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The Origins of COVID-19: China and Global Capitalism
by Li ZhangA new strain of coronavirus emerged sometime in November 2019, and within weeks a cluster of patients began to be admitted to hospitals in Wuhan with severe pneumonia, most of them linked to the Huanan Seafood Wholesale Market. China's seemingly effective containment of the first stage of the epidemic, in glaring contrast with the uncontrolled spread in Europe and the United States, was heralded as a testament to the Chinese Communist Party's unparalleled command over the biomedical sciences, population, and economy. Conversely, much academic and public debate about the origins of the virus focuses on the supposedly "backwards" cultural practice of consuming wild animals and the perceived problem of authoritarianism suppressing information about the outbreak until it was too late. The Origins of COVID-19, by Li Zhang, shifts debate away from narrow cultural, political, or biomedical frameworks, emphasizing that we must understand the origins of emerging diseases with pandemic potential (such as SARS and COVID-19) in the more complex and structural entanglements of state-making, science and technology, and global capitalism. She argues that both narratives, that of China's victory and the racist depictions of its culpability, do not address—and even aggravate—these larger forces that degrade the environment and increase the human-wildlife interface through which novel pathogens spill over into humans and may rapidly expand into global pandemics.
The Origins of Health and Disease
by Michael E. HylandSome phenomena in medicine and psychology remain unexplained by current theory. Chronic fatigue syndrome, repetitive strain injury and irritable bowel syndrome, for example, are all diseases or syndromes that cannot be explained in terms of a physiological abnormality. In this intriguing book, Michael E. Hyland proposes that there is a currently unrecognised type of illness which he calls 'dysregulatory disease'. Hyland shows how such diseases develop and how the communication and art of medicine, good nursing care, complementary medicine and psychotherapy can all act to reduce the dysregulation that leads to dysregulatory disease. The Origins of Health and Disease is a fascinating book that develops a novel theory for understanding health and disease, and demonstrates how this theory is supported by existing data, and how it explains currently unexplained phenomena. Hyland also shows how his theory leads to new testable predictions that, in turn, will lead to further scientific advancement and development.
The Origins of Schizophrenia
by Alan Brown Paul PattersonThe Origins of Schizophrenia synthesizes key findings on a devastating mental disorder that has been increasingly studied over the past decade. Advances in epidemiology, translational neuroscience technology, and molecular and statistical genetics have recast schizophrenia's neurobiological nature, identifying new putative environmental risk factors and candidate susceptibility genes. Providing the latest clinical and neuroscience research developments in a comprehensive volume, this collection by world-renowned investigators answers a pressing need for balanced, thorough information, while pointing to future directions in research and interdisciplinary collaboration.The book, featuring a foreword by Robert Freedman, M.D., thoroughly examines these topics from the vantage points of epidemiologic, clinical, and basic neuroscience approaches, making it an essential resource for researchers in psychiatry, psychology, and neuroscience and for clinical mental health professionals.
The Orthodontic Mini-implant Clinical Handbook
by Richard CousleyOffers the very latest on the theory and practice of integrating mini-implant techniques into clinical practice This all-new second edition of The Orthodontic Mini-implant Clinical Handbook provides a thoroughly revised and expanded update to the theoretical and practical aspects of using mini-implants in orthodontic practice. Taking a practical step-by-step approach with hundreds of clinical images, it presents updated clinical techniques and new clinical cases, covering all topics of importance for utilising mini-implants. It also includes a new chapter on mini-implant anchored maxillary expansion appliances. It begins with a chapter that looks at mini-implant principles and potential complications, before moving onto clinical and design factors for maximising mini-implant success. Other chapters cover incisor retraction; molar distalisation and protraction; intrusion and anterior openbite treatments; bone anchored rapid maxillary expansion; orthognathic surgical uses; and ectopic teeth. Provides a comprehensive guide to both theoretical and practical advice for the use of mini-implants in orthodontic practice Covers updated clinical techniques and new clinical cases Presents a new chapter on mini-implant anchored maxillary expansion appliances Takes a highly illustrated step-by-step approach ideal for clinical practice The Orthodontic Mini-Implant Clinical Handbook is an essential resource to orthodontists, maxillofacial surgeons, practicing dentists, and anyone with an interest in mini-implant skeletal anchorage.
