What if your cell phone could detect cancer cells circulating in your blood or warn you of an imminent heart attack? Mobile wireless digital devices, including smartphones and tablets with seemingly limitless functionality, have brought about radical changes in our lives, providing hyper-connectivity to social networks and cloud computing. But the digital world has hardly pierced the medical cocoon.Until now. Beyond reading email and surfing the Web, we will soon be checking our vital signs on our phone. We can already continuously monitor our heart rhythm, blood glucose levels, and brain waves while we sleep. Miniature ultrasound imaging devices are replacing the icon of medicine--the stethoscope. DNA sequencing, Facebook, and the Watson supercomputer have already saved lives. For the first time we can capture all the relevant data from each individual to enable precision therapy, prevent major side effects of medications, and ultimately to prevent many diseases from ever occurring. And yet many of these digital medical innovations lie unused because of the medical community's profound resistance to change. In The Creative Destruction of Medicine, Eric Topol--one of the nation's top physicians and a leading voice on the digital revolution in medicine--argues that radical innovation and a true democratization of medical care are within reach, but only if we consumers demand it. We can force medicine to undergo its biggest shakeup in history. This book shows us the stakes--and how to win them.
Glycemic Control in the Hospitalized Patient: A Comprehensive Clinical Guide is a unique, practical resource for health care providers dealing with hyperglycemia in the inpatient setting. Outlining a hands-on approach used by the Duke University Inpatient Diabetes Management team, the book discusses a wide range of scenarios that occur while treating patients with hyperglycemia, including challenging circumstances such as steroids and tube feeding regimens. Special emphasis is given to insulin therapy. The chapters are written by a group of health care providers with extensive, pioneering experience in hyperglycemia control in the inpatient setting at the Duke University Medical Center. The book includes the most up-to-date scientific evidence and information and is addressed to not only hospitalists and general internists but also endocrinology fellows, residents, nurse practitioners, nurses, and other primary care practitioners who treat patients in the inpatient setting. The focus is clearly on practical, patient-care topics. Glycemic Control in the Hospitalized Patient: A Comprehensive Clinical Guide is a first-of-its kind, comprehensive guide to state-of-the-art inpatient glycemic management.
In both rich and poor nations, public resources for health care are inadequate to meet demand. Policy makers and health care providers must determine how to provide the most effective health care to citizens using the limited resources that are available. This chapter describes current and future challenges in the delivery of health care, and outlines the role that operations research (OR) models can play in helping to solve those problems. The chapter concludes with an overview of this book – its intended audience, the areas covered, and a description of the subsequent chapters. KEY WORDS Health care delivery, Health care planning HEALTH CARE DELIVERY: PROBLEMS AND CHALLENGES 3 1.1 WORLDWIDE HEALTH: THE PAST 50 YEARS Human health has improved significantly in the last 50 years. In 1950, global life expectancy was 46 years . That figure rose to 61 years by 1980 and to 67 years by 1998 . Much of these gains occurred in low- and middle-income countries, and were due in large part to improved nutrition and sanitation, medical innovations, and improvements in public health infrastructure.
Hands-on practice helps students understand Electronic Health Record software! Written in a conversational, easy-to-understand style, DeVore's The Electronic Health Record for the Physician's Office offers a unique balance of theory and application. From the basics of EHR to practical implementation, this text covers how the electronic health record impacts the job responsibilities of the medical assistant. Each chapter includes exercises using Practice Partner EHR software, so students can practice concepts as they learn them. There's no better introduction to the how's and why's of using electronic health records!
- A work-text approach explains concepts and immediately lets students apply them with exercises using real-world Practice Partner software.
- Affective competencies are addressed with practical insights into skills such as professionalism and decision-making.
- Trends and Applications include real-life examples of how EHRs may be used to improve health care.
- Easing the Transition helps in handling issues related to the paper/electronic conversion.
- Security Checkpoints explore issues of EHR security relating to HIPAA and patient privacy.
- Critical thinking exercises include thought-provoking questions based on chapter content or brief scenarios.
- Key terms are listed at the beginning of each chapter, bolded and defined within the chapter, and also defined in the glossary.
- End of chapter summaries highlight the most important material.
- Review exercises let students assess their knowledge with true/false and matching questions, key terms review, and workplace applications.
