Search

Now in its 3rd edition, Tumor Board Review: Evidence-Based Case Reviews and Questions is the most comprehensive clinical case review book in the field. With hands-on input from current fellows and oncologists, this new edition has been enhanced and reformatted for greater efficiency and practicality. The review covers all disease-site areas in oncology and features a wide variety of board-style questions pivotal in helping fellows and oncologists prepare for both the ABIM medical oncology board exam and maintenance of certification (MOC) assessments. Evidence-based discussions of difficult patient cases offer an in-depth and accurate depiction of what is discussed at tumor boards and foster critical thinking essential for clinical practice. Patient cases also highlight impactful treatment decisions that include newly approved immunotherapies and targeted therapies. Each chapter contains digestible essentials for each case, including a summary of diagnosis, molecular and genomic testing, treatment options, toxicity considerations, follow-up, and survivorship. Each chapter ends with high-yield multiple-choice questions including answers and detailed rationales ensuring readers are well-equipped with the knowledge they need to make well-informed, individualized treatment decisions. Tumor Board Review: Evidence-Based Case Review and Questions is an essential case-based reference for anyone working in oncology. Key Features: Describes more than 120 patient cases, including locally advanced and metastatic cases for each major disease site Contains 300 board-style questions and answers related to case reviews Includes new advances in diagnosis and therapy, with a greater emphasis on immunotherapies, cancer genomics, and precision-based targeted therapies Provides essentials for toxicity considerations, follow-up, and survivorship considerations

Practicing evidence-based medicine is widely regarded both as best clinical practice, and as the cornerstone of meeting the ACGME competencies in Practice-Based Learning and Improvement. Training programs recognize the need to teach the skills of EBM and yet struggle with readily available content and guidance on putting together a curriculum. Time frames for delivering curricula in residency can be very tight, often restricted to scattered one hour conferences. This book provides a modular curriculum structure for instructors, with each topic area taking up one section, or one hour of instructional time. Developed over the past 14 years as an introductory course for interns in the internal medicine residency program at Duke, the curriculum will cover core content areas in evidence-based medicine and best teaching practices for them and skills such as literature searching and applying evidence to patients. Most importantly, it will center on actual patient questions and use current literature as examples that instructors can use as teaching exercises. There will also be ample diagrams that have been shown to be effective with learners and each module will include a video tutorial of a sample teaching session, including visual aids and small group teaching techniques. The curriculum can be implemented in any time frame necessary, compressed or longitudinal, to a variety of learners. This is an ideal guide for residency program directors and core faculty, either within internal medicine or more broadly in family medicine, pediatrics, surgery, OB-gyn, as well as medical school faculty for use with students.

Designed for busy clinicians struggling to fit the critical issue of nutrition into their routine patient encounters, Nutrition in Clinical Practice translates the robust evidence base underlying nutrition in health and disease into actionable, evidence-based clinical guidance on a comprehensive array of nutrition topics. Authoritative, thoroughly referenced, and fully updated, the revised 4th edition covers the full scope of nutrition applications in clinical practice, spanning health promotion, risk factor modification, prevention, chronic disease management, and weight control – with a special emphasis on providing concisely summarized action steps within the clinical workflow. Edited by Dr. David L. Katz (a world-renowned expert in nutrition, preventive medicine, and lifestyle medicine) along with Drs. Kofi D. Essel, Rachel S.C. Friedman, Shivam Joshi, Joshua Levitt, and Ming-Chin Yeh, Nutrition in Clinical Practice is a must-have resource for practicing clinicians who want to provide well-informed, compassionate, and effective nutritional counseling to patients.

50 Studies Every Urologist Should Know presents key studies that have shaped the practice of urology. Selected using a rigorous methodology, the studies cover topics including reflux disease in paediatric urology, management of male erectile dysfunction and lower urinary tract symptoms, female urology and stone disease, the various forms of genitourinary cancer, and more. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This book is a must-read for healthcare professionals in urology, as well as anyone who wants to learn more about the data behind clinical practice.

Handbook of Stem Cell Transplantation and Cellular Therapy Management provides an evidence-based practical guide for clinicians and practitioners who treat cancer patients with these challenging and innovative techniques. The handbook begins with chapters on autologous transplantation for myeloma and lymphoma and allogenic transplantation for leukemia, lymphoma, and myelodysplastic syndrome. Further chapters cover the standards of care for managing adverse events related to acute graft-versus-host disease, chronic graft-versus-host disease, infections of bacterial, fungal, and viral nature, lymphoproliferative disease, pulmonary complications, renal complications, and more clinical issues. Concluding chapters address new CAR T-cell therapies, including their mechanisms of action, indications, and unique associated toxicities, in addition to a chapter dedicated to biostatistics and clinical trials. Throughout the book, extensive tables, flow diagrams, and other figures highlight, simplify, and illustrate key concepts.Written by experienced clinicians at the world-renowned Dana Farber Cancer Center and Harvard Medical School in Boston as well as leading experts at other institutions, this stem cell transplantation handbook combines the clinical knowledge, expertise and practical application of these potential life-saving cell therapies in one quick, point-of-care reference. With real-world clinical vignettes interwoven among the chapters, this handbook is an essential resource for anyone managing patients being treated with stem cell transplantation or cellular therapies.Key Features:Provides latest insights and recommendations for managing challenging treatment complications and adverse eventsConsolidates key information such as diagnosis criteria, disease staging, common complications, and more using detailed tables and diagramsShares real-world clinical vignette examples, which provide insight into clinical assessment, treatment, and managementEmphasizes patient management and best practicesDiscusses short- and long-term risks for stem cell transplantation and cellular therapy