The Orthodontic Mini-implant Clinical Handbook
by Richard CousleyThe Orthodontic Mini-Implant Clinical Handbook is the must-have book for trainee and practicing orthodontists. It provides the essential theoretical and clinical mini-implant information to enable the clinician to easily introduce skeletal anchorage into their practice across a wide variety of common clinical scenarios. The initial chapters cover general principles with subsequent chapters employing a step-by-step approach to guide the novice through the most common clinical uses for orthodontic mini-implants including: incisor retraction, molar distalisation, transverse and asymmetry corrections, and orthognathic surgery uses.
The Orthopaedic Manual: From The Office To The Or
by Kenneth EgolFrom the office to the operating room to the emergency department, this practical, pocket-sized guide is an essential guide for advanced practice providers of orthopaedic care. Filling an important resource gap for the orthopaedic team, this manual focuses on the aspects of musculoskeletal care that an advanced care practitioner will commonly provide in daily practice. It clearly covers the specific skills and knowledge that enable physician assistants and nurse practitioners to provide high-quality, cost-effective care, with the goal of restoring each patient to maximum functional capacity and quality of life.
The Orthopedic Consult Survival Guide
by Adam E. M. Eltorai Alan H. Daniels Jonathan D. HodaxThis is a quick-reference resource covering the most common acute orthopedic injuries. Including bulleted text and easy-to-follow algorithms, protocols, and images, this "pocket consultant" provides the most up-to-date information when you need it most. Organized anatomically for fast reference, each chapter is broken down into the most common and most serious injuries with tips on how to evaluate and treat adult and pediatric patients. Each injury pattern discussed includes a brief description covering what to ask, what to bring, what to request, what to test, what to look for, and how to further evaluate. The contributing authors are senior orthopedic surgery residents at a major Level-1 Trauma Center who have experience managing a high volume of orthopedic injuries and who have trained many young residents. Covering all aspects of acute care, The Orthopedic Consult Survival Guide is an indispensable tool for medical students, residents, fellows, attendings , and affiliated providers in orthopedic surgery, emergency medicine, and surgery caring for orthopedic patients in emergency rooms, urgent care centers, and primary practice settings.
The Osteopath's Guide to Keeping Out of Trouble: A Toolkit to Meet Professional Obligations and Avoid Pitfalls in Practice
by Paul LambdenThis updated edition of a standard text for general practitioners includes topics such as how pay is determined, cash flow, business planning, bookkeeping, insurance and VAT. It also contains guidance on tax and self-assessment.
The Osteoporosis Exercise Book: Building Better Bones
by David R. GelbartThe Osteoporosis Exercise Book, 2nd Edition by Sherri R. Betz, PT, GCS, CEEAA, was written to help you incorporate safe mat, chair and standing exercises into your bone-building program. The exercises will help you build bone density of the spine and hip, improve posture and balance, and increase flexibility and mobility. <p><p> You will also learn how to avoid movements that increase the risk of fracture. Includes photos, nutritional recommendations, and some of the latest research findings on Osteoporosis. Large print, special "stay open" binding and over 100 photos!
The Osteoporosis Manual: Prevention, Diagnosis and Management
by Reiner Bartl Christoph BartlThis comprehensive manual covers all aspects of the prevention, diagnosis and management of osteoporosis, offering an upbeat and optimistic assessment of what can be achieved. While scientifically based, the book provides easy-to-follow guidelines for lifelong maintenance of skeletal structure and function. It deals with everything from the basic physiology of bone and mineral metabolism to the diagnostic utility of radiologic imaging and specialized tests and current treatment recommendations, including for fracture management. The relationship of osteoporosis to a variety of other disorders is also thoroughly explored and elucidated. Osteoporosis represents a global threat because every human being is vulnerable to it as time passes. The authors point out the enormous scale of the problem in terms of the human suffering, morbidity, and mortality on the one hand and the associated astronomical national and global costs on the other. Osteoporosis is preventable, and every doctor in every medical discipline can contribute to this goal. And though prevention is better than cure, it is never too late for effective therapy, as outlined in this book.Bone is every doctorʼs and every bodyʼs business!
