Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)

The evidence relating to the advances in obstetric practice and research over the past several decades have resulted in significant improvements in maternal and perinatal outcome. The obstetric care provider has the responsibility to be aware of these improvements and implement evidence-based practice when the situation requires. Clinical decisions should, as much as possible, be evidence based. This requires expertise in retrieving, interpreting, and applying the results of scientific studies and in communicating effectively the risks and benefits of different courses of action to patients. The highly-regarded authors have used easy-to-follow management algorithms presented in a highly visual format to assist rapid decision making; with sections covering:* Preventative Health* Maternal Disorders* Infectious Complications* Antenatal Complications* Intrapartum / Postpartum Complications Featuring best obstetric management guidance, based on graded published evidence and recommendations, this book will enable practicing and trainee obstetrician-gynecologists and nurse midwives to ensure that the primary goals of the delivery of a healthy mother and a healthy baby are met.

Preterm birth is an increasing challenge in the developed and developing world. As we begin to understand what contributes to the likelihood of preterm birth, obstetricians and gynecologists can advise mothers and aspiring mothers on how to minimize the risks. Doctors can also monitor those patients who are likely to be at risk to increase the chances of preventing or effectively managing preterm labor. This practical book provides a clinically focused approach to the prevention and management of premature births, using the best available evidence to provide clear guidance to obstetricians, gynecologists, nurse midwives and family practitioners. Written for an international audience, the author addresses the special issues affecting patients in the developing world, including infectious- and poverty-related preterm birth. Each of the 30 chapters follows a wealth of practical features: * Key points and chapter summaries * Algorithms, tables and graphs * Summary of the evidence-based literature * Easy-to-use clinical guidelines

Clinical oncologists and researchers now have a comprehensive single source of current information on cancer viruses obtained from bench and bedside. This important refernce allows further development of translational approaches for the effective treatment of patients with virus-associated malignancies. The book contains 25 chapters covering basic and clinical aspects of viruses, including HPV, HBV, HCV, polyomaviruses, Kaposi's associated viruses, retroviruses (including HIV-1 associated malignancies), and EBV. Several chapters are devoted to basic science of oncogenic viruses for the study of their pathogenesis, drug development, and employment of viral vectors for vaccine and gene therapy. Clinical materials are embedded within chapters, and there are also complementary, clinically based chapters describing natural courses and treatments.

The definitive guide to PACS -- now with more clinically applicable material In recent years, the field of picture archiving and communications systems--PACS--and image informatics has advanced due to both conceptual and technological advancements. This edition of PACS and Imaging Informatics: Basic Principles and Applications addresses the latest in this exciting field. In contrast to the previous edition, this updated text uses the framework of image informatics, not physics or engineering principles, to explain PACS. It is the only resource that thoroughly covers the critical issues of hardware/software design and implementation in a systematic and easily comprehensible manner. To strengthen and update the book, the author: Emphasizes clinical applications of PACS and integrates clinical examples throughout the text Reflects the many changes in the field, with new chapters on Web-based PACS, security, integrating the healthcare enterprise, clinical management systems, and the electronic patient record Uses the framework of imaging informatics to explain PACS, making the book accessible to those without advanced knowledge of physics, engineering, math, or information technology Explains how PACS can improve workflow, therapy, and treatment With the most systematic and thorough coverage of practical applications available, this text is the complete guide for all those involved in designing, implementing, and using PACS. Professionals in medical and allied health imaging informatics; radiologists and their technical staff; surgeons and oncologists and their teams; medical and electronic engineers; medical informaticians; and fellows, graduate students, and advanced undergraduates will all benefit from this valuable resource. "An excellent book for people involved in the design, implementation, or simply the operations of PACS and an appropriate textbook." -- From a review of the previous edition in IEEE Engineering in Medicine and Biology "The strength of the book lies in the vast experience of the author, who has implemented PACS at numerous institutions in the United States and abroad." -- From a review of the previous edition in Radiology

Advanced Genetic Counseling Practice reflects the growing recognition that the role of genetic counselors extends well beyond that of an information provider. Well trained, experienced genetic counselors will benefit from chapters intended to further develop professionals' ability to gather relevant information effectively; interpret information for patients; provide patients with appropriate resources; then go one step further. The authors encourage counselors to understand patient situations, incorporate patient values into clinical practice, provide in-depth support, and deal with both manifest and latent factors affecting patient decision-making to truly facilitate informed, autonomous decisions.

