been fully revised, expanded and updated to reflect the recent advances in vertigo and dizziness, especially with regard to current classifications and clinical trials. The book starts by covering the fundamentals of anatomy and physiology of the vestibular and the ocular motor systems. It provides guidance on how to take the patient history, laboratory and imaging analysis and principles of therapy exploring different therapeutic strategies. It then goes on to cover in detail the diagnosis and current treatment of peripheral, central and functional vestibular disorders as well as miscellaneous rare vestibular syndromes.Using a uniform chapter style to address the various diseases and adopting a reader-friendly educational format, this is an indispensable guide for clinicians who treat patients with vertigo, dizziness and balance disorders. Hundreds of patient videos are included for the diseases demonstrating typical patient histories and clinical findings. Chapters have also been expanded to discuss the current classification and therapies as well as new and ongoing clinical trials with ample new figures.Written by three top experts in the field, this book is aimed at a broad range of medical specialists, namely neurologists, ENT specialists, neuro-otologists, ophthalmologists, physiotherapists, general practitioners as well as residents and students. Via app: download the SN More Media app for free, scan a link with play button and access videos directly on your smartphone or tablet.
Around a quarter of the world's population is affected by iron deficiency, and women of childbearing age as well as children and adolescents are considered a particular risk group. This reference book deals with the latest scientific findings concerning the iron supply of the human organism with natural foods. It dispels the misconception that plant iron is less valuable than animal iron by presenting the absorption of iron from plant foods via a newly discovered metabolic pathway. From this, new points of view can be derived for vegetarians and vegans, who until now have belonged to the risk group. Furthermore, it is dedicated to forward-looking possibilities of diagnosing iron deficiency and describes modern concepts for determining the bioavailability of iron in food. New findings on the biochemistry of iron in brain metabolism, the description of the different reference values of the international professional societies and practical advice for special diets, risk groups and age groups as well as cooking recipes with simple information on iron intake complete the work. The book is aimed at nutritionists and medical practitioners, nutrition and food scientists, dieticians, pharmacists and sports scientists.
The 21st is being recognized as the Century of the Person, particularly in Medicine and Health. Person Centered Medicine, as a concept and global programmatic movement developed in collaboration with the World Medical Association, World Health Organization, International Council of Nurses and 30 other institutions over a decade of annual Geneva Conferences, places the whole person as the center of health and as the goal and protagonist of health actions. Seeking the person at the center of medicine, has meant a medicine of the person, for the person, by the person and with the person. Articulating science and humanism, it strives for a medicine informed by evidence, experience and values and aimed at the restoration and promotion of health for all. The textbook on Person Centered Medicine reviews this perspective as it has evolved to date and its resultingknowledge base. The book structure encompasses an Introduction to the field and four sections on Principles, Methods, Specific Health Fields, and Empowerment Perspectives. Its 42 chapters are authored by 105 clinician-scholars from 25 different countries across world regions (North America, Latin America, Europe, Africa, the Middle East, Asia and Oceania). Its vision and goals involve total health for a total person. Ongoing work and upcoming publications would focus on redesigning health systems fit to purpose, and integrating ancestral knowledge and wisdom, community members¿ self- and mutual-care, advances in medical science, and the contributions of health-relevant social sectors.
In this issue of Endocrinology and Metabolism Clinics of North America, guest editors Drs. Sherouk Fouda and Joseph M. Pappachan bring their considerable expertise to the topic of Metabolic Associated Fatty Liver Disease. Top experts address the various ways metabolic associated fatty liver disease is related to other conditions such as diabetes, sarcopenia, PCOS, and more, as well as the management of MAFLD and cardiovascular implications. Contains 12 practice-oriented topics including obstructive sleep apnea and MAFLD; the interlink between MAFLD and polycystic ovary syndrome; pregnancy and MAFLD; MAFLD and gut microbiota; and more. Provides in-depth clinical reviews of metabolic associated fatty liver disease, 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.