This book presents an up-to-date and comprehensive review of female contraception, offering an extensive overview of contraception types, including oral, injectable, emergency, and various cervical barrier contraceptives. It also discusses behavioral and sterilization methods of contraception as well as the clinical effectiveness, advantages, disadvantages, side effects, and mechanisms of action of each method.Now in its fully revised and expanded third edition, this text includes seven new chapters that address specific clinical issues that healthcare providers face daily. These issues include patients with medical problems, perimenopausal women, the adolescent population, post-pregnancy patients, patients with bleeding problems, fibroids or hyperplasia, obese patients and patients with acne or hirutism. There is also a new chapter dedicated to contraceptive methods that are currently in development. Each chapter reviews the correct use of the individual method,the most appropriate candidates, timing of initiation, red flag contraindications, risks and benefits, method of action, handling side effects, non-contraceptive benefits, switching methods and the CDC Medical Eligibility for the method. Importantly however, there is a new emphasis placed on standardized evidence-based practice recommendations incorporating the most recent US Selected Practice Recommendations and rationale as published by the US CDC. Written by experts in the field, The Handbook of Contraception, Third Edition, is a valuable resource for obstetricians, gynecologists, reproductive medicine specialists and primary care physicians.

Written by authors who are hospitalists and clinician-educators, Cases in Hospital Medicine uses practical case studies and current medical evidence to guide you expertly through the types of cases seen most often by practicing hospital-based clinicians. This engaging handbook covers the wide range of both broad and specific knowledge required in the hospital environment, while focusing on highly relevant questions and today's best practices. You'll find real-world guidance on essential topics, including commentary on research studies and clinical guidelines.\

This book focuses on evidence based labor and delivery management. Labor and delivery are for us magical moments, when a new life comes into being, but it requires a lot of careful management, as complications can occur. Evidence based labor and delivery management is an easy to-read book to guide management in labor and delivery. It is based on the best evidence, which usually comes from randomized controlled trials (RCTs) and from meta-analyses of RCTs. This book comprised of 3 sections that include labor, cesarean delivery, and special labor, which are further divided into 27 chapters. Section 1 covers the preparation before labor and delivery, prediction of the onset of labor, place of labor and delivery, first stage of labor, second stage of labor, intrapartum fetal monitoring, operative vaginal delivery, and trial of labor after cesarean or myomectomy. Section 2 covers the indications and optimal rate of cesarean delivery, and cesarean delivery technique. Section 3 covers the induction of labor, labor complications, malpresentation and malposition, and breastfeeding and contraception. The ultimate goal of this book is to improve the health of women going through labor and their babies.

Now in its fifth edition, this classic introduction to the practice and teaching of evidence-based medicine is written for busy clinicians at any stage of their career who want to learn how to practise and teach evidence-based medicine (EBM). It is short and practical, emphasizing direct clinical application of EBM and tactics to practise and teach EBM in real-time. The online toolkit includes Critical appraisal worksheets, Educational prescription, Pocket Cards, EBM calculators, Educational Prescriptions, Clinical Questions log, Self evaluations. - Thoroughly updated with examples from latest evidence/studies. - Revised electronic ancillaries, now available online - Expanded coverage of audit and measuring quality improvement. - Teaching moments now indexed for easy reference. - New contributing authors Reena Pattani and Areti Angeliki Veroniki

This book bridges the gap between theory and practice, evidence-based practice and practice-based evidence, and the science and artistry of speech-language pathology. It takes a critical look at areas related to wellness, professional development, and growth that can impact the personal self along with the professional self. It examines each area through an overview of inter-disciplinary research in addition to personal narratives illustrating key principles and strategies and offers the reader a professionally balanced perspective.

This handbook presents the current evidence-based psychological treatments for trauma related disorders in childhood and adolescence and in addition provides clearly structured, up-to-date information on the basic principles of traumatic stress research and practice in that age group, covering epidemiology, developmental issues, pathogenetic models, diagnostics, and assessment. Each of the chapters on treatment, which form the core of the book, begins with a summary of the theoretical underpinnings of the approach, followed by a case presentation illustrating the treatment protocol session by session, an analysis of special challenges typically encountered in implementing this treatment, and an overview of the current evidence base for the treatment approach. A special section considers modern treatments in particular settings, such as schools, hospitals, and juvenile justice systems, and the concluding chapters provide an integrative discussion on how to treat traumatized childrenand adolescents and an outlook. The book will be invaluable for clinical child and adolescent psychologists, child and adolescent psychiatrists, psychotherapists, and other mental health professionals working with traumatized children and adolescents.

Increase your knowledge of the clinical trials and evidence that lay the groundwork for current practice with Internal Medicine Evidence: The Practice-Changing Studies. Brief, easy-to-read, and accessible, this time-saving reference allows you to quickly familiarize yourself with 100 of the most practice-changing clinical trials in internal medicine. This unique title is ideal for medical students, residents, and seasoned practitioners alike, providing insight and understanding into today's practice of internal medicine.

Das vorliegende Werk gibt einen aktuellen Überblick über die wichtigsten POCT-Analyseverfahren und POCT-Geräte sowie deren klinische Anwendung. Darüber hinaus liefert es Informationen, u.a. zu medizinischer und wirtschaftlicher Bedeutung von POCT, Methodik, Organisation, Qualitätssicherung und den Trends für die Zukunft. Die 3. Auflage wurde komplett aktualisiert und erweitert und trägt den neuesten Entwicklungen auf dem Gebiet Rechnung. Neue Themen sind u.a. POCT-taugliche molekularbiologische Verfahren und der internationale Vergleich der Qualitätsregeln für POCT. Das Buch wendet sich an alle, die bereits patientennahe Laboruntersuchungen durchführen oder zukünftig einführen möchten: Ärzte aller Fachbereiche, POCT-Beauftragte, Verantwortungsträger in Kliniken und Krankenhausverwaltungen. Aber auch die Entwicklungsabteilungen von IVD-Unternehmen erhalten wertvolle Informationen über Entwicklungstendenzen und die neuen Anforderungen dereuropäischen Gesetzgebung an POCT-Geräte und -Reagenzien.

