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This is a comprehensive practical guide to the practice of the new subspecialty of critical care echocardiography. The text covers all aspects of clinical practice and describes how to use transthoracic echocardiography to approach and manage common clinical questions. Specific emphasis is placed on the appropriate use of clinical echocardiographic data in the context of the patient’s critical illness; this is illustrated by the frequent use of case studies including both still and moving echocardiographic images. The text covers assessment of, and disorders affecting, the left and right heart, including shock and sepsis. It also looks at how to interpret diastolic information during critical illness and the effect of that illness on valve disease and function. The important subject of fluid responsiveness is explored in detail, as is the influence of organ support and illness on the diagnosis of cardiac tamponade. The information given in the text is summarized using algorithms in a field guide for the critical care echocardiographer, which also provides a rapid guide to assessing time-critical patient presentations.Less

Acute Care Casebook provides a case-based approach to the broad practice of acute care medicine, covering a variety of common patient presentations and clinical environments. This book features over 70 illustrated cases, including presentations of trauma and medical illness in wilderness medicine, military and prehospital environments, pediatrics, emergency medicine, and intensive care unit and floor emergencies. Designed for students and trainees in medicine, nursing, emergency medical services, and other acute care specialties, this text guides readers through not only symptom evaluation and treatment but also the thought process and priorities of experienced clinicians. Each chapter features key diagnoses and management pearls from leading experts that will help prepare readers for any event, from stabilizing and transporting a trauma patient in the field, to managing postoperative complications in the intensive care unit.Less

Acute Pain Medicine tackles a large array of diagnostic and treatment consideration across a variety of surgical and nonsurgical acute pain conditions. It reviews a variety of acute pain–modulating factors followed by interventional and pharmacologic treatment options. For each applicable condition, perineural and neuraxial considerations are given when appropriate along with nociceptive anatomic complements. Pharmacologic modalities are described, stressing the use of multimodal analgesia and a variety of opioid-based options if necessary. The book reviews cases that commonly are associated with significant acute pain but also highlight the role of acute pain medicine physicians in the postdischarge phase. Finally, the book includes a critical update of the Military Advanced Regional Anesthesia and Analgesia handbook. This update serves as an essential bedside tool in the performance of regional anesthetic techniques and their corresponding anatomic considerations.Less

Diagnosis and treatment of acute stroke has advanced considerably in the past 2 decades. Most notably, in cases of ischemic stroke, intravenous alteplase has become the standard of medical treatment despite its multiple contraindications and limited time window. More recently, trials have proven that endovascular thrombectomy is superior to medical therapy alone, advancing the standard of care for patients who present with acute ischemic stroke from a large vessel occlusion and salvageable brain tissue. The treatment of hemorrhagic stroke now involves the use of novel pharmacological agents and advanced minimally invasive technology. Important changes have also occurred at the levels of hospital organization and treatment decision-making. Such changes in organization and designation of hospitals with distinct levels of stroke care and the variety of stroke protocols now requires team work of emergency medical services (EMS), Emergency Department, stroke neurologists, neurosurgeons, and neurointerventionalists. This book provides an overview of the modern medical and surgical options for the treatment of patients with acute ischemic and hemorrhagic strokes. The pivotal role of EMS in prehospital evaluation and triage of a stroke patient and the levels of stroke systems of care are discussed. In addition, the current guidelines on the management of acute stroke, with the focus on early care of acute stroke patients at the Emergency Department and the first 24 hours of hospital admission, are reviewed. Each chapter contains a discussion of common clinical scenarios including initial management steps, practical points, and common pitfalls.Less

Part of the Oxford Psychiatry Library series, this resource is a clear and comprehensive overview of the brain science underpinning addiction that helps explain the current and future therapeutics for the range of addictions, using full colour images to enhance understanding. It focuses on the nature of addiction as a brain disorder that includes a range of different behavioural traits such as impulsivity and reward dependence, and discusses the critical role of kinetic and pharmacological factors. The also explains how the primary pharmacological targets of drugs of abuse are now understood, the relation to the variable nature of addiction to different substances, and how this may lead to new approaches to treatment.Less

