Qualified AHP

This resource takes a critical insider's look at commonly held views about the diagnosis and management of depression, and argues that our belief in depression as a medical condition is based on commercial, professional, organisational and cultural factors, which all combine to sustain the popularity of depression as a concept, which is based more on our values than on science.Less

Breast cancer affects 1 in 10 women and the majority of UK women will attend a breast clinic at least once during their lives. The patient's journey through assessment and management is one that involves a huge range of healthcare professionals, in which the truly multidisciplinary management style required has previously been only sparsely addressed. This resource provides a practical guide on how to investigate and manage common breast problems for all members of the breast disease team, and covers the whole of the patient journey from assessment through to surgery and adjuvant treatments, giving a practical overview of the whole process of care. It includes the latest evidence, guidance and references on breast disease, together with discussions on current controversies in the field including the management of margins, management of the axilla and the evidence surrounding the NHS Breast Screening Programme. To give practical advice on the realities of being part of a breast care team, this resource also has several chapters devoted to leadership and management including MDT requirements, audit and research, avoiding complaints and the organisation of a breast unit.Less

Current Topics in Occupational Epidemiology is an in-depth study of contemporary issues and emerging themes in the field. Divided into seven parts it discusses 'new' occupational diseases such as pneumonia in welders, as well as 'older' diseases including morbidity and mortality among miners. Societal trends have encouraged the application of occupational epidemiological methods to new issues such as the ageing workforce, return to work after illness, and the migration of workers. This resource tackles these issues, as well the extension of epidemiology to surveillance systems, systematic reviews, and economic analyses.Less

Diabetes is common, chronic, complicated, and costly. It causes distress, disability, and premature death. Most diabetes complications can be prevented or reduced. This new edition of Diabetes Care is a reference source for all aspects of care in the management and understanding of diabetes. It provides a step-by-step guide to diabetes care and includes information on assessment, education, monitoring, and treatment of diabetes across all age groups and ethnic backgrounds. There are detailed sections on helping patients manage their diabetes in everyday life, extensive advice on the monitoring and adjustment of glucose levels, and discussion on the preventing and coping with emergencies. Focus is primarily on the prevention, detection, and treatment of diabetic tissue damage, including heart disease. It also provides up-to-date guidance on managing diabetic emergencies including hypoglycaemia and diabetic ketoacidosis, and new advice about diabetes care in A&E and the hospital setting. There is also an expanded section on using data and audit to review and improve care.Less

Part of the Oxford Diabetes Library, this resource summarizes the key aspects of the medical management of diabetes during pregnancy, acting as a practical introduction particularly for obstetricians and endocrinologists in training.Less

Echocardiography has become the most requested imaging modalities. It is the first line imaging in the diagnostic work-up and monitoring of most cardiac diseases. Echocardiography is harmless and combines low-cost high technology with easy accessibility. The advent of the new modalities such as harmonic imaging, tissue Doppler imaging, speckle tracking, real time 3-dimensional imaging, ad contrast cavity enhancement have also contributed to expand the role of echocardiography. It provides rapid quantitative information about cardiac structure and function, valvular motion, vascular system and haemodynamics at bedside. This imaging technique is considered an extension of the physical examination. Proper technical skills and knowledge are required for the optimal application of echocardiography. Disease-focused and succinct, the present handbook covers the information needed to perform and interpret echocardiogramsaccurately, including how to set up the echomachine to optimize an examination and how to perform echocardiographic disease assessment, and the clinical indicators, procedures, and contraindications. Sections include assessment of the left ventricular systolic dysfunction and diastolic function, discussion on ischaemic heart disease, heart valve disease, cardiomyopathies, pericardial disease, congenital heart disease, and many other aspects of echocardiology. Many talented people have contributed to the present handbook, which represents the pocket echocardiography book flagship of the European Association of Cardiovascular Imaging. This book is intended principally as a clinical guide to the broad field of echocardiography at a glance.Less

Essentials of Environmental Epidemiology for Health Protection guides front-line public health practitioners through the decisions they are likely to face when dealing with environmental health problems, and shows how to integrate relevant aspects of environmental science, communication sciences, toxicology, and environmental epidemiology skills to conduct initial investigations.Less

