Depression is the leading cause of disability in the United States, and the traditional framework for managing depression within a psychiatry practice—i.e., a single psychiatrist treating a single patient for up to an hour per week—comes up painfully short at the level of serving the population even if it can be highly effective for individuals. At the same time, the non-systematic way in which most patients identify the need to see a specialty provider in behavioral health leaves many stranded, regardless of how complex their needs are. Primary care is now often considered the “de facto mental health system” in the United States, and primary care providers have been charged with the impossible task of making up for the dearth of psychiatric specialty providers and somehow correcting the many inequities in access to care that remain. Primary care providers shouldn’t have to do this alone. Help can come in many forms, of course, and some primary care practices are lucky enough to have a consulting psychiatrist on-site, available to answer any questions that come up and see patients directly when they need an expert opinion. This is exactly what David S Kroll, MD, an Associate Vice Chair in the Department of Psychiatry at Brigham and Women’s Hospital in Boston and an Assistant Professor at Harvard Medical School, does for a primary care practice that serves more than 17,000 patients with a wide range of medical, social, and psychiatric problems. But most primary care practices don’t have this resource. This book replicates the expertise of a consulting psychiatrist in a concise volume that primary care providers can pull off their shelves whenever they have a question about managing depression. It ensures that no one has to do this on their own. Managing Depression in Primary Care contains fourteen chapters that anticipate the questions, problems, and practical challenges that are most likely to come up when managing depression in primary care. It covers the basic skills that are needed for treating depression when it occurs in a vacuum, but it also provides practical guidance on treating depression in the real world—where it will inevitably be complicated by other factors. It also covers important associated topics including suicide, substance use, and disability.
Shows how to use both ETFs and E-Minis for high-powered results Exchange Traded Funds (ETFs) are a remarkable new tool for trading and investing in broad market segments or narrow sectors. ETF trading volume and asset growth continue to soar at record levels. Ideal for speculating in and hedging as well as long-term investing in the broader markets, these index products work together to diversify and balance any global portfolio. Now, one of the top executives (and experts) in the industry reveals the intricacies of the products, how to use them, and what the future holds. Readers will get sample index portfolios and strategies for all market participants--ranging from the short-term trader to the long-term investor; and from the risk taker to the conservative investor. David Lerman (Chicago, IL) is the Senior Director of Equity Index Products Marketing at the Chicago Mercantile Exchange. He has traveled around the globe on behalf of the CME, giving seminars and workshops to retail and institutional audiences, including pension funds, corporations, banks and brokers on risk management/trading using equity index futures and options.
Thoroughly updated to reflect the latest research, discoveries, and practices in this fast-changing field, Principles and Practice of Lymphedema Surgery, 2nd Edition, provides thorough, step-by-step guidance to incorporate or expand the treatment of lymphedema in your practice. Written and edited by world-renowned experts in the field of lymphedema and microsurgery, this highly visual reference helps deepen your understanding of each procedure and how to perform them. From preoperative assessment to postoperative care, you'll find authoritative instruction that equips you to implement the most innovative and latest surgical and nonsurgical approaches and achieve optimal outcomes for your patients. - Provides an outstanding visual introduction to lymphedema and microsurgery techniques for treatment, as well as newer surgeries and more information on all available treatment options. - Offers a step-by-step approach to each procedure, complete with tips and tricks of the trade from leading experts in plastic surgery and lymphedema microsurgery. - Features eight all-new chapters covering primary lymphedema treatment, diagnostic tools of lymphoscintigraphy and indocyanine green lymphography, and immediate lymphatic reconstruction. - Includes procedural videos of leading international experts performing advanced techniques such as end-end lymphovenous bypass, end-side lymphovenous bypass, submental vascularized lymph node flap, supraclavicular vascularized lymph node flap, and lymphatic vessel mapping with ICG. - Enables quick navigation and comprehension with an intuitive, highly templated format and abundant photographs, illustrations, tables, diagrams, and case studies throughout.
