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Humanities & Social SciencesDiagnosis of Complex Posttraumatic Stress Disorder
by Jan Gysi
People with complex post-traumatic stress disorder often find themselves in a pattern of loss of control, helplessness, and dependency. A therapy that focuses on individual symptoms such as depression or a “simple” post-traumatic stress disorder often does not do them justice. Even more so when the wrong diagnosis is made due to false assumptions or a lack of information. What all must be ensured for the diagnosis to be made: is there a threat of intrafamilial or external violence? Is existential stability guaranteed during therapy? Are there investigations of legal proceedings in the background? With brilliantly structured overviews, this book helps even experienced diagnosticians to keep track of the variety of diagnostic options to be considered or ruled out and not to overlook anything.Axis I: Personality disordersAxis II: Specific stress-related disordersAxis III: Structural dissociation of personality: dissociativeand partial dissociative identity disorderAxis IV: Dissociative symptomsAxis V: Comorbid disorders For:• psychiatrists• psychologists• psychotherapists specializing in PTSD
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Promoted Content
MedicineMarch 2020Basic Monitoring in Canine and Feline Emergent Patients
by Elizabeth J. Thomovsky, Paula A. Johnson, Aimee C. Brooks
This book discusses the various basic monitoring techniques available for emergency patients. The book elaborates on and explains monitoring techniques that can be easily performed in basic ER clinics and primary care clinics. This includes blood pressure, capnography, ECGs, pulse oximetry, and point of care monitoring ranging from the physical exam to bedside diagnostic tests like PCV/TP, urine specific gravity, blood glucose, and lactate. Each chapter is structured in the following way: basic physiology as related to the monitor, how the monitor/piece of equipment works, pros and cons of the monitor/piece of equipment, when not to trust the monitor, and clinical applications/examples of how to use the monitor in clinical settings.
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PsychiatryAugust 2013ADHD: Clinical Management of Attention Deficit Hyperactivity Disorder
by Lily Hechtman
Attention-deficit/hyperactivity disorder (ADHD) is the most prevalent mental health disorder in childhood. ADHD persists into adolescence in 80–85% of cases and adulthood in 50–60% of cases, and carries with it high rates of comorbidity and impairment. This book of nine chapters reviews key areas of ADHD to provide the reader with a comprehensive understanding of the etiology, diagnosis, treatment and prognosis of the condition throughout the lifespan of the individual. The book also highlights out gaps in our knowledge and thus directions for future research.
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November 2020Europa auf der Intensivstation
Heilung oder Niedergang
by Rahim Taghizadegan
The vitality of Europe is in particular danger. Europe depends on all kinds of tubes and thus increasingly on artificial interventions. This is not a negative judgment of Europe and Europeans, but a warning that the old lady has become fragile and is at an existential fork in the road: Decline or healing.
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PsychiatryJanuary 2010Fast Facts: Bipolar Disorder
by Guy Goodwin, Gary Sachs
Fast Facts: Bipolar Disorder is a highly accessible synopsis of current understanding of, and strategies, for bipolar disorder. Written by two experts of international renown, this fully updated second edition of the book describes the diagnosis, etiology and short- and long-term treatment strategies for this historically neglected condition. Bipolar disorder is no longer a rare disorder seen only by psychiatrists working with psychotic inpatients, and this handbook provides an invaluable update on the topic to all those involved in the care of people with the condition - primary care physicians, psychiatrists, therapists and specialist nurses. The information may also prove useful to people with bipolar disorder and their families. Table of Contents: Definitions: diagnosis and comorbidity Etiology Epidemiology The patient's perspective Enhanced care Short-term treatments Long-term treatments The future Useful resources
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Transdiagnostic Emotion-Focused Therapy
A Clinical Guide for Transforming Emotional Pain
by Ladislav Timulak, Daragh Keogh
Emotion-Focused Therapy is an effective transdiagnostic treatment for the common symptoms that underlie depression, anxiety, and other related disorders.Given the high comorbidity of mental health symptoms and our growing understanding of psychopathology, transdiagnostic treatments are becoming more and more common. This book conceptualizes Emotion-Focused Therapy (EFT) as a transdiagnostic approach for treating a variety of mental health problems by accessing and transforming the underlying vulnerability of the core emotional pain and, in light of this, examining clusters of symptoms such as anxiety.The authors use elements of a modular approach that is the culmination of a decade-long research program. They target some symptom-level presentations, as well as the underlying emotional vulnerability that manifests in depression, anxiety, and other related disorders.This approach integrates a range of symptom-level EFT tasks, including tasks aimed at facilitating regulation of emotional distress, as well as tasks that specifically target self-worrying, rumination, perfectionism, and other discrete symptoms. Strategies that target clusters of symptoms, such as two-chair dialogues and self-interruption, are illustrated through richly detailed session transcripts.This book helps mental health professionals enable their clients to access emotional vulnerability, facilitate emotional regulation, guide emotional transformation processes, and engage in healthy interpersonal experiences.
