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Incidental Findings: Lessons from My Patients in the Art of Medicine
by Danielle OfriIn Singular Intimacies, which the New England Journal of Medicine said captured the "essence of becoming and being a doctor," Danielle Ofri led us into the hectic, constantly challenging world of big-city medicine. In Incidental Findings, she's finished her training and is learning through practice to become a more rounded healer. The book opens with a dramatic tale of the tables being turned on Dr. Ofri: She's had to shed the precious white coat and credentials she worked so hard to earn and enter her own hospital as a patient. She experiences the real'slight prick and pressure' of a long needle as well as the very real sense of invasion and panic that routinely visits her patients.These fifteen intertwined tales include "Living Will," where Dr. Ofri treats a man who has lost the will to live, and she too comes dangerously close to concluding that he has nothing to live for; "Common Ground," in which a patient's difficult decision to have an abortion highlights the vulnerabilities of doctor and patient alike; "Acne," where she is confronted by a patient whose physical and emotional abuse she can't possibly heal, so she must settle on treating the one thing she can, the least of her patient's problems; and finally a stunning concluding chapter, "Tools of the Trade," where Dr. Ofri's touch is the last in a woman's long life.From the Hardcover edition.
Incidental Radiological Findings
by Sabine WeckbachThis book covers incidental radiological findings (IFs) from different perspectives, provides interesting ethical background information, highlights the differences between IFs in clinical routine and during research studies, explains the management of IFs with reference to practices in different countries, and presents information on follow-up and statistical methods. The prevalence of IFs is increasing due to the wider use of modern imaging modalities in routine clinical practice and large population-based cohort studies. The reporting of these findings may lead to further diagnostic investigations and treatment and must therefore be handled with knowledge and care. The management of IFs in clinical routine is regulated by the guidelines of the different academic societies, while management in the setting of research studies depends on a variety of factors. In general, IFs must be disclosed to the imaged subject if they are potentially clinically relevant, but subjects must also be protected from the consequences of false positive findings. This book, written by distinguished experts in their fields, discusses all these issues and will be of interest to radiologists, other clinicians, and radiographers/technicians.
Including Health in Global Frameworks for Development, Wealth, and Climate Change: Workshop Summary
by Suzanne Landi"Including Health in Global Frameworks for Development, Wealth, and Climate Change" is the summary of a three-part public webinar convened by the Institute of Medicine Roundtable on Environmental Health Sciences, Research, and Medicine and its collaborative on Global Environmental Health and Sustainable Development. Presenters and participants discussed the role of health in measuring a country's wealth (going beyond gross domestic product), health scenario communication, and international health goals and indicators. The workshop focused on fostering discussion across academic, government, business, and civil society sectors to make use of existing data and information that can be adapted to track progress of global sustainable development and human health. This report examines frameworks for global development goals and connections to health indicators, the role for health in the context of novel sustainable economic frameworks that go beyond gross domestic product, and scenarios to project climate change impacts.
Inclusion Bodies: Methods and Protocols (Methods in Molecular Biology #2617)
by Julian Kopp Oliver SpadiutThis detailed volume presents a series of protocols dealing with different aspects of inclusion body (IB) processing, from cloning procedures to purification of refolded product. Commencing with chapters on upstream processing, looking into different expression strategies for IB production, the book continues with downstream applications, highlighting early protein purification and subsequent analytics, as well as success stories of IB-based processes. Written for the highly successful Methods in Molecular Biology series, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step and readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and practical, Inclusion Bodies: Methods and Protocols serves as an ideal resource for facilitating diverse aspects of IB processing.
Inclusion Polymers
by Gerhard WenzThis book contains short and concise reports on physics and chemistry of polymers, each written by the world renowned experts. The book has the highest Impact Factor of all journals ranked by ISI within Polymer Science.
Inclusive Design of a Smart Device for People with Parkinson’s Disease (Design For Inclusion #4)
by Silvia ImbesiThis book reports on an inclusive design project aimed at developing IoT-based wearable devices for special populations. Specifically, it covers the design, the implementation and testing of a smart mHealth system that uses sensory cues to monitor and train the gait and posture of people with Parkinson’s disease. It presents a user-centred strategy to better involve the users in defining the most suitable type of sensory cues and their combination, and in the design of the user interface, at the purpose of developing a gait tutoring system that better fits users’ needs and requirements. All in all, this book offers extensive information on the state-of-the-art in the design and testing of innovative user-centred mHealth systems. Giving a particular attention to the explanation of the tools and methodological choices, it provides readers with a timely reference guide to understand and deal with complex inclusive design projects.
