Documents Humana Press 10 résultats

Médecine familiale ; Obstétrique ; Grossesse - Complications

Approximately 21,000 family physicians in the United States regularly perform obstetrics as part of their primary care responsibilities. In Obstetrics in Family Medicine: A Practical Guide, a seasoned inner-city family physician concisely surveys the normal obstetrics encountered in a busy medical practice to provide a practical guide to the evaluation and management of common prenatal, peripartum, and postpartum complications. For each stage, Dr. Paul Lyons addresses the major issues and problems, spelling out in detail management protocols about why and what action is to be taken, when it is to be done, and how it is to be interpreted. The key points for each topic are summarized in tabular form for quick reference, and diagnostic flow charts illuminate all aspects of the decision-making process. Expert advice based on years of experience is also presented concerning physical and ultrasound examinations, laboratory tests, drug toxicities, and screening techniques.

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Services de santé mentale ; Psychiatres - Déontologie ; Traitement non volontaire (Thérapeutique) ; Santé mentale - Droit - Législation

Is the involuntary commitment of the mentally ill morally proper? How can we determine proper psychiatric care in a managed health care system? And can a mental health professional violate patient's confidentiality when they believe a patient is a threat to someone? In six non-ideological essays, leading bioethicists, including one with practical experience in medical administration, search for clear moral and legal guidelines for dealing with the complex issues presented when treating mentally ill patients. Objective and readily understandable, Mental Illness and Public Health Care illuminates for the educated reader some of the key ethical issues facing mental health care professionals and provides convincing practical conclusions with real moral import.

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Trouble déficitaire de l'attention

Attention deficit hyperactivity disorder (ADHD) is a common neurobehavioral disorder affecting 5-10% of children and adolescents and 3% of adults. In attention deficit hyperactivity disorder : from genes to patients, expert psychiatrists, psychologists, pharmacologists, and pharmaceutical scientists from arount the worls comprehensively review all critical aspects of our latest understanding of ASHD. The authors emphasize the evaluation and treatment of patients with ADHD, moving from day-t-day approach by clinical psychologist to the more sophisticated anatomical and functional imaging strategies that have emerged in the last decade. Specific impairments, such as reading disabilities, socialdifficulties, and limited working memory are analyzed in detail, as well as for their respective contributions to global functioning. Additional chapters explain, in a readable style, current theories on the pathophysiology of ADHD, focusing on neurotransmitters and the insights gained from animal models. An expanded review of the pharmacotherapy of ADHD includes appropriate methods for selecting of specific drugs for individual patients based on drug kinetics and gene expression. Comprehensive and state of the art, this book offers pediatricians, psychologists, and psychiatrists an authoritative guide to understanding the pathophysiology, symptomatology, evaluation, and treatment of patients with ADHD.

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Schizophrénie

Although much work remains to be done toward understanding the causes of schizophrenia and attenuating its symptoms, a clear consensus has emerged that better outcomes are associated with early treatment. In Early clinical intervention and prevention in schizophrenia, leading and internationally recognized researchers review what is know about the liability to schizophrenia, how it progressesm what it looks like clinically, with an emphasis on a specific (proposed) syndrome of liability (schizotaxia), and how best it might be treated now and in the near future. The authors summarize the latest findings on the genetic, early environmental, and neurodevelopmental origins of schizophrenia, and detail the nature of the vulnerability to schizophrenia from several perspectives, including the prodrome and their proposed pre-prodromal syndrome of schizotaxia. Specific factors, such as cognitive deficits in high-risk populations, neuroanatomical abnormalities, and psychophysiological deficits are also considered. From this material, the contributors develop protocols fot eh treatment of schizotaxia and prodromal symptoms, and discuss issues related to genetic counseling. Thay also explore the neurochemical and molecular possibilities for advancing the goals of prevention and early intervention in schizotaxia. Timely and cutting-edge, Early clinical intervention and prevention in schizophrenia offers psychologists, psychiatrists, and neurologists an authoritative account of how the liability to develop schizophrenia is expressed in meaningful, measurable ways that can provide a basis for early intervention and preventive efforts.

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Prostate - Cancer ; Prostate - Cancer - Traitement

This volume provides new data about the molecular biology of CRPC and a review of the definition, staging and prognostic factors that define CRPC. The book features an in depth review of proven therapeutic options, including bone targeted therapies, immunotherapy, chemotherapy and hormonal based therapies. Combination therapy as well as novel targeted approaches presently under investigations are also reviewed. The text provides up to date guidelines and algorithms for the management of CRPC based on international guidelines presently available as well as evidence based medicine.

As a concise yet comprehensive summary of the current status of the field, Management of Castration Resistant Prostate Cancer serves as a very useful resource for physicians and researchers dealing with this challenging malignancy.

