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Perinatal Mental Health
The Edinburgh Postnatal Depression Scale (EPDS) is a questionnaire and was designed as a simple means of screening for postnatal depression in health care settings. The scale is now in use around the world and this book is a practical guide to using the scale in clinical practice, its origins and development background. This second edition has been revised and contains much advice based on years of experience. All chapters and references have been updated and the chapters on screening and counselling have been considerably revised, the evidence base on interventions for perinatal depression is provided, plus details of innovative methods such as internet-based therapy. The scale can also be used by researchers seeking information on factors which influence the emotional well-being of new mothers and their families and guidance is also given on use of the scale in research settings. The book will be useful for psychologists, psychiatrists, health visitors, midwives, family doctors, obstetricians and community psychiatric nurses, plus researchers in perinatal health.
Francis J. Browne
Francis James Browne (1879-1963) is remembered as the foremost obstetrician of his day and is widely recognised as the founder of modern antenatal care. His book Antenatal and Postnatal Care became a bible to many generations of medical students and junior obstetricians. He was one of the Founding Fellows of the Royal College of Obstetricians and Gynaecologists and in 1960 was awarded the Blair-Bell Medal for his significant contribution to the specialty. In this biography, Herbert Reiss presents a fascinating glimpse into the life of a great man.
Health Inequalities and People With Intellectual Disabilities
People with intellectual disabilities die at a younger age and have poorer health than their non-disabled peers. This is largely avoidable and is unjust. This book uses concepts from contemporary public health to provide a comprehensive evidence-based overview of: the nature and extent of the health inequalities experienced by people with intellectual disabilities; why these inequalities occur and persist; and what can and needs to be done to address these inequalities. The authors have a wealth of firsthand experience gained from years of working at the interface between disability research and public health. This experience is collected and shared in this volume, which will be an invaluable resource for practitioners, advocates, policymakers and researchers concerned with health and social care and the wellbeing of disabled people.
Special Delivery
Professor William Nixon directed the obstetric unit at University College Hospital, London from 1946 to 1966. These were innovative times in obstetrics and gynaecology, with Nixon one of the more recognized innovators. Much that is now accepted as normal good practice was pioneered by Nixon, and today's management of pregnant women and their babies stems from his work. His principal aim was to change the art of midwifery into the science of obstetrics; he appointed women doctors when they were still frowned upon in many hospitals; and he was adamant about the right of a woman to terminate her pregnancy if that was the right thing for her and her child. This is a fascinating glimpse into the life of an innovating clinician who did so much to improve the lives of women, and will be of interest to everyone involved in women's health and childbirth.
Menopause for the Mrcog and Beyond
This book examines some of the controversies in the management of the menopause and postmenopausal health following publication of the US Women's Health Initiative studies and the UK Million Women Study. It also focuses on how to explain risk to women coping with the menopause and the risks in certain clinical situations. Systemic HRT and non-HRT options for treatment are evaluated, together with diet and lifestyle, alternative and complementary therapies. Conditions associated with the menopause, such as vasomotor symptoms, urogenital and sexual problems, osteoporosis and autoimmune arthritis, breast disease and gynaecological benign and malignant conditions, are covered. The symptoms, diagnosis and treatment of premature menopause, or premature ovarian failure, are detailed, and a section on treating women with concomitant medical problems completes the text. Primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, it is also a valuable guide for all healthcare professionals.
Mental Health and Poverty
There is strong scientific evidence that poverty is a cause of mental illness. This book brings together a body of knowledge from biomedical and social science literature that is of importance to both academics and practitioners. It explores a broad range of issues, including stigma, the recovery model and substance misuse. The role of childhood adversity is examined, together with other potential causal mechanisms. The content is accessible and engaging, with numerous references pointing readers to the best resources for further information. Poverty is not inevitable, even in a difficult economic climate. The time is ripe for a scientific consensus to inform realistic, hopeful and optimistic campaigns to reduce inequality in the interests of public health and well being. This book provides an evidence-based resource for mental health professionals, social scientists and their students. It will be of interest far beyond those professionally involved in mental health services and research.