Income Generation in General Practice
by Andrew A Sanderson'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
Incommunicable: Toward Communicative Justice in Health and Medicine
by Charles L. BriggsIn Incommunicable, Charles L. Briggs examines the long-standing presumptions that medical discourse translates easily across geographic, racial, and class boundaries. Bringing linguistic and medical anthropology into conversation with Black and decolonial theory, he theorizes the failure in health communication as incommunicability, which negatively affects all patients, doctors, and healthcare providers. Briggs draws on W. E. B. Du Bois and the work of three philosopher-physicians—John Locke, Frantz Fanon, and Georges Canguilhem—to show how cultural models of communication and health have historically racialized people of color as being incapable of communicating rationally and understanding biomedical concepts. He outlines incommunicability through a study of COVID-19 discourse, in which health professionals defined the disease based on scientific medical knowledge in ways that reduced varieties of nonprofessional knowledge about COVID-19 to “misinformation” and “conspiracy theories.” This dismissal of nonprofessional knowledge led to a failure of communication that eroded trust in medical expertise. Building on efforts by social movements and coalitions of health professionals and patients to craft more just and equitable futures, Briggs helps imagine health systems and healthcare discourses beyond the oppressive weight of communicability and the stigma of incommunicability.
Inconceivable Iran: To Reproduce or Not to Reproduce? (Fertility, Reproduction and Sexuality: Social and Cultural Perspectives #50)
by Soraya TremayneCelebrating the 50th volume of the landmark Fertility, Reproduction and Sexuality series, this book offers a much-needed analysis of shifting reproductive policies and practices in the Islamic Republic of Iran, a society that is usually represented as either “revolutionary” or “oppressive.” Instead, Tremayne reflects on more than four decades of research arguing that changing reproductive behaviors on the part of ordinary Iranians must always be viewed against the backdrop of core cultural values and traditions, which are often reinforced, instead of radically altered, by new reproductive technologies, juridical opinions, and state policies.
Incorporating Occupational Information in Electronic Health Records: Letter Report
by Linda Hawes CleverEach year in the United States, more than 4,000 occupational fatalities and more than 3 million occupational injuries occur along with more than 160,000 cases of occupational illnesses. Incorporating patients' occupational information into electronic health records (EHRs) could lead to more informed clinical diagnosis and treatment plans as well as more effective policies, interventions, and prevention strategies to improve the overall health of the working population. At the request of the National Institute for Occupational Safety and Health, the IOM appointed a committee to examine the rationale and feasibility of incorporating occupational information in patients' EHRs. The IOM concluded that three data elements - occupation, industry, and work-relatedness - were ready for immediate focus, and made recommendations on moving forward efforts to incorporate these elements into EHRs.
Incorporating Occupational Information in Electronic Health Records: Letter Report
by The National Academy of SciencesEach year in the United States, more than 4,000 occupational fatalities and more than 3 million occupational injuries occur along with more than 160,000 cases of occupational illnesses. Incorporating patients' occupational information into electronic health records (EHRs) could lead to more informed clinical diagnosis and treatment plans as well as more effective policies, interventions, and prevention strategies to improve the overall health of the working population. At the request of the National Institute for Occupational Safety and Health, the IOM appointed a committee to examine the rationale and feasibility of incorporating occupational information in patients' EHRs. The IOM concluded that three data elements - occupation, industry, and work-relatedness - were ready for immediate focus, and made recommendations on moving forward efforts to incorporate these elements into EHRs.
