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Cauda equina syndrome is the clinical syndrome seen when there is acute compression of the cauda equina nerve roots and is a rare neurosurgical emergency. The approximate incidence in patients presenting with low back pain is 0.27% but delays in investigation and treatment can result in life-changing permanent disability. The best practice for patients presenting with potential cauda equina syndrome is urgent MRI imaging at the presenting hospital to avoid delays in diagnosis. Patients with a positive finding of cauda equina compression should proceed to decompressive surgery to restore the diameter of the spinal canal urgently to reduce the risk of developing a permanent deficit.
Microsystems are the building blocks of the healthcare system. They are the small functional frontline units that provide most healthcare to most people, be it a clinic or a ward. The microsystem improvement approach engages teams at the frontline of care with patients and families in a structured process to improve the quality of care and outcomes. This Element offers an overview of the theory of the microsystems, mesosystems, and team coaching improvement approaches, using case studies to demonstrate how the approaches have been used in practice. A critique of the emerging evidence base and the strengths and limitations of the approach is given. This title is also available as open access on Cambridge Core.
The National Institute for Communicable Diseases (NICD) is a flagship South African public health organisation, and this book, by its first executive director and virologist Dr Barry Schoub, paints a portrait of its development, despite many challenges, towards becoming an internationally renowned partner in the struggle for global health.
Fighting an Invisible Enemy narrates the development of the internationally renowned National Institute for Communicable Diseases (NICD) in South Africa from its foundations in the early twentieth century as the South African Institute for Medical Research and, later, the National Institute for Virology. It started humbly and faced daunting obstacles: financial restrictions, international isolation during the apartheid era and political interference both during and after apartheid. The institute plays a crucial role in the ongoing global effort to eradicate polio, and its HIV research unit has become a world leader. Its multidisciplinary laboratories and epidemiologists support the constant surveillance of communicable diseases and provide alerts for any signal of an impending outbreak or pandemic. The NICD is a flagship public health organisation in South Africa, and this book, enhanced by images of its projects and facilities, paints a vivid portrait of its accomplishments. It will be of interest to public health specialists and activists, as well as a more general audience.
The Art of Child and Adolescent Psychiatry is an engaging and authoritative account of the essential skills required to practice child and adolescent psychiatry for all those working in children's mental health, from trainees to experienced professionals in paediatrics, psychiatry, psychology, and psychotherapy. The practical tasks of meeting the child and family, planning treatments, and working with colleagues are all covered, building on existing texts that mainly focus on diagnostic criteria, protocols, and laws. This book respects the evidence base, while also pointing out its limitations, and suggests ways in which to deal with these. Psychiatry is placed within broader frameworks including strategy, learning, management, philosophy, ethics, and interpersonal relations. With over 200 educational vignettes of the authors' vast experience in the field, the book is also highly illustrated. The Art of Child and Adolescent Psychiatry is an indispensable guide to thoughtful practice in children's mental health.
The prompt recognition and management of medical problems occurring in the first trimester can significantly improve the health and outcomes of mother and baby. Early Pregnancy was the first book to embrace a multidisciplinary approach to this rapidly growing field. It combines the expertise of a wide range of internationally renowned authors to produce an authoritative reference on the subject. This new and updated edition reflects the latest changes in the field in response to changing clinician needs, such as COVID 19 infections and novel 3D imaging techniques. Features key recommendations, providing clinicians with the tools to improve the patient's experience of the management of first-trimester complications. By combining essential elements of scientific research and clinical care, Early Pregnancy continues to set a benchmark for evidence-based management and will be essential reading for obstetricians, gynaecologists, neonatologists, ultrasonographers, and nurses seeking an understanding of the reproductive science of early pregnancy.
How to Create Societies for Human Wellbeing presents a compelling new perspective on psychological wellbeing informed by evidence on human stress responses. It shows how our mental health is shaped by the social and cultural conditions in which we all live and offers new ways to respond through political and social change.
Are you or someone you know struggling with hoarding disorder, feeling ashamed or guilty about your belongings, and afraid to let them go? It's more common than you might think, affecting up to 6% of the general population. But despite its prevalence, seeking help can be challenging. This new book provides a clear description of hoarding, exploring it as a symptom of other issues as well as a condition in its own right. You'll learn about different treatment options and find step-by-step guidance and tools for recovery in the self-help section. Personal narratives and case studies make this guide accessible and relatable for those affected by hoarding, as well as their loved ones and health professionals. Don't let hoarding disorder control your life - take the first step towards recovery today with this invaluable resource.