Biology and Pathology of the Oocyte
The human egg - the rarest and most rapidly aging cell in the body - is a topic of intense scientific study. Assisted reproduction clinics are constantly vying to improve success rates - choosing the best gametes is a key step in this process. This new edition of what one reviewer of the first edition described as 'possibly the definitive work on the oocyte' covers the development, biology and pathology of the oocyte, and technologies to manipulate, enhance and control fertility. These technologies are used to overcome infertility, avoid inherited diseases, and create genetically engineered embryos from stem cells and cloning. This progress would have been impossible without the myriad of scientific and technical developments covered in this book. The new edition is thoroughly updated and includes major new research on reprogramming, oocyte molecular development, cryopreservation and viability. We are in exciting times for the egg.
Podrid’s Real-World ECGs
Podrid's Real-World ECGs combines traditional case-based workbooks with a versatile Web-based program to offer students, health care professionals, and physicians an indispensable resource for developing and honing the technical skills and systematic approach needed to interpret ECGs with confidence. ECGs from real patient cases offer a complete and in-depth learning experience by focusing on fundamental electrophysiologic properties and clinical concepts as well as detailed discussion of important diagnostic findings and relevant management decisions. Six comprehensive volumes encompass more than 600 individual case studies-plus an online repository of hundreds more interactive case studies (www.realworldECGs.com)-that include feedback and discussion about the important waveforms and clinical decision-making involved. From an introductory volume that outlines the approaches and tools utilized in the analysis of all ECGs to subsequent volumes covering particular disease entities for which the ECG is useful, readers will take away the in-depth knowledge needed to successfully interpret the spectrum of routine to challenging ECGs they will encounter in their own clinical practice. Volume 3, Conduction Abnormalities, explores the essentials of AV nodal and intraventricular conduction abnormalities seen in everyday clinical practice: - AV conduction abnormalities, including first-, second-, and third-degree AV block and enhanced AV conduction - Intraventricular conduction abnormalities, including intraventricular conduction delay, fascicular block, and bundle branch blocks
Dialectical Behavior Therapy for Wellness and Recovery
This hands-on guide addresses the present day realities of applying dialectical behavior therapy in a mental health and substance abuse recovery context. The book presents the DBT concept, Wise Mind, as adapted by author Andrew Bein, as central to a simple, powerful, empirically supported framework that respectfully engages clients in their own efforts to enhance personal well-being. The book includes empirically supported exercises with an emphasis on collaboration and client empowerment using a recovery oriented model for client treatment and improved outcomes.
Contraception
Planned parenthood - and its associated reproductive and sexual healthcare issues - has massive socioeconomic and demographic consequences worldwide. Modern contraception played a major role in the emancipation of women and has huge potential for a sustainable future world population. Yet it is a medical topic which always raises controversy, with serious ethical, religious and cultural overtones. This is an authoritative guide for all those working in reproductive healthcare. Highly practical, evidence-based, with enough detail to inform effective clinical practice, the book is structured on a lifestage approach, mirroring everyday experience of practitioners. All forms of contraceptives are covered in detail, with guidance on prescribing, the advantages and disadvantages of various techniques, and possible complications. The wider field of reproductive healthcare including subfertility and sexual assault are also covered. An ideal guide to contraception for trainees in obstetrics and gynaecology, primary care physicians and nurse-practitioners.
Tackling Health Anxiety
This straightforward book explains how to deliver cognitive-behavioural therapy (CBT) for health anxiety in ordinary practice. Health anxiety is very common but it is often undetected, especially in medical settings where people are constantly looking for evidence of physical disease. The problem is that many people with this condition are more concerned with further tests and investigations to exclude physical illness than with addressing their own worries over health. The introduction of psychological treatment has to be handled sensitively if it is going to be successful. This book shows how it can be done. All clinicians - from nurses working in general practice, to consultant physicians - will recognise the scenarios Dr Tyrer uses to illustrate her practical approach to alleviating the distress felt by so many patients. All clinicians will value the time they can save by tackling their patients' health anxiety. This will be useful for liaison psychiatrists and, to some extent, for all healthcare professionals - especially general practitioners and nurses in primary care.
Church and People in the Medieval West, 900-1200
During the middle ages, belief in God was the single more important principle for every person, and the all-powerful church was the most important institution. It is impossible to understand the medieval world without understanding the religious vision of the time, and this new textbook offers an approach which explores the meaning of this in day-to-day life, as well as the theory behind it. Church and People in the Medieval West gets to the root of belief in the Middle Ages, covering topics including pastoral reform, popular religion, monasticism, heresy and much more, throughout the central middle ages from 900-1200. Suitable for undergraduate courses in medieval history, and those returning to or approaching the subject for the first time.