50 Imaging Studies Every Doctors Should Know presents key studies that have shaped the practice of radiology. Selected using a rigorous methodology, the studies cover topics including: headache, back pain, chest pain, abdominal and pelvic pain, bone, joint, and extremity pain, cancer screening and management, and radiation exposure from medical imaging. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case and radiologic image conclude each review, followed by brief information on other relevant studies. This book is a must-read for health care professionals and anyone who wants to learn more about the data behind clinical practice.

El diálogo entre clínicos e investigadores es un requisito indispensable para mejorar los servicios de salud y enriquecer el quehacer profesional. Las prácticas basadas en la Evidencia constituyen este espacio de encuentro entre científicos y profesionales. Gracias a este diálogo cada vez más profesionales de la salud guían sus prácticas y decisiones clínicas sobre la base de las evidencias científicas disponibles. Aunque en las últimas décadas este movimiento ha adquirido importancia en la mayor parte de los escenarios de salud del mundo, en nuestro contexto su desarrollo aún es incipiente. La importancia de las prácticas basadas en la evidencia provienen de un principio ético indiscutible: los usuarios de la salud merecen recibir las mejores intervenciones disponibles. Para ello los profesionales debemos garantizar a los usuarios un abordaje efectivo, eficiente y eficaz, mediante una evaluación rigurosa y sistemática de nuestras intervenciones. Las Prácticas basadas en la Evidencia no intentan reemplazar el saber clínico-práctico por la evidencia científica. Lo que se busca es la integración entre la mejor evidencia científica disponible y la experiencia clínica de los profesionales. El presente libro brinda una visión panorámica sobre el movimiento de las prácticas basadas en la evidencia, haciendo especial énfasis en el campo de la psicoterapia. De esta forma especialistas internacionales sintetizan los conocimientos necesarios para interiorizare en este nuevo paradigma. A partir de su lectura se pretende generar una actitud responsable en el quehacer profesional, entendiendo que el uso de la evidencia científica es una responsabilidad ética para todos los profesionales de la salud.

The American Society of Addiction Medicine Handbook of Addiction Medicine is a practical, evidence-based guide to the identification and treatment of substance use disorders. Produced by the largest medical society dedicated to the improvement of addiction care, it begins with screening and brief intervention and an overview of treatment. This is followed by substance-specific chapters covering: alcohol, sedatives, opioids, tobacco, stimulants, hallucinogens, cannabinoids, inhalants, anabolic steroids and prescription drug misuse. Substance-specific chapters cover pharmacology, acute effects and intoxication, withdrawal, medical complications and treatment. The handbook concludes with chapters on the medical care of patients with substance use disorders, psychiatric co-occurring disorders, special populations and ethical and legal considerations. Chapters include practical tools and treatment protocols that can be used in outpatient and inpatient settings. To learn more about the American Society of Addiction Medicine, and its commitment to providing the best resources for addiction clinicians, please visit http://www.asam.org.

Having an understanding of critical appraisal and evidence-based medicine is a prerequisite to being an effective clinician. However, critical appraisal is often taught by people not involved in day-to-day clinical care, meaning the clinical relevance is not always brought to the fore. This book takes a different approach. It is written by clinicians, for clinicians. It takes the reader step by step through the process so that any journal article can be easily read, evidence evaluated and the results - and their reliability - truly understood. By integrating this with knowledge of local skills and resources and patient preference, the reader will be able to apply the best possible care that his or her patients deserve. This accessible book is suitable for undergraduates and postgraduates of all medical specialties, nursing, paramedics, pharmacists and all allied health professions. It is the ideal reference for anyone needing help writing a clinical topic review, reviewing a paper in a journal club or preparing for a critical appraisal exam. But most importantly, it is essential for those who wish to practice medicine in the best possible way for their patients, using the best evidence, tailored to the individual.

This book is a practical guide to the evidence-based medicine (EBM) research methods that are applicable to Chinese medicine (CM). It includes 3 parts: clinical research, healthcare data research and laboratory research. In each chapter, it explains how to acquire, analyze and evaluate a specific kind of CM research result. Authors exemplify the most important methods with successful cases in transforming reliable data into new knowledge of CM. This book emphasizes the requirements for CM researchers to design and conduct CM studies by following the best available principles, standards and guidelines.

A therapist's most profound responsibility is to choose the right treatment for his or her client. Yet despite extensive training, mental health professionals remain susceptible to biases that influence their decisions and can have a dramatic effect on outcome. This book applies the theory and research of decision analytics to mental health, with a particular focus on how to improve clinical decision making. Chapters explore the intersection of decision making and clinical expertise, as well as ways to improve clinical decisions using evidence-based findings, client feedback, ethics, and more.