This is an open access title available under the terms of a CC BY-NC-ND 4.0 International licence. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations. For victims of persecution around the world, attracting international media attention for their plight is often a matter of life and death. This study takes us back to the news revolution of seventeenth-century Europe, when people first discovered in the press a powerful new weapon to combat religiously inspired maltreatments, executions, and massacres. To affect and mobilize foreign audiences, confessional minorities and their advocates faced an acute dilemma, one that we still grapple with today: how to make people care about distant suffering? David de Boer argues that by answering this question, they laid the foundations of a humanitarian culture in Europe. As consuming news became an everyday practice for many Europeans, the Dutch Republic emerged as an international hub of printed protest against religious violence. De Boer traces how a diverse group of people, including Waldensians refugees, Huguenot ministers, Savoyard office holders, and many others, all sought access to the Dutch printing presses in their efforts to raise transnational solidarity for their cause. By generating public outrage, calling out rulers, and pressuring others to intervene, producers of printed opinion could have a profound impact on international relations. But crying out against persecution also meant navigating a fraught and dangerous political landscape, marked by confessional tension, volatile alliances, and incessant warfare. Opinion makers had to think carefully about the audiences they hoped to reach through pamphlets, periodicals, and newspapers. But they also had to reckon with the risk of reaching less sympathetic readers outside their target groups. By examining early modern publicity strategies, de Boer deepens our understanding of how people tried to shake off the spectre of religious violence that had haunted them for generations, and create more tolerant societies, governed by the rule of law, reason, and a sense of common humanity.
By the millennium Americans were spending more than 12 billion dollars yearly on antidepressant medications. Currently, millions of people in the U.S. routinely use these pills. Are these miracle drugs, quickly curing depression? Or is their popularity a sign that we now inappropriately redefine normal life problems as diseases? Are they prescribed too often or too seldom? How do they affect self-images? David Karp approaches these questions from the inside, having suffered from clinical depression for most of his adult life. In this book he explores the relationship between pills and personhood by listening to a group of experts who rarely get the chance to speak on the matter--those who are taking the medications. Their voices, extracted from interviews Karp conducted, color the pages with their experiences and reactions--humor, gratitude, frustration, hope, and puzzlement. Here, the patients themselves articulate their impressions of what drugs do to them and for them. They reflect on difficult issues, such as the process of becoming committed to medication, quandaries about personal authenticity, and relations with family and friends. The stories are honest and vivid, from a distraught teenager who shuns antidepressants while regularly using street drugs to a woman who still yearns for a spiritual solution to depression even after telling intimates "I'm on Prozac and it's saving me." The book provides unflinching portraits of people attempting to make sense of a process far more complex and mysterious than doctors or pharmaceutical companies generally admit.
For 125 years, physicians have relied on Manson's Tropical Diseases for a comprehensive clinical overview of this complex and fast-changing field. The fully revised 24th Edition, Dr. Jeremy Farrar, along with an internationally recognized editorial team, global contributors, and expert authors, delivers the latest coverage on parasitic and infectious diseases from around the world. From the difficult to diagnose to the difficult to treat, this highly readable, award-winning reference prepares you to effectively handle whatever your patients may have contracted. - Covers all of tropical medicine in a comprehensive manner, general medicine in the tropics, and non-clinical issues regarding public health and ethics. - Serves as an indispensable resource for physicians who treat patients with tropical diseases and/or will be travelling to the tropics, or who are teaching others in this area. - Contains a new section on 21st Century Drivers of Tropical Medicine, with chapters covering Poverty and Inequality, Public Health in Settings of Conflict and Political Instability, Climate Change, and Medical Product Quality and Public Health. - Includes all-new chapters on Surgery in the Topics, Yellow Fever, Systemic Mycoses, and COVID-19. - Covers key topics such as drug resistance; emerging and reemerging infections such as Zika, Ebola, and Chikungunya; novel diagnostics such as PCR-based methods; point-of care-tests such as ultrasound; public health in settings of conflict and political instability; and much more. - Differentiates approaches for resource-rich and resource-poor areas. - Includes reader-friendly features such as highlighted key information, convenient boxes and tables, extensive cross-referencing, and clinical management diagrams.