Neuropsychological Neurology
Understanding the cognitive aspects of neurological disorders is essential to manage effectively patients suffering from these conditions. This book begins by outlining the various cognitive domains and how these can be tested, before covering in depth the cognitive deficits seen in prototypical neurodegenerative cognitive disorders, (Alzheimer's disease, frontotemporal dementias, Huntington's disease, prionoses), and other common neurological disorders that may be complicated by cognitive impairment (stroke, multiple sclerosis, Parkinson's disease, brain tumours). This Second Edition has been completely revised and updated, with new material added throughout, including two new chapters: Sleep-Related Disorders, and Psychiatric Disorders in the Cognitive Function Clinic. This an essential reference for all neurologists, not just for those with an interest in cognitive disorders. General physicians and specialists who deal with endocrine, metabolic, vascular, or infective disorders that may compromise cognitive function, and allied health professionals who work with cognitively impaired patients, will also find this text useful.
Clinical Handbook for the Management of Mood Disorders
This Clinical Handbook for the Management of Mood Disorders will equip clinicians with the knowledge to refine their diagnostic skills and implement treatment plans for mood disorders based on the most up-to-date evidence on interventions that work. Covering the widest range of treatments and techniques, it provides clear guidance for the management of all types and subtypes of both minor and major depression. Chapters cover the latest and most innovative treatments, including use of ketamine, deep brain stimulation and transcranial magnetic stimulation, effective integration of pharmacological and psychotherapeutic approaches, as well as providing a thought-provoking look at the future research agenda and the potential for reliable biomarkers. This is the most comprehensive review of depression available today. Written and edited by leading experts mostly from Columbia University, this is an essential resource for anyone involved in the care and treatment of patients with mood disorders.
The Burden of Mental Disorders
Mental disorders have a huge cost, both to individuals and to society. The direct costs of providing appropriate mental healthcare must be considered along with the societal costs of not doing so. This volume uses the findings of the WHO Mental Health surveys, a long-term study with more than 150,000 people from 24 countries, to present a comprehensive portrait of the burden of mental disorders. The most up-to-date measures, field procedures, and analysis methodology were used and the results have been rigorously peer-reviewed and assessed for accuracy. Topics covered include the effects of mental disorders on educational attainment, marital stability, violence, absenteeism, earnings, and the disability they cause. The book also discusses the implications for policy and practice. This information will be valuable for anyone involved in establishing policy for mental health, including epidemiologists, clinicians, administrators, service managers, and health economists.
Emergency Psychiatry
Many healthcare providers based in primary care, emergency care or other acute care environments encounter patients with psychiatric problems. These presentations can be difficult to manage and often pose significant challenges. A better understanding of most common psychiatric problems can greatly aid both providers and patients. Emergency Psychiatry reviews a wide range of common psychiatric disorders and provides succinct management guidelines. Written by emergency physicians and psychiatrists, Emergency Psychiatry is a rapid reference for the acute management of psychiatric disorders for all care providers, including, but not limited to, emergency physicians, internists, psychiatrists, social workers, family practitioners and other primary care providers.
Domestic Violence and Mental Health
People with mental health problems are more likely to be victims of domestic violence than the general population. This book gives practical guidance on how mental health professionals can identify and respond to domestic violence experienced by their patients. It covers the prevalence of domestic violence, its association with mental health problems and the current evidence base on effective interventions to reduce abuse and improve mental health. It includes liaison with other agencies, such as social care, the police and the domestic violence sector, and gives information on relevant medico-legal issues in order to prepare professionals to present evidence in court. Comprehensive resource for mental health professionals. Practical advice on how to help those affected by domestic violence. Written by international experts on this major public health problem.