This multi-authored book covers most aspects of evaluation of gastrointestinal motility – a field that has been expanding in recent times largely due to advances in diagnostic modalities; coupled with this, new evidences supporting best practices have increased the interest among clinical gastroenterologists, researchers, teachers and trainees in gastrointestinal motility and its disorders. New advances in the field of evaluation of functional bowel diseases and motility disorders, such as high-resolution manometry, 24-h pH impedance monitoring, Bravo capsule pH-metry, barostat, balloon expulsion test, barium and MR defecography, biofeedback, hydrogen breath tests, motility capsule (smartpill) etc. have significantly expanded the scope and outcome of treating these disorders. The chapters have been contributed by a well-conversant group of experts from the global academia, including India, Singapore, Thailand, Korea and Australia, integrating the body of knowledge on evaluation methods with evidence of best practices for the management of motility disorders. A chapter on how to set-up a manometry laboratory provides key information for clinicians and researchers who are planning to start working in this area. With 11 chapters in the book supported with numerous tables, flow charts, schematic diagrams and images, professionals will find it an essential reading. ​

50 Studies Every Internist Should Know presents key studies that shape today's practice of internal medicine. Selected using a rigorous methodology, the studies cover topics including: preventative medicine, endocrinology, hematology and oncology, musculoskeletal diseases, nephrology, gastroenterology, infectious diseases, cardiology, pulmonology, geriatrics and palliative care, and mental health. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This book is a must-read for health care professionals and anyone who wants to learn more about the data behind clinical practice.

The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting.Written for practicing clinicians by a team of experts in the field of palliative care and hospital care, Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach offers: Comprehensive content over three domains of inpatient palliative care: symptom management, communication and decision making, and practical skills, Detailed information on assessment and management of symptoms commonly experienced by seriously ill patients, Advise on the use of specific communication techniques to address sensitive topics such as prognosis, goals of care, code status, advance care planning, and family meetings in a patient- and family-centered manner, Targeted content for specific scenarios, including palliative care emergencies, care at the end of life, and an overview of post-hospital palliative care options, Self-care strategies for resilience and clinician wellness which can be used to help maintain an empathic, engaged, workforce and high quality patient care, A consistent chapter format with highlighted clinical pearls and pitfalls, ensuring the material is easily accessible to the busy hospitalist and associated hospital staff. This title will be of use to all hospital clinicians who care for seriously ill patients and their families. Specialist-trained palliative care clinicians will also find this title useful by outlining a framework for the delivery of palliative care by the patient's front-line hospital providers. Also available in the in the Hospital-Based Medicine: Current Concepts series:Inpatient AnticoagulationMargaret C. Fang, Editor, 2011Hospital Images: A Clinical Atlas Paul B. Aronowitz, Editor, 2012Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to KnowAry L. Goldberger and Zachary D. Goldberger, Editors, 2012Perioperative Medicine: Medical Consultation and Co-ManagementAmir K. Jaffer and Paul J. Grant, Editors, 2012Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013Inpatient Cardiovascular MedicineBrahmajee K. Nallamothu and Timir S. Baman, Editors 2013

Gute Leistung muss gut bezahlt werdenKommentierung der einzelnen Leistungspositionen mit Ausschlüssen· Leistungslegenden mit Punkten und den seit 1.1.2015 neuen Euro-Beträgen auf der Grundlage des bundeseinheitlichen Orientierungspunktwertes von 10,2718 Cent· Aktuelle Gerichtsurteile zur Gebührenordnung und vertragsärztlichen TätigkeitPraktische Abrechnungstipps, Auslegungshinweise, Beschlüsse, Richtlinien u.a. von· KBV und regionalen KVen· G-BA· Sozialgesetzbuch (SGB)Besondere Berücksichtigung von· Voraussetzungen und Vergütung nicht ärztlicher Praxisassistenten· Ambulanter spezialärztlicher Versorgung· Hinweisen auf entsprechende Leistungen in der GOÄPLUS· Richtlinien und Übersichtstabellen einzelner Leistungsbereiche· Informationen zum ambulanten und belegärztlichen Operieren, zu Narkosen und zur prä- u. postoperativen VersorgungAlle Informationen für die erfolgreich optimierte Abrechnung:korrekt, vollständig, zuverlässig

This fully updated 4th Edition of provides an integrated symptom- and issue-based approach with easy access to high yield clinical information. For each topic, carefully organized sections on different diagnoses, investigations, and treatments are designed to facilitate patient care and examination preparation. Numerous clinical pearls and comparison tables are provided to help enhance learning, and international units (US and metric) are used to facilitate application in everyday clinical practice.The book covers many highly important, rarely discussed topics in medicine (e.g., smoking cessation, obesity, transfusion reactions, needle stick injuries, code status discussion, interpretation of gram stain, palliative care), and new chapters on end-of-life care and depression have been added. The fourth edition includes many reader-friendly improvements such as better formatting, intuitive ordering of chapters, and incorporation of the most recent guidelines for each topic. Approach to Internal Medicine continues to serve as an essential reference for every medical student, resident, fellow, practicing physician, nurse, and physician assistant.

This practical guide, written by experts in mental health nursing, is designed to support healthcare practitioners in checking the physical health of people with severe mental illness (SMI). As life expectancy is reduced by 12 to 19 years in people with SMI, this patient group should receive a physical health check at least once a year. Yet many mental health practitioners have not been trained to assess their physical health needs, and even when such training is offered it may be difficult to access it because of clinical workloads. The Health Improvement Profile (HIP) provides an efficient, effective, evidence- based physical health check tool specifically designed to be used when assessing people with SMI. It supports practitioners in identifying physical health problems and guides them towards evidence-based interventions to address common health issues affecting people with SMI, ranging from cardiovascular disease to lifestyle factors such as diet, alcohol and smoking.