Adjustment disorder has been included in the psychiatric classifications for half a century, but despite its age, this is the first book devoted exclusively to the condition. The starting point is to delineate its origins and how it differs from normal distress. The philosophical and clinical dilemmas raised by this diagnosis are considered in the early chapters of this book. The development of new screening and diagnostic tools will assist in epidemiological studies. The radical proposal to have specific criteria for AD in ICD-11 is reviewed critically as this would lead to significant differences between DSM-5 and ICD-11. Psychobiology, treatment, and prognosis are discussed in the middle sections of this work, and specialists in a number of areas—including child and adolescent psychiatry, learning disability, occupational health, and forensic psychiatry—have made invaluable contributions. This book will fill the vacuum for doctors and other mental health professionals working with those who have AD. The generous use of case vignettes invigorates the theory behind the practice.Less

To the adult cardiologist, the language of congenital heart disease (CHD) can be confusing and the spectrum of disease bewildering. This book aims to dispel confusion and equip cardiology trainees, general cardiologists, and acute medicine physicians with a sound understanding of the principles of the physiology and management of adult congenital heart disease (ACHD), so that they can treat emergencies and recognize the need for referral to a specialist unit. This handbook provides both rapid reference for use when the clinical need arises and also an insight into the basic principles of congenital heart disease, giving the reader a good grounding in the care of the adult with congenital heart disease. It presents an introduction to ACHD. It describes specific lesions and general management issues of adult congenital heart disease.Less

While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.Less

The concept of advocacy literally means to speak for someone. Rooted in law, the term has been increasingly used in medical and patient-related contexts in the past years. This book focuses on advocacy activities in the field of neurology. Neurology deals with heterogeneous and diverse populations of patients, who suffer from disability, chronic, and often progressive diseases. The complex characteristics of neurological diseases yield exceptional challenges to plan for and implement advocacy activities on all levels. All stakeholders are challenged to provide the support patients need; advocacy facilitates this process and bundles efforts to reach the objective of the advocacy task. Building on the premise that advocacy goes beyond merely theoretical claims, this book collects and organizes advocacy approaches in practice. Thereby, we draw on different dimensions of ‘advocacy in neurological practice’ and discuss implications for management, healthcare, planning, and policymaking. We place special emphasis on what advocacy means for several different diseases, such as amyotrophic lateral sclerosis (ALS), brain tumours, MS, epilepsy among others. Contributions include best practices, lessons learnt, and tools to be used. The main goal of this book is to raise awareness for advocacy in neurology and empower readers to plan for and implement appropriate activities. In advocacy, anyone can be both an advocate and an advocatee. This book offers a seminal contribution for anyone who is pursuing or intending to pursue advocacy in neurology and related fields.Less

The ASAM Handbook on Pain and Addiction provides clinical guidance to health care professionals who treat patients with co-occurring pain and addiction. Produced by the largest medical society dedicated to the improvement of addiction care, the handbook takes an evidence-based approach. Its advice is based on the current scientific literature and the advice of well-regarded organizations and government agencies, including NIDA, CDC, SAMHSA, PCSS-O, and ASAM itself. The ASAM Handbook is organized in five sections, which cover the core concepts of pain and addiction; diagnosis and treatment; treating pain in patients with, or at risk for, addiction; treating substance use disorders (SUD) and addiction in patients with co-occurring pain; and adapting treatment to the needs of specific populations. Each chapter concludes with suggestions for further reading on the topics discussed. The Handbook is ideal for primary care practitioners, mental health clinicians, addiction clinicians, and pain clinicians who wish to bridge the knowledge gap related to treating patients suffering from both pain and addiction.Less

Amyotrophic lateral sclerosis: Understanding and optimizing quality of life and psychological well-being presents a comprehensive and up-to-date review of the enhancement of the lives of people with amyotrophic lateral sclerosis (ALS) and their caregivers. ALS is a progressive, fatal neurodegenerative disorder. No current medical therapy can reverse or stop its progression, and the promotion of quality of life and psychological well-being is a central component of ALS care. Health care professionals who work in this field should incorporate attention to psychological, emotional, and relational aspects of the disease into their approach to care. This book provides some of the knowledge and direction necessary for optimizing the quality of care for individuals with ALS and their caregivers. Topics discussed include an ALS-centred view of quality of life, depressive features, anxiety, resilience, cognitive impairment, complementary and alternative medicines, and psychological research. Specific elements of ALS, such as end-of-life concerns and bulbar dysfunction, are described through the lens of their psychological impact. There is extensive discussion of the development of new psychological treatments, as well as the impact and incorporation of new technologies, with the goal of fostering optimal quality of life and psychological well-being as key parts of a holistic approach to care for the patients and for those who are close to such individuals.Less