Nephrology is an important speciality; patients with acute or chronic kidney failure are encountered in every medical and surgical speciality, as well as in general practice. On most general medical rotations and on most surgical wards there are patients with renal problems. Renal medicine is taught on rotation during degree courses, and Foundation training programmes frequently include attachments in nephrology, urology, and renal transplantation. Nephrology: Clinical Cases Uncovered contains clinical presentations with real-life patient cases and outcomes as seen on the wards and in exams, and leads students through a practical approach to diagnosis and management of kidney disease. Following a question-answer approach, including self-assessment material and a 'refresher' section on the basic science of this clinical area, Nephrology: Clinical Cases Uncovered features investigations and the treatment options available for patients with renal disease, including those requiring renal replacement therapy with dialysis and transplantation. Difficult concepts are clarified, using simple diagrams to explain the link between pathology and clinical presentation. Nephrology: Clinical Cases Uncovered is ideal for medical students, junior doctors on the Foundation Programme, GP trainees, and specialist nurses and nurse practitioners. This book is also a useful refresher for nephrology trainees at the beginning of their specialist training programme.

Cardiology: Clinical Cases Uncovered is the ideal integrated text to help you recognize, understand and know how to investigate and manage many heart-related disorders and conditions. Written by three practising cardiologists, it leads students through a clinical approach to managing problems with 26 real-world cardiovascular cases. There is strong emphasis on high-quality figures, particularly 12-lead ECGs, as these play such a major role in the evaluation of the cardiac patient. Following a question-answer approach throughout the narrative, with self-assessment MCQs, EMQs and SAQs, Cardiology: Clinical Cases Uncovered includes sections on cardiac anatomy, physiology and pathology which provide the essentials required to understand clinical cardiology, and is ideal for medical students and junior doctors on the Foundation Programme, specialist nurses and nurse practitioners, and for those with plans for a career in cardiology.

As the global psychiatric community enters a new era of transformation, this book explores lessons learned from previous efforts with the goal of "getting it right" this time. In response to the common refrain that we know about and 'do' recovery already, the authors set the recovery movement within the conceptual framework of major thinkers and achievers in the history of psychiatry, such as Philippe Pinel, Dorothea Dix, Adolf Meyer, Harry Stack Sullivan, and Franco Basaglia. The book reaches beyond the usual boundaries of psychiatry to incorporate lessons from related fields, such as psychology, sociology, social welfare, philosophy, political economic theory, and civil rights. From Jane Addams and the Settlement House movement to Martin Luther King, Jr., and Gilles Deleuze, this book identifies the less well-known and less visible dimensions of the recovery concept and movement that underlie concrete clinical practice. In addition, the authors highlight the limitations of previous efforts to reform and transform mental health practice, such as the de-institutionalization movement begun in the 1950s, in the hope that the field will not have to repeat these same mistakes. Their thoughtful analysis and valuable advice will benefit people in recovery, their loved ones, the practitioners who serve them, and society at large. Foreword by Fred Frese, Founder of the Community and State Hospital Section of the American Psychological Association and past president of the National Mental Health Consumers' Association

Although clinical trials were virtually unheard of in psychiatry for many years, they are now the gold standard for judging whether drugs are safe and useful. But should they be? What is the true status of clinical trials? Even when they ostensibly demonstrate a benefit of a certain treatment, the strict patient selection criteria, poor compliance and high drop-out rate leave the conclusions open to question. Are the new treatments really better or more cost-effective than the old? Do they have fewer side effects? In this book the authors take a critical look at recent developments and present a series of trenchant and challenging observations. Section I examines the significant changes in law and the regulatory environment that have occurred during the past ten years. Has fossilization handicapped the US Food and Drug Administration in promoting treatment advances? How can the plethora of findings be regulated? This is particularly pertinent in genomic studies and there are two chapters addressing the impact of genomics on psychiatric research. This section also addresses the role of women in drug trials - a group long excluded but now demanding a part, for without testing how can optimal treatments be devised? The next two Sections highlight clinical trials in the major areas of psychiatric pharmacological treatment, including Mood Disorders, especially Bipolar, Anxiety Disorders, and addictions. Chapters on pharmacological treatments for Eating Disorders, Attention Deficit Disorder, Autism and Asperger's Syndrome, and Impulse Control Disorder represent the latest thinking on these subjects. The final Section contains a consummate example of out-of-the [Western]- box thinking, namely consideration of herbal medicines - used by a large number of patients, with or without medical supervision. We conclude with a close look at the problem of side effects, then selected thoughts about methodology. Clearly written, the text provides immediate access to new developments across the spectrum of drug testing. Clinical Trials in Psychopharmacology: A Better Brain is provocative reading for psychiatrists, pharmacologists and all those interested in improved drug treatments for patients with mental illness.* Raises questions about the conduct of trials and the credibility of their outcomes that are relevant not just in psychiatry but all areas of medicine * Discusses the ethical problems in assessing outcomes in humans, including children