Essentials of Toxicology for Health Protection is ideal as both a course resource for students and a reference for field professionals involved in responding to chemical incidents and local environmental concerns. Produced by Health Protection England, it offers a comprehensive and structured approach to dealing with toxicological problems worldwide. It covers both the basics of toxicology and its application to issues of topical concern such as contaminated land, food additives, and water and air pollution. Each chapter is composed by an expert in the field, making this an essential resource for all professionals in environmental public health, including: health protection consultants, specialists and trainees; public health practitioners; environmental health practitioners; environmental scientists; and staff of the emergency services, the water and waste industries, and other industrial and regulatory bodies.Less

Knowledge of the genetic basis of human diseases is growing rapidly, with important implications for pre-conception, prenatal, and predictive testing. While new genetic testing offers better insight into the causes of and susceptibility for heritable diseases, not all inherited diseases that can be predicted on the basis of genetic information can be treated or cured. By using a creative approach that focuses on a single extended family as a case example to illustrate each chapter's key point, the authors elucidate ethical issues arising in the genetics clinic and laboratory surrounding many timely issues, including prenatal and pre-implantation genetic diagnosis, assisted reproductive technologies, incidental findings in genetic testing, gene patenting, testing children for adult onset disorders, and direct-to-consumer testing. Less

This resource explores the many dimensions of the alleged industrialization of general practice as it has occurred to others in the past, and analyses the origins of the current wave of reform in general practice. It analyses why industrialization is being pursued as a government strategy, and explores its benefits and dangers. It concludes that the medical profession has reasons for being perturbed by industrialization, but that it has advantages as well as disadvantages for the NHS and the public.Less

The emergence of the discipline of global mental health as one of the most dynamic fields of global health underscores the need for this resource, which covers two major aspects of the field: its scientific foundations and its practice. It opens with an original account charting the history of the field from antiquity to its most recent developments. The language and content is geared towards a wide audience of practitioners and students of global mental health, including those who do not have any previous training in a clinical mental health specialty. Edited by four of the field's most widely acknowledged champions, this resource features 20 chapters authored by over 30 global leaders of the field from diverse institutions and countries, is aimed to be the definitive text of this dynamic new discipline.Less

The relationship between hospitals and the environment is defined by a glaring contradiction: as health care facilities deliver care at any cost, their environmental footprint — pollution, waste production, unsustainable food services — contributes to harming community health. This online resource examines the intersections of health care and environmental health, both in terms of traditional failures and the revolution underway to fix them. Authored by one of the pioneers of the green movement in health care, it presents practical solutions for health care organizations and clinicians to improve their environments and the health of their communities. Topics include making food services sustainable, managing hospital waste, and relevant impacts/mitigating measures related to climate change. Less

This resource summarizes the most authoritative evidence available on the effects of care practices carried out during pregnancy, childbirth, and immediately after birth, and in addition to the details provided, the book concludes with six valuable tables that list the practices which are beneficial, those of unknown effectiveness, and those likely to be ineffective or harmful.Less

The Hospice Companion is a guide to best practices in end-of-life care, informed by the most current evidence-based literature in the field. It is intended to be used “at the bedside” and during interdisciplinary team meetings to efficiently and effectively improve patient care and provide useful family and caregiver support. It should be thought of as a “decision support tool” to be used by all members of the hospice interdisciplinary team, including nurses, physicians, counselors, and social workers. This is the third edition of this clinical guide and it includes forty chapters allotted into three sections (General Processes; Personal, Social, and Environmental Processes; Clinical Processes and Symptom Management) plus five appendices. The symptom management chapters are arranged alphabetically, covering the gamut of common and highly burdensome problems encountered in caring for patients with far-advanced illness, from agitation and anxiety to xerostomia. Chapters are concise, averaging 1,000 to 1,500 words (the exception is the chapter on pain, in view of its complexity). Each is organized around the specific clinical issue of concern by defining the problem and its usual causes, findings, and differential diagnosis. This is followed by outlining salient features of assessment and management according to practical, psychosocial, biomedical, and spiritual categories. Each chapter concludes with a list of goals that should be defined in establishing a plan of care and what should be documented in the clinical record as well as a list of recommended readings from the contemporary literature.Less