This book uniquely provides a comprehensive and up-to-date overview of congenital and acquired deformities of the pediatric shoulder girdle, a field barely covered in existing books. It not only addresses bone deformities, but also examines the most important soft tissue alterations, e.g. muscular torticollis, thoracic outlet syndrome, shoulder dyskinesia, as well as brachial plexus birth injury and syndrome-related shoulder disorders. Following a consistent and treatment-oriented structure for each topic, leading international experts present epidemiology, key points in clinical, radiological diagnosis and treatment options, technical tips and tricks, and pertinent literature outcomes. Filling an existing gap, this book offers a timely and up-to-date resource for pediatric orthopedic fellows and attending surgeons, as well as for general orthopedists, primary care doctors and physiotherapists with an interest in the pediatric upper limb.
Telemedicine has ballooned in popularity and necessity in the COVID-19 world, and it has proved its worth. Even in the post-pandemic world, telemedicine will be here to stay, as it offers both patient and provider many advantages. However, physicians are often ill-equipped and lack sufficient training in how to conduct a physical examination remotely. Practical and timely, this book presents the current best practices for performing musculoskeletal examination remotely via telemedicine. It takes an anatomical approach, covering all joints and disorders commonly seen in the clinic, including preparation and general principles, the upper and lower extremities and the axial skeleton. For each region, the challenges and limitations of telemedicine are systematically highlighted and discussed, with techniques clearly described and illustrated. Concluding chapters present telemedicine procedures for both the functional assessment of a patient and evaluation and management of respiratory muscle dysfunction.Orthopedic and sports medicine practitioners, as well as general physicians, nurse practitioners, and physician assistants who treat patients with musculoskeletal disorders, will find this book highly engaging and enlightening.
This book uniquely explores American cultural values as a factor in maternal health. It looks beyond the social determinants of health as primarily contributing to the escalating maternal morbidity and mortality in the United States. The United States is an outlier with poor maternal health outcomes and high morbidity/mortality in comparison to other high-resource and many mid-level resource nations. While the social determinants of health identify social and environmental conditions affecting maternal health, they do not answer the broader underlying question of why many American women, in a high-resource environment, experience poor maternal health outcomes. Frequent near-misses, high levels of severe childbearing-related morbidity, and high maternal mortality are comparable to those of lower-resource nations. This book includes contributions from recognized medical and cultural anthropologists, and diverse clinical and public health professionals. The authors examine American patterns of decision-making from the perspectives of intersecting social, cultural, and medical values influencing maternal health outcomes. Using an interdisciplinary critical analysis approach, the work draws upon decision-making theory and life course theory. Topics explored include:Cultural values as a basis for decision-makingSocial regard for motherhoodImmigrants, refugees and undocumented mothersCultural conflicts and maternal autonomyHealth outcomes among justice-involved mothersMaternal Health and American Cultural Values: Beyond the Social Determinants is an essential resource for clinical and public health practitioners and their students, providing a framework for graduate-level courses in public health, the health sciences, women¿s studies, and the social sciences. The book also targets anthropologists, sociologists, and women studies scholars seeking to explain the links between American cultural decision-making and health outcomes. Policy-makers, ethicists, journalists, and advocates for reproductive health justice also would find the text a useful resource.
In this issue of Gastroenterology Clinics, guest editor Dr. Lee M. Kaplan brings his considerable expertise to the topic of Management of Obesity, Part I: Overview and Basic Mechanisms. Most of the world's population live in countries where being overweight and obese is more life-threatening than being underweight. This preventable disease leaves patients with a cascade of health problems, resulting in serious stress and impact on global economies and healthcare systems. This issue, the first of two, addresses basic mechanisms and contributors of obesity, along with health care disparities and access.. Contains 16 practice-oriented topics including the many forms of obesity; genetic contributions to obesity; health complications of obesity; the effect of obesity on gastrointestinal disease; disparities in access and quality of obesity care; and more. Provides in-depth clinical reviews of management of obesity, 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.
