This book provides an important contribution to the new and growing field of ‘narrative-based medicine’. It specifically addresses the largest area of medical activity, primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations, family work, clinical supervision and teamwork, and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples, it shows how professionals in primary care can help clarify patients’ existing stories, and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on, and describes, an established evaluated training method, and is of immediate and significant practical use to readers. It is essential reading for general practitioners, practice nurses and others in the primary care team, psychologists, family therapists, counsellors and other professionals attached to primary care. GP trainers, tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists, dentists and optometrists, and academics in medical sociology and medical anthropology will also find it very useful.
‘Medicine and Literature’ is the doctor's guide to the classics. How can a doctor best understand the emotions and behaviour of his or her patients? An effective and deeply satisfying route is through an appreciation of literature, and the profound understanding its authors have of the human predicament. In this extraordinary and enlightening volume, general practitioner John Salinsky guides the reader through some of the world's finest works. In each chapter he describes a classic novel, short story, play or poem, revealing them to be easily accessible and enjoyable. He shows how parallels can be drawn between characters in literature and in the consulting room. Developed from his long-running column 'Education for Primary care, Dr Salinsky's book give doctors a new perspective on the doctor-patient relationship and provides unique support to communication skills.
The Bristle Merchants Daughter: about the book John Salinsky wanted to find out more about his mother's life. She was born in 1902, the first child of parents who had emigrated from Eastern Europe in search of a better life and freedom from fear. She tried to become a doctor at a time when women doctors were unusual. She did not succeed, but her three sons all became doctors. She suffered from depression as a young married woman and had psychoanalysis with one of Sigmund Freud's early followers in London. She brought up her family in Leeds and died at the age of 96, having lived through nearly the whole of the twentieth century. Apart from a few unusual features it was 'an ordinary life'. But ones relationship with ones mother is never ordinary. In this biography, John Salinsky begins by using his imagination to picture the life of his young grandparents in Tsarist Russia. He traces his mother's girlhood and her life as a young wife and parent up to the point of his own birth in 1941. From here on he blends imagination with memory and inquiry, trying to make sense of the complex emotions that bind a mother and her son in love and conflict. His description of the closeness they achieved in her final years makes moving reading.
‘When I want to know the real rock-bottom truth about what happens all the time in this doctoring life, what happens to us, and to the folks who bring us their hearts and worries to be heard, that’s when I turn, every time, to the novelists, the playwrights, the poets, the essayists, who have given us the sights and sounds, the feel, of all that goes on, minute by minute. What Tolstoy and Chekhov knew, we need to know for ourselves, for our own sakes, as we live out our medical lives.’ William Carlos Williams ‘The most fundamental of all consulting skills is genuine curiosity about other people, the constant urge to wonder ‘Why are they as they are?’ We should open our minds to the life of the imagination not just for its entertainment value, but for the mindset of curiosity it engenders in us. Such books as John Salinsky describes in this and his previous volume combine powerful opportunities for our own professional growth with pleasure and recreation too.’ Roger Neighbour in his Foreword ‘This carefully assembled, wonderfully telling book is a “companion,” for sure, a lasting and most helpful one, for the medical travelling that awaits us.’ Robert Coles in his Foreword.
This book addresses recent developments in medical and language education. In both fields, there have been methodological shifts towards 'task-based' and 'problem-based learning'. In addition, both fields have broadened their focus on clinical expertise and linguistic skills to address issues of cultural competence. English in Medical Education responds to these changes by re-imagining the language classroom in medical settings as an arena for the exploration of values and professional identity. The chapters cover topics such as the nature of cultural competence; how to understand spoken discourse in a range of medical settings; the use of tasks and problems in language education for medics; the development of critical skills and the use of literature and visual media in language education for doctors. It will interest everyone teaching English for Medical Purposes.