In this book, an evidence-based approach to dietary and lifestyle medicine is taken. An approach known as'epidemiology-based health promotion,'which compiles and presents available evidence that could help physicians, other healthcare professionals and members of the general public make wiser decision about healthcare, is also explored. Within this book, evidence-based practice (EBP) literature is reviewed, including literature on leadership and ethics in the field of internal medicine (compared to surgery) and how they affect the adoption of evidence-based medicine (EBM). A four-stage iterative model to identify procedures for implementing evidence based practices into applied settings is reviewed. The authors of the final chapter compare the cost-benefit and cost-effectiveness of all types of evidence-based medicine, both pharmaceuticals and non-drug complementary and alternative medicine (CAM) for all clinical conditions.

This text provides practitioners with the scientific literacy needed to understand statistical methods in order to increase the accuracy of their diagnoses. It will help readers comprehend how the process of clinical research relates to the scientific method of problem solving. Readers will understand the importance of three key, interrelated tasks involved in a research study: description (why it was done), explanation (what was done and to whom), and contextualization (how the results relate to other bodies of knowledge).

When faced with clients who challenge one s boundaries of competence it is important to be able to assist the individual; however, it is equally important to know when one s skills and background may be limited and when outside consultation or expertise is required. Autism Spectrum Disorder is aimed at helping clinicians screen for autism spectrum disorder (ASD), treat higher functioning individuals with ASD, and assist family members. It surveys historical views of the disorder, current diagnostic criteria, co-occurring conditions, etiology, epidemiology, assessment, treatment for affected individuals, and interventions for family members. Author V. Mark Durand uses clinical cases throughout the chapters to give readers consistent examples of the most commonly seen forms of autism and to illustrate the various facets of working with such patients.

The first book developed specifically for hospitalists managing the growing number of patients with cardiovascular disorders Cardiovascular disease is a major cause of hospitalization and mortality worldwide, and will account for approximately twenty million deaths in 2015. Due to this growing problem, many patients are being managed by non-cardiovascular physicians in the inpatient setting. As a result, hospitalists and other inpatient physicians without specialized training in cardiology are faced with uncertainty when contemplating the proper management of these patients. This book focuses on inpatient cardiovascular medicine in a highly algorithmic and evidence-based approach, so that users will be able to care for their hospitalized patients directly, using the best contemporary evidence available. It emphasizes the practical, immediate application of principles and treatment recommendations into everyday clinical inpatient practice, while simplifying the approach to these patients by utilizing visual aids such as carefully designed charts, illustrations, and diagrams. Inpatient Cardiovascular Medicine features thoughtful, comprehensive coverage by top experts in the field. Topics include: Cardiovascular History and Physical Examination Introduction to Electrocardiography Non-invasive Cardiac Imaging Cardiac Stress Testing and the Evaluation of Chest Pain Perioperative Cardiac Evaluation Cardiac Resuscitation Acute Coronary Syndromes: Unstable Angina and Non-ST Elevation Myocardial Infarction Acute ST-Elevation Myocardial Infarction Chronic Coronary Artery Disease Peripheral Arterial Disease Thoracic Aortic Disease Systolic Heart Failure Diastolic Heart Failure Dilated and Restrictive Cardiomyopathy Hypertrophic Cardiomyopathy Heart Transplantation and Left Ventricular Assist Devices Syncope Approach to the Patient with a Narrow Complex Tachycardia Approach to the Patient with a Wide Complex Tachycardia Atrial Fibrillation and Atrial Flutter Antiarrhythmic Drug Therapy Cardiac Pacemakers and Implantable Defibrillators Valvular Heart Disease Infective Endocarditis Pericardial Diseases Pulmonary Hypertension Cardiac Tumors

This edited volume represents an opportunity to bring together current evidence in the treatment of eating disorders. The book includes contributions from many of the leading international experts in the field of eating disorders, as well as provides a compendium of a wide range of best studied treatments. This second edition is intended to serve as a guide to the clinician searching about how to proceed with treatment while caring for the individual with an eating disorder. The authors generously shared their contributions, in addition to their clinical insight and wisdom. The reader will appreciate and benefit from the expertise of those assembled in this text. Ultimately, patient care relies on the artful clinician who will integrate the evidence to inform the practice and tailor the treatment for each individual. This text may serve as a useful reference, both for beginning and seasoned clinicians. Clinicians across the wide range of disciplines treating individuals with eating disorders may find the chapters in this book helpful to them in their work with patients, whether in treatment facilities, in the community or in private practice. The chapters describe evidence-based or evidence-informed practices for the full range of eating disorders including anorexia nervosa, bulimia nervosa, binge eating disorder and obesity. The chapters also report on the health of a range of individuals across the life cycle; from childhood, to adolescence, to adulthood, and include a special section on males as well. Authors share with the reader their clinical expertise and provide clinical vignettes in order to highlight important treatment considerations. Although the field has already made strides, future research will enlighten our understanding of these complex conditions, including the most effective treatments.

It is imperative that health professionals caring for patients with rheumatic diseases understand how to correctly interpret evidence in their field, taking into account the merits and shortcomings of available data. Understanding Evidence-Based Rheumatology offers a practical assessment of criteria, drugs, trials, and registries and provides useful tools for successfully interpreting this data. The book introduces readers to basic analysis of trial design, statistics and application of data through no-nonsense, easy-to-follow insights. Using numerous examples, chapters outline the difficulties physicians encounter when measuring disease activity in rheumatology and offer strategies for systematically approaching these situations. Ethical issues in study design and reporting are examined and the book closes with a summary of future directions for scientific and clinical studies in rheumatology.Understanding Evidence-Based Rheumatology is an invaluable resource for trainees, clinicians and scientists, preparing them with the necessary tools to correctly gather evidence and shed light on the difficult practice of rheumatology.

