Clinical assessment is at the heart of medicine. Health professionals working in busy clinical settings, such as general practitioners, nurse practitioners and hospital doctors on-call, often have to assess patients under considerable time constraints. This book teaches the reader how to gather clinical information effectively, accurately and safely even when time is at a premium. Provides a systematic method of collecting and assessing relevant clinical information by suggesting step-by-step examination routines, including important patient-centred questions Focuses on common symptoms and presentations Treatment reflects the latest in evidence based practice (including latest NICE Guidelines) Specifically covers the clinical skills assessment (CSA) part of the Membership of the Royal College of General Practitioners (RCGP) examination Written by an experienced medical educator and practicing GP, in consultation with a multidisciplinary team of medical students, GPs, PG trainees, hospital doctors and nurses
Sustainable Healthcare sets out a vision for medical care of high quality, manageable cost and low impact on the planetary systems which sustain us. In tackling the major challenges of our age, such as resource depletion, loss of biodiversity and climate change, health services can play a central role, moving from being part of the problem to becoming part of the solution. Sustainable Healthcare explores questions such as: What is the relevance of sustainability in healthcare? How does climate change threaten human health? How can we create low carbon care pathways? How can healthcare organizations deal better with their waste? How can death and dying become more sustainable? How can we engage ourselves and others with this agenda? Written by an international team combining clinical, educational, practical and policy expertise in sustainability and health, this book provides a synopsis of our current predicaments, and explores some of the emerging solutions. Containing case studies and resources for further information and action, Sustainable Healthcare is a practical guide to making healthcare more sustainable for all healthcare professionals, managers and students. "Once in a while one comes across a book that makes a deep impact. Sustainable Healthcare is such a book and very timely in the context of modern healthcare and developing green policies.... The book is clear in ideas of critical thinking, scientific evidence and practical suggestions for transformative action.... An additional strength in this book are the summary key papers and reports including key points from the chapters. In addition, there is a comprehensive list of references in each chapter.... The authors cut through the jargon and challenge the rhetoric of both fear and denial.... The authors give examples of how we can engage with sustainability such as, diet and exercise, prescription management, contraception management and family planning and end of life care.... The book provides useful sources, references and key actions for individuals, healthcare organisations and policy making departments." —A review by Prof Davinder Sandhu, Postgraduate Dean, Health Education South West, Severn Deanery, UK
Written by an experienced family doctor and packed with practical and sound advice, Diagnosing Your Health Symptoms For Dummies is a reference for everyone who wants to find out when they do and don't need to worry about their health. It will cover over 100 common, important, potentially serious and often worrying symptoms and emergencies, such as headaches, chest pain, dizziness, fever, bleeding, tiredness or stress. This reassuring guide will also include guidance on how to perform basic physical assessments, as well as a run through of key first aid techniques. Perfect for both allaying fears and encouraging those with serious symptoms to seek professional advice, this guide will be an essential family health bible. Diagnosing Your Health Symptoms FD includes: Part I: Spotting and Assessing Illness: The Basics Chapter 1: Thinking about Medicine Chapter 2: Dealing with Medical Problems Chapter 3: Conducting a Symptom Check Chapter 4: Looking for Out For Signs of Illness Part II: Looking at Emergencies and ‘All-Over' Symptoms Chapter 5: Coping with Medical Emergencies Chapter 6: Approaching Non-Specific Symptoms Chapter 7: Symptoms Affecting the Wider Body Part III: From top to toe: looking at specific areas of the body Chapter 8: Look at Me! Sussing Out Skin Problems Chapter 9: Trouble at the Top: Symptoms Around the Head and Problems with the Senses Chapter 10: Close to Your Heart: Exploring Chest Problems Chapter 11: Untangling Tummy and Bowel Problems Chapter 12: Getting Lower: Urinary and Other Disturbances ‘Down There' Chapter 13: Bones and Groans Part IV: Dealing with health problems in people close to you Chapter 14: Spotting Illness in Your Baby Chapter 15: Illness in Your Toddler or Pre-School Child Chapter 16: Problems in Your School-Age Kids Chapter 17: Dealing with Adolescent Problems Chapter 18: Understanding Women's Troubles Chapter 19: Looking at Some Specific Men's Issues Chapter 20: Dealing with Common Later Life Problems Part V: Spotting mental health problems Chapter 21: Tackling Anxiety, Depression and Stress Chapter 22: Approaching Unusual Thoughts and Behaviour Chapter 23: Addressing Alcohol and Drug Problems Part VI: The part of tens Chapter 24: Ten First Aid Essentials: Helping Yourself and Others Chapter 25: Ten Reliable Health Websites Chapter 26: Ten Medical Tests you May Need Glossary: 100 Useful Medical Terms
In the space of 10 minutes, how do you confidently assess your patient's condition and make an accurate diagnosis? This concise guide provides a systematic way of collecting the essential clinical information swiftly and effectively. The individual disease sections are uniformly structured to provide: Key features of the history, including questions relevant to patients and important for making a diagnosis The 'value' of present or absent symptoms for diagnosis and prognosis What should be examined and why A summary of 'red flags' – issues that must be assessed Important differential diagnoses and their clinical features Useful tips, tricks and hints for effective patient assessment Every health professional, who has to assess patients under time constraints, as well as advanced medical students preparing for final exams, will find this new, easily accessible and comprehensive guide invaluable "Being responsible for dealing with most of the health problems of most of the population most of the time is quite a challenge.... Both students and doctors, and not just those at the start of their careers, will benefit from reading this beautifully structured book which will help them get the very best out of clearly focused consultations. Combined with the vital attributes of listening and caring, using the knowledge and support this book provides will help us all become more effective doctors." —Professor David Haslam, CBE, FRCP, FFPH, FRCGP, Past President of the Royal College of General Practitioners, London, UK