Anesthesia Outside of the Operating Room 2^nd edition covers all aspects of providing anesthesia in settings outside of the main operating room, with a special focus on techniques, procedures and safety considerations. It discusses anesthetic concerns by procedure location, and includes selected latest guidelines from the American Society of Anesthesiologists (ASA) and other professional societies. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in settings outside the operating room, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings.Less

The American Board of Anesthesiology (ABA) has recently changed their Part II examination for certification to include the traditional oral exam as well as a new “simulation” portion that is geared towards having the student demonstrate the appropriate communication and technical skills necessary for the practice of anesthesiology. This book is divided into 2 sections: full length practice exams on the most high yield topic for the field of anesthesiology and full length simulation scenarios geared towards the understanding the fundamentals of the simulation portion based on the released ABA guidelines.Less

This book is a concise step-by-step ready reference manual which will help interns transition smoothly to life in the operating room (OR) as anesthesiology residents within the first few months. This survival guide will flatten the learning curve and improve the comfort level of trainees entering the OR for the first time. This Anesthesiology CA-1 Pocket Survival Guide, highlights information to seek out during the orientation period and lays out what to expect in the first clinical anesthesia year. It provides residents with easy-to-follow instructions for such common tasks as patient evaluation and pre-anesthesia care, and suggests how to obtain and organize a patient’s preoperative information to present to the attending anesthesiologist. The handbook also guides residents and trainees through the perioperative period and addresses crisis management as well as post-anesthesia care. The fundamentals of anesthesiology practice as well as specialty practice situations such as providing anesthesia in remote locations are introduced to the beginning anesthesiology resident. Time management and preparation for the anesthesiology BASIC examination and suggestions on how to strike a healthy work- life balance to avoid burn out early on in training are all laid out. The concept of continuous quality improvement focusing on improving the provision of care from one episode to the next is introduced to the learner. This book provides the foundation for a sound beginning in anesthesiology training.Less

Anesthesiology - A problem based learning discussion is a textbook which will give a comprehensive overview of general anesthesiology. The case based problem learning discussions allow for more interesting reading and possibly better retention of information. With progressive technology, advanced surgical procedures have been introduced, and confounding complications need to be anticipated and managed. Anesthetic technologies have also progressed and enhanced surgical advancements, This textbook will effectively address current surgical procedures and their anesthetic implications in evidence based learning approach. This textbook will undoubtedly be an asset to trainees, as well as practicing anesthesiologists.Less

Public health has been described as the organized activities of society to improve and protect the health of the population. Health economics applied to public health is the study of how we allocate our scarce societal resources to meet our public health wants and needs in the best way possible. This book presents current thinking on health economics methodology and application to the evaluation of public health interventions (PHIs). It is for health economists working in higher education and public healthcare systems, challenged with the economic evaluation of PHIs, when they have been used to applying health economics and the methods of economic evaluation to narrower clinical interventions in primary or secondary care settings. This book will also be of interest to public health practitioners wanting to incorporate health economics into their daily work. This book covers the history of economics of public health and the economic rationale for government investment in prevention; principles of health economics including scarcity, choice, and opportunity cost; evidence synthesis; key methods of economic evaluation with accompanying case studies; economic modelling of public health interventions; return on investment analysis with national and international case studies; and application of programme budgeting and marginal analysis (PBMA) to the prioritization of PHIs. It concludes with priorities for research in the field of public health economics, spanning an acknowledgement of the role played by the natural environment in promoting better health, through to precision public health, recognizing the role of genetics, the environment, and socioeconomic status in determining population health.Less

Assessment and Staging of Care for Dementia: The IDEAL schedule and its user manual gives a detailed overview of the International Schedule for the Integrated Assessment and Staging of Care for Dementia (IDEAL schedule) and provides all information that is needed when learning how to use the schedule and when using it. This includes details on the aims of the schedule; a description of how the schedule was developed and tested; instructions on how to use the schedule; the IDEAL schedule itself; the glossary of terms used in the schedule; and suggestions about the interventions that are recommended for consideration at different stages of severity of dementia. The book also includes four case histories, which are recommended for use when training in the use of the schedule.Less