Paternal Influences on Human Reproductive Success
Historically, sperm have been seen as simply a mechanism of transferring a haploid set of chromosomes to the oocyte. However, data from assisted reproduction therapies (ART) have demonstrated that in many couples the sperm appears to be responsible for abnormal embryogenesis. Recent advances in genetic and epigenetic techniques have identified key mechanisms by which the sperm, and the DNA carried by the sperm, can affect early embryonic development. Paternal Influences on Human Reproductive Success examines the genetic and epigenetic influences on embryogenesis, as well as practical clinical factors related to the male contribution to reproductive success. It also provides 'cutting edge' data and analysis of recent evaluations of the role of advanced paternal age, environmental influences and lifestyle factors on male reproductive fitness, making this an invaluable text for physicians treating patients for infertility, recurrent pregnancy loss, and developmental anomalies, as well as basic scientists studying embryogenesis and spermatogenesis.
A Case-Based Approach to Pacemakers, ICDs, and Cardiac Resynchronization
Many caregivers working in the field of medicine find that one of the best ways to learn is by working through clinical cases, and for many individuals it's even more helpful to work through the examples as "unknowns." This is especially true in the arena of implantable cardiac devices.In an effort to provide this experience, experts from the Mayo Clinic, Rochester, Minnesota, have produced two volumes of case studies that encompass variations of normal and abnormal function of pacemakers, ICDs, and CRT devices.The texts have been written collaboratively by five clinicians with differing backgrounds in an effort to present the cases in such a way that they are applicable to a variety of caregivers. Cases for this book were selected based on clinical relevance and their usefulness for illustrating general principles, practical tips, or interesting findings in device practice, with the goal of advancing general concepts in device management.The first volume includes introductory and intermediate cases. The second volume includes additional intermediate cases as well as advanced/multipart cases.
A Case-Based Approach to Pacemakers, ICDs, and Cardiac Resynchronization
Many caregivers working in the field of medicine find that one of the best ways to learn is by working through clinical cases, and for many individuals it's even more helpful to work through the examples as "unknowns." This is especially true in the arena of implantable cardiac devices.In an effort to provide this experience, experts from the Mayo Clinic, Rochester, Minnesota, have produced two volumes of case studies that encompass variations of normal and abnormal function of pacemakers, ICDs, and CRT devices.The texts have been written collaboratively by five clinicians with differing backgrounds in an effort to present the cases in such a way that they are applicable to a variety of caregivers. Cases for this book were selected based on clinical relevance and their usefulness for illustrating general principles, practical tips, or interesting findings in device practice, with the goal of advancing general concepts in device management.The first volume includes introductory and intermediate cases. The second volume includes additional intermediate cases as well as advanced/multipart cases.
Empathy in Mental Illness
The lack of ability to emphathize is central to many psychiatric conditions. Empathy is affected by neurodevelopment, brain pathology and psychiatric illness. Empathy is both a state and a trait characteristic. Empathy is measurable by neuropsychological assessment and neuroimaging techniques. This book, first published in 2007, specifically focuses on the role of empathy in mental illness. It starts with the clinical psychiatric perspective and covers empathy in the context of mental illness, adult health, developmental course, and explanatory models. Psychiatrists, psychotherapists and mental heath professionals will find this a very useful reference for their work.
Podrid’s Real-World ECGs
Volume 2, Myocardial Abnormalities, breaks down the essential skills necessary for diagnosing acute myocardial ischemia as well as acute and chronic myocardial infarction--arguably the most important component of the ECG armamentarium across the spectrum of health care professions.
The Maudsley Reader in Phenomenological Psychiatry
The interaction between philosophy and clinical psychopathology in the form of the 'phenomenological movement' was one of the most significant events to occur in mental health over the course of the last century. As the gulf between 'analytical' and 'continential' philosophy reduces, and as clinical psychiatry looks beyond DSM-IV and ICD-10, there is renewed enthusiasm for phenomenological thinking. This unique book brings together and interprets previously hard to find texts, new translations and passages detailing the interplay between philosophy and psychopathology, making them accessible to a new generation of mental health researchers, practitioners and policy makers. The content charts both the influence of key philosophers on ways of thinking and describes the impact and influence of phenomenological approaches to clinical work and understanding in a variety of mental disorders.
Cognitive Impairment in Schizophrenia
Although the precise mechanisms and pathways of schizophrenia remain something of a mystery, there is little dispute that cognitive deficits present as some of the clearest and most debilitating symptoms of the disease. This book describes the characteristics of cognitive deficits in schizophrenia, functional implications, the course of impairments, the genetic and biological contributions and reviews management options, including neuropsychological, psychological and pharmacological techniques. Chapters are written by leading experts in the field, in an accessible and highly informative style, ensuring the content is clinically relevant. State-of-the-art information about new developments in the treatment of related features of the illness, such as disability, is provided. The wide ranging focus of this volume will appeal to clinicians and academic researchers working with patients impaired by severe mental illness.
