Chronic Complex Diseases of Childhood

A Practical Guide for Clinicians

by Shahram Yazdani, Sean A. McGhee, E. Richard Stiehm

02/04/2011

This new book is a practical guide for physicians and other professionals who care for children and adolescents with complex, chronic diseases. These disorders are a challenge because they require multiple services, the information about the disorders are scattered, and the exact treatments are not available in standard texts. To overcome these barriers, this book provides a summary of the clinical features, laboratory diagnosis, and the general and specific treatments needed for optimal care of these children. The key points are presented in a clear, succinct format, providing recommendations that can be implemented within the time span of an office or emergency room visit. Furthermore, pitfalls that are encountered are emphasized and alternatives are suggested. For example, this resour...

Manual of Nephrology

Drug Therapy and Therapeutic Protocols in Renal Diseases

by Momir Macanovic and Peter Mathieson

08/09/2005

This manual contains protocols and guidance documents assembled by the authors during many years of clinical experience in nephrology. Many are not evidence-based but we have found them useful and hope that others will do likewise. The recommendations were made on the basis of clinical trials wherever possible. In the absence of relevant clinical trials, we used evidence available or our personal experience. Our aim was to provide a manual for the treatment of the most frequent kidney diseases or disorders related to the practice of Nephrology. The information may be of use to nephrologists, general internists, general practitioners or medical students.

Concentration Camps

A Traveler's Guide to World War II Sites (revised 3rd edition)

by Marc Terrance

05/10/2003

Concentration Camps: A Traveler's Guide to World War II Sites is a MUST for anyone planning on visiting these memorials. It contains 45 street maps showing the exact directions to the sites, in most cases how to walk from the nearest train stations to the camps! Includes road signs, bus and train information, opening hours, addresses, phone/fax numbers, email and many useful websites for more information. Over 160 photos lead you on your journey through Poland, Austria, Germany, the Czech Republic, France and The Netherlands. This concise, detail-filled guide will help you along your way and open your eyes to the atrocities that occurred during the Holocaust. Whether you are a survivor of the camps, a history student or simply a traveler in search of a better understanding of this s...

Emergency Medical Systems

Prehospital Trauma Care for Landmine and Ordnance Blast Injuries in Afghanistan

by Zohra Jalal

08/19/2011

A formal training program with theoretical and practical components is essential for all emergency medical personnel involved in providing care for critically injured patients. Communication, effective first aid, and on time transportation to a health center play a major role in improving quality of care for critically injured patients. Using life experience examples, participants in the study emphasized the importance of each factor on the delivery of quality care for critically injured patients. Recommendations based on the study findings included two main categories. The first category illustrated recommendations to stakeholders, and the second category reflected recommendations for further study. Stakeholders in this study included healthcare leaders in Afghanistan, healthcare profess...

Healing Honey

A Natural Remedy for Better Health and Wellness

by Lynne Chepulis

10/29/2008

Too much sugar can be bad for our health. Not only can it make us overweight and sluggish, but it can also contribute to many diseases including diabetes, atherosclerosis, and vascular disease. But what can we do? Sugar is everywhere - and the simple truth is that food manufacturers are concerned more about profit than consumer health. As with most things, nature appears to have provided the solution: honey. The medicinal properties of honey have been recognized for literally hundreds of years, but until recently, they have been nothing more than folklore. However, this is beginning to change. Over the last 20-30 years, scientists have discovered that there is real truth to the belief that honey is good for your health. Honey has been revealed to have a high antioxidant content and conta...

On Coaching Football

A Resource and Guide for Coaches

by Thomas A. Dean with Paul J. Emrick

10/06/2012

On Coaching Football: A Resource and Guide for Coaches is intended for coaches and aspiring coaches at any competitive level of football. The book is actually a checklist that a coaching staff can use to develop a football program. The reader will be exposed to a systematic, comprehensive, and flexible approach to the three facets of the game: offense, defense and special teams. This book is an indispensable part of any coach's library because it describes the year-round commitment that is required to establish and maintain a quality, success-oriented football program in a competitive playing environment. The reader is counseled on subjects that range from the job interview, to game day management, to off-field and on-field pre-season activities. REVIEWS Former William Penn fo...