This is a basic book on evidence-based medicine (EBM). It starts with an introduction to the topic. It outlines the relationship between EBM and research and quality of care. Then It goes on to cover the most commonly used modules of EBM, i.e. therapy, diagnosis, prognosis and meta-analysis. Each module starts with an introduction to fundamental concepts, and description of the related research process, and then follows the critical appraisal of related type of research artcle. At the end, it covers the different systems of grading of level of evidence and strength of recommendations. The book also has three examples of critical appraisal on diagnosis, therapy, and meta-analysis.​

Introducing the first evidence-based casebook for hospital clinicians This book introduces illustrated, evidence-based clinical cases drawn from real-world hospital practice. Geared to the needs of hospital clinicians, Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine focuses on sharpening clinical reasoning and diagnostic skills, giving readers the tools to recognize and diagnose a wide array of diseases, while promoting diagnostic safety in hospital medicine. Written by leading experts on the topics under discussion, this volume offers a hand-picked collection of case studies from the widely popular Clinical Care Conundrum (CCC) series found in the Journal of Hospital Medicine. Each chapter presents a case to an expert clinician, who explains his or her approach to diagnosing challenging medical dilemmas. Each chapter concludes with a concise review of recent literature and, if applicable, with discussions of cognitive errors that may impact clinical diagnosis and patient care. Readers will find: An appealing presentation style that combines high-quality images and text Coverage of both common conditions and uncommon but important diseases encountered in the hospital setting A look at the state of the art of clinical reasoning, an area of critical interest to clinicians Practical'pearls'for each case study that readers can apply in their own practice Clinical Care Conundrums is an indispensable reference for hospitalists, hospital-based physicians and midlevel providers, physicians-in-training, and the many other medical practitioners who come up against difficult cases on a daily basis.

POCT („Point of care testing“) - Patientennahe Labordiagnostik. Dabei handelt es sich um Laboruntersuchungen, die nicht in einem Zentrallabor, sondern direkt am Patienten, z.B. im Operationssaal, in einer Ambulanz oder am Notfallort durchgeführt werden. Die Untersuchungen erfolgen mittels einfacher Messsysteme und liefern ein schnelles Ergebnis. Besondere Bedeutung hat POCT in der Anästhesie, Intensivmedizin und Notfallmedizin, da hier die rasche Verfügbarkeit von Messergebnissen und damit die schnelle adäquate und zielgerichtete Behandlung des Patienten besonders wichtig ist. Mit den verschiedenen Verfahren können z.B. die Blutgerinnung, Thrombozytenfunktion, Blutglucose, Elektrolyte, Herzinfarktmarker und Liquorbestandteile bestimmt werden. Das Werk gibt einen Überblick über die wichtigsten Analyseverfahren und deren klinische Anwendung sowie Informationen, u.a. zu medizinischer und wirtschaftlicher Bedeutung von POCT, Methodik, Organisation und Trends für die Zukunft. Die Inhalte orientieren sich an den Richtlinien der Bundesärztekammer. Die 2. Auflage wurde komplett aktualisiert und wichtige Themen, wie Kosten und Erlöse noch stärker berücksichtigt. Das Buch richtet sich an alle, die POCT bereits durchführen oder zukünftig einführen möchten: Ärzte aller Fachbereiche in Klinik oder Praxis, Assistenzpersonal,Verantwortungsträger in Kliniken, Krankenhausverwaltungen.

With hospital medicine growing rapidly in both scale and complexity, the learning curve for students is steeper, while experienced physicians are often called upon to act as mentors and caregivers in areas outside their primary fields of expertise. Becoming a Consummate Clinician, an exciting new book in the series Hospital Medicine: Current Concepts, describes in practical terms how clinicians and students can think more critically and act more insightfully in this era of information expansion and time compression. Developed for hospital-based clinicians and physicians-in-training, the book provides a road map for navigating key challenges in real-life medical practice related to assessing, integrating, and presenting clinical information. Clearly formatted and easily accessible, the book: Fully integrates and emphasizes error avoidance and reduction Highlights uses and limitations of algorithmic and evidence-based medicine in medical decision-making Details effective strategies for looking and “re-looking” at biomedical data Explains essential do's and don'ts of medicalpractice, from patient history and exam to differential diagnoses Describes best practices and pitfalls of gathering, processing, and communicating medical information Presents strategies for attending physicians to develop the critical thinking skills of their trainees Featuring real-world clinical examples, this concise, down-to-earth text is written to help both practitioners and students improve their overall clinical performance, and learn to communicate effectively with members of the caregiving team.

By sharing what evidence-based education (EBE) methods are available, this book seeks to increase the efficacy of clinical education in a variety of fields and at the same time, provide valuable insights to these faculty members as to how they can contribute to the growing body of evidence regarding teaching, often referred to as the scholarship of teaching and learning (SOTL). This text is a valuable resource for faculty and doctoral students teaching in communication sciences and disorders programs. The book introduces those in higher education to the concepts key to SOTL, how to use SOTL for professional development to improve learning outcomes, and how to begin engaging in SOTL. Coverage highlights how instructors can make use of existing SOTL research to improve teaching through the use of specific, evidence-based education strategies described in depth using specific classroom application vignettes.