This comprehensive text provides information on fundamental principles of clinical practice and how these can be implemented to provide excellent treatment to the patients. The triads of health care delivery include Physicians, Pharmacist and Nurses that have distinct roles and responsibilities of patient care. Effective pharmacy practice requires an understanding of the social context within which pharmacy is practiced, recognizing the particular needs and circumstances of the users of pharmaceutical services and of pharmacy's place within health service provision. This book presents a contemporary view of pharmacy practice research covering theories, methodologies, models and techniques that are applicable. The initial chapters describe the basics of pharmacy profession and what is the key role and responsibilities of Pharmacist in health care delivery. The central part of the book illustrates the community, hospital and ethics regarding drug formulation. The last chapters cover the therapeutic aspect of pharmacy and how these can be employed to improve patient's health care facilities.
Developed by a renowned group of international authors, this engaging, case-based title once again offers readers a wide range of thought-provoking case studies that reflect contemporary, challenging, hands-on clinical care. Expanded and fully updated, Endocrinology and Diabetes: A Problem Oriented Approach, 2nd Edition addresses the complete range of endocrinologic problems found in patient care, offering the reader a convenient and pointed way to solve clinical problems in a timely manner. Due to its comprehensive coverage and practical focus, this title has developed a special place in the field of endocrinology and will again be of great interest to endocrinologists, diabetologists, internal medicine physicians, family physicians, fellows, and residents.The enthusiastic reception and warm welcome of the first edition of this book was overwhelming and gratifying. Despite many standard texts that cover physiology and clinical aspects of endocrinology, this book found a special place because it focused on patient care and practical aspects of endocrine practice.In the current volume we were fortunate to again have the honor of collaboration by international authors who pride themselves foremost as clinical endocrinologists. We hope our readers will find this updated, improved edition worthwhile, and use it for the benefit of their patients.
The evolution of Antimicrobial Resistance is outpacing the ability to create novel antibiotics, which is proving to be a global problem in the fact of climate change, population growth, demographic shifts toward aging populations, emerging infections, and other crises. Therefore, clinicians are forced to use the existing antimicrobials more responsibly to preserve their longevity for generations to come. In a parallel vein, there has been a recent regulatory acknowledgement of the importance of prudent antimicrobial prescribing, mandating the implementation of Antimicrobial Stewardship across all healthcare settings. This is harder to manage in a non-traditional setting, which include long-term care facilities, outpatient care clinics, urgent care centers, and others. Given the trends in patient care in these settings¿particularly where the aging community is concerned¿this is proving to be a growing problem. This is troublesome even for spaces that have university and large hospital affiliations. There is a plethora of data describing the implementation and outcomes of Antimicrobial Stewardship Programs in acute-care hospitals with open-access, evidence-based guidelines endorsed by the Infectious Diseases Society of America. However, non-traditional settings often find themselves struggling to implement the same practices and procedures due to their unique needs and limited resources. There may be variability in access to resources, applicability, and patient-type. This book seeks to inform those in non-traditional healthcare settings on the principles, practice, and outcomes of Antimicrobial Stewardship Programs to improve patient care across all settings. The text begins by unpacking Antimicrobial Stewardship in nontraditional settings then covers specific environments, including long-term care facilities, outpatient clinics, and emergency departments. The text also covers special topics, including veterinary medicine, HIV, oncology, and immunocompromised patients, pediatrics, neonates, transplant, and critical care patients.
This atlas is the first fully visual reference to cover psychiatry broadly, appealing to psychiatric as well as non-psychiatric clinicians and trainees who need an easy-to-use visual resource with holistic approach to patient care. Written by expert clinicians and educators, this text describes basic clinical and scholarly information across the field utilizing an easy-to-understand format. The rich figures and tables describe etiology, pathophysiology, phenomenology, and treatment even in areas that are difficult to illustrate, including substance-related disorders, neurodegenerative diseases, personality disorders, and others. The visual approach proves valuable to some of the most innovative techniques in psychiatry, including implications for neuroimaging.Comprehensive and unique, Atlas of Psychiatry is a landmark reference for all medical practitioners looking for an intricate yet accessible visual resource.