Incorporating Psychotherapeutic Concepts and Interventions Within Medicine: With the Heart in Mind
by Shamit Kadosh Asaf Rolef Ben-shaharThis book provides doctors with insights into psychological and relational dynamics to better understand themselves and their patients, deepen their understanding of somatic and psychic dimensions of illness, and give them diagnostic and therapeutic tools to design better treatment procedures for patients. In the first part of the book, the authors explore cognitive, emotional, and somatic strategies that are supportive of doctors’ well-being. In the second part, they introduce theoretical knowledge and applicable skills from psychotherapy that can illuminate the complexity of the doctor-patient relationship, broaden doctors' approaches, and upgrade their communicative skills. The third part introduces some of the basic tenets of somatic psychotherapy that can deepen doctors' understanding of symptoms and illness, providing them with richer therapeutic tools and a deeper knowledge of bodily and psychological aspects, interweaving in a variety of medical conditions. This text not only provides a helping hand to both doctors and psychotherapists in designing an amalgamated approach to clinical treatment but also provides doctors with better tools for understanding and managing the intricacies of the doctor-patient relationship.
Incorporating Science, Economics, and Sociology in Developing Sanitary and Phytosanitary Standards in International Trade: Proceedings of a Conference
by Board On Agriculture Natural ResourcesThe National Academies Press (NAP)--publisher for the National Academies--publishes more than 200 books a year offering the most authoritative views, definitive information, and groundbreaking recommendations on a wide range of topics in science, engineering, and health. Our books are unique in that they are authored by the nation's leading experts in every scientific field.
Increasing IVF Success with Acupuncture: An Integrated Approach
by Nick Dalton-BrewerThis practical book provides need-to-know information vital for acupuncturists to treat patients with fertility problems. Nick Dalton-Brewer details the causes of fertility issues, including the impact of lifestyle and diet, and explains the scientific basis for the different methods of treatment. Integrating Assisted Reproduction Techniques (ART) with Traditional Chinese Medicine (TCM) therapies and acupuncture, he presents his own cutting-edge research on the successful use of these therapies to improve fertility and pregnancy rates and describes a method for integrated diagnosis and treatment. This book will give TCM practitioners direct access to the vital specialist knowledge and technical information needed to treat the increasing numbers of patients with fertility problems effectively. It will also be of interest to doctors of Western medicine concerned about the efficacy of recommending acupuncture treatments as adjuncts to ART.
Increasing Physical Activity: A Practical Guide (Lifestyle Medicine)
by James M. RippeOnly a fifth of adults in the United States do enough physical activity to meet the guidelines set by Centers for Disease Control. The health benefits of regular physical activity are beyond dispute, yet less than 40% of physicians routinely counsel their patients on the importance of physical activity. Increasing Physical Activity: A Practical Guide equips healthcare practitioners to include physical activity counseling in the daily practice of medicine. Written by lifestyle medicine pioneer and cardiologist, Dr James Rippe, this book proves inactivity is a stronger risk factor than other lifestyle factors for cardiovascular disease, diabetes, and many other diseases. It provides evidence-based information on the role of physical activity in preventing and treating chronic conditions and includes practical strategies for healthcare practitioners to prescribe this powerful method to enhance both short and long-term health and quality of life. Features: Specific chapters explain the role of physical activity in reduction of risk of heart disease, diabetes, cancer, osteoarthritis, dementia and many other chronic conditions. Chapters begin with bulleted, key points and conclude with a list of clinical applications. Strategies are provided to encourage previously sedentary individuals to adopt regular physical activity. Physical activity is placed in the context of other lifestyle medicine concepts including maintenance of a healthy body weight, following sound nutritional practices, stress reduction and other practices which impact on health and quality of life. Written for healthcare practitioners at all levels, this is a user-friendly, evidence-based manual for healthcare practitioners looking to incorporate more physical activity counseling into either general medicine or subspecialty practices.
Increasing Psychological Well-being in Clinical and Educational Settings
by Giovanni Andrea Fava Chiara RuiniThis volume deals with strategies aimed at increasing psychological well-being in both clinical and non-clinical settings, with a special focus on the impact of cross-cultural influences on these processes. Consisting of two parts, the book first examines clinical interventions for increasing well-being and positive functioning in adult populations. It looks at cultural differences in the experience of psychological well-being, presents an analysis of the concept of psychological well-being and discusses various interventions, including Well-Being Therapy and Cognitive Behavioral Therapy. Other concepts discussed are post-traumatic growth, wisdom and motivation. The second part of the book deals with psychological interventions in childhood and adolescence and has a strong emphasis on educational settings. It provides an overview of the main evidence-based psychotherapies for affective disorders in youths, and looks at the importance and impact of positive education, resilience, and hope. The book presents models for intervention and discusses several therapies in detail.