Evidence-Based Practice in Long Term Care The “how-to” guide for SNF evidence-based practice implementation Successfully implement evidence-based practice (EBP) in your facility with this how-to guide. The authors provide easy-to-understand guidance on the fundamentals of EBP and on how to create a culture of EBP that all staff will embrace. To ensure a smooth transition, you'll get case studies and exercises, helpful checklists to reinforce the text, and examples to help you implement EBP in your own facility. Evidence-Based Practice in Long-Term Care: Solutions for Successful Implementation will help you:Employ strategies to apply EBP through successful case studies presented in the textAchieve organizational support for EBP theory by illustrating tangible resident quality improvementStandardize skilled care with consistent resident treatment, while minimizing the variability in careReview and revisit policies and procedures on a regular basis to ensure your efforts reflect the most recent EBP standardsTable of Contents Chapter 1: What Is Evidence-Based Practice? Chapter 2: Integration of Evidence-Based Practice Chapter 3: Accessing and Appraising Resources Chapter 4: Evidence-Based Practice Becomes a Reality in Long-Term Care Chapter 5: Journal Clubs Chapter 6: How to Answer Questions With Nursing Research Methods Chapter 7: Nursing Excellence and Evidence-Based Practice Chapter 8: Examples of Evidence-Based Nursing Practice Chapter 9: Evidence-Based Practice in Long-Term Care Chapter 10: How Evidence-Based Practice Influences Quality of Care and Culture Change

The clinical management of patients with diabetes is rapidly evolving. Evidence-based Management of Diabetes provides a succinct summary of a range of topics, including areas where there is already well developed evidence for a particular treatment, but also those areas where the evidence is perhaps doubtful or there is some associated controversy or ambiguity. Where possible throughout the book treatment recommendations are given based on the available evidence and practice guidelines. The book also highlights the gaps in evidence where further research is needed. In the practice of diabetes care, there are many issues influencing practitoners currently. This book addresses many of the most pertinent issues concerning delivery of diabetes care. The authors are internationally renowned experts in the field of diabetes care who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with diabetes.

Signs and Symptoms in Family Medicine, by Paul M. Paulman, MD et al, provides a unique evidence-based approach to diagnosis based on presenting signs. Focusing on the most common diagnoses observed in a medical practice, the book helps you'think horses, not zebras.'A rating system for the sensitivity and specificity of the signs, symptoms, and diagnostic tests aids in the development of a focused and accurate differential diagnosis. This handy, take-along guide is ideal for quick reference at the bedside or a refresher while prepping for the boards. Confidently diagnose and treat common illnesses and conditions using an evidence-based, systematic approach. A unique ratings system indicates how frequently various symptoms and signs are associated with a particular diagnosis. Easily find what you need with consistently organized chapters and an at-a-glance bulleted format.'Think horses, not zebras'with a focus on the most frequently encountered diagnoses. Rule out the most serious possibilities quickly with differential diagnoses listed in descending order of severity. Review symptoms, signs, suggested work-up, and patient disposition for each diagnosis.

Quanto si può credere agli articoli che riportano i risultati della ricerca clinica? Valutare l'affidabilità dei risultati, saperli correttamente interpretare e applicare ai propri pazienti sono oggi competenze di importanza decisiva per ogni professionista della sanità. Scritto da clinici per i clinici, questo testo serve a formare nel lettore quel nucleo di conoscenze, tecniche e abilità necessario per sfuggire alle trappole e agli equivoci che una lettura ingenua degli articoli che riportano trial clinici può comportare.

Translational Research and Clinical Practice offers a clear and comprehensive introduction to evidence-based medicine. The use of medical literature has always been an integral tool for patient care, yet recently the modern processes of question formulation, literature search, and study evaluation have changed with the advent of the internet and technology. The physician must be able to find empirical evidence from the appropriate study using a searchable question and then determine its impact on patient care. The book provides the general framework for such medical decision making; it covers all kinds of cases and strategies, including questions of diagnosis, therapy, prognosis, differential diagnosis, clinical presentation, and causality. The tested material and approaches in this book are based on a course developed and taught by the author at Temple University School of Medicine. Organized for ease of use, accessibly written, and replete with clinically germane examples, Translational Research and Clinical Practice is a concise guide for medical students and clinicians seeking to effectively interpret and apply medical evidence in daily practice.

The purpose of this book is to demystify the evaluation and management of common psychological disorders and psychosocial issues which impact all realms of medical and mental health practice. These types of issues are often seen as'medical quicksand'by treating professionals, employers, and insurers alike. Consequently, there is a system-wide avoidance of these disorders that significantly increase medical and disability costs. However, there is a considerable cost to individual and society as well in terms of the reduction in the quality of life of the individual and the high costs associated with chronic use of medical resources. It is essential to note the complexity of the psychiatric and psychosocial disability conundrum. This dilemma is not limited solely to short-term, minor problems but leach into the full spectrum of disability systems: private insurance, disability insurance, and federal programs for disabled persons. This book will provide innovative tools to confidently navigate the disability process by implementing, for the first time, true objective information coupled with the state-of-the-art evidence-based research. Thus, all individuals involved in the psychiatric disability process will be able to properly manage the process, optimize the treatment for an optimal outcome and avoid iatrogenic disability. In particular, the book will provide a clear evidence-based guidance for the evaluation and treatment process not only for individuals with obvious psychological problems, but for symptomatic individual with no discernable etiology or who simply never seem to get well.

This updated and revised edition of the classic bedside pocket reference remains the gold standard in critical care medicine. The new edition maintains Dr. Marik's trademark humor and engaging writing style, while adding numerous references to make this book the most current and thorough treatment of evidence-based critical care available. The handbook enables the clinician to find the evidence to support or refute an intervention and to help choose the most appropriate, cost-effective treatment. The analysis of treatment strategies is presented by organ system, and the handbook also covers miscellaneous ICU topics (such as sedation, toxicology, radiology, and sepsis) based on the most frequently found and difficult to solve problems in ICU patient management.