Annals of Medicine and Healthcare Research

Proceedings of the 2009 International Online Medical Conference

by Forouzan Bayat Nejad & Mostafa Nejati (editors)

05/06/2009

Annals of Medicine and Healthcare Research is the proceedings of the second International Online Medical Conference, which was successfully held in March 2009. This two day event brought together professors, researchers, experts, and academicians from across the world and provided them with the opportunity to discuss their research findings in the field of medicine. The conference papers have been received from all around the world and have been peer reviewed and judged by experts before being accepted for publication. The IOMC organizes an annual online conference (http://www.iomcworld.com/) where participants present their papers and research using web conferencing. This book will provide a complete and useful resource of the latest research findings and discussions in the field of medic...

Inevitable Incompetence

Soaring Medical Costs, Dangerous Medical Care

by Dr. Saul William Seidman

03/11/2007

We have two choices. We can follow the delusion of "universal health care" or we can accept a market approach to health care. Putting patients in charge of their medical care is a market approach. It guarantees competence, at least. Universal health care is sickness care administered by politicians, bureaucrats, CEOs and other proven incompetents. None of these "medicrats" knows how medicine is practiced. All these administrators are driven by politics and economics. Excellence is destroyed in the initial stages of what is called "single payer" health care. The destruction of competence follows the destruction of excellence. Medicine was practiced. Medicine was a lifelong learning experience. Medicine was integrated. That was only yesterday. The present bureaucratized, fragmented and disi...

"Listen To Me, I Am Still Somebody"

Understanding the Alzheimer's Disease Sufferer

by Sandra M. Kehoe, RN

02/01/2008

Listen to Me, I Am Still Somebody introduces the Alzheimer's disease sufferer to their caregivers and the community at large. Alzheimer's disease is a devastating disease process, yet the reader will laugh and perhaps cry a little, but begin to understand. Although this is an incurable disease, the reader will be given hope and begin to heal. Family caregivers are not the only ones affected by Alzheimer's. The professional caregiver, medical personnel, police, emergency services, and our community at large will find themselves interacting with the Alzheimer's disease sufferer and their families. This book is meant for all of them. Armed with a better understanding of the disease process, communication techniques, and behavior management skills the reader will be able to create the speci...

Bridge Across the Abyss:

Medical Myths and Misconceptions

by Firas Madbak, M.D.

03/28/2008

A fearless investigation of mainstream medicine's most revered dogma, Bridge Across the Abyss is solidly based on trusted medical literature. Find out why advice from authorities on screening tests, blood transfusions, pain and anti-reflux medicines, vitamin supplementation, cholesterol and diet is often wrong. See how clinical trials are slanted. This is a single compendium consisting of a discussion that describes commonly employed clinical practices that are instituted and taught despite the surprising lack of data supporting their use. In essence, these have created a medical dogma that is seldom questioned and accepted as valid regardless of what the evidence has borne out.

Pathways to Parenthood

The Ultimate Guide to Surrogacy

by Stacy Ziegler

01/01/2005

Pathways to Parenthood is a how-to guide to Surrogacy. It covers Gestational Surrogacy via IVF as well as Traditional Surrogacy via Artificial Insemination. The mystery that surrounds Surrogacy is demystified and everything is broken down into layman's terms. This book will take you from deciding if Surrogacy is the right path for you, to contact with your surrogate after the delivery and everything in between. You will learn about the legal, medical, as well as the emotional aspects of choosing Surrogacy as your pathway to parenthood. You will be given the pros and cons of using an agency as well as going about it on your own.

by S. Namour

11/15/2011

The CO2 laser beam was introduced in oral laser surgery in 1980, and it revolutionized the field. Its effects on oral soft tissues offer many advantages: bloodless surgery, decontamination of the surgical site by heat generated, no need for suturing healthy patients, simplicity of use, and perfect control of the removed tissues. In addition, using the CO2 laser beam improves the tissue quality of the healed area due to collagen secretion induced by the tissular beam action, and has a bio-modulation effect on irradiated tissues. This atlas will examine and discuss some procedures common in different fields of current oral surgery. First, we present an introduction to laser physics, as well as guidelines for proper clinical protocol. Then, we examine how the laser beam can be useful to p...

by Michael R. McGuire

02/16/2010

Major goals of health care in the 21st century are to make health care more efficient and less costly. These goals can be accomplished by implementation of evidence-based care; greater coordination of patient care; implementation of preventive care and wellness measures; and the evaluation of outcomes of care to identify improved ways to provide care. A universal patient medical record can help achieve these goals of more efficient and less costly health care.