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Cardiovascular medicineAugust 2012Fast Facts: Heart Failure
by Dariusz Korczyk, Thomas H Marwick, Gerry Kaye
Heart failure is a serious public health problem that has an enormous effect on individuals and families, as well as healthcare budgets around the world. Written with the non-specialist in mind, Fast Facts: Heart Failure provides:- a concise discussion of the pathophysiological mechanisms that lead to heart failure- a detailed review of the causes and comorbidities of heart failure- simple advice on diagnosis and investigation- clear management principles, including healthy lifestyle choices for patients- evidence-based guidance on first- and second-line drug therapies and medical management that targets the underlying cause- a comprehensive overview of non-pharmacological treatment options, including devices and transplantation- important information on palliative care in end-stage heart failure. Contents: Definitions and epidemiology Pathophysiology and clinical stages Causes; Comorbidities Diagnosis General management and lifestyle considerations Pharmacological treatment Non-pharmacological treatment Prognosis Clinical trials and developments Useful resources
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Clinical & internal medicineFebruary 2013Cancer Cachexia
by Josep M Argilés, Silvia Busquets
Cancer cachexia is a multiorganic syndrome associated with neoplastic syndromes, characterized by a marked weight loss, anorexia, asthenia and anemia. This expertly authored book provides a comprehensive review of the mechanisms, mediators and treatment of cancer cachexia. A range of relevant clinical issues are addressed, including prevalence and clinical features of the cachectic syndrome in cancer patients, pathogenesis of the syndrome, and currently available therapeutic approaches including combination therapies. There is also an analysis of the drugs currently involved in clinical trials that may have a future potential. The final chapter deals with comorbidities and prognosis. The book represents a comprehensive expert review and summary of the current status of cancer cachexia and its therapy.
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Respiratory medicineJanuary 2009Fast Facts: Chronic Obstructive Pulmonary Disease
by William MacNee, Stephen Rennard
Chronic obstructive pulmonary disease (COPD) is a heterogeneous collection of respiratory syndromes with overlapping manifestations. As well as the characteristic shortness of breath, the disease is associated with a number of comorbidities that can present major clinical problems for the individual. Fast Facts: Chronic Obstructive Pulmonary Disease is an invaluable resource for all healthcare professionals, full of practical information on the early recognition, stabilization and successful management of this multifaceted disease. Table of contents: Pathology and pathogenesis Etiology and natural history Clinical features Lung function tests Imaging Smoking cessation Therapy in stable disease Acute exacerbations of COPD Future trends
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MedicineOctober 2014Fast Facts: Psoriasis
by Alan Menter, Catherine Smith, Jonathan Barker
Psoriasis can no longer be considered a mere skin disease – it is a spectrum of different conditions requiring a spectrum of different treatments. Yet the systemic and psychosocial consequences of the condition often go unrecognized. The fourth edition of this refreshingly readable handbook explores the potential to improve the quality of life of patients by reducing the range of comorbidities associated with psoriasis, including arthritis, cardiovascular disease and inflammatory bowel disease. Fast Facts: Psoriasis is packed with practical information on all aspects of this increasingly treatable disease, including: • a concise review of the immunologic and genetic aspects of the disease • a well-illustrated guide to clinical presentation and differential diagnosis • all management options, from topical treatments to current and emerging receptor-targeted therapies • a commonsense approach to management by rotating and combining therapies • a fully updated chapter on psoriatic arthritis Fast Facts: Psoriasis is essential reading for the primary care team, dermatology trainees and specialists in cardiology, gastroenterology and rheumatology who want to learn all about psoriasis but have little time to spare.