This work includes forewords by Sir Liam Donaldson and Peter Wheeler, Chief Medical Officer, Department of Health; Dean, College of Fine Arts, University of Sharjah, United Arab Emirates. Appreciating art can help doctors build empathy with patients and reduce stress. By stimulating thought and reflection through paintings, this concise and engaging text invites readers to examine their motivation, their profession and their world. This exciting new book provides vital refreshment for doctors and medical students, lecturers and tutors in medical humanities, and healthcare professionals with mentoring roles. "John and Erica Middleton guide the reader gently along the interface between art and medicine, in their own inimitable style. Whether in search of an introduction to the world of art, or wishing to consider the role that the formal study of art might play in professional development, reading this book is likely to prove rewarding. Turning these pages will help doctors to appreciate afresh the window through which they look upon the world" - Sir Liam Donaldson, in his Foreword. "Great art provides insights into the human condition. If through a systematic engagement with art and literature as an extension of their medical practice, GPs can apply those insights to themselves (know thyself), they can equally apply them when dealing with patients. Doctors and patients are people, subjects. Intersubjectivity is perhaps a better word than empathy to define what this book seeks to promote, the capacity of the doctor to enter into and inhabit the patient's subjectivity" - Peter Wheeler, in his Foreword.
This title is directed primarily towards health care professionals outside of the United States. With contributors from the UK and Australia, the second edition builds on the success of the original, which was praised for engaging readers and being a pragmatic and practice-orientated addition to the literature on clinical supervision. This edition is written in accessible style and will appeal to those both new to clinical supervision or experienced. It provides a thought-provoking, user friendly and practical guide to the subject.
A business philosophy book in the guise of a whodunit, "The Value Effect" searches for the killer of the entrepreneurial spirit of American businesses. The mystery is solved when everyone finally understands that the Value Effect is not really a Next Big Thing at all but a surprisingly straightforward solution to a persistent problem.
Neurology in Clinical Practice brings you the most current clinical neurology through a comprehensive text, detailed color images, and video demonstrations. Drs. Daroff, Fenichel, Jankovic and Mazziotta, along with more than 150 expert contributors, present coverage of interventional neuroradiology, neurointensive care, prion diseases and their diagnoses, neurogenetics, and many other new developments. Online at www.expertconsult.com, you’ll have access to a downloadable image library, videos, and the fully searchable text for the dynamic, multimedia content you need to apply the latest approaches in diagnosis and management. Find answers easily through an intuitive organization by both symptom and grouping of diseases that mirrors the way you practice. Diagnose and manage the full range of neurological disorders with authoritative and up-to-date guidance. Refer to key information at-a-glance through a full-color design and layout that makes the book easier to consult. Access the fully searchable text online at www.expertconsult.com, along with downloadable images, video demonstrations, and reference updates. Stay current on advances in interventional neuroradiology, neurointensive care, prion diseases, neurogenetics, and more. See exactly how neurological disorders present with online videos of EEG and seizures, movement disorders, EMG, cranial neuropathies, disorders of upper and lower motor neurons. Keep up with developments in the field through significant revisions to the text, including brand-new chapters on neuromodulation and psychogenic disorders and a completely overhauled neuroimaging section. Tap into the expertise of more than 150 leading neurologists-50 new to this edition.
This unique and practical book provides a clear introduction to clinical supervision and support in primary care. Supervision and Support in Primary Care provides practical information and guidance on the nature and purpose of clinical supervision. It uses examples and perspectives from the world of mental health, Balint groups and self-directed learning, and examines the benefits and challenges of supervision within the primary care setting. Numerous case studies are used throughout to describe the wide range of current approaches to supervision for general practitioners, illustrating how this can contribute towards more effective clinical work and training. All those working within primary care will find this book valuable reading.
The Bristle Merchants Daughter: about the book John Salinsky wanted to find out more about his mother's life. She was born in 1902, the first child of parents who had emigrated from Eastern Europe in search of a better life and freedom from fear. She tried to become a doctor at a time when women doctors were unusual. She did not succeed, but her three sons all became doctors. She suffered from depression as a young married woman and had psychoanalysis with one of Sigmund Freud's early followers in London. She brought up her family in Leeds and died at the age of 96, having lived through nearly the whole of the twentieth century. Apart from a few unusual features it was 'an ordinary life'. But ones relationship with ones mother is never ordinary. In this biography, John Salinsky begins by using his imagination to picture the life of his young grandparents in Tsarist Russia. He traces his mother's girlhood and her life as a young wife and parent up to the point of his own birth in 1941. From here on he blends imagination with memory and inquiry, trying to make sense of the complex emotions that bind a mother and her son in love and conflict. His description of the closeness they achieved in her final years makes moving reading.