A Grounded Theory Study of Truth-Telling in Cancer

Perceptions of White British and British South Asian Community Workers

by Kelvin Karim

10/13/2002

Truth-telling about life-threatening cancer illness is a controversial matter. Few studies have explored attitudes towards truth-telling among people from migrant communities living in cultures different to their own. The purpose of this grounded theory study was to explore the perceptions of white British and British south Asian community workers within the Metropolitan Borough of Walsall as to the factors that influence truth-telling. In-depth, focused interviews were carried out with a sample of 20 key informants. A theoretical model was developed which describes the factors that lead to an imperative for family to act as gate-keepers of information exchange. The model describes the strategies used and the narrower and broader contexts in which they take place. The implications for prac...

by Ilan Lohr

03/15/2000

That neuropsychological performance is impaired in patients with affective disorders is now widely accepted, and there is growing evidence that attentional dysfunction (effortful attention in particular) is one of the major impairments normally observed. The present study aimed at defining the nature of attentional dysfunction in depression by means of tests designed to measure specific aspects of attention, such as sustained, selective, focused, divided attention, etc. We also tested the effect of increasing effortful attentional demands on subjects' performance. To that end, effort level was increased on the task variable that was considered to be the defining characteristic of each task. For example, the Stroop Color-Word is a test of perceptual interference, so that on the high effort ...

by Jon C. Kolb

11/13/2004

Recently, endurance athletes and high altitude climbers have gained access to commercially available, portable normobaric hypoxic chambers. Intermittent exposures to hypoxia in these chambers may elicit adaptations similar to those observed during acclimatization to altitude. Manufactures of these systems purport that intermittent exposures may elicit adaptations similar to those observed in response to the hypoxia of high altitude, however there have been no reports in the scientific literature that ventilatory acclimatization or alterations in cerebrovascular dynamics occur following repeated episodes in the portable chambers. The goal of this dissertation is to provide a detailed investigation into the physiologic and symptomatic responses following an intervention of discontinuous ...

Public Health and Agricultural Biotechnology

A Review of the Legal, Ethical, and Scientific Controversies Presented by Genetically Altered Foods

by Mitchell Berger

06/18/2000

Genetically modified foods present numerous ethical, environmental, health and legal challenges. This report synthesizes information from many websites, scientific journals, newspapers and books that discuss the controversy surrounding genetically modified foods. The author has attempted to show that although the future applications of agrobiotechnology appear promising, the ways in which it is currently being used and regulated should be evaluated with a healthy degree of skepticism.

Attention Deficit Disorders

A Neurological Diagnostic Perspective

by Edward F. Frates

06/04/2002

The effects of attention deficit disorders seem to touch many people's lives today, and the questions surrounding this disorder are many. There is more information regarding this disorder than at any time in its history. Unfortunately, there is just as much misinformation surrounding the facts of this disorder as ever. It is the intention of this book to, in some way, unveil a few misconceptions surrounding Attention Deficit Disorders; logically, medically, and more important scientifically. By exploring the history, etiology, comorbidity and neurological diagnostic perspectives, those in professional positions responsible for our children's welfare (teaching, nursery schools, childcare, parenting, and the medical community) may gain a better understanding of this condition.

