Demonstrating Your Clinical Competence in Cardiovascular and Neurological Conditions

Demonstrating Your Clinical Competence in Cardiovascular and Neurological Conditions

Demonstrating Your Clinical Competence in Cardiovascular and Neurological Conditions

All registered nurses are required to keep portfolios which demonstrate their competence in clinical practice in order to receive re-registration with the Nursing and Midwifery Council. In addition, they are encouraged to seek individual annual appraisals which highlight their progress and areas the require development. This book provides examples and ideas on how to document learning, competence, performance or standards of service delivery. It takes an important clinical theme throughout, providing key information on clinical management from the outset, followed by structured examples of evidence of performance and application of learning in practice, individualised for each clinical theme, focussing on cardiovascular and neurological conditions. It explains how to gather evidence from clinical interactions and other aspects of daily work. All nurses working in primary care with an interest in chronic disease management, especially those who are looking for a more ‘first contact’ work within their role will find this book valuable reading.

 

 

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State of the Heart: Exploring the History, Science, and Future of Cardiac Disease

State of the Heart: Exploring the History, Science, and Future of Cardiac Disease

State of the Heart traces the entire arc of the heart, from the very first time it was depicted on stone tablets, to a future in which it may very well become redundant. While heart disease has been around for a while, the type of heart disease people have, why they have it, and how it’s treated is changing. Yet, the golden age of heart science is only just beginning. And with treatments of heart disease altering the very definitions of human life and death, there is no better time to look at the present and future of heart disease, the doctors and nurses who treat it, the patients and caregivers who live with it, and the stories they hold close to their chests.

More people die of heart disease than any other disease in the world and when any form of heart disease progresses, it can result in the development of heart failure. Heart failure affects millions and can affect anyone at anytime, a child recovering from a viral infection, a woman who has just given birth or a cancer patient receiving chemotherapy. Yet new technology to treat heart failure is fundamentally changing just what it means to be human. Mechanical pumps can be surgically sown into patients’ hearts and when patients with these pumps get really sick, sometimes they don’t need a doctor or a surgeon―they need a mechanic.

 

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Transforming the Heart of Practice: An Organizational and Personal Approach to Physician Wellbeing

Transforming the Heart of Practice: An Organizational and Personal Approach to Physician Wellbeing

Transforming the Heart of Practice

This unique, step-by-step guide offers a comprehensive exploration of burnout and physician wellbeing, a vital issue that steadily has become widely discussed in the professional and mainstream press.   More than twenty chapter authors contribute to this multidimensional volume, including physicians, psychologists, researchers, healthcare administrators, chaplains, professional coaches, and counselors. Section one of the book establishes context, provides a brief overview of the phenomenon of physician burnout, establishes its validity, and makes a case for the reason it has emerged as a critical issue in American healthcare.  Section two provides a rationale for healthcare institutions (hospitals, physician groups, medical associations) to make a commitment to physician wholeness, while section three then starts the process of delineating a step-by-step curriculum to address the dilemma, providing additional detail and personal experience direct from the frontlines of combatting burnout. Section four focuses on developing and sustaining a healthy professional culture that is aligned with the mission of the organization, and section five addresses the spiritual component of physician wholeness,   Section six concludes the book with two personal essays that poignantly express the nature of two common experiences affecting physicians that require uncommon insight, patience, courage. Transforming the Heart of Practice is a major contribution to the literature and will serve as an invaluable resource for anyone concerned with addressing this crisis in American healthcare.

 

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Target Volume Delineation and Treatment Planning for Particle Therapy: A Practical Guide

Target Volume Delineation and Treatment Planning for Particle Therapy: A Practical Guide 

This handbook is designed to enable radiation oncologists to treat patients appropriately and confidently by means of particle therapy. The orientation and purpose are entirely practical, in that the focus is on the physics essentials of delivery and treatment planning , illustration of the clinical target volume (CTV) and associated treatment planning for each major malignancy when using particle therapy, proton therapy in particular. Disease-specific chapters provide guidelines and concise knowledge on CTV selection and delineation and identify aspects that require the exercise of caution during treatment planning. The treatment planning techniques unique to proton therapy for each disease site are clearly described, covering beam orientation, matching/patching field techniques, robustness planning, robustness plan evaluation, etc. The published data on the use of particle therapy for a given disease site are also concisely reported. In addition to fully meeting the needs of radiation oncologists, this ‘know why’ and “know how” guide to particle therapy will be valuable for medical physicists, dosimetrists, and radiation therapists.

 

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Lasers, Lights and Other Technologies

Lasers, Lights and Other Technologies

The series “Clinical Approach and Procedures in Cosmetic Dermatology” intends to be a practical guide in Cosmetic Dermatology. Procedures in cosmetic dermatology are very popular and useful in medicine, indicated to complement topical and oral treatments not only for photodamaged skin but also for other dermatosis such as acne, rosacea, scars, etc. Also, full-face treatments using peelings, lasers, fillers and toxins are increasingly being used, successfully substituting or postponing the need for plastic surgeries. Altogether, these techniques not only provide immediate results but also help patients to sustain long-term benefits, both preventing/treating dermatological diseases and maintaining a healthy and youthful skin. Throughout this series, different treatments in Cosmetic Dermatology will be discussed in detail covering the use of many pharmacological groups of cosmeceuticals, the new advances in nutraceuticals and emerging technologies and procedures. This volume addresses the most important physical approaches in cosmetic dermatology, disclosing their uses and advantages. Here are discussed in detail the applicability of lasers and other lights, photodynamic therapy, radiofrequency, ultrasound and transepidermal drug delivery.