An important milestone in medicine has been the recent completion of the Human Genome Project. The identification of 30,000 genes and their regulatory proteins provides the framework for understanding the metabolic basis of disease. This advance has also laid the foundation for a broad range of genomic tools that have opened the way for targeted genetic testing in a number of medical disorders. This book is designed to be the first major text to discuss genomics-based advances in disease susceptibility, diagnosis, prognostication,and prediction of treatment outcomes in various areas of medicine. After building a strong underpinning in the basic concepts of genomics, the authors of this book, all leaders in the field, proceed to discuss a wide range of clinical areas and the applications now afforded by genomic analysis.
Occupational and environmental health is the public health and multidisciplinary approach to the recognition, diagnosis, treatment, prevention, and control of disease, injuries, and other adverse health conditions resulting from hazardous environmental exposures in the workplace, the home, or the community. These are essential elements of public health practice and the core course in Environmental Health in Masters of Public Health programs. Thoroughly updated and expanded upon, the sixth edition of Occupational and Environmental Health provides comprehensive coverage and a clear understanding of occupational and environmental health and its relationships to public health, environmental science, and governmental policy. New chapters include Toxicology, Risk Communication, Health Equity and Social Justice, Occupational and Environmental Health Surveillance, Food Safety, Protecting Disaster Rescue and Recovery Workers, Implementing Programs and Policies for a Healthy Workforce, and Addressing the Built Environment and Health. The authors also expand on chapters included in previous chapters, and the book features practical case studies, numerous tables, graphs, and photos, and annotated bibliographies. Reviews for previous editions: "This text goes a long way in meeting the need for a brief overview of the entire field. The quality of writing is in general excellent, and this is a physically attractive book. Chapters are concise and to the point. The use of illustrative cases in many of the chapters is a definite plus. This an excellent book and a mainstay for introductory courses in the field."--The American Journal of Industrial Medicine "It achieves a good blend of practical application, together with the elements of the supporting sciences, such as toxicology and epidemiology, as well the social context. It is a useful text to inform and support day-to-day practice, to educate students, and to help with examinations. If I had not received a reviewer's copy, i would have bought the book out of my own pocket."--Occupational and Environmental Medicine "The book is geared primarily to medical personnel and professionals, but it contains many chapters that would be of use to nearly everyone. It is a delight to read."--Journal of Community Health
Praised by JAMA as "The most complete description of the development, structure, function, pathophysiology, and treatment of the retina and its diseases to be found anywhere," this monumental three-volume work puts all of today's scientific and clinical knowledge of the retina at readers' fingertips. The New Edition has been comprehensively updated and reorganized to reflect all of the very latest scientific and genetic discoveries, diagnostic imaging methods, drug therapies, treatment recommendations, and surgical techniques. The result is an indispensable reference and diagnostic tool for generalists and specialists alike. Delivers the editorial expertise of four highly respected authorities, as well as contributions from internationally recognized leaders in visual science, ophthalmology, and vitreoretinal studies. Presents more than 3,400 superb illustrations (2,200 in full color) that capture all forms of retinal disease from every perspective. Offers the very latest information on the genetic basis of retinal disease, diagnostic retinal imaging, photodynamic therapy, and age-related macular degeneration. Examines the most recent advances in diagnostic indocyanine green angiography � optical coherence tomography (OCT) and quantitative fluoroscein angiography � macular translocation with 360� peripheral retinectomy � surgery for diffuse macular edema due to multiple causes, including proliferative vitreoretinopathy � artificial vision � and much more. Features a completely restructured section on age-related macular degeneration that includes epidemiology and risk factors � prophylaxis and prevention knowledge gained from large clinical trials like AREDS � proven and experimental treatments for AMD � and pharmacotherapy. Incorporates a multitude of new full-color images, 2200 in all.