by Veronica A. Thurmond

04/05/2003

The impetus for this study was the need to gain a better understanding of what interaction activities in the virtual classroom affect student outcomes. The purpose was to determine which perceptions of interactions contributed to predicting student outcomes of satisfaction and future enrollment in Web-based courses, while controlling for student characteristics. The problem is that the interaction that occurs in the Web-based classroom is markedly different than what occurs in the traditional classroom setting. The study was a secondary analysis using data from 388 student evaluations of Web-based courses. Using Astin's Input-Environment-Outcome (I-E-O) conceptual framework, influences of student characteristics [inputs] and virtual classroom interactions [environment] on student outcom...

by Veronica A. Gillette

02/17/2003

Facilitating the transition of elderly patients from the hospital setting to their pre-hospital environment is a major challenge for health care providers. Adequate discharge planning has been mandated by the Joint Commission on Accreditation of Health Care Organization (JCAHO) and the American Hospital Association (AHA). However, reports from the literature indicate that some elderly patients on Medicare may be discharged "quicker and sicker" than in the past and that care-giving family members are often not included in the discharge planning process.The problem is that elderly patients may be discharged from the hospital before appropriate discharge planning is complete. The purpose of this pilot study was to determine elderly patients' and their family members' level of satisfaction ...

Psychiatric Triage and Screening

Trends, Parameters, and Limitations When Evaluating Patients in an Emergency Room Setting

by Malik Abdur-Razzaq

08/08/2011

Numerous societal factors have given rise to acute psychiatric conditions in patients referred for mental health evaluation and treatment at a specified emergency room (ER). Some of these risk factors include homelessness, domestic violence, unemployment, and poverty; acute and recurring mental illnesses; comorbid disorders, and the effects of war as evidenced by soldiers returning home from overseas with signs of post traumatic stress disorder (PTSD) symptoms. The increase in referrals from correctional facilities, jails, juvenile detention centers, group homes, nursing homes, and schools points to institutions overwhelmed and having difficulty managing their specific populations. As a result, these groups and individuals are referred for psychiatric emergency services. Nurses at the s...

Advancing Conjugate Gaze

Advanced Concepts in Reflex Mind-Body Therapy

by Vincent L. Perri

10/31/2013

Advancing Conjugate Gaze advances Dr. Perri's Conjugate Gaze approach of manipulative reflex therapy to an integrated mind-body approach to reflex-based physical and somato-emotional therapeutics. Covering such diverse topics as the "tadpole child" of the autistic spectrum disorders to the underlying relationship of the cranial fascial planes to the chakras of the human body, Dr. Perri charts a specific and highly referenced approach to integrating dysfunctional mind-body interactions. Advancing Conjugate Gaze will take interested practitioners of any physical medicine discipline as well as psychology to a full understanding of the conjugate gaze mechanism. Its application in conjunction with peripheral reflex contacts, verbal cues, spatial field of interaction, visceral fascial releases,...

by Ismaeel M. Bin-Jaliah, Ph.D.

07/25/2006

The carotid body initiates reflexes aimed principally at the homeostatic maintenance of blood gas tensions. This thesis tested the hypothesis that the carotid body is also a physiological glucosensor, with a role in mediating exercise hyperpnoea. In anaesthetised rats, insulin-induced hypoglycaemia (from ca. 6.5 to 2.8 mmol L-1) caused an ca. two-fold increase of oxygen consumption that was associated with a significant, carotid body-dependent increase in ventilation (from ca. 420 to 640 ml min-1 kg-1) without change in blood gas tensions. This hypoglycaemic hyperpnoea was associated with hypokalaemia and no alterations of ventilation or metabolism were observed in euglycaemic, control studies, thus excluding any role for [K+] or insulin. During hypermetabolism, a proportional augmentation...