Dispelling the myth that the discipline is intimidating, Introduction to Epidemiology for the Health Sciences is approachable from start to finish, providing foundational knowledge for students new to epidemiology. Its focus on critical thinking allows readers to become competent consumers of health literature, equipping them with skills that transfer to various health sciences and other professional workplaces. The text is structured to take the reader on a journey: each chapter opens with a scientific question before exploring the epidemiological tools available to address it. A conversation tool with representative students clarifies common points of confusion in the classroom, encouraging learners to ask questions to deepen their understanding. Example boxes feature contemporary local and global cases, often with step-by-step workings, while explanation boxes provide further clarification of complex topics. Authored by epidemiology and public health educators, this engaging textbook provides all readers with the skills they need to develop their own epidemiology toolkit.
This unique book, designed to support obstetrician-gynecologists, midwives, and family medicine specialists caring for obstetric patients, will guide clinicians to a clear understanding of the ways to recognize, manage, and importantly prevent obstetrical complications. Utilising clinical vignettes combined with comprehensive, authoritative discussions from experienced clinicians, this book is an essential resource to support practice and preparation for various certification type of examinations. Following the same effective approach as other titles in this series, Acute and Emergency Care Gynecology: A Case-Based Approach, Office Gynecology: A Case-Based Approach and Surgical Gynecology: A Case-Based Approach, this book is the perfect guide to navigate common and rare obstetrical complications.
This essential, concept-oriented book provides a highly integrative and translational approach to addiction, offering a deep understanding of the condition and its close biological-causal-developmental linkage with mental illness. The book explains addiction around five fundamental components that define disease: 1) Population Impact; 2) Symptom Sets; 3) Disorder of Anatomical Structure and Function; 4) Biological Risk Amplification; and 5) Diagnosis and Treatment. Key evidence and concepts from basic neuroscience are translated to epidemiological, clinical-observational, and treatment levels. The book discusses the broad reach and potent clinical capabilities of addiction psychiatry teams using integrative diagnostics and multi-dimensional treatment plans for patients across the entire addiction-mental illness spectrum. It introduces science-based psychotherapies, therapeutic experiences, medication and neurostimulatory treatments used by addiction psychiatrists in different settings to advance patients through all stages of recovery. An illustrated foundation for advanced undergraduates, physicians, allied clinicians, and scientists entering brain-behavioural health fields.
An Introduction to Community and Primary Health Care provides a comprehensive and practical explanation of the fundamentals of the social model of health care approach, preparing learners for professional practice in Australia and Aotearoa New Zealand. The fourth edition has been restructured into four parts covering theory, key skills for practice, working with diverse communities and the professional roles that nurses can enter as they transition to primary care and community health practice. Each chapter has been thoroughly revised to reflect the latest research and includes up-to-date case studies, reflection questions and critical thinking activities to strengthen students' knowledge and analytical skills. Written by an expert team of nurse authors with experience across a broad spectrum of professional roles, An Introduction to Community and Primary Health Care remains an indispensable resource for nursing students and health professionals engaging in community and primary health care.
Cerebral venous sinus thrombosis (CVST) is a serious and potentially life-threatening condition, whose diagnosis is often missed or delayed due to often non-specific presentations. However, if diagnosed and managed appropriately prognosis is generally favourable. This Element covers the common presentations and epidemiology of CVST, progressing through the approach to investigation and management of this condition in the acute, sub-acute and more chronic timeframes.
Long-term care often falls by the wayside in national policy dialogues. As populations age around the world and the prevalence of chronic conditions increases, greater numbers of people will need care and support, putting added pressures on acute-care facilities, communities, and families, among others. This increase in demand for long-term care raises questions about the capacity of governments to provide access to needed care, how these services will be properly resourced and who should receive these benefits. The Care Dividend provides a roadmap for investing in long-term care systems. It argues for increased public investment in high-quality, universally accessible long-term care and explains why these systems benefit everyone: households, health systems, economies, and societies. Bringing together a team of academics and policy experts from around the world, this book explains why and how governments can, and should, take action.This title is also available as Open Access on Cambridge Core.
Health Law as Private Law delves into the complex relationship between private law and health care. During the COVID-19 pandemic, the importance of public ordering and state-created rules was evident, yet this work reveals the equally important role of private agreements in shaping health care policy. The volume's five sections – theory and structure, reproductive care, costs and financing, innovation and institutions, contracts and torts – include innovative conceptualizations and approaches to applying private law to health law. Chapters authored by leading experts explore how private law can be utilized to address significant health care and public health problems, and to achieve much-needed health care reform. Comprehensive and timely, Health Law as Private Law opens new pathways that will influence future policy, jurisprudence, and regulation. This title is also available as open access on Cambridge Core.