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Otorhinolaryngology (ENT)January 2007Fast Facts: Rhinitis
by Glenis K Scadding, Wytske J Fokkens
Allergic diseases have been described as a modern epidemic, with over 20% of the population suffering from allergic rhinitis, asthma or atopic eczema. Of these diseases, allergic rhinitis is the most common and the most underdiagnosed and wrongly treated.The effects of the symptoms of rhinitis, allergic or otherwise, on quality of life are well documented. While severely affected individuals are treated by a variety of specialists depending on the presenting condition, the majority are seen by generalists. This short and very practical text has been written specifically for this group so that treatment can be optimised and referral decisions made easier. Table of contents: Introduction Allergy: an increasing problem Allergens Pathogenesis Classification of allergic rhinitis Seasonal allergic rhinitis Non-allergic rhinitis Diagnosing rhinitis Therapeutic principles Rhinosinusitis and nasal polyps Comorbidities and complications of allergic rhinitis Future trends
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MedicineAugust 2015Fast Facts: Chronic Obstructive Pulmonary Disease
by William MacNee, M. Bradley Drummond
Although there is no cure for chronic obstructive pulmonary disease (COPD), encouraging smoking cessation and a combination of pharmacological and non-pharmacological management may prevent deterioration of the condition, improve lung function and thus symptoms, and improve health status and functional ability of patients. These are attainable goals that will ultimately improve the quality of life for patients and may also decrease the healthcare costs associated with this disease. This fully updated third edition of Fast Facts: Chronic Obstructive Pulmonary Disease offers a concise and expert review of: • current guidelines • the disease process, its causes and progression • diagnostic techniques, including lung function tests and imaging • differential diagnoses • the main clinical features, systemic effects and comorbidities • current treatments to reduce symptoms and improve lung function in stable disease • the prevention and management of acute exacerbations • the latest clinical trial results, supporting aggressive therapy to reduce lung function decline • risk factor reduction, primarily through smoking cessation • future diagnostic and therapeutic developments. Intended as a practical and accessible resource for all general practitioners, practice nurses, specialist nurses, junior hospital doctors, paramedics, medical students and other allied healthcare professionals, this handbook will provide a ‘breath of fresh air’ to the field of COPD. ;
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MedicineSeptember 2017Communicating Clearly About Medicines
Proceedings of a Workshop
by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Roundtable on Health Literacy, Joe Alper
Research conducted over the past two decades has shown that poor patient understanding of medication instructions is an important contributor to the more than 1 million medication errors and adverse drug events that lead to office and emergency room visits, hospitalizations, and even death. Patients who have limited literacy skills, who have multiple comorbidities, and who are elderly face the greatest risk, and limited literacy skills are significantly associated with inadequate understanding and use of prescription instructions and precautions. The Agency for Healthcare Research and Quality notes that only 12 percent of U.S. adults have proficient health literacy that allows them to interpret a prescription label correctly. Given the importance of health literacy to the proper use of medications, and the apparent lack of progress in improving medication adherence, the Roundtable on Health Literacy formed an ad hoc committee to plan and conduct a 1-day public workshop that featured invited presentations and discussion of the role and challenges regarding clarity of communication on medication. Participants focused on using health literacy principles to address clarity of materials, decision aids, and other supportive tools and technologies regarding risks, benefits, alternatives, and health plan coverage. This publication summarizes the presentations and discussions from the workshop.
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Vaccines for Older Adults: Current Practices and Future Opportunities
by Birgit Weinberger
The importance of vaccines for the older population Many infectious diseases are more frequent and are associated with high morbidity and mortality in older adults. Vaccination is the most efficient strategy to prevent infections, and older adults are an important target population for vaccination in order to promote health in this age group. Age-related changes in the immune system as well as other factors, such as comorbidities, obesity or frailty, influence vaccine-induced immune responses in old age. Awareness that vaccines developed for children might not be optimal for adults, and particularly for the older population, has only arisen in the recent past. Vaccination against influenza, pneumococcal disease, and herpes zoster is specifically recommended for older adults in many countries, and various strategies have been pursued in order to optimize these vaccines. However, there are still many pathogens, which severely affect the older population, but for which no vaccines are currently available. Extensive research and development are ongoing to further improve existing vaccines and to design novel vaccines in order to provide protection for this vulnerable age group. In order to exploit the full protective potential of vaccines it is essential to improve vaccine uptake and overcome vaccine hesitancy by providing information and education to stakeholders, health care professionals, and the general public.This book is relevant for researchers working on age-related changes in the immune system or on vaccine development, for health care professionals treating older patients, and for the stakeholders and decision makers involved in vaccination recommendations and implementation.