Bad Boys, Bad Men
Whether called black sheep, sociopaths, con men, or misfits, some men break all the rules. They shirk everyday responsibilities, abuse drugs and alcohol, take up criminal careers, and lash out at family members. In the worst cases, they commit rape, murder, and other acts of extreme violence. What makes these men behave as if they had no conscience? Bad Boys, Bad Men examines antisocial personality disorder or ASP, the mysterious mental condition that underlies this lifelong penchant for bad behavior. Psychiatrist and researcher Donald W. Black, MD, draws on case studies, scientific data, and current events to explore antisocial behavior and to chart the history, nature, and treatment of a misunderstood disorder that affects up to seven million Americans. Citing new evidence from genetics and neuroscience, Black argues that this condition is tied to biological causes and that some people are simply born bad. Bad Boys, Bad Men introduces us to people like Ernie, the quintessential juvenile delinquent who had an incestuous relationship with his mother and descended into crime and alcoholism; and John Wayne Gacy, the notorious serial killer whose lifelong pattern of misbehavior escalated to the rape and murder of more than 30 young men and boys. These compelling cases read like medical detective stories as Black tries to separate the lies these men tell from the facts of their lives. For this Revised and Updated edition, Dr. Black includes new research findings, including the most recent work on the genetic and biological determinants of antisocial personality disorder, and he also discusses the difference between, and overlap with, psychopathy. Several new cases have been added to Bad Boys, Bad Men, including Mike Tyson and Saddam Hussein, and he also briefly discusses antisocial women such as Aileen Wuornos, the lead character in the movie, Monster. Acclaim for the first edition: "For a fascinating and insightful journey inside the criminal mind one could not find a better guide than Dr. Donald Black, one of the world's leading authorities on the classification of aberrant behaviors.... A magnificent achievement."--Jeffrey M. Schwartz, M.D., author of Brain Lock "Clearly written, informative, and filled with intriguing stories of real people....Tells us what we need to know about antisocial personality disorder. A wonderful book."--John M. Oldham, MD, Columbia University "A clear and thorough account of the current scientific understanding of a baffling condition, Bad Boys, Bad Men will appeal to those interested in the origins of repetitive criminal behavior. The book will be of especial use to the families of the antisocial."--Peter D. Kramer, author of Listening to Prozac "A tour de force. Don Black has distilled decades of his clinical experience and a comprehensive review of research on antisocial personality disorder into the definitive vade mecum on the topic."--John H. Greist, M.D., Clinical Professor of Psychiatry, University of Wisconsin Medical School
Evidence in Mental Health Care
This book will prove vital for the successful extension of evidence-based evaluation to mental health services in general.
Case Studies in Epilepsy
Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. They emphasize the need for clinical reasoning, integrative thinking, problem-solving, communication, teamwork and self-directed learning - all desirable generic skills for health care professionals. Epilepsy is amongst the most frequently encountered of neurological disorders. There are important emerging clinical management issues (e.g., first seizure, therapy-resistant seizures, ICU, pregnancy) but also differential diagnosis of non-epileptic seizures (syncopy, pseudo-seizure, paroxysmal dystonic syndromes, sleep disorders, psychosis, inborn errors of metabolism, etc.). This selection of epilepsy case studies will inform and challenge clinicians at all stages in their careers. Including both common and uncommon cases, Case Studies in Epilepsy reinforces the diagnostic skills and treatment decision-making processes necessary to treat epilepsy and other seizures confidently. Written by leading experts, the cases and discussions work through differential diagnoses, treatments and social consequences in pediatric and adult patients.
Sleep, Stroke and Cardiovascular Disease
The relationship between sleep disorders - in particular sleep apnea, a highly prevalent condition - and common vascular disturbances such as stroke and hypertension is an area of active research. Summarizing the clinical evidence to date between sleep disorders and vascular pathology, this is the first time a comprehensive overview of this relationship has been covered in a single volume. Bringing together some of the world's most renowned authors in the field, Sleep, Stroke and Cardiovascular Disease contains recommended treatment plans - allowing for rapid and accurate diagnosis and management of patients - enabling learning from real experience. Of interest, not only, to specialists who intervene in diagnosis and management of sleep and stroke disorders such as neurologists, cardiologists and pulmonologists, the book will also be of value to primary-care practitioners, allowing them to arrive at better diagnoses and management of sleep and vascular disorders.
