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The etiology of coronary heart disease and stroke has been known for decades to be multifactorial - an increasing risk of both CHD and stroke has been shown to have a graded continuous relationship with rising BP and total cholesterol across the whole BP and cholesterol ranges. The coexistance of other risk factors, such as smoking, obesity and age, has been shown to result in a dramatically increased risk. Alongside the numerous risk factors themselves, there is an ever increasing number of papers published aiming to stratify the risk factors. With an also increasing number of guidelines published, there is the need to simplify all of these data into a simple manual. Clinician's Manual of Total Cardiovascular Risk provides rapid answers to common clinical questions relating to cardiovascular risk. Taking a guidelines-driven approach, the author has simplified the vast number of clinical choices available to the physician who needs to assess their patient for cardiovascular risk.
A well-developed knowledge of clinical microbiology is critical for the practicing physician in any medical field.
The physiological magnetic resonance techniques of diffusion imaging, perfusion imaging and spectroscopy offer insights into brain structure, function and metabolism. Until recently, they were mainly applied within the realm of medical research, but with their increasing availability on clinical MRI machines, they are now coming into clinical practice for the evaluation of neuropathology in individual patients. This book provides the reader with a thorough review of the underlying physical principles of each of these methods, as well as comprehensive coverage of their clinical applications. Topics covered include single- and multiple-voxel MRS techniques, MR perfusion based on both arterial spin labelling and dynamic bolus tracking approaches, and diffusion-weighted imaging, including techniques for mapping brain white matter fiber bundles. Clinical applications are reviewed in depth for each technique, with case reports included throughout the book. Attention is also drawn to possible artifacts and pitfalls associated with these techniques.
Featuring updates and revisions, the second edition of Clinical Neuropsychology provides trainee and practicing clinicians with practical, real-world advice on neuropsychological assessment and rehabilitation.Offers illustrated coverage of neuroimaging techniques and updates on key neuro-pathological findings underpinning neurodegenerative disordersFeatures increased coverage of specialist areas of work, including severe brain injury, frontotemporal lobar degeneration, assessing mental capacity, and cognitive impairment and drivingFeatures updated literature and increased coverage of topics that are of direct clinical relevance to trainee and practicing clinical psychologistsIncludes chapters written by professionals with many years' experience in the training of clinical psychologists
Written in an engaging, accessible style, this book synthesizes the growing body of knowledge on the neuropsychology of emotion and identifies practical clinical implications. The author unravels the processes that comprise a single emotional event, from the initial trigger through physiological and psychological responses. She also examines how patterns of emotional responses come together to motivate complex behavioral choices. Grounded in theory and research, the book discusses relevant syndromes and populations, reviews available assessment instruments, and describes how deficits in emotional processing affect cognition, daily functioning, and mental health.
Written by the author team you trust, this market-leading text is known for its comprehensive coverage of over 200 nursing skills. It offers hundreds of full-color illustrations, a nursing process framework, and clear step-by-step instructions - with rationales for each step. Improved readability makes guidelines easier to follow, and coverage of many new skills keeps you completely current with nursing practice today. This market-leading book is written by the most respected team of authors and contributors in the profession. Comprehensive coverage includes over 200 basic, intermediate, and advanced nursing skills. Over 1,200 vivid, full-color photographs and drawings aid understanding. Five-step nursing process provides a framework for description of skills, as related to overall client care. Rationales for each skill step explain why steps are performed in a specific way, including their clinical significance and benefit, and incorporate the latest research findings. Unique! Critical decision points address key safety issues or possible skill modifications for specific patient needs. Unique! Unexpected outcomes and related interventions alert you to what might go wrong and how to appropriately intervene. Delegation principles discuss your responsibilities when assigning tasks to unlicensed assistive personnel. Guidelines for reporting and recording list what to document and include examples of proper wording. Cultural Considerations sections alert you to the care issues unique to people of specific cultural or ethnic backgrounds. Special considerations discuss variations in the needs of children, older adults, and home care patients, and help you provide appropriate patient education as mandated by the Joint Commission. Pediatric, geriatric, home care, and teaching considerations address specific patient needs. Critical thinking exercises challenge you to integrate information on patient assessment and care. . Over 250 new photos illustrate the most current equipment and techniques. . Improved readability includes a streamlined presentation, with material that's easier to comprehend. . Skills performance guidelines include key principles that apply to all skills covered within a chapter. . New Using Evidence in Nursing Practice chapter discusses the complete process of conducting research, collecting, critiquing, evaluating, and applying evidence to improve patient care. . A companion Evolve website includes additional review questions, an audio glossary and access to Evolve Mobile, where you can download the skills checklists and video clips for your iPod or MP3 player.