This collection that was first published in 2009, and is recommended reading for doctors and others includes: The Green Bookshop opens its doors; Books that won prizes; Great books that should have won prizes; Two books by one writer; A handful of classic novels; Short stories and essays; Books and the cinema; Biography and memoirs; Classic books about general practice; Best new books about general practice; Consultation and communication; Education for primary care; Psychiatry, psychology and a bit of philosophy, and Reading for pleasure.
You (Desmond) are woken in your hotel room by the bedside phone ringing at 2 a.m. A damsel in distress is calling you from the room immediately above. She begs you to come and rescue her at once as two men are about to attack her.The damsel, who is young, blonde and beautiful, explains that she is an MI5 agent and her assailants (who are identical twins) are employees of a foreign power in search of a mysterious brief case, known as 'The McGonagall.'You suddenly find yourself in dangerous world full of spies, threats, glamour and betrayal. You are knocked senseless in a Soho nightclub and wake up in a rat- infested cellar. You are threatened with torture by the twins but rescued by a retired Colonel. After a number of other adventures, including a boxing match with dogs, everyone gets decorations and Frank, the writer, rewards you and your damsel with a glamorous society wedding and a working honeymoon on the Moon. As the plot develops, you keep complaining to the writer about the way you are treated. The Readers Group also give the writer a hard time with their critical comments.Night Bell is a hilarious metafictional spy adventure in which 'you' play the leading role!
Those at the grassroots of primary care have been provided with a unique opportunity to plan and shape the modern NHS. This book describes the work of primary care groups in their first months and describes everything from the initial aims of PCGs through to primary care trusts and the future. The excellent panel of contributors who are practised members of PCGs describe their experiences and the lessons they have learnt. The book explores how organisations will evolve and provides guidance on theory people and functions. It is essential reading for members of PCG teams and those with or aspiring to PCT status.
The electroencephalogram (EEG) is essential to the accurate diagnosis of many neurologic disorders. The Second Edition of Atlas of EEG Patterns sharpens readers’ interpretation skills with an even larger array of both normal and abnormal EEG pattern figures and text designed to optimize recognition of telltale findings. Trainees will benefit from hundreds of EEG figures, helping them spot abnormalities and identify the pattern name. Experienced neurologists will find the book excellent as a quick reference and when trying to distinguish a finding from similarly appearing patterns. Organized by EEG pattern, the Atlas orients you to the basics of EEG, helps the reader identify the characteristic EEG wave features and leads you to the EEG diagnosis through a table that organizes all of the EEG patterns according to their wave features. The Atlas includes the full range of EEG patterns from the common rhythms to the rare findings, and it also includes numerous examples of artifacts.
“Humorous, poignant, provocative and educational,” this essay collection by a doctor “offer[s] fresh takes on the ever-changing field of medicine.” (Kirkus Reviews) Doctor and medical columnist John Launer has written on the practice and teaching of medicine for many years. How Not to be a Doctor includes over fifty of his essays covering a range of topics including music, poetry, literature, and psychoanalysis, as well as contemporary medical politics and the personal experiences of being a doctor. Taken together, they set out an argument that being a doctor—a real doctor—should mean being able to draw on every aspect of yourself, your interests, and your experiences, however remote these may seem from the medical task of the moment. From lessons on what they don't teach you in medical school to the author's poignant account of being a patient himself as he received treatment for a life-threatening illness, the essays in How Not to Be a Doctor combine erudition with humor, candor, and the human touch that will inform and entertain readers on both ends of the stethoscope. “Witty and wise. Shows how important it is that doctors are allowed to be human.” —Kit Wharton, author of Emergency Admissions: Memoirs of an Ambulance Driver
...a book which should be read by all students contemplating enrolment for a university course in modern English or European literary studies.' - Roy Harris, Times Higher Education Supplement Eliot to Derrida is a sardonic portrait of the cult of the specialist interpreter, from I.A. Richards and the Cambridge School to Jacques Derrida and his disciples. This lucid, iconoclastic study shows how, and why, so much of the academic response to a rich variety of literary experiment has been straitjacketed by the vast industries which have grown up around `modernism' and `postmodernism'. For anyone disenchanted with the extravagant claims - and leaden prose - of literary theorists, this will be an exhilarating book.