The Other 23 Hours: Child Care Work with Emotionally Disturbed Children in a Therapeutic Milieu (Modern Applications Of Social Work Ser.)
by Larry BrendtroAmong other revolutionary developments of today's world is the so-called "knowledge explosion". So much is being written so fast about so many things that it is becoming well-nigh ir--retrievable. One consequently can never be sure that he knows what there is to know about many kinds of phenomena or types of problems existing in the modern world due to the chance that something exists in written form that simply cannot be found, so bulky is the load of literature. The common idea that only the sick child, and never the well, needs special emotional supports and helps from the adult is simply an error. For the well child is not immune from pile-ups of severe emotional intensity when overwhelmed by confusion and conflicts from within. Certainly, the normal kid can be ex--pected to handle such crises either from within or without better than his sick peer on the average, but that does not mean always; and the critical issue for the well child is: is he ready at the time they hit? If not, he needs, quite unmistakably, emotional first aid from the adult - parent, teacher, camp counsellor (or what have you) - who is in charge of his life at that moment. The reader will find that what the authors describe in The Other 23 Hours as the everyday requirement diet, as far as child handling is concerned for their disturbed children, is transferable to the normal crises of normal child--hood.
The Other Brain: From Dementia to Schizophrenia, How New Discoveries about the Brain Are Revolutionizing Medicine and Science
by R. Douglas FieldsDespite everything that has been written about the brain, a potentially critical part of this vital organ has been overlooked—until now. The Other Brain examines the growing importance of glia, which make up approximately 85 percent of the cells in the brain, and the role they play in how the brain functions, malfunctions, and heals itself. Long neglected as little more than cerebral packing material, glia (meaning “glue”) are now known to regulate the flow of information between neurons and to repair the brain and spinal cord after injury and stroke. But scientists are also discovering that diseased and damaged glia play a significant role in psychiatric illnesses such as schizophrenia and depression, and in neurodegenerative diseases such as Parkinson’s and Alzheimer’s. Diseased glia cause brain cancer and multiple sclerosis and are linked to infectious diseases such as HIV and prion disease (mad cow disease, for example) and to chronic pain. The more we learn about these cells that make up the “other” brain, the more important they seem to be. Written by a neuroscientist who is a leader in glial research, The Other Brain gives readers a much more complete understanding of how the brain works and an intriguing look at potentially revolutionary developments in brain science and medicine.
The Other Dr. Gilmer: Two Men, a Murder, and an Unlikely Fight for Justice
by Benjamin GilmerA powerful true story about a shocking crime and a mysterious illness that will forever change your notions of how we punish and how we heal—an expansion on one of the most popular This American Life episodes of all time&“A remarkable medical detective story–cum–memoir, grippingly told . . . I was drawn in by every part of it.&”—Atul Gawande, #1 New York Times bestselling author of Being MortalFresh out of medical residency, Dr. Benjamin Gilmer joined a rural North Carolina clinic only to find that its previous doctor shared his last name. Dr. Vince Gilmer was loved and respected by the community—right up until he strangled his ailing father and then returned to the clinic for a regular week of work. Vince&’s eventual arrest for murder shocked his patients. How could their beloved doctor be capable of such violence? The deeper Benjamin looked into Vince&’s case, the more he became obsessed with discovering what pushed a good man toward darkness. When Benjamin visited Vince in prison, he met a man who appeared to be fighting his own mind, constantly twitching and veering into nonsensical tangents. Sentenced to life in prison, Vince had been branded a cold-blooded killer and a &“malingerer&”—a person who fakes an illness. But it was obvious to Benjamin that Vince needed help. Alongside This American Life journalist Sarah Koenig, Benjamin resolved to understand what had happened to his predecessor. Time and again, the pair came up against a prison system that cared little about the mental health of its inmates—despite more than a third of them suffering from mental illness. The Other Dr. Gilmer takes readers on a riveting and heart-wrenching journey through our shared human fallibility, made worse by a prison system that is failing our most vulnerable citizens. With deep compassion and an even deeper sense of justice, Dr. Benjamin Gilmer delves into the mystery of what could make a caring doctor commit a brutal murder. And in the process, his powerful story asks us to answer a profound question: In a country with the highest incarceration rates in the world, what would it look like if we prioritized healing rather than punishment?