Offers a new chapter on Nutritional Screening and a student companion websiteCross-referenced across the series to enable the flow of learning and with illustrative case historiesDesigned for use on nutrition courses throughout the worldInternationally-respected contributors and editors
Clinical Obsessive-Compulsive Disorders in Adults and Children is a complete, comprehensive overview of OCD, covering its underlying causes, manifestations and treatment. The book begins by covering the basic science of OCD and its biological basis and mechanisms. It discusses the treatment for both adults and children with an emphasis on providing information for clinicians to use in their everyday practice. Using the latest information regarding evidence-based treatments, it takes the reader through medication options, including behavioural therapy, support groups and recent developments in surgical treatment. The clinical manifestations of OCD are covered, as well as the differentiation between OCD and other neuropsychiatric disorders with similar presentations. Chapters on spectrum illnesses including body dysmorphic disorder, impulse control disorders such as trichotillomania, and hoarding are also included. This book will appeal to all mental health professionals, from practitioners to researchers, working in the field of compulsive disorders.
Clinical Oncology and Error Reduction is the first single-source reference to address the vital topics of recognizing, preventing, and responding to medical errors in clinical oncology. Filled with practical information for immediate clinical application Covers topics such as patient safety, error prevention, quality improvement, errors disclosure and apology, and the impact of errors on patients and doctors Each chapter contains special 'take home' points that highlight issues of particular clinical relevance and application Prepared by an expert, multidisciplinary, international team of physicians, nurses, researchers, hospital administrators, bioethicists, patients and patient advocates
This standard work has been comprehensively revised and expanded to meet the needs of the modern practising and student dietitian.In tune with current trends, a greater emphasis has been placed on public health issues such as the treatment of childhood nutritional disorders in the community, including obesity and faltering growth. The book now also contains a dedicated chapter on the important issue of allergy prevention.* Edited by leading experts at Great Ormond Street and the Institute of Child Health* Officially supported by the British Dietetic Association* Written for dietitians, by dietitiansWith worked examples of dietary management given throughout, Clinical Paediatric Dietetics is an indispensable guide for all those involved in the nutritional treatment of children.
The fifth edition of Clinical Periodontology and Implant Dentistry brings to its readers another iteration of the unrivalled, unparalleled work on the specialty of periodontics. The editors have brought together contributions from experts all over the world to provide the reader with a comprehensive, cohesive text that fuses scholarship and science with clinical instruction and pragmatism. With an increase in length of approximately 25% and 15 new chapters, the new edition of Clinical Periodontology and Implant Dentistry runs the gamut of sub-disciplines and topics within periodontics and implant dentistry, supporting an intellectually and internationally inclusive approach.
Taking into account developmental issues and working with parents, this guide applies Aaron T. Beck's clinical system of cognitive therapy based on social learning theory to younger clients. Cognitive therapists Friedberg and McClure (both at Wright State U. School of Professional Psychology) present commonly used cognitive/behavioral techniques and child-friendly treatment strategies tailored to depressed, anxious, and aggressive youth. They include case examples and sample worksheets. Annotation c. Book News, Inc. , Portland, OR (booknews. com)
Widely regarded as the definitive practitioner reference and teaching text, this book provides a complete introduction to doing cognitive-behavioral therapy (CBT) with 6- to 18-year-olds. The authors offer a blueprint for formulating cases and tailoring treatment to each child's or adolescent's unique developmental and clinical needs. Coverage includes how to orient children and families to cognitive therapy, structure each session, and implement a wide range of CBT techniques. Rich case material illustrates ways that CBT can help children struggling with specific emotional and behavioral problems. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. New to This Edition *Incorporates the latest advances in CBT with youth and gives increased attention to cultural issues, including new case examples. *Chapter on working with patients with autism spectrum disorder. *Chapter on cognitive-behavioral family therapy. *Pull-out boxes throughout that summarize key points. *Epilogue on developing clinical wisdom. See also the authors' Cognitive Therapy Techniques for Children and Adolescents: Tools for Enhancing Practice, which presents creative ways to address challenging problems.
Written by a foremost expert in the field, this hands-on, evidence-based guide describes how to conduct a comprehensive forensic neuropsychological evaluation and provide expert testimony. All steps are covered--from selecting, scoring, and interpreting tests to writing reports and responding to cross-examination with special attention to assessing noncredible performance. The book identifies seven common flaws of forensic neuropsychological reports and shows how to avoid them. Excerpts from testimony transcripts illustrate ways neuropsychologists can protect their reports from attack. Also featured are case illustrations and a sample report.