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Affections intestinales inflammatoires

As in the first edition of Inflammatory Bowel Diseases this new edition continues to provide readers with a concise, yet in-depth review of many of the important areas in the history, epidemiology, pathogenesis, diagnosis, and treatment of the inflammatory bowel diseases (ulcerative colitis and Crohn's disease), as well as associated issues: extraintestinal manifestations, ostomy care, women's issues, economics, etc. This Second Edition provides the reders with up-to-date, state-of-the art approaches to these disease states, with expansion into the newer topics that have emerged in the past few years which include the expansion of biological agents for treatment, new studies in the epidemiology of IBD, the changing economics of IBD, breakthroughs in new endoscopic evaluations, major advances in novel radiographic techniques, the detection of colorectal cancer in patients with IBD and new findings in the genetics of IBD.

New Trend / Developments (* These all emerged since our last edition)

The most critical trend that has arisen over the past few years has been the introduction and expansion of biological agents in the treatment of inflammatory diseases worldwide. While only one agent, infliximab (Remicade), existed at the time of publication of my first edition, there have been multiple other agents either approved or pending approval for the treatments of these diseases, or in the upper-stages of development. The impact is not only upon the patients, but also on the health-care providers, policy makers, researchers, biotech and pharmacompanies, and the business community.

Major changes worldwide in the epidemiology of IBD has spurred new studies in the demographics of who is getting these diseases and why. Previously characterized as diseases primarily affected Caucasians in industrialized countries, there has been an explosion of growth amongst the African American and Hispanic populations in the United States, and well as in pockets of these and other ethnic groups worldwide.

The economics of IBD has been changing greatly, given the issues raised above, as well as major changes in the United States Medicare program, and other insurance changes. The growing proportion of the GNP that healthcare costs are consuming in the US and worldwide has shifted attention to decreasing utilization of health care services, and other cost-savings measures. Again, up to this point this has been an exclusive part of our IBD book.

New findings in the genetics of IBD have been recently published. Our first edition had the finding of the first Crohn's disease gene inserted just before going to press; so much has been published about the phenotypes and other genotypes that have emerged.

Breakthroughs in new endoscopic evaluations of the bowel (ie. Capsule endoscopy, double-balloon enteroscopy, endoscopic ultrasound) and their use in the inflammatory bowel diseases will be a key highlight of this new book.

Major advances in novel radiographic techniques employed in patients with inflammatory bowel disease (ie. CT enterography, MR enterography, advanced ultrasounds, etc.) will also an important component of our work.

There have been numerous areas related to the development and detection of colorectal cancer in patients with IBD that have emerged in the past few years. Techniques of better detection (ie. Narrow band imaging; special mucosal staining; endoscopic histological evaluations) as well as research in the putative role of mesalamine and other agents for colorectal cancer prevention are all hot topics that will attract much interest from a variety of interest groups I described above.

Identification of additional disease states that probably belong in the IBD family, such as microscopic colitis (including lymphocytic colitis), and collagenous colitis add to the diseases that will be discussed in this new edition.

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Personnes âgées - Maladies - Aspect nutritionnel - Guides, manuels, etc ; Personnes âgées - Maladies - Diétothérapie - Guides, manuels, etc. ; Personnes âgées - Alimentation

As the older adult population continues to grow, so will the prevalence and incidence of age-related disorders. In Handbook of Clinical Nutrition and Aging, Second Edition, the editors and contributors (a panel of recognized academic nutritionists, geriatricians, clinicians and scientists) have thoroughly updated and revised their widely acclaimed first edition with fresh perspectives and the latest scientific and clinical developments in age-associated disease. New chapters tackle ecological perspectives on adult eating behavior, and behavioral theories applied to nutritional therapies in aging, while topics such as Sarcopenia and Cachexia are discussed in greater detail. The authors outline the physiological basis for each disorder, provide the latest information about the interaction of nutrition with these conditions, and review the potential routes and mechanisms for clinical intervention.

Timely and authoritative, Handbook of Clinical Nutrition and Aging, Second Edition is a unique, comprehensive resource and will prove a valuable guide to all nutritionists, physicians, nurses, dietitians, and speech-language and occupational therapists who provide care for the rapidly expanding aging population.

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Tractus gastro-intestinal - Maladies - Aspect nutritionnel ; Tractus gastro-intestinal - Diétothérapie

This volume serves as a hands-on, practical reference in nutrition support for the clinical gastroenterologist and for other clinicians with similar interests. The book offers expert nutritional knowledge and management ideas. It also provides methodology for combating problems such as short bowel syndrome, inflammatory bowel disease, celiac disease and obesity.

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Douleur chronique ; Douleur chronique - Traitement

Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.

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Soins intensifs en neurologie ; Neurochirurgie

An authoritative and comprehensive review of the most important clinical issues facing critically ill neurologic and neurosurgical patients. The authors provide pertinent basic, clinical, diagnostic, and management guidelines for all the conditions commonly encountered in the neurocritical care unit, including the management of autonomic disorders that require critical care, postoperative management, and endovascular treatment. The authors also discuss the latest developments in the monitoring of different body systems, emphasizing the management of cardiorespiratory complications and other medical conditions that may threaten the patient's life. Also detailed are the concepts of intracranial physiology and current neuromonitoring techniques, subjects whose understanding is basic to effective management of critically ill neurologic patients. Numerous tables, figures, diagrams, and radiographs simplify and explicate both the diagnostic and therapeutic processes.

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