In this issue of Clinics in Geriatric Medicine, guest editor Dr. Kimberly A. Curseen brings her considerable expertise to the topic of Palliative Care. Top experts in the field cover key topics such as palliative care in the ambulatory geriatric; end-stage heart failure; the intersection of palliative care and primary care; public health and palliative care; advanced care planning in the geriatric population; and more. Contains 13 relevant, practice-oriented topics including diversity, equity, and inclusion in geriatrics: palliative care considerations; providing palliative care to LGBTQ+ older adults; palliative care for seriously ill older veterans; entheogenic medications (psychedelic, cannabis); integrative medicine for older adults; palliative care for the geriatric cancer patient; and more. Provides in-depth clinical reviews on palliative care in geriatric medicine, 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 issue of Pediatric Clinics of North America, guest editors Drs. Robert S. Kahn, Monica Mitchell, and Tina L. Cheng bring their considerable expertise to the topic of Achieving Child Health Equity. Health equity requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care. In this issue, top experts provide up-to-date information to healthcare practitioners with the goal of implementing programs and policies to identify and address health care inequality for children. Contains 15 practice-oriented topics including clarity on disparity of healthcare in pediatrics: who, what, when, where and how; screening and addressing social determinants of health in pediatric practice; addressing structural racism in pediatric practice; addressing health literacy in pediatric practice; LGBTQ+ and child health equity; and more. Provides in-depth clinical reviews of achieving child health equity, 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.
Keep record of and inform your doctor and easily track your blood sugar levels with our professionally designed blood sugar logbook. ¿¿¿¿It has plenty of space for writing notes and extra space for anything you may need to record.¿¿¿Features:¿ Detail-oriented, organized, and accurate¿ ¿¿Double-sided¿ ¿¿2-year daily blood sugar tracking¿ ¿¿1 week of tracking per page¿ ¿¿Weekly Notes¿ ¿¿6-inch x 9-inch size so you can take it anywhere¿ Monday to Sunday Tracking Weekly LogPurchase one for yourself or as a thoughtful present for your loved ones in your life!
Many primary care clinicians are busy to the point of being overwhelmed and there is not time to do thorough evaluations on every patient. The outpatient clinician must be able to quickly identify and manage the overtly ill but also those with potential or even hidden issues that require a referral to the emergency department.This book provides a concise yet comprehensive summary of the various conditions the primary care practitioner could encounter in his/her office that require emergency department referral. Organized system by system, this manual provides short, readable yet detailed descriptions of situations where the clinician must make the quick decision to escalate the level of care.The book is comprised of thirteen main sections, each detailing a medical specialty and is further broken down into specific conditions within these specialties. The specialties that are featured are cardiology, dermatology, endocrinology, gastroenterology, HEENT, hematology and oncology, infectious disease, nephrology, neurology, gynecology, ophthalmology, psychiatry, pulmonology and urology. The chapters are broken down into five key aspects. First, a brief synopsis of the problem is identified covering the incidence, the risk factors and general information to give the clinician the insight to manage the situation. Next, there is a review of key elements of the history that can elucidate whether the patient has or does not have the emergent condition. Physical exam findings that the clinician can look for during the evaluation are then discussed followed by diagnostics that the clinician can get quickly the same day to help evaluate the situation. Lastly, treatments that can be provided while waiting for the urgent or emergent condition to be evaluated are identified. Written by experts in the field, Managing Emergencies in the Outpatient Setting is a valuable resource for primary care physicians, physician assistants and nurse practitioners alike.