Clinical Psychology & People with Intellectual Disabilities provides trainee and qualified clinical psychologists with the most up-to-date information and practical clinical skills for working with people with intellectual disabilities.Represents an invaluable training text for those planning to work with people with intellectual disabilitiesIncludes coverage of key basic concepts, relevant clinical skills, and the most important areas of clinical practiceAll chapters have been fully updated with the latest evidence. New chapters cover working professionally, working with people with autism and addressing aspects of the wider social context within which people with learning disabilities live.Beneficial to related health and social care staff, including psychiatrists, nurses, and social workers
This book demonstrates how clinical psychology and psychotherapy practices may reach a scientific level provided they change the three basic paradigms that have controlled those practices in the last century. These three, now outdated, paradigms, are: (1) one-on-one (2) personal contacts (3) through talk. These paradigms have served well in the past but they are no less helpful in the current digitally focused world.
The motivation for this volume is simple. For a variety of reasons, clinical psychologists have long shown considerable interest in the philosophy of science. When logical positivism gained currency in the 1930s, psychologists were among the most avid readers of what these philosophers had to say about science. Part of the critique of Skinner's radical behaviorism and thus behavior therapy was that it relied on, and thus was logically dependent on, the truth of logical positivism--a claim decisively refuted both historically and logically by L.D. Smith (1986) in his important Behaviorism and Logical Positivism: A Reassessment of the Alliance.
This book describes the practice of clinical psychology with special emphasis on providing trainee therapists with the skills and strategies to achieve the core competencies required for a science-informed clinical practice. It will support the reader in making the transition from the lecture theater to the consulting room. The approach incorporates a contemporary perspective on the multiple roles of clinical psychologists within a competitive healthcare market, where professional psychologists not only need to be accountable for their outcomes and efficient in achieving them, but also need to be conscious of the social and political context in which psychology is practiced. Chapters are organized around the acquisition of key competencies and linked within an evidence-based, science-informed framework. Case studies, handouts, graphics and worksheets are employed to encourage the implementation of the skills described. This book should be read by all those enrolled in, or contemplating, postgraduate studies in clinical psychology.
Specifically designed for student nurses, Clinical Skills for Nurses provides a handy, portable introduction to both the knowledge and practical procedures that first year nursing students require. Giving you the knowledge behind the skill, this book will boost your confidence and competence for your clinical placements and time in the clinical skills lab. Clinical Skills for Nurses covers the skills and procedures used most frequently in clinical practice, and includes Point of Care training; blood transfusion and tracheotomy care; continence and bowel care; and early patient assessment and response. This book uniquely incorporates words of wisdom and advice from real-life student nurses; in other words: developed by students, for students!Special features:Tips, advice and words of wisdom from real-life students included throughoutPocket sized for portability on your clinical placementClear, straightforward, and jargon-freeTies in with the NMC standards for pre-registration education and the Essential Skills ClustersExamples and questions based on real life nursing & healthcare examples
Cultivate self-awareness, empathy, and clinical competence in the mental health professionals you superviseProviding tested guidance for clinical supervisors of mental health professionals, editors Roy A. Bean, Sean D. Davis, and Maureen P. Davey draw from their own backgrounds in training, private practice, and academe, as well as from an international panel of experts representing various mental health fields to provide activities and best practices that allow therapists to better serve an increasingly diverse set of clients and issues.While clinical skills are easily observed, the more subtle areas of self-awareness, or exploring unexamined judgments are more difficult to spot and to provide supervision and guidance for. The numerous experiential activities included will help supervisors and the mental health professional they supervise develop their skills and techniques around:IntuitionEmpathySelf-awarenessMindfulnessMulticultural awarenessPerspective takingThe book covers both clinical as well as diversity-focused competence and awareness, and suggests various forms of activities, including research exercises, reflection, journaling, and more. Each activity includes measurement metrics as well as additional resources that help clinicians identify the best activity for a given situation. Appropriate for clinicians at every level and from a multitude of backgrounds, these tried and tested best practices can be used in clinical supervision, as a class assignment, or to facilitate professional growth.