No fewer than 223 verses in Proverbs appear two times (79 sets), three times (15 sets), or even four times (5 sets) in identical or slightly altered form—more than 24% of the book. Heim analyzes all of these, presenting them in delineated Hebrew lines and in English translation. Where appropriate, the translations are followed by textual notes that discuss uncertainties regarding the textual witnesses (textual criticism) and explore lexical, grammatical, and syntactical problems. Heim also analyzes the way the parallelism in each verse of a variant set has been constructed, presenting diagrams and tables with columns that highlight the corresponding similarities and differences among repeated verses. Key to this investigation is the search for links between the variants and their surrounding verses, such as repetitions of sound and sense. Heim shows that most variant repetitions result from skillful poetic creativity. Reconstruction of the editorial and creative poetic process highlights what poets did, how they did it, and why they did it. He develops criteria for determining the direction of borrowing between the verses and demonstrates that the phenomenon of variant repetition is an editorial concern that operates on the level of the book as a whole. He develops and refines a range of interpretive techniques and skills, arrives at fresh interpretations, and shows that ancient proverbial wisdom is relevant to modern societies. This study sheds new light on the nature of biblical poetry and on the methods and virtues best suited for its study. While specific to the book of Proverbs in the first instance, the findings in this study apply to poetry elsewhere. Three fundamental insights should inform future work on poetry: the creative combination of repetition with variation is the very essence of poetry; what has been written with imagination should be read with imagination; imaginative interpretation values the normal features of poetic expression and celebrates the truly unusual.
The book of Ecclesiastes is probably best known for its repeated refrain that "everything is meaningless," or "vanity." However, a thorough reading demonstrates that this is not its final conclusion. Knut Heim's Tyndale commentary shows that the book is intellectually sophisticated, theologically rich, emotionally deep—and full of humor.
The Sāṃkhyayoga institution of Kāpil Maṭh is a religious organisation with a small tradition of followers which emerged in the last decade of the nineteenth century and the first decades of the twentieth century in Bengal in India around the renunciant and yogin Hariharānanda Āraṇya. This tradition developed during the same period in which modern yoga was born and forms a chapter in the expansion of yoga traditions in modern Hinduism. The book analyses the yoga teaching of Hariharānanda Āraṇya (1869-1947) and the Kāpil Maṭh tradition, its origin, history and contemporary manifestations, and this tradition’s connection to the expansion of yoga and the Yogasūtra in modern Hinduism. The Sāṃkhyayoga of the Kāpil Maṭh tradition is based on the Pātañjalayogaśāstra, on a number of texts in Sanskrit and Bengali written by their gurus, and on the lifestyle of the renunciant yogin living isolated in a cave. The book investigates Hariharānanda Āraṇya’s connection to pre-modern yoga traditions and the impact of modern production and transmission of knowledge on his interpretations of yoga. The book connects the Kāpil Maṭh tradition to the nineteenth century transformations of Bengali religious culture of the educated upper class that led to the production of a new type of yogin. The book analyses Sāṃkhyayoga as a living tradition, its current teachings and practices, and looks at what Sāṃkhyayogins do and what Sāṃkhyayoga is as a yoga practice. A valuable contribution to recent and ongoing debates, this book will be of interest to academics in the fields of Religious Studies, Anthropology, Asian Studies, Indology, Indian philosophy, Hindu Studies and Yoga Studies.
This book comprehensively summarizes the adverse effects of tobacco smoking on human health. The current second edition has integrated a large set of new data that have been published in numerous scientifc studies and meta-analyses over the past few years. Unfortunately, the harmful sequelae of tobacco smoking are played down by the ind- try and politicians in many industrialized countries. However, about 800,000 people/year in the EU die from the immediate consequences of smoking. The particularly insidious feature of tobacco consumption is that smoking-attributable harmful effects on health do not generally become apparent until three or four decades after smoking initiation. Although some positive changes in the legislative handling of tobacco have appeared in the past fve years, we still need to form a pact, sealed by politicians, the medical prof- sionals, teachers and the media, to target the problem across nations. In this respect, a minority of countries, including the US and the UK, have given positive examples. There are four areas that need to be improved in future: (1) strict bans on tobacco adv- tisement on a global level, (2) better measures to protect against side-stream (passive) smoke exposure, (3) establishment of prevention programs, especially for children and (4) tre- ment of tobacco addiction.
For GPs and practice managers the challenge of the NHS reforms is to understand the business context in which general practice operates. Of the many skills learned from commerce and industry needed for the development of an effective strategy, business planning has been demonstrated to bring important benefits to the practice. However, for many the concept is necessary but unfamiliar. This book sets out to demystify the subject, explains the benefits and, by way of numerous examples, shows how they can be applied to the single-handed GP and group practices, whether or not they are fundholders. It suggests that good clinical care is not possible without the necessary planning and management skills to run a business.
This pack combines the seminal handbook of general practice and its emergencies companion. As such it represents excellent value and should be an essential addition to the medical student's, general practitioner's, or junior doctor's bookshelf.
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