Devised to meet the ongoing challenge of identifying the skills and knowledge necessary for expanding the governing capacity of state and local authorities, this book discusses the fiscal consequences of get tough approaches to crime and presents more effective and less expensive policy options. Surveying the range of administrative and management practices employed by state governments, the editor and contributors explore the results of the governmental reform tradition, the impact of federalism and intergovernmental relations, and the effects of political culture on state government by focusing on economic development, welfare, corrections, and environmental programs and policies.
This unique book presents in a single collection around 50 essays by Dr Launer on reflective practice in medicine, including examples specific to medical education and multiprofessional healthcare. Based on existing contributions to the literature by Dr Launer, the book brings them together in updated form for the first time as a themed collection with an introduction linking the different topics addressed. Coverage includes communication skills, supervision, teamwork and organisational health. In a time of unprecedented demand on healthcare services, educators and practitioners, Dr Launer offers invaluable guidance to a broad audience including community-based GPs, practice nurses and nurse practitioners, pharmacists, physician assistants and paramedics, secondary care staff including consultants and registrars across all specialties, communications skills educators, counsellors and mental health professionals, and health service managers and administrators.
In this book John Cremer provides context for what occurs during an improvisation session and a clear D.I.Y guide to running a basic session yourself. By applying these clear lessons you will be able to: Bond and inspire a team Open new neural pathways and overcome reluctance and nervousness in participants Find different angles for problem solving and brainstorming Feel confident on your feet in front of people Have a great laugh
John Cooper's pioneering full-length study is a treasure trove of new information, fresh in terms of the ground it covers and the material it assembles. Building on newspapers, archives, and interviews to illustrate the lives and professional experiences of the individuals involved, Cooper also brings out such broad underlying themes as emancipation, antisemitism, radical assimilation, and professionalization. This engaging work on Anglo-Jewry will be of value to the historian and general reader alike.
Based on an exhaustive study of the manuscripts and printed editions in which these poems have appeared, the eighth in the series of The Variorum Edition of the Poetry of John Donne presents newly edited critical texts of thirteen Divine Poems and details the genealogical history of each poem, accompanied by a thorough prose discussion. Arranged chronologically within sections, the material is organized under the following headings: Dates and Circumstances; General Commentary; Genre; Language, Versification, and Style; the Poet/Persona; and Themes. The volume also offers a comprehensive digest of general and topical commentary on the Divine Poems from Donne's time through 2012.
Although the electroencephalogram - discovered more than a century ago - has been used for years as a non-invasive diagnostic tool, it is still poorly understood. In this book, John Barlow describes an ingenious new hypothesis for a comprehensive model of the EEG that is able to emulate a large variety of known EEG patterns with few variables.In contrast to previous hypotheses and models which have treated only selected EEG patterns (rhythmic activity such as alpha activity and sleep spindles seen largely as "filtered noise," or irregular activity, or certain types of epileptiform activity such as spikes) this approach, which is based on an oscillator with two separate input modulations of the extremes and the slopes of waves, covers all types of EEG patterns, and stems from specific features of the EEG itself rather than from arbitrary signals.Barlow describes the hypothesis in detail, then tests predictions for normal and abnormal EEGs with the aid of a hardware model and with specially developed methods of analysis. The hypothesis is further evaluated in the light of extensive reviews of other EEG models and methods of analysis and of the underlying anatomy, physiology, and pathophysiology of cerebral electrical activity. A technological section details the hardware model and the methodology for testing the hypothesis. Appendixes present some new approaches to traditional methods of EEG analysis and artifact minimization, areas in which Barlow has achieved international recognition.John S. Barlow, M.D., is a Neurophysiologist in the Neurology Service at Massachusetts General Hospital, Senior Research Associate in Neurology (Neurophysiology) at Harvard Medical School, and a Research Affiliate in the Research Laboratory of Electronics at the Massachusetts Institute of Technology.