Increasing the Therapeutic Ratio of Radiotherapy
by Philip J. Tofilon Kevin CamphausenCurrent cancer therapies are focused on three general strategies: modifying intrinsic radiosensitivity via molecular targeting, manipulating microenvironmental factors to enhance tumor susceptibility to radiation, and improving delivery of radiation to critical tumor locations while sparing normal tissues. The goal of this volume is to describe a number of promising approaches corresponding to each strategy. In general, research in radiation oncology tends to be siloed into fundamental biology, physics or treatment delivery. The strategies for improving therapeutic ratio encompassed in this book will involve each of these components of radiation oncology. Thus, they will illustrate the variety of disparate approaches available for potentially improving the efficacy of radiotherapy, which may then stimulate discussion across disciplines and foster further translational investigations. Although a goal of each chapter will be to highlight advances within an approach, of equal importance will be the delineation of barriers to successful clinical application and how to overcome or minimize such impediments. Along these lines, because therapeutic ratio incorporates both tumor and normal tissue radio response, a point of emphasis will be the mechanistic rationale for selectively modifying tumor (sensitization) or normal cells (protection). Finally, whereas the literature is replete with studies describing potential targets/strategies for increasing the therapeutic ratio for radiotherapy, this book will focus on those supported by in vivo data consistent with impending translational application along with those that are already being evaluated in the clinic.
Incurable Me: Why the Best Medical Research Does Not Make It into Clinical Practice
by Kenneth StollerIn Incurable Me, a maverick physician brings transparency to some of medicine's most closely guarded secrets. As he establishes a link between commerce and medical research, K. P. Stoller also explains how to treat some of the most worrisome diseases and conditions afflicting humans today-including Lyme disease, brain trauma, dementia, and autism.Dr. Stoller maintains that the best evidence in medical research is not incorporated into clinical practice unless the medical cartel has the potential to make large amounts of money promoting the results of the research. Stoller takes his provocative argument a step further, maintaining that if specific research conflicts with a powerful entity's financial interests, the likely result will be an effort to suppress or distort the results. Stoller cites numerous examples, including corporate influence on GMO labeling and public health.Stoller also explores how "revolving-door-employment" between the Centers for Disease Control and large pharmaceutical companies can affect research results-as well as our health. Written in an accessible style that is thoroughly appropriate for a lay audience, Incurable Me is a must-read for anyone interested in the state of modern medicine.
Incurable Optimist: Living with Illness and Chronic Hope
by Jennifer Cramer-Miller2024 International Impact Book Awards Winner: Family and Medical Book of Excellence Award Winner: Family Publishers Weekly, starred review, PW Book of the Week, August 2023 At twenty-two, Jennifer Cramer-Miller was thrilled with her new job, charming boyfriend, and Seattle apartment. Then she received a devastating autoimmune diagnosis—and suddenly, rather than planning for a bright future, she found herself soaking a hospital pillow with tears and grappling with words like &“progressive&” and &“incurable.&” That day, Cramer-Miller unwillingly crossed over from wellness to chronic illness—from thriving to kidney failure. Her chances of survival hinged upon on the expertise of doctors, the generosity of strangers, and the benevolence of loved ones. But what kind of life would that be? Spanning two-plus decades, this family love story explores loss and acceptance, moving forward with uncertainty, and forging a path to joy. Four kidney transplants later, Cramer-Miller is here to shine a bright light on people helping people in difficult times with a story that will make you want to hug the humans you love. Because sometimes it&’s the sorrows that threaten to pull us apart that ultimately unite us in hope.