'Emergency Medicine Thinker' is a practical pocketbook that provides important considerations for the practice of emergency medicine. Based on the popular website created by the authors, 'emDocs.net', it covers practical thinking rules that can be applied on an emergency medicine shift and provides approaches to common and life-threatening diseases in the ED that physicians see on a regular basis. Easy to read with quick access to information, and full of essential tips and pearls from experts on the emergency frontlines, this is a handbook that can be used at the bedside on shift. Part 1 of the book explores the EM decision-making process and why it's important from a myriad of central and talented emergency physicians. Part 2 features over 170 pearls for the frontline EM clinician. This book is a must-have for anyone working in emergency medicine.
The concept of doppelgänger, or 'double' – a conceived exact but sometimes invisible replica of a living person – has fascinated and intrigued people for centuries. This notion has a long history and is a widespread belief among cultural groups around the world. Doppelgängers have influenced literature and cinema, with writers such as Fyodor Dostoyevsky and Robert Louis Stevenson, and directors like Alfred Hitchcock exploring the phenomenon to great effect. This book brings together the literary and cinematic with empirical scientific literature to raise fundamental questions about the nature of the self and the human mind. It aims to establish the experience of the self and unravel the brain processes that determine bodily representation and the errors that make possible the experience of the doppelgänger phenomenon. This book will appeal to psychiatrists, neurologists, and neuroscientists, as well as interested general readers.
Neuroscience is increasingly understood to ground the practice of psychiatry, but clinicians can be overwhelmed by the competing facts and unfamiliar approaches utilised. This book provides key, up-to-date findings in neuroscience, and their relevance to clinical psychiatry in an approachable format. Clinical experts summarise the most important findings in diverse fields of neuroscience and explain their relevance for clinical practice. Topics include neuroanatomy, neurophysiology, neuropharmacology, and neurophilosophy, imparting essential knowledge for the MRCPsych syllabus and exams, as well as conveying important recent developments. Each chapter is designed to aid comprehension and learning with suggested readings, equipping the reader with the knowledge and skills to understand, assess, and treat those with mental health problems in the 21st Century. Expertly covering essential neuroscience topics with a clear emphasis on clinical relevance, this book is ideal for clinicians in psychiatry, psychology, and allied fields such as mental health nurses.
Despite enormous efforts at healthcare improvement, major challenges remain in achieving optimal outcomes, safety, cost, and value. This Element introduces the concept of learning health systems, which have been proposed as a possible solution. Though many different variants of the concept exist, they share a learning cycle of capturing data from practice, turning it into knowledge, and putting knowledge back into practice. How learning systems are implemented is highly variable. This Element emphasises that they are sociotechnical systems and offers a structured framework to consider their design and operation. It offers a critique of the learning health system approach, recognising that more has been said about the aspiration than perhaps has been delivered. This title is also available as open access on Cambridge Core.
This is the 2nd edition of the popular comprehensive and results-based review study guide, presenting educational content for the Anesthesiology BASIC exam in an easily digestible format. Updated alongside the content of the exam, this new edition continues to provide an essential resource for residents. Reviewing all exam topics, the chapters cover clinical anesthetic practice, pharmacology, physiology, anatomy, anesthesia equipment, and monitoring methods. Information is presented in a clear and focused style, and the use of bullet points and concise paragraphs throughout enable effective learning and efficient exam revision. Figures and illustrations supplement the text and additional margin space provides room for annotations and further notes. The user-friendly format ensures that all exam preparation, including notes from question banks, can be kept in this 'one-stop' review book. Written by residents for residents in a comprehensive and easily digestible format, this book is a valuable resource for effective and successful exam preparation.
This concise, yet authoritative, clinical reference guide fulfils the needs of diverse clinicians, pharmacists and allied health professionals prescribing for Parkinson's disease and movement disorders in contemporary clinical practice. With chapters on newly approved drugs and their effects on motor and non-motor symptoms, information is also given on their use in particular populations including the elderly and patients with cognitive impairment. Each chapter includes pharmacological/biochemical rationale for drug use, a general guide to therapeutic use, pharmacokinetics, interaction profile, adverse effects, dosing and use, special population considerations, costs and value for money considerations, clinical vignette, a summary overview, and suggested reading. Ordered alphabetically and perfect for quick reference use, the guide is practical and essential for all prescribers with responsibility for patients with Parkinson's disease, including neurologists, geriatricians, internists, neurosurgeons, psychiatrists, family physicians, pharmacists as well as allied health professionals and resident, fellow, and student trainees in all related medical fields.