Mental Health and Disasters
Since the attacks of September 11, 2001, disaster preparedness and response has developed into a discrete subspecialty in medicine, and the paramount health care initiative of the U.S. Government. The mental health component of disaster response is a serious subject of study, as trauma is associated with a substantial and long-lasting psychologic burden, both on an individual and community level. The psychopathologies associated with disaster are also quite broad, varying from several different types of post-traumatic stress and anxiety disorders to acute variations of grief-associated depression. This book is the definitive reference on mental health and disasters, focused on the assessment and treatment of the full spectrum of psychopathologies associated with many different types of individual disasters. The logistics for utilizing pre-existing community-based mental health services, as well as the development of new programs, are covered in depth. Case studies and perspectives for improving care, incorporating lessons from Hurricane Katrina and 9/11, are included in detail.
Handbook of Human Oocyte Cryopreservation
Human oocyte cryopreservation has undergone rapid growth, with technical improvement and increasing clinical application over the last ten years. Storing eggs is ethical and gives many young women their most realistic chance of conception. Cryopreservation, however, is still considered by many as an experimental technique and conflicting reports are published as to its efficacy. For these reasons, it is necessary to give reproductive researchers and practitioners comprehensive and systematic information about the field. This book describes and analyses the history of human oocyte freezing, the main steps of technical evolution, and the pros and cons of different techniques. In addition, the clinical applications, long-term outcome, efficiency and safety of oocyte cryopreservation are detailed. The Handbook of Human Oocyte Cryopreservation gives a complete picture of the field today and is a valuable text for embryologists, cryobiologists, reproductive medicine practitioners and anyone involved in researching and implementing the technique.
The Principles and Practice of Antiaging Medicine for the Clinical Physician
This book takes a whole new perspective concerning the approach to treating aging process. Most doctors feel they have no other options but to operate on the physical processes that occur as we grow older. Now, for the first time, there is another scientific approach that impacts on the causes of aging and not just on the effects. The basic principles and practice of anti-aging medicine and age management clearly and succinctly explains the solid scientific research behind doctor Giampapa's revolutionary theories, revealing that a key number of bio chemical processes at the cellular level can be clinically manipulated to successfully improve the physical signs of aging even without surgery. Dr. Giampapa gives the clinical dermatologist and plastic surgeon the knowledge and tools to successfully incorporate anti-aging medicine into their practice. These tools not only improve the longevity of their cosmetic procedures but markedly enhance the quality of life and health that patients can experience. Throughout the book a new concept of aging is built around preserving DNA function and replication. Treatment concepts are centered around: Controlling blood sugar levels and glycation; Inhibiting cellular inflammation; Supplying the correct combination of antioxidants; Improving gene regulation and methylation; Following a simple diet guide and exercise plan; Regulating age-related hormonal declines; Improving DNA repair and decreasing DNA damage. Containing hundreds of scientific medical references as a valuable resource for future investigation and information, this book is an essential addition to the cosmetic physicians library.
Stroke
Stroke is the third most common cause of death after heart disease and cancer in developed countries. Part of the Oxford Neurology Library, this pocketbook highlights the importance of stroke, its diagnosis, the problems of misdiagnosis, and current thoughts on its pathogenesis, acute treatment and rehabilitation as well as prevention. The book will serve as an invaluable quick reference for neurologists, cardiologists, geriatricians, internists, trainees, nurses, allied health professionals, and general practitioners.
Ethno-Psychopharmacology
No one reacts or responds to a drug in exactly the same way, just as no two persons are exactly alike. Individual and ethnic differences in drug response have been consistently found in clinical practice. This book covers all the important factors that explain how and why drug treatments used in psychiatry affect individuals and ethnic groups differently. It will increase understanding of how biological differences interact with social, cultural and environmental factors to bring about overall effects of medications, particularly in individuals from various ethnicities. This book uniquely brings these varied aspects together to consider a holistic approach to drug therapy across diverse biological make-up and cultures. This information has direct practical use in the clinical setting.