The Other End of the Stethoscope
by Marcus EngelWork overload Constantly changing policies Increasing bureaucratic regulations These are just a few of the challenges health care providers face everyday; Challenges that limit the ability to provide excellent patient care. After being blinded and suffering catastrophic injuries at the hands of a drunk driver, Marcus Engel witnessed health care from the other end of the stethoscope. Through 300 hours of reconstructive facial surgery, and years of hospitalization, rehab and recovery, Marcus witnessed first hand, the good, the bad and the ugly of patient care. Marcus' insights will give health care providers new and essential strategies to rediscover the magic and compassion between caregiver and patient. "With over 20 years of experience in medical education, I wish I had this book to share with every resident I taught. Marcus has cut right to the chase, and provides a perspective on medical care that every physician, nurse, and allied health professional should hear." David Campbell, MD, MEd President/CEO Institute for Family Medicine "Marcus' book is a powerful reminder of why we do what we do, and how the tools of communication, compassion and caring make all the difference." Terri Seidel, RN Director of Operations St. Louis and Southern Illinois region Healthsouth Surgery Centers.
The Other Family Doctor: A Veterinarian Explores What Animals Can Teach Us About Love, Life, and Mortality
by Karen FineNEW YORK TIMES BESTSELLER • Calling all animal lovers! A heartwarming memoir about one woman's career as a vet and the unique role pets play in our lives • &“Filled with compassion and wisdom, Karen Fine is a healer whose own wounds have deepened her gifts for bringing animals and their people comfort and peace.&” —Sy Montgomery, bestselling author of The Soul of an Octopus A tribute to our furry, feathery, scaley, and wet family members, All Creatures Great and Small meets Being Mortal in this compelling memoir of one woman's dream to become a veterinarian.Karen Fine always knew that she wanted to be a vet and wasn't going to let anything stop her: not her allergy to cats, and not the fact that in the '80s veterinary medicine was still a mostly male profession. Inspired by her grandfather, a compassionate doctor who paid house calls to all his (human) patients, Dr. Fine persevered, and brought her Oupa's principles into her own practice, which emphasizes the need to understand her patients&’ stories to provide the best possible care. And in The Other Family Doctor, Dr. Fine shares all these touching, joyful, heartbreaking, and life-affirming tales that make up her career as a vet. There's:• The feral cat who becomes a creature out of a fable when he puts his trust in a young vet to heal his injured paw• The pot-bellied pig who grows too big to fit in the car but remains a cherished part of her family • The surprising colony of perfectly behaved ferrets• The beloved aging pet who gives her people the gift of accompanying them on one final family vacation• The dog who saves his owner's life in a most unexpected way Woven into Dr. Fine's story are, of course, also the stories of her own pets: the birds, cats, and dogs who have taught her the most valuable lessons—how caring for the animals in our lives can teach us to better care for ourselves, especially when life seems precarious.
The Other Half: Wives of Alcoholics and Their Social-Psychological Situation
by Jacqueline WisemanThis current study has emerged from two decades of the author's investigations in related areas: alcoholism and domestic relations. Its canvas is broadly comparative, drawing on interviews and data gathered in the United States and Finland. The domestic drama of The Other Half is played out both in the private scene of the home and the more public scene of the workplace, and against these two differing national backgrounds. Despite the many expected and perceived cultural differences between the countries, the effects of alcoholism on the family are shown to be the same.Dr. Wiseman's study offers theoretical insights gleaned from its perspective on alcoholism as an interactive phenomenon,to which the concepts of G.H. Mead and Blumer can be applied to illuminate the carefully presented data and go beyond them. New terrain in studies of alcoholism is thereby explored, including such themes as the social construction by the subjects of their husbands' drinking, their marriage and their self-images; the strategy of coping mechanisms; and the effects of the crisis of alcoholism on gender, sex roles, and power differentials.The Other Half complements Dr. Wiseman's prize-winning work on the treatment of Skid Row alcoholics, Stations of the Lost, while involving issues of greater complexity on both the methodological and theoretical plane.
The Other Population Crisis: What Governments Can Do about Falling Birth Rates
by Steven Philip KramerIn many developed countries, population decline poses economic and social strains and may even threaten national security. Through historical-political case studies of Sweden, France, Italy, Japan, and Singapore, The Other Population Crisis explores the motivations, politics, programming, and consequences of national efforts to promote births. Steven Philip Kramer finds a significant government role in stopping declines in birth rates. Sweden’s and France’s pro-natalist programs, which have succeeded, share the characteristics of being universal, not means-tested, and based on gender equality and making it easy for women to balance work and family. The programs in Italy, Japan, and Singapore, which have failed so far, have not devoted sufficient resources consistently enough to make a difference and do not support gender equality and women’s work-family balance, Kramer finds.