Focusing on stepwise development of concepts, pattern recognition and integration with clinical practice, Reading EEGs: A Practical Approach, 2nd Edition, is an easy-to-use, readable guide to learning EEG for neurology residents, clinical neurophysiology fellows, and electroneurodiagnostic students and technologists. The emphasis on waveform recognition enables readers to interpret EEG findings accurately and place them in clinical context. The new landscape format accommodates larger high-quality images for improved study, and the distinctive question-and-answer format is highly effective for review at all levels of training.
This guide for practice managers, in a question-and-answer format, explains accounting procedures and describes GMS, health authority and other sources of income. The book covers payroll, pension, personnel and complaints matters and advises on optimizing income for the practice.
Based on an exhaustive study of the manuscripts and printed editions in which these poems have appeared, the eighth in the series of The Variorum Edition of the Poetry of John Donne presents newly edited critical texts of thirteen Divine Poems and details the genealogical history of each poem, accompanied by a thorough prose discussion. Arranged chronologically within sections, the material is organized under the following headings: Dates and Circumstances; General Commentary; Genre; Language, Versification, and Style; the Poet/Persona; and Themes. The volume also offers a comprehensive digest of general and topical commentary on the Divine Poems from Donne's time through 2012.
Comprehensive, easy to read, and clinically relevant, Bradley’s Neurology in Clinical Practice provides the most up-to-date information presented by a veritable "Who's Who" of clinical neuroscience. Its unique organization allows users to access content both by presenting symptom/sign and by specific disease entities—mirroring the way neurologists practice. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this an ideal, dynamic resource for both practicing neurologists and trainees. Authoritative, up-to-date guidance from Drs. Daroff, Jankovic, Mazziotta, and Pomeroy along with more than 150 expert contributors equips you to effectively diagnose and manage the full range of neurological disorders. Easy searches through an intuitive organization by both symptom and grouping of diseases mirrors the way you practice. The latest advances in clinical neurogenetics, brain perfusion techniques for cerebrovascular disease, the relationship between neurotrauma and neurodegenerative disease, management strategies for levodopa-related complications in movement disorders, progressive neuropsychiatric disorders arising from autoimmune encephalitis, and more keep you at the forefront of your field. Reorganized table of contents which includes new chapters on: Brain Death, Vegetative, and Minimally Conscious States; Deep Brain Stimulation; Sexual Dysfunction in Degenerative and Spinal Cord Disorders; Sports and Performance Concussion; Effects of Drug Abuse on the Nervous System; and Mechanisms of Neurodegenerative Disorders. Regular online updates reflect the latest information on the diagnosis and treatment of neurologic diseases based on the latest recommendations and methodologies. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Reading EEGs: A Practical Approach focuses on pattern recognition and pattern comparison. The concepts of pattern recognition are developed in a logical fashion based on appearance rather than disease process. The book teaches waveform recognition so that the reader can generate a differential diagnosis based on that recognition. This book also incorporates a question-and-answer format that is effective for students at multiple levels of training. A unique feature of the book is that it follows a teaching methodology in which concepts are developed sequentially and logically.
As the 21st century approaches, the need to put principles of sustainable living and ecosystem management into practice has never been so urgent. Ecosystem Management for Sustainability recognizes this need and shares the experiences of the editor and 54 contributing authors, each leaders in the advancement of ecosystem management and champions of the natural environment. The book uses the Man And Biosphere program as a case example of a wide variety of resource management activities at work. Through the multi-authored contributions to this book, documentation of a comprehensive spectrum of ecosystem management and sustainable development principles is achieved. Ecosystem Management for Sustainability provides a link between theory and practice of these two philosophies.