Comprehensive Care for Complex Patients
'Complex patients' are a sizeable population who generally require disproportionate attention for their management and respond poorly to treatment. Their systemic medical, psychiatric and personal needs have a tendency to drain or exceed the capabilities of those who treat them whilst overutilizing health care resources. As this patient population grows, we move ever closer to a crisis in health care delivery. This volume presents an innovative team-based approach for assessing and managing diagnostically complex and management intensive patients. The physician-led 'Medical-Psychiatric Coordinating Physician (MPCP)' model not only improves patient treatment, but also provides for the containment of costs by reducing redundancy and curbing excess in the use of services. Other benefits include improved diagnostic accuracy and decision making, as well as better communication among physicians and allied health professionals. This book is essential reading for psychiatrists, primary care physicians, and physicians, directors and administrators working in multidisciplinary specialty clinics.
Where There Is No Child Psychiatrist
Mental health problems and worries are common among infants, children and adolescents in every part of the world. This book is a practical manual for primary healthcare professionals, teachers and anyone who works with children - especially in places where specialist psychiatric care is not available. After giving the reader an overview of child mental health problems, the manual goes on to deal with the various developmental, behavioural and emotional problems that arise in as many as 10% of the youth population. For each problem it first provides a case study and then describes how to find out more about a child with this problem. It suggests what can be done to help the child and their family. It also examines the mental health aspects of childhood maltreatment and exposure to natural or man-made disasters. The only comprehensive book on mental healthcare in young people for those with no access to specialist medical advice, this book is intended for anyone who works with children or young people, but who does not have specialist training in mental health problems, which includes primary care doctors and nurses, community health workers and teachers. This title is also available as Open Access on Cambridge Core.
ABC of Ear, Nose and Throat
ABC of Ear, Nose and Throat is a long established best-selling guide to the management of common conditions of the Ears, Nose and Throat. It follows a symptomatic approach for evaluation and prioritisation of common presentations, and provides guidance on primary care assessment and management, and on when and why to refer for a specialist opinion. Fully revised to reflect the current practice of oto-rhino-laryngology and head and neck surgery, new chapters address the increasing specialization and improved understanding of the likely causes and specialist treatment for symptoms such as tinnitus, nasal discharge, nasal obstruction, facial plastic surgery, head and neck trauma and foreign bodies, and non-specialist assessment and examination. There is new content on rhinoplasty, pinnaplasty, non-melanoma skin tumours, thyroid disease and head and neck cancer, with many new full colour illustrations and algorithms throughout.This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand Store.
The Autism Spectrum
Written for the wide range of physicians and professionals who treat children and adults with autism spectrum disorders (ASDs), this book reviews the scientific research on the nature and causes of autism, outlines best treatment practices with children and describes a comprehensive assessment and treatment approach for adults. Topics covered include: - Classification, epidemiology and diagnosis - Neurodevelopmental abnormalities - Recommendations for early screening and evaluating at-risk children - Early interventions based on applied behavioral analysis - The critical role of special education, speech-language therapy, occupational therapy and assistive technology in treating children - Pharmacotherapy - Complementary and alternative treatments - Development of individualized and person-centered treatments for adults The Autism Spectrum is an invaluable resource for all those working with ASDs including pediatricians, psychiatrists, behavioral psychologists, special educators, nurses and therapists.
Podrid's Real-world Ecgs
Combines traditional case-based workbooks with a versatile Web-based program to offer students & health care professionals an indispensable resource for developing the technical skills and systematic approach needed to interpret ECGs. Volume 1: The Basics outlines the approaches and tools utilized in the analysis of ECGs.
Sleep Deprivation, Stimulant Medications, and Cognition
Sleep Deprivation: Stimulant Medications and Cognition provides a review, synthesis and analysis of the scientific literature concerning stimulant medications and neurobehavioral performance, with an emphasis on critically evaluating the practical utility of these agents for maintaining cognitive performance and alertness in sleep-deprived (but otherwise healthy) individuals. The book explores the nature of sleep loss-induced cognitive deficits, neurophysiologic basis of these deficits, relative efficacy and limitations of various interventions (including non-pharmacological), and implications for applying these interventions in operational environments (commercial and military). Readers of this volume will gain a working knowledge of: - Mechanisms contributing to sleep loss-induced cognitive deficits; - Differential effects of stimulant compounds on various aspects of cognition; - Considerations (e.g., abuse liability) when applying stimulant interventions in operational settings; - Current state and future directions for including stimulants in comprehensive fatigue-management strategies. This text is key reading for researchers and trainees in sleep and psychopharmacology.