The Other Side of ADHD: The Epidemiologically Based Needs Assessment Reviews, Palliative and Terminal Care - Second Series
by Alison Davies Angela SouthallThis is not just another book on ADHD. This book tells the side of the story most of us are otherwise unlikely to hear. ADHD has become a clinical phenomenon, a modern-day epidemic of incredible proportions, unlike any we have seen before. It has swept over us like a tidal wave. "The Other Side of ADHD" brings into sharp focus some of the controversial aspects of ADHD that help maintain its status as the most hotly debated subject in children's mental health. The book draws together the many issues that ADHD raises, clinically, socially, philosophically, ethically and politically. The result is a challenge that goes far beyond this diagnostic label, and reaches into just about every aspect of our lives. Everyone who cares about social issues will want to read this book. This passionate and illuminating work is a clarion call for clinical and educational psychologists and other health and social care professionals including counsellors and therapists. It is a life-line to parents with hyperactive children, and teachers, youth and social workers will also find it invaluable. "ADHD has become a clinical phenomenon, a modern-day epidemic of incredible proportions, unlike any we have seen before. It has swept over us like a tidal wave. I have found myself in a position where I have been at odds with the prevailing view about these children's problems. As the situation has unfolded, it has seemed to me that the subject of ADHD touches on other important issues, some of which are pivotal to our thinking about mental health. It seemed to me that there was a need to pull together the different strands of the debate so that parents and clinicians could build up more of a complete picture and make their own informed decisions." - Angela Southall, in the Introduction.
The Other Side of Impossible: Ordinary People Who Faced Daunting Medical Challenges and Refused to Give Up
by Susannah MeadowsYou’re faced with a difficult health condition. You have exhausted medicine’s answers. What do you do? Susannah Meadows tells the real-life stories of seven families who persisted when traditional medicine alone wasn’t enough. Their adventures take us to the outer frontiers of medical science and cutting-edge complementary therapies, as Meadows explores research into the mind’s potential to heal the body, the possible role food may play in reversing disease, the power of agency, perseverance, and hope—and more. When journalist Susannah Meadows noticed her three-year-old son, Shepherd, shying away from soccer practice, she had no idea it was the first sign of juvenile idiopathic arthritis. The diagnosis was the first step of a long journey, physically painful for Shepherd and emotionally wrenching for Susannah and her family. But they pressed on, and using a combination of traditional and complementary medicine they beat the disease, and the odds. Meadows chronicles her own story, and takes you into the lives of other remarkable people, exploring their heartbreaks and triumphs. One boy who has severe food allergies undergoes an unconventional therapy and is soon eating everything. An organic farmer in Washington State tries to solve the puzzle of her daughter’s epileptic seizures. A physician with MS creates her own combination of treatments and goes from a wheelchair to riding a bike again. A child diagnosed with ADHD refuses to take medication and instead improves his life, and the life of his family, after changing his diet. Other families take on rheumatoid arthritis and autistic behaviors. Meadows includes new information about traditional and nontraditional medicine and the latest science on how the health of our gut bacteria is connected to wellness—and how the right foods play a key role in helping this microscopic population thrive. She also talks with scientists who study the traits and circumstances that may make some people keep going when others feel helpless. These researchers are illuminating the psychology of healing—how the mind, and asserting control over your body and health, can play a part in recovery. Fascinating, moving, and profoundly inspiring, The Other Side of Impossible gives us people driven by love, desperation, and astonishing resolve—a community of the defiant who share an extraordinary talent for hope and for fighting the battle for healing in today’s world and tomorrow’s.Advance praise for The Other Side of Impossible“In this affecting and illuminating book, Susannah Meadows emerges as the kind of sound, sensible, and invaluable friend you want by your side when medical disaster strikes. She brings a strong grasp of science, a writerly sensibility, and a good heart to the difficult subject of the present and future of healthcare. If you love someone, read The Other Side of Impossible.”—Jon Meacham “I laughed out loud more than once, choked up more than twice, and generally marveled at the lovely humanity and sharp mind at work. This extremely useful guide to never giving up is journalism at its most responsible, intelligent, and compassionate.”—Kelly Corrigan “The Other Side of Impossible is an amazing book—insightful, compassionate, and quite possibly life-changing.”—Curtis Sittenfeld
The Other Side of Medicine
by Sally Irvine Dr. Peter Tate"The Other Side of Medicine" is an amusing and challenging reflection of changes and fashions in general practice. Covering various themes including humanity in medicine, communication, and quality assessment of doctors, Peter Tate offers an abundance of personal anecdotes and patient perspectives. Doctors, particularly general practitioners, their trainers and examiners, and medical students will find this romp through a half century of medical life invigorating and invaluable. "This book is a collection of articles and short stories covering a medical career. Some are iconoclastic, the theme of good communication in medicine runs throughout, other themes are quality in doctors and the assessment of that quality but I hope the main strand of the book is humanity in medicine and my attempts at understanding what that is." - Peter Tate, in the Preface.