 

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Chemical and Physical Procedures

Chemical and Physical Procedures 

The series “Clinical Approach and Procedures in Cosmetic Dermatology” intends to be a practical guide in Cosmetic Dermatology.   Procedures in cosmetic dermatology are very popular and useful in medicine, indicated to complement topical and oral treatments not only for photodamaged skin but also for other dermatosis such as acne, rosacea, scars, etc. Also, full-face treatments using peelings, lasers, fillers and toxins are increasingly being used, successfully substituting or postponing the need for plastic surgeries. Altogether, these techniques not only provide immediate results but also help patients to sustain long-term benefits, both preventing/treating dermatological diseases and maintaining a healthy and youthful skin. Throughout this series, different treatments in Cosmetic Dermatology will be discussed in detail covering the use of many pharmacological groups of cosmeceuticals, the new advances in nutraceuticals and emerging technologies and procedures.   This volume discusses in detail the applicability and benefits of chemical peelings. Here are discussed in detail the use of superficial, medium and deep peelings.

 

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Target Volume Delineation and Treatment Planning for Particle Therapy: A Practical Guide

Target Volume Delineation and Treatment Planning for Particle Therapy: A Practical Guide 

This handbook is designed to enable radiation oncologists to treat patients appropriately and confidently by means of particle therapy. The orientation and purpose are entirely practical, in that the focus is on the physics essentials of delivery and treatment planning , illustration of the clinical target volume (CTV) and associated treatment planning for each major malignancy when using particle therapy, proton therapy in particular. Disease-specific chapters provide guidelines and concise knowledge on CTV selection and delineation and identify aspects that require the exercise of caution during treatment planning. The treatment planning techniques unique to proton therapy for each disease site are clearly described, covering beam orientation, matching/patching field techniques, robustness planning, robustness plan evaluation, etc. The published data on the use of particle therapy for a given disease site are also concisely reported. In addition to fully meeting the needs of radiation oncologists, this ‘know why’ and “know how” guide to particle therapy will be valuable for medical physicists, dosimetrists, and radiation therapists.

 

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Progress in Medical Research (Advances in Experimental Medicine and Biology Book 1070)

Progress in Medical Research (Advances in Experimental Medicine and Biology Book 1070)

This book is a compendium of articles providing insights into a range of contemporary ideas concerning the core yet unsettled clinical issues. Important aspects of pulmonary disorders are tackled such as occupational respiratory health hazards, asthma, or the role of vitamin D in obstructive airway diseases. Genotyping offers a clear promise in the diagnostics of chronic pulmonary lesions of autoimmune background. Cardiac and respiratory-driven pulsation of cerebrospinal fluid content offers novel arguments in the pathophysiologic savvy of a range of brain dysfunctional conditions, including respiratory-related hypoxic pathologies. Some other articles tackle the heady topics of rehabilitation medicine, offering an insight into research-underpinned diagnostics and practical management solutions in a range of  musculoskeletal disorders and injuries that affect the human body’s movement, particularly those controlled by the autonomic nervous system. The book is addressed to clinicians, researchers, physiotherapists, and medical professionals engaged in patient care.

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Melanocytic Lesions: A Case Based Approach

Melanocytic Lesions: A Case Based Approach

Melanocytic Lesions: A Case Based Approach provides a concise yet comprehensive guideline on how to diagnose common as well as problematic and challenging melanocytic lesions. In the first 11 chapters, each entity is illustrated by an actual case; followed by discussion of how the diagnosis is reached, of the histologic differential diagnoses and of diagnostic pitfalls and ends with bulleted teaching points. Pertinent and up to date references are included at the end of each chapter. The latter chapters cover current microstaging and classification of melanoma, ancillary techniques including immunohistochemistry as well as available molecular assays and molecular targeted therapy. All figures and glass slides of the discussed cases are hosted online for easy viewing and access. Melanocytic Lesions: A Case Based Approach will serves as a useful resource for pathologists, dermatologists and researchers dealing with melanocytic lesions.

 

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Turbulent Heating and Anisotropy in the Solar Wind: A Numerical Study

Turbulent Heating and Anisotropy in the Solar Wind: A Numerical Study

This book presents two important new findings. First, it demonstrates from first principles that turbulent heating offers an explanation for the non-adiabatic decay of proton temperature in solar wind. Until now, this was only proved with reduced or phenomenological models. Second, the book demonstrates that the two types of anisotropy of turbulent fluctuations that are observed in solar wind at 1AU originate not only from two distinct classes of conditions near the Sun but also from the imbalance in Alfvén wave populations. These anisotropies do not affect the overall turbulent heating if we take into account the relation observed in solar wind between anisotropy and Alfvén wave imbalance.
In terms of the methods used to obtain these achievements, the author shows the need to find a very delicate balance between turbulent decay and expansion losses, so as to directly solve the magnetohydrodynamic equations, including the wind expansion effects.

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