Diseases of the Sinuses: A Comprehensive Textbook of Diagnosis and Treatment, 2nd Edition, offers the definitive source of information about the basic science of the sinuses and the clinical approach to sinusitis. Since the widely praised publication of the first edition, understanding of sinus disease has changed dramatically, mainly as a result of recent developments and new discoveries in the field of immunology. This updated and expanded edition is divided into sections addressing, separately, the pathogenesis, clinical presentation, medical and surgical management of acute and chronic rhinosinusitis. Special entities such as autoimmune-related sinusitis, allergy and sinusitis, and aspirin-exacerbated respiratory disease are discussed in separate chapters. The role of immunodeficiency is also addressed. The management section has been fully updated to incorporate new medical modalities and surgical procedures. Developed by a distinguished group of international experts who share their expertise and insights from years of collective experience in treating sinus diseases, the book will appeal to anyone who has an interest in sinus disease, including both physicians and allied health professionals. Internists, pediatricians, allergists, otolaryngologists and infectious disease specialists will find the book to be an invaluable, comprehensive reference. Physician assistants and nurse practitioners who work with specialists who treat sinus disease will also benefit from the book.
The first reference of its kind designed specifically for PAs, Orthopaedics for Physician Assistants is a comprehensive, portable handbook that helps you master orthopaedic physical examination and history taking, imaging interpretation and diagnosis, and treatment strategies - essential knowledge that directly affects your patient care. Authors Sara Rynders and Jennifer Hart present precisely the diagnostic and procedural information you need with this easy-to-use, PA-focused orthopaedic resource!
- Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.
- Learn how to interpret and correlate lab and diagnostic procedures, reach an accurate diagnosis, formulate effective treatment plans, and implement therapeutic strategies.
- Quickly grasp pertinent information with brief, bulleted text enhanced with clear diagrams and images.
- Easily follow the guidelines for each procedure thanks to consistent headings in each chapter and a handy outline format.
- See how to perform 14 key joint injections with online videos demonstrating elbow joint injection, knee joint injection, medial epicondyle injection, subacromial injection, digital block, and more.
- Access the entire text and illustrations online at www.expertconsult.com.
A comprehensive, evidence-based introduction to the area of lymphology, the book is directed mainly to the US audience and will appeal to an interdiscplinary field of health professionals. It describes the unique anatomy and physiology of the lymphatic system and the intimate relationship it shares with the venous system. It explores the differential diagnosis of the “swollen leg/arm”, which is often the presenting problem to the health care professional. The necessity of history taking, physical examination and laboratory studies are noted. Treatment methods are described as an introduction and psychosocial and quality of life issues are explored in depth. The book will appeal to primary care physicians whose cancer patients are sent to radiation oncologists (who themselves must be knowledgeable about possible lymphedema following treatment), to medical and surgical oncologists, as well as physical therapists, and every US medical school.
The New Contract which came into force on April 1st 1990 includes proposals for the provision of minor surgery services by the General Practitioner. The aim of this book is to assist those doctors undertaking minor surgery in their Practices. It is intended to present a practical, clear and concise text. This is accompanied by easy to follow illustrations. The contents of the book are governed by two considerations. Firstly, it covers only those procedures which are safe for the patient. Secondly, it only includes minor surgery which it is possible for the ordinary General Practitioner in a busy practice to undertake. Vll Chapter One The Advantages of Minor Surgery in General Practice Minor Surgery:- Despite this descriptive term, no surgery can be considered "minor" no matter where it is carried out! It requires a knowledge of anatomy and basic surgical principles. There must be an understanding of the procedures and technical skills required. Careful planning is needed at all stages. Arrangements must also be made to deal with any complications and disasters which may occur. Having stated these provisos, however, surgical procedures can and should be an important part of general practice within the British National Health Service (NHS). There are many advantages to be gained, both for patient and doctor, when minor surgery is undertaken by the general practitioner.
Now in its revised, updated Fifth Edition, The Cleveland Clinic Intensive Review of Internal Medicine offers thorough preparation for board certification and recertification exams in internal medicine. It is written by distinguished Cleveland Clinic faculty and serves as the syllabus for the Cleveland Clinic's esteemed internal medicine board review course.
Clinical vignettes and bulleted lists throughout the book highlight key clinical points. This edition also includes boxed "Points to Remember". Board simulations appear at the end of each section. An updated mock board exam containing over 200 multiple-choice questions appears at the end of the book.
A companion Website will offer an interactive question bank with 200 additional questions.
Packed with essential lists, figures, tables, and algorithms, the Tarascon Internal Medicine & Critical Care Pocketbook, Fifth Edition provides instant reminders of hard-to-remember yet vitally important clinical information. The Fifth Edition contains more information and several new topics throughout each chapter, including: Anthropometric Equations; Echo, MRI, and Nuclear Anatomy; ECG ST Elevation (STE) Patterns; Sepsis; Therapeutic Hypothermia; Pharyngeal Swab Technique; NIH Stroke Scale; Bronchoscopic Anatomy; SIADH; Serotonin Syndromes; and more. Intended for busy internal medicine physicians, nurses, or any healthcare provider in the ICU, Tarascon Internal Medicine & Critical Care Pocketbook is meticulously referenced with expert commentary on current academic controversies in the field.