Indacaterol
by Alexandre TrifilieffChronic obstructive pulmonary disease (COPD) is a multi-component condition that results in increasingly limited airflow, usually associated with an abnormal inflammatory response of the lung. It constitutes a major public health burden worldwide, while only very few effective therapies are available. This book provides a comprehensive overview of the development of Onbrez Breezhaler, a newly approved once-daily inhaled β2 agonist for the treatment of COPD. It reviews the current pharmacotherapy for COPD and discusses topics such as the chemical design and the pre-clinical pharmacology of the molecule, the early clinical development, the INHANCE study (which provides a successful example of the use of an adaptive design in the confirmatory setting) and the Phase III clinical efficacy study, as well as the history and performance of the Breezhaler device. Finally, a list of emerging targets is included that could well offer future treatment options for COPD.
Indentation Testing of Biological Materials (Advanced Structured Materials #91)
by Gennady Mishuris Ivan ArgatovThis book presents a comprehensive and unifying approach to analytical identification of material properties of biological materials. Focusing on depth-sensing indentation testing, pipette aspiration testing, and torsion of soft tissues, it discusses the following important aspects in detail: damping, adhesion, thickness effect, substrate effect, elastic inhomogeneity effect, and biphasic effect. This book is intended for advanced undergraduate and graduate students, researchers in the area of biomechanics as well as for biomedical engineers interested in contact problems and involved in inverse materials parameters prediction analysis.
Independence Training for Visually Handicapped Children
by Doris ToozeFirst published in 1981, this book was written to help parents and teachers to participate in child-based mobility programmes, covering the needs of visually-handicapped children from pre-school to adulthood. It gives insight into ways in which these figures can make the world meaningful to young children, as well as making them aware of the special training that is necessary to develop the social skills of daily living that a sighted child acquires through imitation. Travel techniques must be learnt to enable these children to move independently and the book describes various methods that can be used by the blind traveller. It also examines the role of physical education and dance, both of particular importance for the visually-handicapped child at school age.
Independent Advocacy and Spiritual Care
by Geoff MorganThis book explores the profession of independent advocacy through a history of the practice, and provides an empirical study of its emergence in London. While advocacy has long been associated with professions such as social work and mental health nursing, this book delivers a unique perspective of advocacy through the lens of faith and culture. Using real life examples and insights from service users, advocates and spiritual care practitioners in the advocacy and chaplaincy sectors, the fascinating results offer proposals for enhanced theory, training and practice in independent advocacy. It will be of great interest for students and professionals engaged in advocacy or spiritual care.
Independent Mental Health Advocacy - The Right to Be Heard: Context, Values and Good Practice
by Karen Newbigging Konstantina Poursanidou Karen Machin Toby Brandon Stephanie De Haye Julie Ridley Laura Able Mick Mckeown Kaaren Cruse June Sadd Kris ChasteyIndependent mental health advocacy is a crucial means of ensuring rights and entitlements for people sectioned under the Mental Health Act. This book takes an appreciative but critical view of independent mental health advocacy, locating the recent introduction of Independent Mental Health Advocates (IMHAs) within a broader historical, social and policy context, and anticipates future developments. The text includes the voices of service users throughout, both as authors and research participants. Drawing on their research, the authors provide a historical overview of mental health advocacy, independent mental health advocacy in relation to the law, the role and responsibilities of IMHAs, essential values, knowledge and skills required of advocates, relationships with service providers, commissioning, measuring advocacy outcomes, and how IMHA services can be made accessible and appropriate to diverse groups. This will be essential reading for advocates, social work professionals, academic staff and trainers and will provide mental health professionals with an understanding of, and critical reflection on, the IMHA role. It will also be of particular general interest to survivors and mental health service users, and their families and carers.
Independent and Supplementary Prescribing
by Molly Courtenay Matt Griffiths June Crown CbeThe second edition of Independent and Supplementary Prescribing builds on the success of this classic text by providing a unique resource for prescribing and medicines management for both new and experienced prescribers. This is an essential resource for anyone undertaking the non-medical prescribing programme. The book explores a number of key areas for prescribers, including the ethical and legal issues surrounding prescribing, prescribing within a public health context, evidence-based prescribing, basic pharmacology, medication safety, monitoring skills and drug calculations. Each chapter has been updated for the second edition and an additional chapter 'Minimising the risk of prescribing error' has been added. Written by a group of multi-professional authors working at all stages of the medication management process, this book will be essential reading for all nurses, midwives, pharmacists and allied health professionals qualified to prescribe as independent and/or supplementary prescribers.