This book aids clinicians in supporting and caring for transgender and gender-diverse children and adolescents ¿ youth who are born into an incongruent body. A recent study using data from 19 states reported that 1.8% of American youth identified as transgender. Many people who are transgender will experience gender dysphoria, the intense emotional distress that is caused by a discrepancy between a person's gender identity and their sex assigned at birth. In this compact volume, the authors discuss the variety of domains involved in addressing gender dysmorphia: social, psychological, medical, and legislative/advocacy. They provide clear and concise information on the types and timing of gender-affirming medications and surgical interventions and offer useful suggestions for making interactions in the clinic and the clinical space inclusive for transgender and gender-diverse youth. Among the topics covered include:identity development and gender nonconformity in early childhood and pubertythe importance of access to mental health professionals with expertise in gender nonconformitythe responsible use of developmentally appropriate gender-affirming medications and surgical interventionsrelated clinical issues such as nutrition counselling for youth receiving gender-affirming treatmentscreating a safe and inclusive healthcare environment for transgender and gender-diverse youthadvocating for transgender and gender-diverse patients by working with local and national policy makersProviding Affirming Care to Transgender and Gender-Diverse Youth is essential reading for pediatric healthcare professionals including physicians in pediatrics and family medicine, plastic surgeons, nurses, dietitians, psychiatrists, psychologists, social workers, and other practitioners. Students in these fields as well aspolicy makers also would find this a useful resource.
This book addresses the unmet needs of the medical community in dealing with the psychological problems, particularly anxiety and depression, of patients diagnosed with cancer. Providing a scholarly review of the impact of cancer diagnosis on patients' emotional and psychological status, as well as the evidence that psychological factors impact cancer occurrence and biological behavior, this book explores the therapeutic implications of such converse dynamics. Chapters review financial toxicity, eHealth, palliative care, mindfulness, sleep and cancer, social support and cancer, cultural diversity, pediatric and adolescent oncology, and geriatric oncology. While intended primarily for the professional readership of oncologists, psychologists, psychiatrists, social workers, and palliative care physicians, a final chapter also provides practical information on available resources for patients. This fully updated and expanded new edition of Psychological Aspects of Cancer: A Guide to Emotional and Psychological Consequences of Cancer, Their Causes, and Their Management provides practitioners with cutting edge knowledge as well as practical information that translates into better care for patients with cancer.
For more than 25 years, Ferri's Clinical Advisor has provided immediate answers on the myriad medical diseases and disorders you're likely to encounter in a unique, easy-to-use format. A bestselling title year after year, this popular "5 books in 1" reference delivers vast amounts of information in a user-friendly manner. It is updated annually to provide current and clinically relevant answers on over 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines?all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of high-quality photographs, illustrations, diagrams, and tables, ensure that you stay current with today's medical practice. Contains significant updates throughout all 5 sections, covering all aspects of diagnosis and treatment. Features 26 all-new topics including monkeypox, occupational asthma, care of the transgender patient, infantile hypotonia, long-COVID, medical marijuana, cannabinoid use disorder, and abuse of performance enhancing hormones, among others. Includes useful appendices covering palliative care, preoperative evaluation, nutrition, poison management, commonly used herbal products in integrated medicine, and much more. Offers online access to Patient Teaching Guides in both English and Spanish. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.Â
Primary care providers caring for newborns must be able to recognize orthopaedic disorders that affect infants, particularly when these conditions require early treatment or are part of an underlying syndrome. This book provides pediatricians, neonatologists, family medicine physicians and licensed independent practitioners with a useful framework for the diagnosis and management of common pediatric orthopaedic conditions that typically present during infancy. The text begins with an overview of orthopaedic embryology and relevant physical examination techniques. The second section details congenital and developmental conditions affecting the limbs and spine. The third section includes topics related to birth trauma. The final section focuses on orthopaedic manifestations of systemic diseases and syndromes. Each chapter has a consistent, intuitive layout including a brief overview and sections on clinical presentation, evaluationand management, as well as a detailed discussion of the condition being discussed. When relevant, clinical vignettes are included to illustrate practical application of the subject matter. The design of the sections allow providers to easily reference appropriate information in the clinic setting. Written by experts in the field, Orthopaedics for the Newborn and Young Child is a valuable resource for pediatric orthopaedic providers, primary care physicians and other specialists who treat children.
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