The clinical management of patients with epilepsy and the associated medical literature are rapidly evolving. Evidence-based Management of Epilepsy differs from other epilepsy textbooks by focusing specifically on topics where the available evidence is sufficiently well developed to be synthesized into straightforward summaries of proven therapies. When evidence is missing or there is doubt, controversy or ambiguity, the distinguished authors offer treatment recommendations based on practice guidelines or consensus statements that span the gaps in evidence while pointing to those areas where further research is needed. The initial chapters cover critically important aspects of antiepileptic drugs (AEDs) and surgical treatment such as when to start and stop AEDs, how to monitor their effectiveness, special considerations in women who become pregnant, and when to consider surgery to alleviate seizures. The following chapters cover the therapy of seizures when they develop after traumatic brain injury or stroke, and the treatment of concomitant depression and anxiety in patients with epilepsy. The final chapters discuss emerging topics in epilepsy: the treatment of the postictal state, technologies to predict and detect seizures, strategies for closing the treatment gap and sudden unexpected death in epilepsy. The contributors are renowned experts in their fields who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with epilepsy.

The treatment of hypertension is now evolving into a decision-making process of ever greater complexity. Not only has the range of drugs available increased but so too has our knowledge of the diversity of individual patients'responsiveness to therapy, and the need to tailor their treatment with reference to a wide variety of additional factors. In order to provide effective patient care, the clinician needs to be aware of all the options available, but also of the evidence supporting their use and the extent to which that evidence justifies the choices made. In this new volume, leading authorities in their fields draw on the available evidence to provide answers to a series of key clinical questions facing the clinician treating hypertension: Should we treat prehypertension? How does the choice of therapy change in the presence of comorbidities such as obesity, ischemic heart disease, left ventricular hypertrophy, diabetes or cerebrovascular disease? Evidence-based Management of Hypertension provides answers to these and many other questions, as the authors present an expert analysis of the available evidence and offer authoritative recommendations for treatment planning. In each chapter, tables highlight evidence from a variety of sources, and every chapter concludes with a series of key practice points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. For any clinician concerned with the care of the hypertensive patient, this volume will be a valuable aid to treatment planning and long-term management.

Practising evidence-based medicine necessarily depends on the clinician having access to the best evidence available, but in a fast-moving field, keeping up to date with the latest developments is a challenging prospect. In this new volume, leading experts focus on the most important clinical issues associated with the management of lipid disorders, evaluating and interpreting the evidence available to provide the reader with a reliable summary of our current knowledge. Topics covered include therapeutical strategies for managing hereditary lipid disorders, including familial hypercholesterolemia, both in adults and children, and familial combined hypercholesterolemia. The authors also evaluate the evidence for a link between inflammatory disease and cardiovascular risk; the metabolic syndrome and the interconnections between dyslipidemias and diabetes. They also look at therapeutic challenges such as the management of patients who are statin resistant, and the control of lipid levels in those suffering renal insufficiency. Tables highlight important data, evidence from trial results and expert reports, and each section concludes with a series of key points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. Evidence-based Management of Lipid Disorders provides the busy clinician with a unique analysis of the data supporting current therapies and will help the reader formulate effective strategies for treating their own patients.

Inter-professional education that begins in undergraduate or graduate-entry programs has been accepted by universities as a proven method for fostering collaborative practice among health professionals yet there are few truly multidisciplinary books about evidence-based practice that meet the needs of undergraduate and postgraduate students enrolled in inter-professional courses. Evidence-based Practice across the Health Professions is designed to meet this need. It provides the reader with an excellent foundation in the knowledge and skills necessary to perform and understand the implications of evidence-based practice within a healthcare environment. It discusses the critical role of clinical reasoning and includes a range of practical strategies to facilitate shared decision making and effective communication with clients for improved client outcomes. Evidence-based decision making is common to all professions and provides an ideal platform for multidisciplinary work. With this in mind, to facilitate an understanding of how evidence may be integrated into clinical practice there are a number of chapters that contain worked examples from many different health professions that demonstrate appraisals of the methodological quality and interpretation of results for a number of different methodologies (such as randomised controlled trials, diagnostic studies, cohort studies, and qualitative research). Health professionals from a range of disciplines will benefit from familiarity with the intervention being evaluated, the context of the intervention, and the outcome measures used. Evidence-based Practice across the Health Professions is of direct relevance to all health profession students and practitioners engaged in client care and in making informed clinical decisions in order to achieve better client outcomes. worked examples of a wide range of case scenarios and appraised papers (some are discipline-specific and others are multidisciplinary) designed to be used by students from a wide range of health professions, thus facilitating the student's ability to understand the needs of multi-disciplinary health-care teams in a real-life setting includes a detailed chapter on implementing evidence into practice and other topics that are not typically addressed in other texts, such as a chapter about how to communicate evidence to clients and another that discusses the role of clinical reasoning in evidence-based practice summary points at the end of each chapter supported by an Evolve resource package that contains revision questions that utilize a range of question formats

For every physician that interprets ECGs, there is great need to understand a vast amount of information regarding the technique. That the basics of the technique have changed little over the last 100 years means that there is a huge amount of subtle detail that must be learnt to enable its effective use as a diagnostic test. The ECG technique is critical for deciding upon further diagnostic procedures and therapeutic interventions (notably coronary angiography, PTCA, stenting, coronary artery bypass grafting, pacemaker insertion, ablation, electroconversion etc). Without attaining the skills to practice the ECG procedure and knowledge of its diagnostic value - skills often overlooked during medical training - physicians will be unlikely to use it to the benefit of their patients.