Jan 272017
 

Constipation: A Practical Approach to Diagnosis and Treatment


Constipation: A Practical Approach to Diagnosis and Treatment serves as an unmet resource for physicians and other health care providers, including trainees and students, who see patients with constipation. The text reviews pathophysiologic mechanisms and details evaluation and management strategies. The volume also enables the reader to identify epidemiologic factors and quality of life parameters for patients with constipation, discuss differences in pathophysiologic mechanisms for different etiologies of constipation, recognize primary causes of constipation, and assess special considerations related to the symptom of constipation including presentations in the elderly, in pregnant women, in patients with systemic diseases, and patients with a history of abuse.

Written by thought leaders and recognized experts in gastrointestinal motility and medical education, Constipation: A Practical Approach to Diagnosis and Treatment is of great value and utility for gastroenterologists, primary care physicians, gynecologists, nurse practitioners, physician’s assistants, as well as fellows and residents.

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Dec 122016
 

Textbook of Hyperbaric Medicine


By (author): Kewal K. Jain

This comprehensive volume captures the latest scientific evidence, technological advances, treatments and impact of biotechnology in hyperbaric oxygen therapy. Divided into three distinct sections, the book begins with basic aspects that include history, equipment, safety and diagnostic approaches; this is followed by clinical applications for hyperbaric oxygen therapy in various modalities; the last section provides an overview of hyperbaric medicine as a specialty with best practices from around the world. Integration of multidisciplinary approaches to complex disorders are also covered.

Updated and significantly expanded from previous editions, Textbook of Hyperbaric Medicine, 6th Edition will continue to be the definitive guide to this burgeoning field for students, trainees, physicians and specialists.

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Dec 102016
 

Frontiers of Medicine


In September 1925 the first class of medical students was admitted to the University of Rochester School of Medicine and Dentistry. On January 4, 1926 the Strong Memorial Hospital was officially opened. The first patient was admitted the next day. On January 7th Dr. John J. Morton, Jr., newly appointed Chief of Surgery, performed the first operation. Ten days later the first baby was delivered. From these small beginnings the University of Rochester Medical Center had a steady and strong growth into the internationally renowned center of teaching, research and patient care that it is today. In recognition of its semicentennial the Medical Center con­ ducted a series of events during the 1975 – 76 year in which medi­ cal faculty and staff~ alumni, community physicians and distin­ guished visitors participated. This symposium on “Frontiers of Medicine” was a climactic event of the year’s program. The twelve outstanding physicians and scientists undertook to look forward, in selected areas of biological science and medicine, to what promise there may be for developments to come which will significantly affect mankind’s health and the quality of life. Four areas were chosen for discussion to cover the span of human life and to include aspects of it which are of vital in­ terest and in which significant developments now seem to be prob­ able in the years ahead. So far as possible the presentations sought to cover the basic science, the clinical and the sociologic aspects of each subject area.
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Oct 172016
 

Leprosy in Premodern Medicine: A Malady of the Whole Body


By (author): Luke Demaitre

While premodern poets and preachers viewed leprosy as a “disease of the soul,” physicians in the period understood it to be a “cancer of the whole body.” In this innovative study, medical historian Luke Demaitre explores medical and social perspectives on leprosy at a time when judicious diagnosis could spare healthy people from social ostracization and help the afflicted get a license to beg.

Extending his inquiry from the first century to late in the eighteenth century, Demaitre draws on translations of academic treatises and archival records to illuminate the professional standing, knowledge, and conduct of the practitioners who struggled to move popular perceptions of leprosy beyond loathing and pity. He finds that, while not immune to social and cultural perceptions of the leprous as degenerate, and while influenced by their own fears of contagion, premodern physicians moderated society’s reactions to leprosy and were dedicated to the well-being of their patients.

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Oct 152016
 

Contemporary Hospitalists’ Guide to Anticoagulation


By (author): Steven B. Deitelzweig, MD, MMM

This new handbook includes new data from the American College of Chest Physicians (ACCP) guidelines on antithrombotic and thrombolytic therapy, the latest information on heparin-induced thrombocytopenia (HIT) and heparin-induced thrombocytopenia with thrombosis (HITTI), and an in-depth discussion of the drugs and dosages to use in combating deep-vein thrombosis (DVT) and pulmonary embolism (PE). The handbook also offers a section on clinical pathways, which will allow physicians to develop therapeutic goals for their patients and the sequence and timing of the actions that need to occur to achieve those goals as quickly as possible.
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Aug 112016
 

Physician’s Guide: Understanding and Working With Integrated Case Managers


By (author): Roger G Kathol, Katherine Hobbs Knutson, Peter J. Dehnel

Improving the outcomes for patients in our changing healthcare system is not straightforward. This grounding publication on case management helps physicians better meet the unique needs of patients who present with poor health and high healthcare-related costs, i.e., health complexity. It details the many challenges and optimal practices needed to work effectively with various types of case managers to improve patient outcomes.  Special attention is given to integrated case management (ICM), specifically designed for those with health complexity. The book provides a systematic method for identifying and addressing the needs of patients with biological, psychological, social, and health-system related clinical and non-clinical barriers to improvement. Through ICM, case managers are trained to conduct relationship-building multidisciplinary comprehensive assessments that allow development of prioritized care plans, to systematically assist patients to achieve and document health outcomes in real time, and then graduate stabilized patients so that others can enter the case management process. Patient-centered practitioner-case manager collaboration is the goal. 
This reference provides a lexicon and a roadmap for physicians in working with case managers as our health system explores innovative ways to improve outcomes and reduce health costs for patients with health complexity. An invaluable, gold-standard title, it adds to the literature by capturing the authors’ personal experiences as clinicians, researchers, teachers, and consultants. The Physician’s Guide: Understanding and Working With Integrated Case Managers summarizes how physicians and other healthcare leadership can successfully collaborate with case managers in delivering a full package of outcome changing and cost reducing assistance to patients with chronic, treatment resistant, and multimorbid conditions.  
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Jul 282016
 