The Other Side of Sadness: What the New Science of Bereavement Tells Us About Life After Loss
by George A. BonannoIn this thoroughly revised and updated classic, a renowned psychologist shows that mourning is far from predictable, and all of us share a surprising ability to be resilientThe conventional view of grieving--encapsulated by the famous five stages of grief: denial, anger, bargaining, depression, and acceptance--is defined by a mourning process that we can only hope to accept and endure. In The Other Side of Sadness, psychologist and emotions expert George Bonanno argues otherwise. Our inborn emotions--anger and denial, but also relief and joy--help us deal effectively with loss. To expect or require only grief-stricken behavior from the bereaved does them harm. In fact, grieving goes beyond mere sadness, and it can actually deepen interpersonal connections and even lead to a new sense of meaning in life.
The Other Side of Silence: A Psychiatrist's Memoir of Depression
by Linda GaskHaving spent her life trying to patch up the souls of others, psychiatrist Linda Gask eventually learnt to focus on her own depression and take care of herself, too. Artfully crafted and told with warmth and honesty, this is the story of Linda’s journey, interwoven with insights into her patients’ diverse experiences of depression.
The Outback Doctor
by Lucy ClarkBroken Hill's doctor and general surgeon Dave Dunbar has no time for sophisticated city girls, and when he encounters his new anasthetist from Sydney he knows there's going to be trouble. They meet at the site of a medical emergency, and even covered in the dust of the Australian outback, Rose Partridge is gorgeous. She's also fiercely independent and touchingly vulnerable.It's a compelling combination, and although their relationship is tense, Dave finds himself wanting more than her medical expertise. But can this rough diamond break down the barriers of a woman who has locked her heart away?
The Outbreak Atlas
by Rebecca Katz Mackenzie S. MooreThe public has taken a new level of interest in outbreak response since 2020, learning epidemiological terms and seeking information about how to stay prepared in a pandemic. Public health professionals are calling on citizen scientists&’ participation as outbreaks are increasingly occurring in complex environments, expanding the number of people and types of activities required to control the spread of disease. However, there is no comprehensive source mapping this complexity and detailing needed actions tailored to the public. For years the Georgetown University Center for Global Health Science and Security has curated an interactive online tool for professionals that identifies the activities involved across all phases of an outbreak. The Georgetown Outbreak Activity Library (GOAL) captures what needs to get done, when, and by whom. Now, in The Outbreak Atlas, Rebecca Katz and Mackenzie S. Moore have translated this complex material into a book designed for a public audience. This book provides an overview of outbreak activities alongside compelling case studies and visuals to guide readers through the complexity involved in outbreak preparedness, response, and recovery. It lifts the curtain on the rationale and interconnectedness of outbreak responses across different fields and at various levels, presenting accessible information that ensures a shared understanding of the essential activities to control an outbreak.
The Outpatient Breast Clinic
by Alfonso M. PluchinottaThis full-colour, richly-illustrated book is an excellent source of rapidly retrievable information on aspects of relevance in daily clinical practice in the outpatient breast clinic. Expert guidance is provided on a full range of topics, including pitfalls of clinical examination, imaging and related tissue diagnosis, approaches to management decision-making in different disorders, the role of surgery and adjuvant therapy, follow-up and rehabilitation. In outpatient breast clinics, effective communication with patients must be established in order to address symptoms that in most cases are not serious but can be very worrying and sometimes lead to misdiagnosis and also to litigation. Outpatient consultations also offer an opportunity to encourage a healthy lifestyle and to provide information on matters such as risk assessment, screening and the most reliable websites. A well-functioning outpatient clinic is essential to a breast unit's overall proficiency. Readers will find this book an invaluable aid to good practice. The authors place particular emphasis on quality indicators and key priorities for implementation of the main guidelines, at the same time specifying the level of evidence for them and degree of recommendation. Practical measures for achieving the best results are highlighted, and helpful advice is provided on optimizing patient communication and reducing the psychological burden.