A balanced treatment of the theories, methodologies, and design issues involved in clinical trials using statistical methods There has been enormous interest and development in Bayesian adaptive designs, especially for early phases of clinical trials. However, for phase III trials, frequentist methods still play a dominant role through controlling type I and type II errors in the hypothesis testing framework. From practical perspectives, Clinical Trial Design: Bayesian and Frequentist Adaptive Methods provides comprehensive coverage of both Bayesian and frequentist approaches to all phases of clinical trial design. Before underpinning various adaptive methods, the book establishes an overview of the fundamentals of clinical trials as well as a comparison of Bayesian and frequentist statistics. Recognizing that clinical trial design is one of the most important and useful skills in the pharmaceutical industry, this book provides detailed discussions on a variety of statistical designs, their properties, and operating characteristics for phase I, II, and III clinical trials as well as an introduction to phase IV trials. Many practical issues and challenges arising in clinical trials are addressed. Additional topics of coverage include: Risk and benefit analysis for toxicity and efficacy trade-offs Bayesian predictive probability trial monitoring Bayesian adaptive randomization Late onset toxicity and response Dose finding in drug combination trials Targeted therapy designs The author utilizes cutting-edge clinical trial designs and statistical methods that have been employed at the world's leading medical centers as well as in the pharmaceutical industry. The software used throughout the book is freely available on the book's related website, equipping readers with the necessary tools for designing clinical trials. Clinical Trial Design is an excellent book for courses on the topic at the graduate level. The book also serves as a valuable reference for statisticians and biostatisticians in the pharmaceutical industry as well as for researchers and practitioners who design, conduct, and monitor clinical trials in their everyday work.
It started as a simple enough case for Dylan Ice, ambitious African-American attorney at a prestigious St. Louis law firm. Hospitalized patient Nicole Girard was mentally unfit, so her parents wanted guardianship in order to make decisions on her behalf. Dylan easily wins the case, but then Nicole disappears, leaving him with many unanswered questions. Dylan knows he should leave it alone, but as he delves into the mysterious case, he becomes caught in a labyrinth of corruption, conspiracy, and violence in the medical world.
Learn rigorous statistical methods to ensure valid clinical trialsThis Second Edition of the critically hailed Clinical Trials builds on the text's reputation as a straightforward and authoritative presentation of statistical methods for clinical trials. Readers are introduced to the fundamentals of design for various types of clinical trials and then skillfully guided through the complete process of planning the experiment, assembling a study cohort, assessing data, and reporting results. Throughout the process, the author alerts readers to problems that may arise during the course of the trial and provides commonsense solutions.The author bases the revisions and updates on his own classroom experience, as well as feedback from students, instructors, and medical and statistical professionals involved in clinical trials. The Second Edition greatly expands its coverage, ranging from statistical principles to controversial topics, including alternative medicine and ethics. At the same time, it offers more pragmatic advice for issues such as selecting outcomes, sample size, analysis, reporting, and handling allegations of misconduct. Readers familiar with the First Edition will discover completely new chapters, including:* Contexts for clinical trials* Statistical perspectives* Translational clinical trials* Dose-finding and dose-ranging designsEach chapter is accompanied by a summary to reinforce the key points. Revised discussion questions stimulate critical thinking and help readers understand how they can apply their newfound knowledge, and updated references are provided to direct readers to the most recent literature.This text distinguishes itself with its accessible and broad coverage of statistical design methods--the crucial building blocks of clinical trials and medical research. Readers learn to conduct clinical trials that produce valid qualitative results backed by rigorous statistical methods.
A systematic approach to all aspects of designing and conducting clinical trialsThe success or failure of clinical trials hinges on hundreds of details that need to be developed, often under less than ideal conditions. Written by one of the world's leading trialists, Clinical Trials Handbook: Design and Conduct provides clinicians with a complete guide to designing, conducting, and evaluating clinical trials--teaching them how to simplify the process and avoid costly mistakes.The author draws on his extensive clinical trials experience to outline all steps employed in setting up and running clinical trials, from budgeting and fundraising to publishing the results. Along the way, practical advice is offered while also addressing a mix of logistical, ethical, psychological, behavioral, and administrative issues inherent to clinical trials. Topics of coverage include:Protocols for drug masking, controls, and treatment randomizationConsent, enrollment, eligibility, and follow-up proceduresDifferent types of sample size design and data collection and processingWorking with study centers, research staff, and various committeesMonitoring treatment effects and performance, and ensuring quality controlData analysis and access policies for study data and documentsClinical Trials Handbook is invaluable for practicing clinicians and trialists who would like to learn more about or improve their understanding of the design and execution of clinical trials. The book is also an excellent supplement for courses on clinical trials at the graduate level.
A leading professional resource and course text, this book provides practical guidance for treating clients with substance use disorders in a variety of contexts. Expert contributors present major assessment and treatment approaches together with detailed recommendations for intervening with particular substances. Clinical techniques are clearly explained and illustrated with helpful case examples. Important topics include harm reduction; strategies for working with family members; and ways to meet the needs of specific populations, including women, adolescents, older adults, LGBT clients, and those with frequently encountered co-occurring problems. New to This Edition *Revised to reflect current research and clinical advances; updated for DSM-5. *Chapters on trauma-informed care, cognitive-behavioral therapy, and complementary/alternative approaches. *Chapters on neurobiology and behavioral addictions. *Significantly revised chapters on family treatment and dual disorders.
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