Autonomic testing is an important addition to neurological evaluations. While there are many excellent textbooks on autonomic disorders, only a few texts focus on how to perform and interpret autonomic tests. This manual fills the gap, dealing mainly with the practical aspects of autonomic testing. In accord with the maxim that “a good picture is worth a thousand words,” signal drawings are heavily used throughout the text to explain and illuminate test results. This book has two parts. The first part describes in detail the Brigham protocol of autonomic tests, which includes cardiovascular tests (deep breathing, Valsalva maneuver, tilt tests), sudomotor assessment (quantitative sudomotor axonal reflex test and electrochemical skin conductance), and skin biopsies for assessment of epidermal and sweat gland small fibers. The cardiovascular tests use heart rate, blood pressure, respiratory parameters (respiratory rate and end tidal CO₂), and cerebral blood flow velocity. All tests are graded with an updated quantitative scale for cardiovascular reflex tests and transcranial Doppler—the Quantitative Sudomotor Axon Reflex Test (QASAT)—and small fiber (epidermal sensory and sweat gland) densities from skin biopsies. The second part of the book describes 100 cases covering a variety of autonomic disorders. The cases are thematically grouped into orthostatic intolerance syndromes (neurally mediated syncope, orthostatic hypotension, postural tachycardia syndrome, inappropriate sinus tachycardia, orthostatic cerebral hypoperfusion syndrome, hypocapnic cerebral hypoperfusion, and pseudosyncope), dysautonomia in neurodegenerative disorders, small fiber neuropathies (idiopathic, secondary, inflammatory), and autonomic overactivity. The case descriptions are presented in a consistent format featuring pertinent clinical information, autonomic tests results, interpretation of testing, conclusions, and recommendations. This text is intended to be a guide for autonomic fellows, and for residents in neurology, general medicine, and other specialties, and for anyone who is interested in performing and interpreting autonomic tests.Less

With more than 30 million people living with HIV, nearly 2 million new HIV infections, and 1 million deaths in 2017 globally, the HIV epidemic continues to exert a considerable deleterious impact on the health of individuals, communities, and the economic growth of nations. However, remarkable advances have also been achieved: improvements in our scientific understanding of the biology of HIV, how it causes disease, and its prevention and treatment, coupled with unprecedented multi-sectoral global efforts, have resulted in rendering HIV infection essentially a manageable chronic disease. The 17th edition of Bartlett’s Medical Management of HIV Infection offers the best-available clinical guidance for treatment of patients with HIV, all in a portable, quick-reference format. Edited by preeminent and pioneering authorities in HIV research and clinical care, it has earned its status as the definitive work for physicians, physician assistants, nurse practitioners, pharmacists, and anyone working in the care of persons with HIV.Less

The Behavioural Neurology of Antiepileptic Drugs is the first clinically oriented reference book on the use of antiepileptic drugs with a focus on their behavioural effects in both patients with epilepsy and patients with primary psychiatric conditions. This book provides a pocket-sized guide to assist neurologists in the use of antiepileptic drugs when treating patients with epilepsy and associated behavioural problems. Psychiatrists treating patients with affective, anxiety, and psychotic disorders will also find this compendium on the behavioural aspects of antiepileptic drugs as a useful tool for their clinical practice. The book is organized alphabetically by antiepileptic drug for easier information gathering, enabling physicians to use the text as a standalone reference in busy clinical settings, such as specialist epilepsy clinics or general psychiatry ward rounds. Particular care was taken in covering the breadth of medications used in modern epilepsy and psychiatry practice, including each drug’s indications, contra-indications, side-effects and important interactions. The underlying pharmacology is also presented to provide a quick refresher and background on the underlying mechanisms. Practical aspects related to prescribing and therapeutic drug monitoring are covered following the most up-to-date evidence based guidance. Each drug monograph closes with a section providing a visual rating in terms of antiepileptic indications, behavioural tolerability, interactions in polytherapy, and psychiatric use, again drawing on the existing evidence. A selected reference list is included to provide readers with the primary sources for clinically-relevant information presented in a concise way within each chapter.Less