Medi-Cross

100 Medical Terminology Crossword Puzzles for Pre-Med, Medical, and Nursing Students, EMTs, Massage Therapists and Other Health Care Professionals and Crossword Lovers

by John McLeod

04/09/2010

Medi-Cross is a compilation of medical terminology crossword puzzles designed for students of medicine and related health sciences and practitioners of these fields of study. It is a supplemental study and review tool in a crossword format using terminology of anatomy, physiology, pathology, and all sciences concerned with the human body. Medi-Cross is the first of its kind in the U.S.-style crossword format and is a fun way to test one's knowledge of medical terms.

by Charles N. Gamble, MD

01/01/2012

Pathology of the Kidney in Dysproteinemia is an academic monograph describing in detail the causes and development of structural and functional changes in the human kidney resulting from the deposition of abnormal circulating serum proteins. The material presented was obtained from 147 cases of renal involvement associated with Dysproteinemia encountered in university and community hospital settings. The described entities account for 4.5% of 3.260 biopsies of native kidneys examined over a period of approximately 25 years. While some of the lesions are quite rare, others are relatively common and seen fairly frequently in a reasonably busy renal biopsy service. Together they constitute a group of extremely interesting lesions in terms of immunology, morphology, and pathogenesis. This b...

by Estanislao Arana

12/01/1997

This thesis is dedicated to assess the accuracy of logistic regression (LR) and artificial neural networks (ANN) in the diagnosis of calvarial lesions using computed tomography (CT). The importance of the different features needed for the diagnosis in both models is also analyzed. The models were developed using patients with calvarial lesions as the only known disease were enrolled. All patients were studied with plain films and CT. Other imaging thecniques were used when available. The clinical and CT data were used for developing LR and ANN models. Both models were tested with the jacknife (leave-one-out) method. The best ANNs were obtained varying iterations and hidden neurons by selecting the one with higher area under the receiver operating characteristic curve (ROC). The fi...

by Donna M. Kimball

08/17/2008

The purpose of this study was to examine the perception of the registered nurses' knowledge in managing the non-diabetic patient with hyperglycemia in the acute care setting. The evidence that has been identified to keep tight glycemic control has demonstrated better outcomes for this population of patients. A non-experimental, quantitative approach was used in this study. Data was obtained based on a descriptive design, using a survey to collect information from an identified population. A convenience sample of 298 registered nurses, who worked as staff nurses at a small community hospital, was selected to obtain information for this study. A questionnaire was the tool developed to collect the data for this research design. This questionnaire was developed from the research results foun...

The Experience of Creating One's Life Vision

A Heuristic and Organic Approach

by Angela Louie

09/11/2008

Creating a life vision for oneself is something that can have a significant and profound impact in one's life. It can influence and direct choices, environments, and occupations. Very little has been written in occupational therapy literature about this important aspect of life. In this paper, a heuristic and organic new paradigm research approach is used to uncover in-depth the implicit and explicit qualities, processes, and themes. The study includes life vision narratives from the researcher and seven participants, as well as a group process and a creative synthesis. Findings indicate that there are two journeys that participants go on- an outer journey that is more worldly and linear, and an inner journey that comes from an intuitive place within and speaks to existential, spiritual, a...

A Cost-Benefit Analysis of Case Management Activities for Diabetes

A Quasi-Experimental Study from One Medicare Advantage Plan's Perspective

by Felix J. Bradbury

06/18/2010

The economic and human costs of diabetes in the U.S. population place an enormous burden on its healthcare system as well as on employers, diabetics, and their respective families. Many Medicare Advantage plans have responded to this burden by implementing diabetes case management programs (DCMPs) aimed at reducing inappropriate health services utilization, improving health outcomes, and containing costs. While the use of DCMPs is common to many health plans, the research regarding their effectiveness has been sparse or inconclusive. The purpose of this study was to help fill a critical gap in the research literature by evaluating the effect of a diabetes case management program known as CareContact on a Medicare population in Texas. The study population consisted of 2,972 confirmed diabet...

by Dr. Mahama Saaka

09/22/2008

Anaemia and malaria are two related problems of public health significance in malaria-endemic countries, including Ghana, that continue to impact negatively on pregnancy outcomes, despite interventions being put in place to address them. The reasons for the apparent lack of efficacy of routine iron supplementation in reducing the risks of preterm and other adverse pregnancy outcomes are not clearly established in Ghana. It is not also known whether all pregnant women benefit from iron supplementation and whether there are some other factors that limit the effectiveness of prenatal iron supplementation. This study tested the primary hypothesis that ‘prenatal zinc supplementation in combination with malaria prophylaxis and an iron and folic acid intervention package in a zinc-deficient and...