A practical, dynamic resource for practicing neurologists, clinicians and trainees, Bradley and Daroff's Neurology in Clinical Practice, Eighth Edition, offers a straightforward style, evidence-based information, and robust interactive content supplemented by treatment algorithms and images to keep you up to date with all that's current in this fast-changing field. This two-volume set is ideal for daily reference, featuring a unique organization by presenting symptom/sign and by specific disease entities—allowing you to access content in ways that mirror how you practice. More than 150 expert contributors, led by Drs. Joseph Jankovic, John C. Mazziotta, Scott L. Pomeroy, and Nancy J. Newman, provide up-to-date guidance that equips you to effectively diagnose and manage the full range of neurological disorders. - Covers all aspects of today's neurology in an easy-to-read, clinically relevant manner. - Allows for easy searches through an intuitive organization by both symptom and grouping of diseases. - Features new and expanded content on movement disorders, genetic and immunologic disorders, tropical neurology, neuro-ophthalmology and neuro-otology, palliative care, pediatric neurology, and new and emerging therapies. - Offers even more detailed videos that depict how neurological disorders manifest, including EEG and seizures, deep brain stimulation for PD and tremor, sleep disorders, movement disorders, ocular oscillations, EMG evaluation, cranial neuropathies, and disorders of upper and lower motor neurons, as well as other neurologic signs. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
While it may appear that the nervous and immune systems exist as two separate entities, groundbreaking observations have positively identified anatomic connections between elements of the nervous system and cells of adaptive immunity. Building on this research, Autonomic Neuroimmunology presents a scientific discussion of the current understanding of these vital neuroimmunological interactions and their implications for normal psychology and disease states. Contributors document the cell biological mechanisms for the neuropeptide activation of mast cells, and analyze how one or more adrenergenic and peptidergic messengers modulate immunity. They also explain the pathways by which cholinergic factors may suppress immunological inflammation. The potential implications of organ system-selective neuroimmunology for host defense and diseases are thoroughly discussed for the skin, the intestines, the bladder, and the lungs. With modern neuroimmunology now firmly established as a scientific discipline, this volume supports this promising science as a pathway to novel diagnostic and therapeutic techniques for diseases of the neural, immune, and endocrine systems.
Thoroughly revised and updated, this Fourth Edition is the most comprehensive, current reference on lung cancer, with contributions from the world's foremost surgeons, radiation oncologists, medical oncologists, pulmonologists, and basic scientists. Coverage includes complete information on combined modality treatments for small cell and non-small cell lung cancer and on complications of treatment and management of metastases. Emphasis is also given to early detection, screening, prevention, and new imaging techniques. This edition has expanded thoracic oncology chapters including thymus, mesothelioma, and mediastinal tumors, more detailed discussion of targeted agents, and state-of-the-art information on newer techniques in radiotherapy. Other highlights include more international contributors and greater discussion of changes in lung cancer management in each region of the world. A new editor, Giorgio Scagliotti, MD from the University of Turin, has coordinated the accounts of European activities. A companion website includes the full text online and an image bank.
In an emergency, you only have one chance...and usually very little time...to make the right decision. How can you be certain you have the knowledge you need? Through six editions, Rosen’s Emergency Medicine has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority. Now, the seventh edition places the latest knowledge at your fingertips, while a more streamlined format makes it easy to find the exact information you seek more rapidly and conveniently than ever before. Presents more than 1,200 exquisite color illustrations that accurately capture the real-life appearance of patient symptoms and diagnostic imaging findings, helping you to reach a definitive diagnosis more easily. Includes "Cardinal Presentations" sections that provide quick and easy guidance on differential diagnosis and directed testing. Presents greatly expanded coverage of emergency ultrasound and emergency gynecological disorders to place the latest knowledge at your fingertips, as well as state-of-the-art coverage of emergency ultrasound, management of sepsis, new airway devices, updated protocols for adult and pediatric cardiac arrest, STEMI and NSTEMI/ACS, DVT and PTE, and much, much more. Features a streamlined format that focuses on the most need-to-know information so you can find answers more quickly.
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