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A new addition to the Oxford Case Histories series, Obstetric Medicine provides the reader with 55 cases of different clinical presentations in obstetric medicine. Each case is presented with a background to the subject area, a summary of the history, and examination findings, and relevant investigation results. This is followed by several questions on clinically important aspects of the case with answers and detailed discussion, particularly of the differential management options. Each topic is mapped on to both the curriculum for physicians undertaking obstetric medicine, and for obstetric trainees studying for membership exams, the Advance Training Skills Module in maternal medicine, and speciality training in maternal and fetal medicine. Providing an ideal self-assessment tool, this new title is of interest to all doctors working in obstetrics, midwives, and students revising for exams.
Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical a...
This book is based on the RCOG Study Group findings on reproductive ageing.
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis...
Integrating care across disciplines and organisations around the needs of the person with diabetes has been proposed as an approach that could improve care while reducing cost- but has it and can it? Integrated Diabetes Care- A Multidisciplinary Approach collates evidence of worldwide approaches to both horizontal integration (across disciplines) and vertical integration (across organizations) in diabetes care and describe what was done, what worked and what appeared to be the barriers to achieving the goals of the programmes. Evidence is sought from groups who have developed different approaches to integrating diabetes care in different health systems (eg insurance vs tax payer funded, single vs multiple organization, published vs unpublished). A final chapter brings the evidence together for a final discussion about what seems to work and what does not.
"Refreshing and eloquent" – Libby Purves, The Times "Quin's acute powers of observation vividly convey the hinterland of the modern general hospital ... A medical memoir for the Trainspotting generation." – The Tablet *** Surgeons cut, but physicians... what do physicians actually do? And is it true that other doctors really call them 'the magicians'? John Quin worked for thirty-three years as a physician for the NHS in both Scotland and England, specialising in endocrinology. Days on the wards were uproariously funny one minute, infinitely tragic the next. Starting with a stern lesson from the president of the British Society of Gastroenterologists that the younger doctor was not 'a f****** comedian', Dr Quin, Medicine Man is packed with vividly told tales of the joy and reward of getting the diagnosis right, the disaster of getting it wrong. Darkly amusing and with a keen eye for the absurd, this sharply observed memoir is not only an acute insight into the farcical frustrations and tensions of working in a chronically underfunded system but also a timely reminder of the humanity of the NHS staff who care for us.
This book provides a comprehensive guide for nurses practicing in any area of endocrinology and at any level of expertise. Endocrinology Nursing is a fast-developing specialty with nurses performing advanced roles and expanding their practice to run independent nurse-led services. Supported by the European Society of Endocrinology (ESE) and edited by members of the ESE Nurses Working Group, this is the first book ever published specifically for endocrine nurses. It is also an excellent resource for endocrinology specialty trainees, general practitioners, medical and nursing students, expert patients and nurses working in specialties such as fertility, osteoporosis, oncology, obesity, urology...
This popular reference facilitates diagnostic and therapeutic decision making for a wide range of common and often complex problems faced in outpatient and inpatient medicine. Comprehensive algorithmic decision trees guide you through more than 245 disorders organized by sign, symptom, problem, or laboratory abnormality. The brief text accompanying each algorithm explains the key steps of the decision making process, giving you the clear, clinical guidelines you need to successfully manage even your toughest cases. An algorithmic format makes it easy to apply the practical, decision-making approaches used by seasoned clinicians in daily practice. Comprehensive coverage of general and interna...
Dr. Attila Toth's thirty years as a practicing infertility specialist and pathologist have convinced him that the only explanation for the alarming infertility rate, so far out of proportion with natural law, is the increasing presence of contaminating bacteria in the genital tracts of both sexes. In Fertility vs. Infertility, he documents how and why this process has escalated so dramatically over the past few decades of increased sexual activity.
Pilowsky presents a general introduction to the early recognition and management of abnormal illness behaviour, and suggests ways to identify such behaviour, offer appropriate psychological care and provide specialist psychiatric help.