Resident’s Handbook of Medical Quality and Safety


Drive to provide high value healthcare has created a field of medical quality improvement and safety. A Quality Improvement (QI) project would often aim in translate medical evidence (e.g. hand hygiene saves lives) into clinical practice (e.g. actually washing your hands before you see the patient, suffice it to say that not all hospitals are able to report 100% compliance with hand-hygiene). All doctoral residents in the United States must now satisfy a new requirement from the American College of Graduate Medical Education that they participate in a QI initiative. However, few departments are equipped to help their residents develop and implement a QI initiative. Resident’s Handbook is a short, not fussy, and practical introduction to developing a QI initiative. Meant not only for residents seeking to jump-start a QI initiative but also for attending physicians looking to improve their clinical practice, residency program directors and even medical students already eyeing what residency training holds for them; the book introduces and explains the basic tools needed to conduct a QI project. It provides numerous real-life examples of QI projects by the residents, fellows and attendings who designed them, who discuss their successes and failures as well as the specific tools they used. Several chapters provide a more senior perspective on resident involvement in QI projects and feature contributions from several QI leaders, a hospital administration VP and a residency program director. 

 
Though originally designed with physicians in mind, the book will also be helpful for physician assistants, nurses, physical, occupational and speech language pathology therapists, as well as students in these disciplines. Since no QI intervention is likely to be successful if attempted in isolation more non-physician clinicians are joining the ranks of quality and safety leadership. Therefore several non-physician clinician led initiatives included in the manuscript constitute an integral part of this book.
The book serves as a short introduction to the field of medical quality improvement and safety emphasizing the practical pointers of how to actually implement a project from its inception to publication. To our knowledge this is the first concise do-it-yourself publication of its kind. Some of the topics covered include: how to perform an efficient literature search, how to get published, how to scope a project, how to generate improvement ideas, effective communication, team, project management and basic quality improvement tools like PDCA, DMAIC, Lean, Six Sigma, human factors, medical informatics etc..

Although no substitute for the services of a trained clinical statistician, chapters on statistics and critical assessment of the medical literature familiarizes residents with basic statistical methodologies, clinical trials and evidence based medicine (EBM). Since no QI project is complete without providing evidence for post-intervention improvement we provide a short introduction to the free statistical language R, which helps residents independently run basic statistical calculations. Because much of QI involves assessment of subjective human experiences, there is also a chapter on how to write surveys. Resident’s Handbook of Medical Quality and Safety is not an exhaustive QI textbook but rather a hands-on pocket guide to supplement formal training by other means.

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Jul 242016
 

Disaster Medicine


Written by more than 30 emergency physicians with first-hand experience handling medical care during disasters, this volume is the only single comprehensive reference on disaster medicine. It provides the information that every emergency department needs to prepare for and handle the challenges of natural and manmade disasters. The contributors present guidelines for assessing the affected population’s health care needs, establishing priorities, allocating resources, and treating individuals.

Coverage encompasses a wide range of natural, industrial, technologic, transportation-related, and conflict-related disasters, with examples from around the world. This edition has more illustrations and more information on weapons of mass destruction and explosions.

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Jul 142016
 

A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families and Interested Physicians


By (author): Barry J. Maron, Lisa Salberg

Written by the authority on hypertrophic cardiomyopathy (HCM) and an HCM patient, and fully endorsed by the Hypertrophic Cardiomyopathy Association (HCMA), the leading advocacy and support organization, the 3rd Edition of this best-selling guide offers unparalleled insight into all aspects of living with and treating HCM.

Accessible and practical, A Guide to Hypertrophic Cardiomyopathy For Patients, Their Families and Interested Physicians 3rd Edition:

  • Answers the most pressing questions posed by patients, their families, and non-specialists
    health professionals involved in their care
  • Covers everything from what is HCM and initial diagnosis of this increasingly prevalent
    condition to the latest treatment options
  • Reflects the first-ever HCM guidelines published by the American Heart Association in 2011

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Jun 092016
 

Patient Expectations: How Economics, Religion, and Malpractice Shaped Therapeutics in Early America


By (author): Catherine L. Thompson

During the first half of the nineteenth century a major shift occurred in the medical treatment of illness in the United States, as physicians abandoned the use of “heroic” depletive therapies?the pukes and purges made famous in the 1790s by Dr. Benjamin Rush of Philadelphia?in favor of a let-nature-take-its-course approach to most diseases. Standard histories of American medicine have long attributed this shift to new theories and training methods as well as increased competition from homeopaths and botanical doctors. In this book, Catherine L. Thompson challenges that interpretation by emphasizing the role of patients as active participants in their own health care rather than passive objects of medical treatment.

Focusing on Massachusetts, then as now a center of U.S. medical education and practice, Thompson draws on data from patients’ journals, medical account ledgers, physicians’ daybooks, and court records to link changes in medical treatment to a gradual evolution of patient expectations across varied populations. Specifically, she identifies three developments?the increasing use of cash in medical transactions, growing religious pluralism, and the rise of malpractice suits?as key factors in transforming patients into active medical consumers unwilling to submit to doctors’ advice without considering alternatives.

By showing how nineteenth-century patients shaped therapeutic practice “through the medical choices they made or didn’t make,” Thompson’s study alters our understanding of American medicine in the past and has implications for its present and future.

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