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PsychologySeptember 2011Anorexie und Bulimie bei Mädchen in der Pubertät
by Kremser, Bettina
Half of all girls with normal weight consider themselves as too fat. One out of five teenagers in Germany shows symptoms of an eating disorder. But what exactly are eating disorders? Why do anorexia and bulimia mostly occur among girls, and why during puberty? Which causes are underlying and how can the psychological factor be evaluated in the framing concept of etiology? Anorexics starve off pound after pound, while bulimics try to undo their eating binges with vomiting or other regulatory measures – it appears that they would pay any price to meet the ideal of the attractive, thin woman, including mistreating their body and ignoring the physical and psychological impacts. As if this was not enough, many affected people also suffer from comorbid diseases such as depression, personality disorders or obsessive/compulsive disorders – among others. When searching for causes, a lot of different factors surface. The etiology model is based on biological, familial, socio/cultural and psychological pillars. When comparing anorexia and bulimia, some consonances are diagnosed, but also many differences. Great discipline, control, a need for harmony, fear and introversion are typically found among people with anorexia nervosa, while bulimics are often less controlled and enduring, more impulsive, emotional, short/tempered and extroverted, as well as not being afraid of their own sexuality. When a certain genetic predisposition is given, the psyche can suffer when exposed to certain external stimuli. Bio/psycho/social models are increasingly being consulted as a means of explanation for psychological illnesses. This book gives a comprehensive overview of the complex issue, while also containing a selection of therapeutic approaches and methods of prevention to help sufferers find the courage to conquer their illness.
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Geriatric medicineJune 2012Nutrition and Healthy Aging in the Community
Workshop Summary
by Sheila Moats and Julia Hoglund, Rapporteurs; Food and Nutrition Board; Institute of Medicine
The U.S. population of older adults is predicted to grow rapidly as "baby boomers" (those born between 1946 and 1964) begin to reach 65 years of age. Simultaneously, advancements in medical care and improved awareness of healthy lifestyles have led to longer life expectancies. The Census Bureau projects that the population of Americans 65 years of age and older will rise from approximately 40 million in 2010 to 55 million in 2020, a 36 percent increase. Furthermore, older adults are choosing to live independently in the community setting rather than residing in an institutional environment. Furthermore, the types of services needed by this population are shifting due to changes in their health issues. Older adults have historically been viewed as underweight and frail; however, over the past decade there has been an increase in the number of obese older persons. Obesity in older adults is not only associated with medical comorbidities such as diabetes; it is also a major risk factor for functional decline and homebound status. The baby boomers have a greater prevalence of obesity than any of their historic counterparts, and projections forecast an aging population with even greater chronic disease burden and disability. In light of the increasing numbers of older adults choosing to live independently rather than in nursing homes, and the important role nutrition can play in healthy aging, the Institute of Medicine (IOM) convened a public workshop to illuminate issues related to community-based delivery of nutrition services for older adults and to identify nutrition interventions and model programs. Nutrition and Healthy Aging in the Community summarizes the presentations and discussions prepared from the workshop transcript and slides. This report examines nutrition-related issues of concern experienced by older adults in the community including nutrition screening, food insecurity, sarcopenic obesity, dietary patterns for older adults, and economic issues. This report explores transitional care as individuals move from acute, subacute, or chronic care settings to the community, and provides models of transitional care in the community. This report also provides examples of successful intervention models in the community setting, and covers the discussion of research gaps in knowledge about nutrition interventions and services for older adults in the community.
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GastroenterologyOctober 2020Medicom Conference Reports UEGW 2020
UEGW 2020
by Dr. Rachel Giles
Peer-reviewed Conference Report
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Animal husbandryMarch 2017Canine Cancer
by Swapan Kumar Maiti
This book covers most of the topics with latest information on canine cancer in general and canine mammary cancer in particular. The book is divided into 21 chapters covering almost all aspects of canine cancer including its overview, occurrence, etiology, classifications, polymorphism, radiological-immuno-hormonal-sex hormone profiles, enzymatic-genetic-tissue prognostic markers and different modern diagnostic and therapeutic approaches. This book also includes different research findings on canine mammary cancer. The main objective of this book is to provide the latest information to meet the requirements of not only undergraduate and post-graduate students but also to the teachers and clinicians involved in canine practice. The book contains more than 150 good quality colour photographs of canine cancer, cancer diagnosis and cancer treatments. This book would be of immense use to the students, teachers and practitioners engaged in the field of cancer research and treatment.
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Family & relationshipsApril 2015Tomorrows
by Marcia Roberts
Follow on to New Day, domestic abuse and the aftermath for the woman and children
