Using practical examples this book demonstrates how a theoretical model for shared care operates in practice to deliver improved health outcomes within limited resources. It shows how clinically-led initiatives can influence health care commissioning strategies and how the implementation of the model meets the needs of clinicians purchasers and providers. The model and evaluation protocols advocated here provide a firm foundation for the development of shared care in the future.
Using practical examples this book demonstrates how a theoretical model for shared care operates in practice to deliver improved health outcomes within limited resources. It shows how clinically-led initiatives can influence health care commissioning strategies and how the implementation of the model meets the needs of clinicians purchasers and providers. The model and evaluation protocols advocated here provide a firm foundation for the development of shared care in the future.
For nearly 50 years, Sleisenger & Fordtran’s Gastrointestinal and Liver Disease has been the go-to reference for gastroenterology and hepatology residents, fellows, physicians, and the entire GI caregiving team. Now in a fully revised 11th Edition, this two-volume masterwork brings together the knowledge and expertise of hundreds of global experts who keep you up to date with the newest techniques, technologies, and treatments for every clinical challenge you face in gastroenterology and hepatology. A logical organization, more than 1,100 full-color illustrations, and easy-to-use algorithms ensure that you’ll quickly and easily find the information you need. Features new and expanded discussions of chronic hepatitis B and C, Helicobacter pylori infection, colorectal cancer prevention through screening and surveillance, biologic agents and novel small molecules to treat and prevent recurrences of inflammatory bowel disease (IBD), gastrointestinal immune and autoimmune diseases, and more. Offers reliable coverage of key topics such as Barrett’s esophagus, gut microbiome, enteric microbiota and probiotics, fecal microbiota transplantation, and hepatic, pancreatic, and small bowel transplantation. Provides more quick-reference algorithms that summarize clinical decision making and practical approaches to patient management. Employs a consistent, templated, format throughout for quick retrieval of information. Includes monthly updates online, as well as more than 20 procedural videos.
Antimicrobial agents are essential for the treatment of life-threatening infections and for managing the burden of minor infections in the community. In addition, they play a key role in organ and bone marrow transplantation, cancer chemotherapy, artificial joint and heart valve surgery. Unlike other classes of medicines, they are vulnerable to resistance from mutations in target microorganisms, and their adverse effects may extend to other patients (increased risk of cross-infection). As a consequence, there is a constant requirement for new agents, as well as practices that ensure the continued effective prescribing of licensed agents. The fully revised and updated seventh edition of Antimicrobial Chemotherapy is an essential guide to the principles of antimicrobial chemotherapy, the problem of resistance and its control through policies, antimicrobial stewardship and surveillance. The book provides an aid to informed, rational prescribing for common bacterial, fungal, parasitic and viral infections. Divided in five parts, the book cover issues specific to both the developed and developing world. Part 1 'General property of antimicrobial agents' discusses mechanisms of action and resistance to antibacterial, antifungal antiprotozoal, antiviral, and antiviral agents. Part 2 'Resistance to antimicrobial agents' provides guidance about the problem of resistance, mechanisms of acquired resistance and genetics of resistance. Part 3 'General principles of usage of antimicrobial agents' analyses the use of the laboratory, general principles of the treatment of infection, dosing in special groups (extremes of age, pregnancy, obesity), safe prescribing, prophylaxis and the role of policies in antimicrobial stewardship. Part 4 'Therapeutic use of antimicrobial agents' provides advice about the treatment of common infections which are described by anatomical. There are also chapters on the management of mycobacterial disease, viral infections, HIV/AIDS and parasitic infections. The final part of the book analyses the development and marketing of antimicrobial drugs. This seventh edition of Antimicrobial Chemotherapy continues to be a valuable resource for undergraduates and graduates requiring a thorough grounding in the scientific basis and clinical application of these drugs.
What if the idealized image of American societya land of opportunity that will reward hard work with economic successis completely wrong? Few topics have as many myths, stereotypes, and misperceptions surrounding them as that of poverty in America. The poor have been badly misunderstood since the beginnings of the country, with the rhetoric only ratcheting up in recent times. Our current era of fake news, alternative facts, and media partisanship has led to a breeding ground for all types of myths and misinformation to gain traction and legitimacy. Poorly Understood is the first book to systematically address and confront many of the most widespread myths pertaining to poverty. Mark Robert Rank, Lawrence M. Eppard, and Heather E. Bullock powerfully demonstrate that the realities of poverty are much different than the myths; indeed in many ways they are more disturbing. The idealized image of American society is one of abundant opportunities, with hard work being rewarded by economic prosperity. But what if this picture is wrong? What if poverty is an experience that touches the majority of Americans? What if hard work does not necessarily lead to economic well-being? What if the reasons for poverty are largely beyond the control of individuals? And if all of the evidence necessary to disprove these myths has been readily available for years, why do they remain so stubbornly pervasive? These are much more disturbing realities to consider because they call into question the very core of America's identity. Armed with the latest research, Poorly Understood not only challenges the myths of poverty and inequality, but it explains why these myths continue to exist, providing an innovative blueprint for how the nation can move forward to effectively alleviate American poverty.