Stress, the Brain and Depression
Can traumatic life events cause depression? Studies generally point to a connection between adverse life events and depression. However, establishing a causal, rather than associative, connection is more problematic. The authors structure this examination of the question around three major themes: the pathophysiological role of stress in depression; whether or not a subtype of depression exists that is particularly stress-inducible; and, finally, how best to diagnose and treat depression in relation to its biological basis.
The Spectrum of Psychotic Disorders
The spectrum of psychotic disorders encompasses as many as 25 different etiologies, ranging from the primary psychoses through those secondary to medical conditions, drugs and medications, and sensory impairments. This book provides a one-stop, comprehensive review of these disorders and gives quick comparisons for diagnostic decision-making to help with difficult differential diagnoses. Every chapter is uniformly structured to show comparisons between each disorder of presentation, course, and underlying neuropathology. Evidence for each etiology is also rated, indicating the confidence level the reader can place in the current findings. The international team of authors also examines data supporting a unitary neurobiological model of psychosis and the hypothesis that psychosis is a neurobiological syndrome similar to aphasia or apraxia. This book represents a paradigm shift in understanding, classifying and diagnosing these disorders, providing directions for future research and treatment. It will be of great interest to psychiatrists and neuroscientists alike.
Hyperactivity and Attention Disorders of Childhood
Building on the success of the first edition and addressing the advances in the field since its publication, Seija Sandberg has brought together a distinguished, international team to review the area of attention-deficit and hyperactivity disorders (ADHD) in children and young adults. This new edition is thoroughly revised and updated, with new chapters dealing with the genetic background and the adult form of the disorder. Several of the topics dealt with in the first edition are being covered by new authors in the second.
Psychotic Depression
Psychotic Depression aims to help clinical practitioners and trainees describe their observations of psychotic depression, formulate treatment, and express expectations of recovery from illness. It focuses on all facets of the disorder, from clinical history to coverage of the current state-of-the-art diagnostic and treatment protocols. Medical readers of this book will come away able to diagnose and readily treat psychotic depression and thus will be able to serve their patients better. Non-physician readers will come away with the message that this is a terrible illness, but there is hope. This book fills an important gap in the realm of psychiatric literature.
Mortality Amongst Illicit Drug Users
Over the past 40 years the rate of illicit drug use worldwide has risen dramatically, and with it the number of deaths reported among drug-using populations. What are the clinical, ethical and psychopathological implications of these deaths? In this book, Shane Darke and his team provide the first full, synthetic review of the epidemiology, causes, prevalence, demography, and associated risk factors of illicit-drug-related mortality. In addition, they examine and evaluate interventions to reduce these deaths. The major causes of death among illicit drug users are overdose, disease, suicide and trauma. Each is independently examined. This is an important book for all clinicians and policy makers involved in issues relating to illicit drug use.
The Teaching of Talking
People with speaking difficulties are at the mercy of insurance companies who are determining how often and for how long speech therapy services should be delivered. It is also a disturbing reality that the likelihood for therapy frequency and length of care is contingent upon either the level of competence or comfort level of the speech-language pathologist or the financial policies of each institution. Often it has nothing to do with the severity or need for speech therapy. Our health care system is in no position to bankroll the long-term therapy that many people need who have moderate to profound speaking difficulties. The goal of Teaching of Talking is to make sure that any loved one, caregiver or speech-language pathologist is thoroughly knowledgeable in methods to help people improve talking since it is never known when the plug will be pulled on speech and language therapy services.Ittleman says: "I see hundreds of people with speech and language difficulties each year. By reading and applying The Teaching of Talking, you will have the confidence to help your client or loved one, no matter what the insurance company or institution does. By learning to do what is in Teaching of Talking you will be more self-sufficient and will not have to rely on anyone to provide your loved one with expert speech therapy.
The Creation of the Self and Language
This book develops models and hypotheses about the mechanisms of the origin of language and the self. It offers a highly original discussion of language acquisition in relation to Freud's paper on aphasia. The book is useful for psychiatrists, teachers, social workers, and parents.