Tell Brak in Syria is one of the largest and most important multi-period sites in northern Mesopotamia. Excavations in 1994-1996 cast new light on everyday life at the settlement through several phases of occupation from the early 4th millennium BC to the 2nd millennium BC. Volume 4 in the Tell Brak Monograph series provides an account of the architecture, artefacts, and environmental evidence, supported by a program of radiocarbon dating. The results emphasize the indigenous nature of cultural development in Upper Mesopotamia during these millennia. Among the highlights are a small temple dating to the Ninevite 5 period (earlier 3rd millennium BC), which provides new insights into a phenomenon that has hitherto been little explored; and an exceptional hoard of precious materials and artefacts that underlines the importance of Tell Brak in the later 3rd millennium BC. The report is completed by studies of subsistence, diet, economy, use of space, and craft activities, which focus on the variabilities and continuities in daily life that underlay the shifting political and cultural forces. These studies highlight the unique position of Tell Brak in the long-term ebb and flow of regional interactions across Mesopotamia.
Reaching past the secrecy so often met in arbitration, the second edition of this commentary explains clearly and fully the workings of the UNCITRAL Rules of Arbitral Procedure recommended for use in 1976 by the United Nations. This new edition fully takes account of the revised Rules adopted in 2010 while maintaining coverage of the original Rules where these remain relevant. The differences between the old and the new Rules are clearly indicated and explained. Pulling together difficult to obtain sources from the Iran-United States Claims Tribunal, arbitrations under Chapter 11 of the North American Free Trade Agreement, and ad hoc arbitrations, it illuminates the shape the UNCITRAL Rules take in practice. The authors cogently critique that practice in the light of the negotiating history of the rules and solutions adopted by the other major private rules of arbitral procedure. To aid the specialist in the field, the practice of these various tribunals is extensively extracted and reproduced. Rich both in its analysis and sources, this text is indispensable for those working in or studying international arbitration.
Depression is the leading cause of disability in the United States, and the traditional framework for managing depression within a psychiatry practice—i.e., a single psychiatrist treating a single patient for up to an hour per week—comes up painfully short at the level of serving the population even if it can be highly effective for individuals. At the same time, the non-systematic way in which most patients identify the need to see a specialty provider in behavioral health leaves many stranded, regardless of how complex their needs are. Primary care is now often considered the “de facto mental health system” in the United States, and primary care providers have been charged with the impossible task of making up for the dearth of psychiatric specialty providers and somehow correcting the many inequities in access to care that remain. Primary care providers shouldn’t have to do this alone. Help can come in many forms, of course, and some primary care practices are lucky enough to have a consulting psychiatrist on-site, available to answer any questions that come up and see patients directly when they need an expert opinion. This is exactly what David S Kroll, MD, an Associate Vice Chair in the Department of Psychiatry at Brigham and Women’s Hospital in Boston and an Assistant Professor at Harvard Medical School, does for a primary care practice that serves more than 17,000 patients with a wide range of medical, social, and psychiatric problems. But most primary care practices don’t have this resource. This book replicates the expertise of a consulting psychiatrist in a concise volume that primary care providers can pull off their shelves whenever they have a question about managing depression. It ensures that no one has to do this on their own. Managing Depression in Primary Care contains fourteen chapters that anticipate the questions, problems, and practical challenges that are most likely to come up when managing depression in primary care. It covers the basic skills that are needed for treating depression when it occurs in a vacuum, but it also provides practical guidance on treating depression in the real world—where it will inevitably be complicated by other factors. It also covers important associated topics including suicide, substance use, and disability.
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