Completely updated, the Fifth Edition of this standard-setting two-volume reference presents the most advanced diagnostic techniques and the latest information on all currently known disease entities. More than 90 preeminent surgical pathologists offer expert advice on the diagnostic evaluation of every type of specimen from every anatomic site. The Fifth Edition contains over 4,400 full-color photographs. This edition provides detailed coverage of the latest developments in the field, including new molecular and immunohistochemical markers for diagnosis and prognosis of neoplasia, improved classification systems for diagnosis and prognosis, the role of pathology in new diagnostic and therapeutic techniques, and the recognition of new entities or variants of entities. All full-color illustrations have been color-balanced to dramatically improve image quality.
A welcome addition to the literature in this important area of work, that builds on...the empirical studies which have illuminated our understanding of the requirements of effective service provision. The final section...is, in a real sense, a call for action, for all of us in the field and for public officials and 'opinion makers' to respond to the need for 'Social Care' now and in the new millenium."--from the foreword by Rose Dobrof, DSW, Brookdale Professor of Gerontology, Hunter College, and James R. Dumpson, PhD, Chairman of Policy Center for Aging, New York Community Trust Based on two groundbreaking studies of older people in an urban setting, this important book focuses on access to social services for different ethnicities. Cantor and Brennan review different models and provide the theoretical base for the book in Part I. They describe ways in which the complementary roles of informal and formal systems change as a function of the health status of older people. In Part II, they illustrate the ways in which ethnicity, class, and culture affect the roles of the formal and informal systems by focusing on specific case studies of African American, Latino, and Jewish elderly.
Convert the latest genomic data to the most effective patient management and treatment approaches Clinical Genomics helps healthcare providers translate the vast amount of new genomic data into successful clinical application. It is a comprehensive textbook and practical guide to the use of this information across a broad spectrum of adult diseases – from individual differences in drug responses, cardiac andcancer risks to Alzheimer's and other neurological and psychiatric disorders. While traditional textbooks on medical genetics focus on classic Mendelian disorders, Clinical Genomics discusses the everyday application of genetic assessment and the diagnostic, therapeutic, and preventiveimplications to the most common adult diseases that healthcare providers encounter. Covering approximately 200 conditions, it is a true clinical text for use across all of internal medicine. Coverage of each condition is presented in a consistent,clinically relevant manner and includes: Key Points Diagnostic Criteria and Clinical Characteristics Screening and C ounseling Management and Treatment Molecular Genetics and Molecular Mechanism Supplementary Information More than ten valuable appendices, include Genetic Privacy; Race, Ancestry, and Genetics; Personalized Medicine in Clinical Practice; Clinical Interpretationof Genomic Data; and Genetic Risk Profiling in the Genomics Era. Clinical Genomics is essential for internists, primary care physicians, and other healthcare providers who wish to increase their knowledge of the gene-and-protein level care of patients in a clinical setting.
A practical, up-to-date guide to the diagnosis, understanding, and treatment of kidney problems and hypertension in adult patients “In contrast to many other books in this area, this one provides a concise yet comprehensive review of each topic without getting lost in too much detail...” – Doody’s Review Service (review of previous edition) Presented in the consistent, easy-to-follow CURRENT format, CURRENT Diagnosis & Treatment Nephrology & Hypertension, Second Edition delivers incisive, ready-to-use management protocols and valuable therapeutic guidelines from authors who are recognized as the field’s foremost authorities. This essential clinical companion features a practical learn-as-you-go approach to diagnosing and treating renal disorders and hypertension that combines disease management techniques with the latest proven therapies. •NEW! Chapter-ending clinically based Q&A •NEW CHAPTERS include The Kidney in Malignancy, Chronic Kidney Disease-Mineral Bone Disorder (CKD-MBD), Palliative Care Nephrology, and Clinical Pharmacology and the Kidney •Fifty-nine chapters deliver a one-of-a-kind overview of all major diseases and disorders, from end-stage renal disease to primary and secondary hypertension •Emphasizes the clinical aspects of kidney care, while also providing comprehensive discussion of pathophysiology and relevant basic and clinical science •Includes an important review of subspecialty considerations: dialysis, transplantation, critical care nephrology, interventional nephrology, palliative care nephrology, clinical renal pharmacology, as well as a new area of specialization – onco-nephrology •Consistently formatted chapters make it easy to locate the essential information you need on diagnosis, testing, disease processes, and the latest treatment and management strategies •Valuable as a clinical refresher or for board review •Strikes the perfect balance between clinical necessity and brevity
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