This online resource covers the signs, the pathophysiology, the genetics (where applicable), and the treatment options of each form of hyperkinetic movement disorder. There is a presentation of clinically-focused information regarding the full spectrum of neurological and psychiatric conditions characterized by involuntary movements. With Parkinson's disease as the most common hypokinetic movement disorder, this title expands on other hyperkinetic movement disorders where substantial progress has been made in the understanding of the role of the basal ganglia in the pathophysiology of these hyperkinesia disorders and in motor control, muscle tone, posture, and cognitive processes. Although therapies that target pathogenesis are still lacking, effective management of hyperkinetic movement disorders demands that physicians are knowledgeable about current and novel pharmacological and surgical approaches. Following background information about how to approach hyperkinetic movement disorders and the neural circuitry underlying them, individual chapters cover tremor, dystonia, Huntington's disease (and other choreas, athetosis, ballism), Tourette's syndrome (and other tic disorders), habits, mannerisms, compulsions, stereotypies, myoclonus, drug-induced disorders, Wilson's disease, hyperkinetic movement disorders with a peripheral trigger and those of unclear origin, and psychogenic movement disorders. It also includes sections on clinical phenomenology, etiology, and pathogenesis and therapy.Less

Integrative Pain Management takes a practical, patient-centered approach to integrative pain management, equipping clinicians to better understand the rationale for incorporation of integrative care options. It provides practical examples from leading integrative pain centers on how to optimally coordinate integrative options to optimize pain care. The goal of this volume is to introduce clinicians to a model of pain care which has the promise of improving quality of life while improving safety, satisfaction, and cost associated with care.Less

The Intelligent Clinician's Guide to the DSM-5®, Second Edition reviews the history of diagnosis in psychiatry, emphasizing the limitations for classification of our current lack of knowledge of the causes of most mental disorders. It emphasizes that, in the absence of biomarkers, current categories can only be considered provisional. It takes a critical look at schema for spectra and dimensionalization of diagnosis, examines the borders between normality and psychopathology, and discusses the problem of clinical utility. It features chapters on all the major diagnoses in psychiatry, in which the main problems of diagnosis are addressed, and in which all changes in DSM-5 are described.Less

This book is based on the content covered during the non-communicable disease (NCD) prevention short course at the University of Oxford. It provides theoretical background and ‘real life case studies’ helping readers to apply the learnings to their day-to-day work. It covers case studies from both high-income countries and low- and middle-income countries. This book is structured around the four stages of the policy cycle: (1) problem definition; (2) solution generation; (3) resource mobilization and implementation; and (4) evaluation. Chapters 2–7 focus on problem definition, which involves understanding the burden of NCDs, its risk factors, the sociopolitical landscape, the role of advocacy, and screening and surveillance. Chapters 8–10 are about solution generation, which involves examining the evidence for potential costs and benefits of interventions, while also considering contextual factors, including the ethical and political dimensions of different solutions. Chapters 11–13 are on implementation and the mobilization of resources, both the money needed for material aspects of the interventions and the people required to plan for and carry out the interventions. Chapter 14 is about evaluation and monitoring, which may be designed to assess whether interventions met their aims and objectives. Given the cyclical nature of the policy cycle, the final chapter is about returning to the various stages. NCD prevention does not always follow the stages of the policy cycle in a strict sequence and often, NCD interventions will need revisiting in light of the experiences and lessons learned from earlier stages.Less

Living Longer: The heart-mind connection is written for all those who strive for optimal long-term health and the maximal functioning of their hearts and minds. Today's problem for the health-conscious individual is information overload - new health studies pour out almost daily from newspapers, radio stations and television networks. Many of the reports are contradictory and often misleading. In this resource, Professor Opie sifts through the available information on the vast number of possible health promotion changes, varying from increased exercise to aspirin to green tea, and diets from Atkins to the vegetarian, with the aim of grading the validity of the evidence, asking questions such as, ‘Just how true are the studies,’ and ‘Just how compelling are the facts they claim’? This resource guides the reader through this morass of information with the message that just five key steps taken now will promote long-term health benefits for heart and mind and give protection from future heart disease and brain deterioration.Less

Packed full of practical and down to earth advice for clinicians specialising in the care of older people, this resource examines real problems that present on a day-to-day basis in the primary care environment. It provides GPs with specific advice and guidance to help them in the management of the often complex conditions that present in older people. Less